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  1. FHIR Specification Feedback
  2. FHIR-43248

Valueset Laboratory Specialty: 1) Limitation 8 values *pathology" not comprehensible; 2) distinction between category of a DiagnReport and of an Observation?

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • EU Laboratory Report (FHIR)
    • 0.1.0-ballot [deprecated]
    • HL7 Europe
    • Laboratory Specialty
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      Word pathology means in this context laboratory related ..., so it does not mean a "histopathology" or similar. From this viewpoint the VS is not focusing at all on (histo) pathology. This issue does not propose any changes of the value set. Implementers are free to use any other value set as the slicing of the category is open.

      Add definition and short information explaining the meaning of the study type and specialty categories in Diagnostic report and Observation resource specification. Definitions will be taken from X-eHealth deliverable.

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      Word pathology means in this context laboratory related ..., so it does not mean a "histopathology" or similar. From this viewpoint the VS is not focusing at all on (histo) pathology. This issue does not propose any changes of the value set. Implementers are free to use any other value set as the slicing of the category is open. Add definition and short information explaining the meaning of the study type and specialty categories in Diagnostic report and Observation resource specification. Definitions will be taken from X-eHealth deliverable.
    • Petra Lavrikova / Gunnar Nordin: 7-0-1
    • Clarification
    • Non-substantive

    Description

      This SNOMED-valueset ( https://hl7.eu/fhir/laboratory/0.1.0-ballot/ValueSet-lab-specialty-eu-lab.html  ) with only 8 values is used as category of DiagnReports and of Observation results:

      394596001    Chemical pathology
      394916005    Hematopathology
      421661004    Blood banking and transfusion medicine
      394915009    General pathology
      394598000    Immunopathology
      408454008    Clinical microbiology
      1236877003    Genetic pathology
      1236878008    Histocompatibility and Immunogenetics

      We recognize some kinds of inconsistencies:

      • This valueset has a very limited focus on pathology and not on laboratory disciplines. From medical laboratory point of view, this limitation is not comprehensible here.
      • A valueset for specialities with such a limitation should not have a "required" binding, but instead a more open binding.
      • And terminologies need to be clarified: what is the difference between "Laboratory speciality" and "Study type". → the meaning of the terms "Laboratory speciality" or "Study type" has to be considered, when using and assigning the valuesets "Laboratory speciality" or "Study type". 
      • There should be EUROPEAN terminology standard with a clear distinction between category of DiagnReport and category of an Observation.

      Kind regards from Martina Sender (mio42 GmbH, Germany)

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            hynek_kružík Hynek Kružík
            alexanderzautke Alexander Zautke
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