Concerns about IPS reconciliation is representation and IPS specification title - IPS #51

XMLWordPrintableJSON

    • Type: Change Request
    • Resolution: Not Persuasive with Modification
    • Priority: Medium
    • International Patient Summary (FHIR)
    • Patient Care
    • (NA)
    • Hide

      Point (1)

      It is a known issues, planned to be covered in future versions.

      It is out of scope for this version

      We suggest to revise the text to better explain the issue, indicating how the provenance resource could be used for this scope.

      Point (2)

      The IPS is in line with common artifacts, such as discharge summary, etc.
      It is a summary because it is not a direct extract (e.g. the EHR itself).
      Suggest the IPS review the text in purpose, scope and boundaries and make these descriptions clearer referencing the ISO definition of Patient Summary.

      Show
      Point (1) It is a known issues, planned to be covered in future versions. It is out of scope for this version We suggest to revise the text to better explain the issue, indicating how the provenance resource could be used for this scope. Point (2) The IPS is in line with common artifacts, such as discharge summary, etc. It is a summary because it is not a direct extract (e.g. the EHR itself). Suggest the IPS review the text in purpose, scope and boundaries and make these descriptions clearer referencing the ISO definition of Patient Summary.
    • Rob Hausam/Gay Dolin: 6-0-0
    • Enhancement
    • Non-substantive

      Comment:

      Two areas of concern: 1) How reconciliation is represented in the IPS, including who did it, what was done (medication reconciliation, allergy reconciliation, medication allergy reconciliation, immunization/vaccination reconciliation, problem list/diagnosis reconciliation), what was the result, when and where was it done? 2) The title is International Patient Summary but what is described is a snapshot extract of the latest (most current) patient information from a clinical system. A "summary" would suggest that information is being summarized (summed up), thus captured, aggregated (assembled/combined) and evaluated (assessed/analyzed), having (possibly) been captured at multiple times, at (possibly) multiple locations, from (possibly) multiple sources/authors. Also, having a point or period of validity, e.g., "this summary reflects information captured, aggregated and summarized in the time frame of [hour(s), day(s), week(s), month(s)]". If this is a summary, please describe the method by which summarization occurs (to ensure standardization across all summary instances). Otherwise (and to ensure this IG is accurately titled) suggest "International Patient Information Snapshot IG" or something similar.

      Summary:

      Concerns about IPS reconciliation is representation and IPS specification title

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

              Created:
              Updated:
              Resolved: