Details
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Change Request
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Resolution: Persuasive with Modification
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Medium
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EU Laboratory Report (FHIR)
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0.1.0-ballot [deprecated]
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HL7 Europe
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Laboratory Specialty
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Petra Lavrikova / Gunnar Nordin: 7-0-1
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Clarification
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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)