Provenance? **website comment** - QUALITY #1

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    • Type: Change Request
    • Resolution: Not Persuasive
    • Priority: Medium
    • US QI Core (FHIR)
    • STU3
    • Clinical Quality Information
    • (NA)
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      Suggested resolution:

      Not Persuasive:

      Agreed that provenance should be addressed in QI-Core, however, QI-Core needs to address provenance at the data element level (i.e., the physiologic and issued time and the performer of an individual laboratory observation). Therefore, QI-Core includes such detail in each resource as enabled by the US Core or FHIR resource on which it is based. In some cases, QI-Core adds extensions to fully enable such provenance at the data element level. US Core focuses more on the provenance of the interoperable message that may contain one or more component resources. Therefore, QI-Core does not directly reference provenance as a resource at this time.

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      Suggested resolution: Not Persuasive: Agreed that provenance should be addressed in QI-Core, however, QI-Core needs to address provenance at the data element level (i.e., the physiologic and issued time and the performer of an individual laboratory observation). Therefore, QI-Core includes such detail in each resource as enabled by the US Core or FHIR resource on which it is based. In some cases, QI-Core adds extensions to fully enable such provenance at the data element level. US Core focuses more on the provenance of the interoperable message that may contain one or more component resources. Therefore, QI-Core does not directly reference provenance as a resource at this time.
    • Rob Samples/Juliet Rubini: 25-0-0
    • Clarification

      Comment:

      Not clear if/how provenance is represented in this FHIR Implementation Guide. Provenance (who, what, when, where, why) is essential at: 1) point of origination (at the source, for newly captured content), 2) point of update (for newly updated content, preserving previous content and its provenance).

      Who = subject of care/information (typically the patient)

      Who = performer of action taken

      Who = author of information captured or updated

      Who = organization

      What = action taken

      When = date/time of action taken

      When = date/time of information capture or update

      Where = physical location of action taken

      Where = physical location of information capture or update

      Where = network address and/or device ID where information captured or updated

      Why = rationale, purpose of action taken

      Why = rationale, purpose of information capture or update

      Granularity of provenance (e.g., binding authorship to content) may be at the dataset or element level.

      Is this a FHIR Implementation Guide or is it a FHIR Profile? Please make description consistent.

      Summary:

      Provenance? *website comment*

            Assignee:
            Unassigned
            Reporter:
            Gary Dickinson
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved: