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  1. FHIR Specification Feedback
  2. FHIR-38068

Confirm bi-directional use of .hasMember and .derivedFrom

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive
    • Icon: High High
    • IHE SDC/eCC on FHIR (FHIR)
    • 1.0.0-ballot
    • Orders & Observations
    • Data Extraction
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      It is clinically important for the bi-directional linkage to exist to identify the parent and child question of an Observation.

      For example, if an Observation were retrieved without the context of the full report, the implementation would need to be able to pull down the parent or child for context. This may be particular important in use cases where a user queries for all Observations of 1 question like Observations about Specimen laterality.

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      It is clinically important for the bi-directional linkage to exist to identify the parent and child question of an Observation. For example, if an Observation were retrieved without the context of the full report, the implementation would need to be able to pull down the parent or child for context. This may be particular important in use cases where a user queries for all Observations of 1 question like Observations about Specimen laterality.
    • Alex Goel/Riki Merrick : 8-0-6

    Description

      Section 2.1.3 describes the use of .derivedFrom and .hasMember to create bi-directional linkages between parent and child question. The general Observation guidance indicated doesn't really cover creating bi-directional linkages. Is this a typical arrangement? I feel like the general best practice is to have only a one-way linkage (for example DiagnosticReport points to Observations via .results, but Observation doesn't point back to the DiagnosticReport). At best, the linkages will agree (that is the parent points to a child and that child points to the same parent), at worst they will conflict (a parent points to a child but the child points to a different parent). Please confirm that a bi-directional linkage is desirable.

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            craig.newman Craig Newman
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