ClinicalAssessment FHIR Profile Proposal

Clinical Assessment FHIR Profile Proposal

Profile Details

Profiled Resource(s)

• Observation
• Questionnaire
• Condition
• Referral

Constraints to be Applied

• TBD

Extensions to be Applied

• TBD

Example Scenarios

• Nutrition screening using the malnutrition screening tool standard (MST)
• Nursing assessment performed on admission to acute or long term care facility to evaluate patient status
• Primary Care Physician’s assessment for patient admission/recommendation to admission to Aged Care and/or Home Health Services
• Nutrition assessment performed in response to a consult to evaluate a patient with diabetes
• A medical history and physical for acute renal failure
• A rehabilitation medicine assessment performed to evaluate mobility using standard assessment tools
• A Speech & Language Therapy Feeding/Swallowing assessment of a patient/resident
• Evaluation of progress towards care plan goals
• Screening for a clinical research protocol (constrained by specific screening criteria)

Scope of coverage

• Human clinical assessments
• Broad use patterns multiple care settings including in-patient and ambulatory care, skilled nursing facilities, home care and private practice settings
• Applies to all stages of the lifecycle
• Universal scope

Ownership

Owning committee name

Patient Care - approved proposal on 2014 10 2

Contributing or Reviewing Work Groups

• Orders and Observations - approved proposal on 2014 10 2

Expected implementations

• C-CDA R1.1 and R2.0
• Others TBD

gForge Users

• David Hay

FHIR Profile Development Project Insight ID

Patient Care Projects #1,105 and #1,128

Plans

Timelines

• Complete Profile Proposal – October 2, 2014
• Complete Profile – November 6, 2014
• QA Profile - November 14, 2014
• Prepare ballot - December 5, 2014

Balloting Requirements

Choose one:

• Ballot with next FHIR DSTU or Normative Edition

Desired Ballot Date

• January 2015 ballot