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  1. FHIR Specification Feedback
  2. FHIR-35114

Need to clarify the meaning/purpose of this profile/observation category

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Highest Highest
    • US Core (FHIR)
    • Cross-Group Projects
    • US Core Observation Clinical Test Result Profile [deprecated]
    • many
    • Hide
      • Create a Single Parent Profile - “US Core Observation Result“
        1. Similar pattern to ‘Vital signs create sub profile lab
        2. Guidance for each will go into the specific  profiles

      in the introduction state: Proposed Wording: This profile sets minimum expectations for the Observation resource to record, search, and clinical tests results (e.g., laboratory, radiology and other clinical procedure results generated by other procedures).

       

      Add this to the new clinical test profile introduction section:

      Procedure results are typically generated by a clinician to provide more granular information about component observations made during a procedure. An example would be when a gastroenterologist reports the size of a polyp observed during a colonoscopy. The derived profiles will contain more constrained terminologies for clinical tests.

       

      Category, Observation, and result terminology will be broader to encompass the three USCDI data classes and all the data elements.  The derived profile will contain more constrained terminologies for lab and add specimen type.

      Show
      Create a Single Parent Profile - “US Core Observation Result“ Similar pattern to ‘Vital signs create sub profile lab Guidance for each will go into the specific  profiles in the introduction state: Proposed Wording: This profile sets minimum expectations for the Observation resource to record, search, and clinical tests results (e.g., laboratory, radiology and other clinical procedure results generated by other procedures).   Add this to the new clinical test profile introduction section: Procedure results are typically generated by a clinician to provide more granular information about component observations made during a procedure. An example would be when a gastroenterologist reports the size of a polyp observed during a colonoscopy. The derived profiles will contain more constrained terminologies for clinical tests.   Category, Observation, and result terminology will be broader to encompass the three USCDI data classes and all the data elements.  The derived profile will contain more constrained terminologies for lab and add specimen type.
    • Eric Haas/Brett Marquard: 13-0-1
    • Enhancement
    • Compatible, substantive

    Description

      Existing wording: This profile sets minimum expectations for the Observation resource to record, search, and fetch non-imaging and non-laboratory clinical tests results for a patient.

      Proposed Wording: This profile sets minimum expectations for the Observation resource to record, search, and fetch non-imaging and non-laboratory clinical tests results (clinical procedure results) for a patient. As per the definition of the Procedure category, Observations generated by other procedures. This category includes observations resulting from interventional and non-interventional procedures excluding laboratory and imaging (e.g., cardiology catheterization, endoscopy, electrodiagnostics, etc.). Procedure results are typically generated by a clinician to provide more granular information about component observations made during a procedure. An example would be when a gastroenterologist reports the size of a polyp observed during a colonoscopy. It should not include content associated with any other ObservationCategoryCodes (e.g. social-history, vital-signs, imaging, laboratory, survey, exam, therapy, activity).

      Comments: Naming and description for what is and isn't a "Clinical Test Result" is ambiguous. "Non-imaging and non-laboratory clinical test results" could functionally be more than just "procedure" observations; could potentially mean any of the other categories (social-history, vital-signs, procedure, survey, exam, therapy, activity). So this feels ambiguous. You'd have to notice that the other categories have there own profiles and realize "Clinical Test Result" JUST means observation category= procedure results. If this profile were named "Clinical Procedure Results" instead, it would be a bit better. 

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            joelbales Joel Bales (Inactive)
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