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  1. FHIR Specification Feedback
  2. FHIR-39944

Change the framing of Screening and Assessments section

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive with Modification
    • Icon: Medium Medium
    • US Core (FHIR)
    • 6.0.0-ballot [deprecated]
    • Cross-Group Projects
    • STU
    • Screening and Assessments
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      Decision:

      1. Continue to use the term "Survey and Assessment", but define it .(in the Survey an Assessment page introduction) in the context of US Core and differentiate it from the terms: screening, assessment, screening assessment, assessment tools, and judgement in connection with clinical practice

      3. Clarify that the guide captures the assertions/determinations that result from the screening/assessment process.  And that  IGs like Gravity address the screening process 

      Rationale:

      We found that assessmentscale, and screening tool are common terms across healthcare domains that mean essentially the same thing and can be represented the same way in US Core, and we need one way to talk about all of them.  This has led to some confusion because we have not defined what we mean when we say "Survey and Assessments" in US Core.

      Background:

      USCDI Draft v3 included a new data class, Health Status. In response to stakeholder input to make the description/scope of this data class clearer and more representative of the data types that could be included, USCDI v3 refers to this data class as Health Status/Assessments.

       
      Screening and Assessments: To align with the new name we chose to refer what ONC called "Health Status/Assessments." as "Screening and Assessments"

      We use the reworked US Core Observation Survey Profile from US Core v5.0.1 with a name change because we found that assessmentscale, and screening tool are common terms that mean essentially the same thing.  This is distinct from situations where a  Clinician could document judgments like “this patient has problems with housing”.

      The new name was US Core Observation Screening and Assessment Profile

       

       

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      Decision: 1. Continue to use the term "Survey and Assessment", but define it .(in the Survey an Assessment page introduction) in the context of US Core and differentiate it from the terms: screening, assessment, screening assessment, assessment tools, and judgement in connection with clinical practice 3. Clarify that the guide captures the assertions/determinations that result from the screening/assessment process.  And that  IGs like Gravity address the screening process  Rationale: We found that   assessment ,  scale , and screening   tool are common terms across healthcare domains that mean essentially the same thing and can be represented the same way in US Core, and we need one way to talk about all of them.  This has led to some confusion because we have not defined what we mean when we say "Survey and Assessments" in US Core. Background: USCDI Draft v3 included a new data class, Health Status. In response to stakeholder input to make the description/scope of this data class clearer and more representative of the data types that could be included, USCDI v3 refers to this data class as Health Status/Assessments.   Screening and Assessments: To align with the new name we chose to refer what ONC called "Health Status/Assessments." as "Screening and Assessments" We use the reworked US Core Observation Survey Profile from US Core v5.0.1 with a name change because we found that   assessment ,  scale , and screening   tool are common terms that mean essentially the same thing.  This is distinct from situations where a  Clinician could document judgments like “this patient has problems with housing”. The new name was  US Core Observation Screening and Assessment Profile    
    • Eric Haas / Brett Marquard : 18-0-0
    • Clarification
    • Non-substantive

    Description

      In conjunction with FHIR-39938 (definitions of screening and assessments) the title and content of section 3.6 Screening and Assessments, should be revamped. With the title and continued use of the term “Screening and Assessments” in the content, it makes it sound like these are 2 different things; one being a screening and the other is an assessment. However, this section really seems to be talking about two different types of assessments: 1) assessments derived from screening (screening assessments/observations) (corresponding to the Screening Assessment Observation profile) and 2) simple assessments often made by a clinician (simple assessments/observations) (corresponding to the Simple Observation profile).

       

      Consider naming this section simply “Assessments” or enumerate them both, such as “Screening Assessments and Simple Assessments” or “Screening and Simple Assessments”. In the content when both are being mentioned together, they should either be called “assessments” or both types explicitly mentioned.

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            corey_spears Corey Spears
            Corey Spears
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