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Difference between revisions of "FHIR for Orders"

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=Introduction=
 
=Introduction=
−
This page is for comments (we need a PSS to do more) as OO reviews the currently designed FHIR artifacts for Laboratory.
+
This is the project page for the development of FHIR resources in the OO domain. Project #952
 +
 
 
=Scope=
 
=Scope=
−
The scope of this effort is only for Lab Orders/Results/Reports at this time.
+
Resources under development by OO:
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=Documents=
+
*[http://hl7-fhir.github.io/*BodySite.html BodySite]
−
FHIR Models: [http://www.hl7.org/implement/standards/fhir/labreport.htm LabReport]
+
*[http://hl7-fhir.github.io/*DataElement.html DataElement]
 +
*[http://hl7-fhir.github.io/*Device.html Device]
 +
*[http://hl7-fhir.github.io/*DiagnosticOrder.html  DiagnosticOrder ]
 +
*[http://hl7-fhir.github.io/*DiagnosticReport.html *iagnosticReport]
 +
*[http://hl7-fhir.github.io/*NutitionOrder.html NutitionOrder]
 +
*[http://hl7-fhir.github.io/*Observation.html Observation]
 +
*[http://hl7-fhir.github.io/*Order.html Order]
 +
*[http://hl7-fhir.github.io/*OrderResponse.html OrderResponse]
 +
*[http://hl7-fhir.github.io/*Specimen.html Specimen]
 +
*[http://hl7-fhir.github.io/*Substance.html Substance]
 +
*[http://hl7-fhir.github.io/*Supply.html Supply]
 +
 
 +
 
 +
=Next Steps=
 +
 
 +
*
 +
== Resolve Ballot comments ==
 +
 
 +
*pending see [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677 GFORGE]
 +
 
 +
== DSTU2 QA ==
 +
 
 +
1) divide up the work -  here is list of OO's resouces pick what you want and I will take whatever is left over:
 +
 
 +
  1.Order - Elvino
 +
 
 +
  2.OrderResponse - Elvino
 +
 
 +
  3.DiagnosticOrder - Elvino
 +
 
 +
  4.DiagnosticReport
 +
 
 +
  5.NutritionOrder - Eric
 +
 
 +
  6.Observation
 +
 
 +
  7.Specimen
 +
 
 +
  8.Supply
 +
 
 +
  9.Device
 +
 
 +
  10.Substance
 +
 
 +
  11.BodySite  - Eric
 +
 
 +
  12. DataElement - Lloyd
 +
 
 +
 
 +
2) Review QA process here and see Lloyd's comments
 +
 
 +
"The specific quality assurance rules can be found here: http://wiki.hl7.org/index.php?title=DSTU_2_QA_guidelines
 +
 
 +
 
 +
Of these, I'd like the clinical folks to help out with the following:
 +
 
 +
 
 +
Introduction: all three rules.  Copy the existing introduction down to the end of the "Boundaries and Relationships" section for the resource into MS-Word, turn on track changes and edit it to meet the QA rules.
 +
 
 +
Examples: Look at the HTML view of the examples that already exist and see what they cover in terms of the contexts and data elements.  If they need edits to make them clinically correct or if they can be edited to provide more coverage of contexts or data elements, then copy them to MS word and edit with track changes.  Then define additional examples to cover additional contexts and ensure that all of the data elements are exercised at least once.
 +
 
 +
Value sets: Check for completeness.  If you know terminology well enough to propose/design an external value set, that'd be good too.
 +
 
 +
Definitions: If you want to beef up a definition, feel free
 +
 
 +
Search criteria: Do the search criteria cover the 80% - any that seem like edge cases?  Any common ones missing?
 +
 
 +
If you have questions/concerns, ask :>'
 +
 
 +
 
 +
3) Any proposed changes outside of typos and broken links which can be fixed without review should be put in gFORGE as a comment for group block vote prior to review prior to committing.
 +
 
 +
- In order to sort QA comments thecomment summary should start with "QA-[Resource]"
 +
 
 +
4) Send a list of QA changes out on OO list for each resource when complete to get group consensus and chance for review. 
 +
 
 +
5) Any individual items can be brought up on weekly call, but in interest of time try to get a resolution off line so can do a block vote.
  
