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  1. FHIR Specification Feedback
  2. FHIR-31072

RegionStudied unnecessarily constrained to US Core LaboratoryResultObservation Profile

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    Details

    • Type: Change Request
    • Status: Applied (View Workflow)
    • Priority: Medium
    • Resolution: Persuasive
    • Specification:
      US Minimal Common Oncology Data Elements (mCODE) (FHIR)
    • Raised in Version:
      1.0.0
    • Work Group:
      Clinical Interoperability Council
    • Related Artifact(s):
      Genomic Region Studied
    • Related Page(s):
      (profiles)
    • Grouping:
    • Resolution Description:
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      It isn't possible to change the parent profile to FHIR base Observation resource because GenomicRegionStudied is referenced from GenomicsReport, and GenomicsReport is based on US Core DiagnosticReport Profile for Laboratory Results Reporting and the US Core profile constrains DiagnosticReport.result to US Core Laboratory Result Observation Profile.  So unless we change GenomicsReport to directly inherit from DiagnosticReport, we are essentially stuck with the way it is.

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      It isn't possible to change the parent profile to FHIR base Observation resource because GenomicRegionStudied is referenced from GenomicsReport, and GenomicsReport is based on US Core DiagnosticReport Profile for Laboratory Results Reporting  and the US Core profile constrains DiagnosticReport.result to US Core Laboratory Result Observation Profile .  So unless we change GenomicsReport to directly inherit from DiagnosticReport, we are essentially stuck with the way it is.
    • Resolution Vote:
      Russ Leftwich / May Terry: 5-0-1
    • Change Category:
      Clarification
    • Change Impact:
      Non-compatible
    • Pre Applied:
      Yes

      Description

      Reported by Max Masnick:

      Found while implementing changes to the mCODE data dictionary. value[x] is 0..1 and MS, but the short value is found as “Not used in this profile”.  It looks like the MS is coming from USCoreLaboratoryResultObservationProfile so presumably there’s no way to back that out unless we switched to inheriting from just Observation.

      Recommendation: Loosen derivation to FHIR base Observation resource since RegionStudied is dependent on GenomicsReport does not make sense as a standalone USCore constrained lab observation profile. It also is truer to the HL7 Genomics Reporting FHIR IG which is not bound to US Core.

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            Assignee:
            Unassigned Unassigned
            Reporter:
            may_terry May Terry
            Watchers:
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              Updated:
              Resolved:
              Vote Date: