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  1. FHIR Specification Feedback
  2. FHIR-45131

Add Recommendation Element to Diagnostic Report

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • R5
    • Orders & Observations
    • DiagnosticReport
    • Element
      ElementDefinition
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      There is more than one way to include a recommendation.  For example, a recommendation can be represented in DiagnosticReport.conclusion as unstructured information.

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      There is more than one way to include a recommendation.  For example, a recommendation can be represented in DiagnosticReport.conclusion as unstructured information.
    • Yanick Gaudet / Rob Hausam: 4-0-0

    Description

      Request to add as follows:

      DiagnosticReport.recommendation
      Element Id DiagnosticReport.recommendation
      Definition Proposed follow up actions based on the findings and interpretations of the diagnostic test for which this report is the subject
      Short Display Recommendations based on findings and interpretations
      Cardinality 0..*
      Type Reference([Care https://urldefense.com/v3/_https:/build.fhir.org/practitioner.html_;!!Ai2CFrZnFhI!8HethLDhBWoZEpHGuBgwu0sDEwArZuR-nCb769u7etg6jMj1Fu8ciyBXrknqLL8yJxJ_agOMmYsCbozdPw_Y102c$]Plan | ServiceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | RequestOrchestration | CommunicationRequest | DeviceRequest)
      Requirements Need to have specific recommendations section to ensure these are actionable requests where appropriate follow up is conducted.
      Comments This will allow for recommendations to use CDS hooks.  For example in radiology a radiologists may recommend a repeat CT in 6-12 months with low dose protocol, alternatively consider referral to pulmonary nodule clinic for further evaluation and/or biospy.

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            bbialecki Brian Bialecki
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