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=Discussion=
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6) One last thing -Don't make a comment if no changes are needed
−
Patrick reviewed the definitions for the FHIR Resource for LabReport.  My comments are as follows:
 
  
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#General
+
=Documents=
−
##Resource Naming: Suggest LabReport isn't the correct name.  Not all regions 'bundle' their results in the form of a report (which, to OO, is a 'clinical document').  Need to discuss the architecture used: namely, report is made up of groups, made up of results
+
*Review Notes (Jan 2013) on Lab FHIR Models: [[LabReportDiscussion]]
−
#Business
 
−
## LabReport.Issued: don't understand the definition
 
−
## LabReport.Specimen:  Why specimen at the report level,. esp considering at the report level, multiple specimens are supported
 
−
## ResultGroup: what's the requirement
 
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## Does Promise as a resource meet the 80/20 rule or is a promise simply a special kind of result?
 
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#Technical
 
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## RequestDetail.receiverOrderId:  No requirement
 
−
## ReferenceRange: missing another element.  Can say Normal range and give the numbers.  but can't say normal range for a male over 50 yo
 
−
## Result.name: ResultGroup.name: Element names are wonky (don't like 'name') where used in this spec.
 
−
## An individual result should be able to reference a specimen, in my opinion
 
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## Result.codedDx (or some such).  Need interpretation per result (esp. for micro)
 
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## LabReport.status: No use case for registered
 
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## LabReport.status: interim, different than preliminary
 
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## LabReport.status: No use case for withdrawn
 
−
## LabReport.status: Does this follow 80/20 too?  Depending, we should consider adding the newer codes added for v2 for result status
 

Latest revision as of 19:09, 10 February 2015

Introduction

This is the project page for the development of FHIR resources in the OO domain. Project #952

Scope

Resources under development by OO:


Next Steps

Resolve Ballot comments

DSTU2 QA

1) divide up the work - here is list of OO's resouces pick what you want and I will take whatever is left over: 

 1.Order - Elvino

 2.OrderResponse - Elvino

 3.DiagnosticOrder - Elvino

 4.DiagnosticReport

 5.NutritionOrder - Eric

 6.Observation

 7.Specimen

 8.Supply

 9.Device 

 10.Substance

 11.BodySite  - Eric

 12. DataElement - Lloyd


2) Review QA process here and see Lloyd's comments

"The specific quality assurance rules can be found here: http://wiki.hl7.org/index.php?title=DSTU_2_QA_guidelines


Of these, I'd like the clinical folks to help out with the following:


Introduction: all three rules. Copy the existing introduction down to the end of the "Boundaries and Relationships" section for the resource into MS-Word, turn on track changes and edit it to meet the QA rules.

Examples: Look at the HTML view of the examples that already exist and see what they cover in terms of the contexts and data elements. If they need edits to make them clinically correct or if they can be edited to provide more coverage of contexts or data elements, then copy them to MS word and edit with track changes. Then define additional examples to cover additional contexts and ensure that all of the data elements are exercised at least once.

Value sets: Check for completeness. If you know terminology well enough to propose/design an external value set, that'd be good too.

Definitions: If you want to beef up a definition, feel free

Search criteria: Do the search criteria cover the 80% - any that seem like edge cases? Any common ones missing?

If you have questions/concerns, ask :>'


3) Any proposed changes outside of typos and broken links which can be fixed without review should be put in gFORGE as a comment for group block vote prior to review prior to committing. 

- In order to sort QA comments thecomment summary should start with "QA-[Resource]"

4) Send a list of QA changes out on OO list for each resource when complete to get group consensus and chance for review.

5) Any individual items can be brought up on weekly call, but in interest of time try to get a resolution off line so can do a block vote.

6) One last thing -Don't make a comment if no changes are needed

Documents

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