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  1. FHIR Specification Feedback
  2. FHIR-40514

US core should have specific profiles for imaging and lab results

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Core (FHIR)
    • 5.0.1
    • Cross-Group Projects
    • US Core DiagnosticReport Profile for Report and Note Exchange
    • Clinical Notes
    • Hide

      We acknowledge the existing issues with imaging reports and recognize the importance of improving access for patients and providers. We have considered splitting the diagnostic report into three profiles, as outlined in the notes here (https://hackmd.io/A910efYVTfmvstytxfN0Vg?view) and here (https://hackmd.io/92OJ5a4jRaG634NQnQ81JA?view).

      However, we do not find this proposal convincing, as further implementer testing and consultation are necessary before making such changes. To address the concerns raised, we provide additional guidance for accessing imaging studies as part of the FHIR-38808 project. Furthermore, the SMART Imaging Access project is currently underway and is addressing many of the concerns raised by the commenter. The outcomes of this project may inform future updates to US Core. Thus, while we recognize the need for improvements in accessing imaging reports, a more cautious and considered approach is necessary at this time.

      Show
      We acknowledge the existing issues with imaging reports and recognize the importance of improving access for patients and providers. We have considered splitting the diagnostic report into three profiles, as outlined in the notes here ( https://hackmd.io/A910efYVTfmvstytxfN0Vg?view ) and here ( https://hackmd.io/92OJ5a4jRaG634NQnQ81JA?view ). However, we do not find this proposal convincing, as further implementer testing and consultation are necessary before making such changes. To address the concerns raised, we provide additional guidance for accessing imaging studies as part of the FHIR-38808 project. Furthermore, the SMART Imaging Access project is currently underway and is addressing many of the concerns raised by the commenter. The outcomes of this project may inform future updates to US Core. Thus, while we recognize the need for improvements in accessing imaging reports, a more cautious and considered approach is necessary at this time.
    • Eric Haas/Didi Davis: 14-0-1
    • Clarification
    • Non-substantive

      As discussed with Erik (Zulip) , US core would benefit with specific profiles for
      Lab and Imaging reports that derive from a common US Core DiagnosticReport profile.

      This would allow to provide more specific guidance on the specifics of reports in those domains.

            Unassigned Unassigned
            bvdh Bas van den Heuvel
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              Created:
              Updated:
              Resolved: