Existing Wording: "In the context of FHIR we are currently utilizing the FHIR DiagnosticReport anchor resource as since it provides a resource definition that can be referenced in a broad variety of other clinical communications as the reason for other treatment and diagnostic choices. This resource does not however provide the structural capabilities to aggregate together collections of observation, conditions and recommendations into the sections and subsections that are currently expected in a breast radiology report. For this ballot we have chosen to use the Composition resource which was designed for this purpose. Since DiagnosticReport did not inherently provide a method to reference Composition in this way, we were left with the somewhat awkward option of constraining out the Result attribute and then adding back in a nearly identical attribute ResultComposition which allows for referencing Composition."

Proposed Wording: Terminologies used

The ballot states SNOMED and LOINC are used in this ballot, however, we are questioning why RadLex (the lexicon for Radiology) is not listed here. Especially the branches of clinical finding and procedures could be of interest in this ballot and use case.

Furthermore, being a specific use case (breast cancer radiology reports) several valuesets are missing (e.g. positive lymph node stations, body site). This would be of interest if the profiles would be used broader, for example in the oncology radiology domain. Hence, the question related is whether this ballot is too narrow oriented (however other members may have different opinions).

Comment:

See our comments (Breast Radiology Reporting Ballot2.doc

Summary:

Use of RadLex