Observation needs to make more clear what can and can't be done with components

XMLWordPrintableJSON

    • Type: Change Request
    • Resolution: Persuasive
    • Priority: Medium
    • FHIR Core (FHIR)
    • STU3
    • Orders & Observations
    • Observation
    • Hide

      Agree to add more guidance to .component requirement and to the component notes section: that says the component observation may make up the separate and individual parts of the observation or may provide qualifying information to the base code.

      As well as guidance that all code-value and component.code-component.value pairs need to be taken into account.

      (Editor to edit actual text.)

      Show
      Agree to add more guidance to .component requirement and to the component notes section: that says the component observation may make up the separate and individual parts of the observation or may provide qualifying information to the base code. As well as guidance that all code-value and component.code-component.value pairs need to be taken into account. (Editor to edit actual text.)
    • Eric Haas/Ken McCaslin: 13-0-2
    • Enhancement
    • Non-substantive
    • STU3

      At present, the definition for Observation.component only allows for true components (e.g. systolic & diastolic for blood pressure or color & cry for apgar). It doesn't make clear that components can also qualify (e.g. cuff size or sitting/standing/lying for blood pressure). Such qualifying information can't be sent as a separate observation because it cannot be interpreted on its own and its occurrence and status is intrinsicly tied to the base observation. The definition needs to make this clear. As well, there needs to be text added that the presence or value of components cannot change the interpretation of an Observation unless the Observation.code explicitly identifies those components. I.e. the understanding gleaned by looking only at Observation.code & value and ignoring components must still be valid unless the Observation.code identifies explicit components that must also be taken into account.

            Assignee:
            Unassigned
            Reporter:
            Lloyd McKenzie
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved: