Details
-
Change Request
-
Resolution: Persuasive with Modification
-
Medium
-
US PACIO Advance Directive Interoperability (FHIR)
-
0.1.0
-
Patient Empowerment
-
STU
-
PADI CapabilityStatement [deprecated]
-
Formal Specification
-
5.5, 7.1
-
-
Dave Hill / Virginia Lorenzi : 7-0-0
-
Correction
-
Non-compatible
Description
Section 5.5 indicates that "This guide requires the interoperability of Advance Directive Information through the use of wholly contained documents as part of its use case. While it is required that this data be made interoperable as a collection of Advance Directive Information in document Bundles, systems may decide to make use of the constituent resources as separate resources for additional uses and purposes, such as use in support of Clinical Decision Support."
1) the way the composition is structured, it would be very difficult to detach standalone elements. For example, healthcare agent is a section header within the composition, with the loinc code hardcoded into the section header. using ADI Participant standalone provides no context that the participant IS the healthcare agent. A previous version of this implementation guide I believe provided a healthcare agent resource that would be an appropriate standalone element.
2) The landscape may evolve such that certain resources in the composition become digitally feasible before others. Consider an implementation guide that allows for gradual transition of digital elements/resources combined with a document reference,e.g., PDF. Example: Declaration of Healthcare agent - discrete resource + remainder of patient goals and preferences contained within a scanned PDF.
Attachments
Issue Links
- is voted on by
-
BALLOT-27169 Negative - Christopher Schaut : 2022-Jan-FHIR IG PACIO ADI R1 STU
- Withdrawn
-
BALLOT-30462 Negative - Chris Courville : 2022-Jan-FHIR IG PACIO ADI R1 STU
- Withdrawn
-
BALLOT-30487 Negative - Cooper Thompson : 2022-Jan-FHIR IG PACIO ADI R1 STU
- Withdrawn
-
BALLOT-30527 Negative - David Sundaram-Stukel : 2022-Jan-FHIR IG PACIO ADI R1 STU
- Withdrawn
-
BALLOT-30569 Negative - Thanos Tsiolis : 2022-Jan-FHIR IG PACIO ADI R1 STU
- Withdrawn
-
BALLOT-30594 Negative - Amit Popat : 2022-Jan-FHIR IG PACIO ADI R1 STU
- Withdrawn
-
BALLOT-30619 Negative - Daniel Rutz : 2022-Jan-FHIR IG PACIO ADI R1 STU
- Withdrawn
-
BALLOT-30644 Negative - Michael Clifton : 2022-Jan-FHIR IG PACIO ADI R1 STU
- Withdrawn
-
BALLOT-30437 Negative - Vassil Peytchev : 2022-Jan-FHIR IG PACIO ADI R1 STU
- Balloted
-
BALLOT-30530 Negative - Daniel Zhang : 2022-Jan-FHIR IG PACIO ADI R1 STU
- Balloted
-
BALLOT-30669 Negative - Isaac Vetter : 2022-Jan-FHIR IG PACIO ADI R1 STU
- Balloted