Jan 2015 Ballot Comment #152

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    • Type: Change Request
    • Resolution: Persuasive with Modification
    • Priority: Medium
    • FHIR Core (FHIR)
    • DSTU1 [deprecated]
    • Orders & Observations
    • DeviceObservationReport [deprecated]
      Observation
    • 4.20.1
    • Hide

      Block vote for ?OO?2/19/2015 Call:?

      Proposal to to find persuasive with mods

      bullet list initro to read

      ...

      Laboratory data

      ?Imaging?results like?bone density or fetal measurements\\?
      Devices Measurements such as EKG data or Pulse Oximetry data

      ...

      and

      ~~Add following text to Boundaries section of Observation Resource: (http://hl7-fhir.github.io/observation.html)


      "In contrast to Observation resource, the DiagnosticReport resource typically include additional clinical context and and some mix of atomic results, images, imaging reports, textual and coded interpretation, and formatted representations.? Laboratory reports, pathology reports, and imaging reports should be represented using the DiagnosticReport resource. The Observation resource is referenced by the DiagnosticReport to provide the atomic results for a particular investigation."

      Eric/Austin

      ???Against: 0?; Abstain: 4; In Favor: 10

      Show
      Block vote for ?OO?2/19/2015 Call:? Proposal to to find persuasive with mods bullet list initro to read ... Laboratory data ?Imaging?results like?bone density or fetal measurements\\? Devices Measurements such as EKG data or Pulse Oximetry data ... and ~~Add following text to Boundaries section of Observation Resource: ( http://hl7-fhir.github.io/observation.html ) "In contrast to Observation resource, the DiagnosticReport resource typically include additional clinical context and and some mix of atomic results, images, imaging reports, textual and coded interpretation, and formatted representations.? Laboratory reports, pathology reports, and imaging reports should be represented using the DiagnosticReport resource. The Observation resource is referenced by the DiagnosticReport to provide the atomic results for a particular investigation." Eric/Austin ???Against: 0?; Abstain: 4; In Favor: 10
    • Enhancement
    • Non-substantive
    • DSTU1 [deprecated]

      Existing Wording
      ~ Laboratory data and other Diagnostic Measures
      ~ Measurements emitted by Devices such as vital signs monitor or a glucose measurement device

      Proposed Wording
      ~ Laboratory data
      ~ EKG data
      ~ Imaging data
      ~ Pulse Oximetry data
      ~ Measurements emitted by Devices a glucose monitor

      Comments
      Significant area where guidance is needed but lacking. The list of examples conspicuously does not mention observations/results from imaging procedures. The Observations template in other HL7 standards (e.g., CCDA) is used for imaging results. The entire page is silent about imaging results/observations, although when it lists "Laboratory data and other Diagnostic Measures" it leaves wide open to interpretation what "other" might mean (imaging, EKG, etc.). The proposed wording has more explicit and meaningful examples for the "other diagnostic measures" and also modifies the next bullet to avoid mentioning vital signs again (since they were in the first bullet).(From looking further into examples for Diagnostic Report in 4.21.7, I see that Imaging results are indeed represented as Observations, thus I strongly recommend mentioning imaging explicitly as an example in 4.20.1)

      Grahame's Comments
      well, ok, if it's a big deal. But need to make sure that it's clear that imaging reports are not observations

            Assignee:
            Unassigned
            Reporter:
            david_tao
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved: