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  1. FHIR Specification Feedback
  2. FHIR-29032

Request broadening the scope of Observation resource to cover non-clinical use cases

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Details

    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: High High
    • FHIR Core (FHIR)
    • R5
    • Orders & Observations
    • Observation
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      Motion to update the following bullets:

      • Observations are a central element in healthcare, used to support diagnosis, monitor progress, determine baselines and patterns and even capture demographic characteristics as well as capture results of tests performed on products and substances. Most observations are simple name/value pair assertions with some metadata, but some observations group other observations together logically, or even are multi-component observations. Note that the DiagnosticReport resource provides a clinical or workflow context for a set of observations and the Observation resource is referenced by DiagnosticReport to represent laboratory, imaging, and other clinical and diagnostic data to form a complete report.
      • Product quality tests such as pH, Assay, Microbial limits, etc. on product and substance.
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      Motion to update the following bullets: Observations are a central element in healthcare, used to support diagnosis, monitor progress, determine baselines and patterns and even capture demographic characteristics  as well as capture results of tests performed on products and substances . Most observations are simple name/value pair assertions with some metadata, but some observations group other observations together logically, or even are multi-component observations. Note that the  DiagnosticReport  resource provides a clinical or workflow context for a set of observations and the Observation resource is referenced by DiagnosticReport to represent laboratory, imaging, and other clinical and diagnostic data to form a complete report. Product quality tests such as pH, Assay, Microbial limits, etc. on product and substance.
    • Smita Hastak/Peter Bomberg: 14-0-0
    • Enhancement
    • Compatible, substantive
    • R5

    Description

      Request to update the Scope and Usage section of the Observation resource to support non-clinical use cases like pharmaceutical quality.  Please see edits in red font below

       

      • This resource is an event resource from a FHIR workflow perspective - see Workflow.
      • Observations are a central element in healthcare, used to support diagnosis, monitor progress, determine baselines and patterns and even capture demographic characteristics as well as capture results of tests performed on drug products and substances. Most observations are simple name/value pair assertions with some metadata, but some observations group other observations together logically, or even are multi-component observations. Note that the DiagnosticReport resource provides a clinical or workflow context for a set of observations and the Observation resource is referenced by DiagnosticReport to represent laboratory, imaging, and other clinical and diagnostic data to form a complete report.
      • Uses for the Observation resource include:
      • Vital signs such as body weight, blood pressure, and temperature
      • Laboratory Data like blood glucose, or an estimated GFR
      • Imaging results like bone density or fetal measurements
      • Clinical Findings* such as abdominal tenderness
      • Device measurements such as EKG data or Pulse Oximetry data
      • Clinical assessment tools such as APGAR or a Glasgow Coma Score
      • Personal characteristics: such as eye-color
      • Social history like tobacco use, family support, or cognitive status
      • Core characteristics like pregnancy status, or a death assertion
      • Pharmaceutical quality tests such as pH, Assay, Microbial limits, etc. on drug product and substance

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            rhausam Robert Hausam
            shastak Smita Hastak
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            Dates

              Created:
              Updated:
              Resolved: