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  1. FHIR Specification Feedback
  2. FHIR-38399

Useless temporal references and an unknown implementation project

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Highest Highest
    • At-Home In-Vitro Test Report (FHIR)
    • 1.0.0-ballot
    • Orders & Observations
    • HL7 V2 Fields and OTC Example Message [deprecated]
    • 6.0.1
    • Hide

      Will update wording as follows:

      1.3
      "This implementation guide (IG) constrains the FHIR US Core Diagnostic Report for Laboratory Results and the US Core Laboratory Observation Profile for use in transmitting At-Home In-Vitro Test results to local, state, territorial and federal health agencies. The IG will be be used in real world testing. It was developed as part of a collaborative project with the NIH/NIBIB, ONC, a vendor manufacturer of diagnostic healthcare products that makes one of the FDA approved At-Home In-Vitro Test kits, and an app developer who is a leading provider of secure interoperability solutions. The intention of this guide is to assist developers in producing and sending standardized FHIR test result data from tests perfomed at home. FHIR eases app development and the FHIR US Core IG is in a rapid adoption curve. This guide points to already existing US Core Guidance and other guidance with respect to FHIR Parameters, FHIR operations, and RESTful and SMART on FHIR information.

      Due to Public Health Departments' familiarity with V2, a test implementation project related to this implementation guide will initially send COVID-19 At-Home In-Vitro Test Reports as V2 lab messages. Longer term the intent is to leverage FHIR for app creativity, growth, and interoperability. For as long as needed to comply with Public Health Department dependecies on V2, the apps will be designed to transform from FHIR to V2. In addition, as a parallel effort, a V2 <-> FHIR data mapping table has been developed [In-Vitro At-Home Test V2 FHIR Mapping.xlsx]."

      6.0.1
      "As stated in the Introduction (link to intro here), public health agencies are at present primarily only able to receive HL7 V2 messages and as such a test implementation project will initially send COVID-19 At-Home In-Vitro Test Reports as V2 lab messages.

      Within the V2 message, many of the segments contain "hard coded" information. Some examples of this are ordering information and app IDs. Even if the COVID-19 At-Home In-Vitro Test is an ordered test (as opposed to an OTC test) neither the app nor the assay test at the start of the test implementation will have knowledge of ordering information. This FHIR IG aligns, where appropriate, with known and documented FHIR to V2 mappings. In some cases, where the V2 message is hardcoded or constrained to a specific value, this FHIR specification is not further constrained beyond what is present in US Core, but the elements and attibutes are available for use and may be noted in comments."

      (See also FHIR-38399)

      Show
      Will update wording as follows: 1.3 "This implementation guide (IG) constrains the FHIR US Core Diagnostic Report for Laboratory Results and the US Core Laboratory Observation Profile for use in transmitting At-Home In-Vitro Test results to local, state, territorial and federal health agencies. The IG will be be used in real world testing. It was developed as part of a collaborative project with the NIH/NIBIB, ONC, a vendor manufacturer of diagnostic healthcare products that makes one of the FDA approved At-Home In-Vitro Test kits, and an app developer who is a leading provider of secure interoperability solutions. The intention of this guide is to assist developers in producing and sending standardized FHIR test result data from tests perfomed at home. FHIR eases app development and the FHIR US Core IG is in a rapid adoption curve. This guide points to already existing US Core Guidance and other guidance with respect to FHIR Parameters, FHIR operations, and RESTful and SMART on FHIR information. Due to Public Health Departments' familiarity with V2, a test implementation project related to this implementation guide will initially send COVID-19 At-Home In-Vitro Test Reports as V2 lab messages. Longer term the intent is to leverage FHIR for app creativity, growth, and interoperability. For as long as needed to comply with Public Health Department dependecies on V2, the apps will be designed to transform from FHIR to V2. In addition, as a parallel effort, a V2 <-> FHIR data mapping table has been developed [In-Vitro At-Home Test V2 FHIR Mapping.xlsx] ." 6.0.1 "As stated in the Introduction (link to intro here), public health agencies are at present primarily only able to receive HL7 V2 messages and as such a test implementation project will initially send COVID-19 At-Home In-Vitro Test Reports as V2 lab messages. Within the V2 message, many of the segments contain "hard coded" information. Some examples of this are ordering information and app IDs. Even if the COVID-19 At-Home In-Vitro Test is an ordered test (as opposed to an OTC test) neither the app nor the assay test at the start of the test implementation will have knowledge of ordering information. This FHIR IG aligns, where appropriate, with known and documented FHIR to V2 mappings. In some cases, where the V2 message is hardcoded or constrained to a specific value, this FHIR specification is not further constrained beyond what is present in US Core, but the elements and attibutes are available for use and may be noted in comments." (See also FHIR-38399 )
    • Sarah Gaunt / Elliot Silver : 17 - 3 - 0
    • Clarification
    • Non-substantive

    Description

      Wait, what? Is this an IG or an implementation? Is it a test or a standard? We're starting out with something and then what?

      The IG needs better positioning in the introductory material of section 1, and section 6.0.1 needs a better call-back to the roadmap of the project.

      Don't reference "draft" or you'll need to update later. Draft is covered by the ballot status box at the top of the page. Similarly, don't mention "(at this time)" since this IG is bound to the content of FHIR R4 which will never have further constraints defined in the spec.

      Existing Wording:

      This test implementation project will start out with… nor the assay test at the start of the test implementation… draft FHIR IG… FHIR spec (at this time)…

      (Comment 24 - imported by: Ron G. Parker)

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            minigrrl Sarah Gaunt
            esilver Elliot Silver
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              Updated:
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