Diagnostic Reports should be the anchor or the parent, not the reference. - BC #28

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    • Type: Change Request
    • Resolution: Persuasive
    • Priority: Medium
    • US Breast Cancer Radiology Reporting (FHIR)
    • Clinical Interoperability Council
    • (many)
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      As per Graham Grieve's recommendations, we intend to use Diagnostic Report as the root and Observations as the section headers. Based on feedback from the next ballot we may revisit this.
      We are not confident that this is a complete or sufficent solution to this problem, and are likely to continue to evolve this over several ballot cycles.

      We agree that the value sets are not well defined in this ballot, and intend to define them more thoroughly in the next ballot, including creating required LOINC/SNOMED/SOLOR codes as necessary.

      We intend to collaborate with the genomics team as to the most appropriate way of including genomics/HERS/BRCA data.

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      As per Graham Grieve's recommendations, we intend to use Diagnostic Report as the root and Observations as the section headers. Based on feedback from the next ballot we may revisit this. We are not confident that this is a complete or sufficent solution to this problem, and are likely to continue to evolve this over several ballot cycles. We agree that the value sets are not well defined in this ballot, and intend to define them more thoroughly in the next ballot, including creating required LOINC/SNOMED/SOLOR codes as necessary. We intend to collaborate with the genomics team as to the most appropriate way of including genomics/HERS/BRCA data.
    • Correction
    • Compatible, substantive

      Comment:

      Awkward statement: "While nothing being done here is specifically forbidden within FHIR, we feel that taken together this strategy has."

      Recommend DiagnosticReport as appropriate 'top level parent' since different priority than other general compositions.

      Agree with need for consistent method for sections/subsections, which help highlight information for clinicians.

      Recommend build in associations to International Patient Sumary and SNOMED Global Set to assist future automation and quality measures.

      Consider future section/mechanism to link or record observations including A) clinical genomics such as BRCA 1/2 and B) cancer / pathology such as HERS status as structured data to assist future research potential.

      Recommend coordinate LOINC/SNOMED concepts to reduce overlap of terminology.

      BIRADS have more meaning to clinicians (and patients) than SNOMED and include risk.

      Breast Radiology Reporting Guidelines (version ?) [need link].

      https://www.modelinglab.org/ link fails

      Summary:

      Diagnostic Reports should be the anchor or the parent, not the reference.

            Assignee:
            Kurt Allen
            Reporter:
            Peter Muir
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved: