FHIR for Orders

Introduction

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

Scope

Resources under development by OO:

• Device
• Substance
• Supply
• Observation
• DiagnosticReport
• Specimen
• DiagnosticOrder

Resources under development by Core Team and OO:

• Order
• OrderResponse

Resources

Resource	Resource Proposal	Status	Next Ballot	Who
Device	Device Resource Proposal	Development	SEP13	Lorraine
Substance	Substance Resource Proposal	Development	SEP13	Patrick
Supply	Supply Resource Proposal	Development	SEP13	Patrick
Specimen	Specimen Resource Proposal	Development	SEP13	Lorraine
Observation	Observation Resource Proposal	Development	SEP13	Lorraine
DiagnosticReport	Diagnostic Report Resource Proposal	Updates from Ballot Reconciliation	SEP13	Lorraine
DiagnosticOrder	Diagnostic Order Resource Proposal	Development	SEP13	Patrick
Order	Order Resource Proposal	Development	SEP13	Patrick
OrderResponse	OrderResponse Resource Proposal	Development	SEP13	Patrick

Next Steps

• Device - Resource is created, need to review requirements and current v3 device models
• Substance - Resource is created, need to review requirements and current v3 substance models
• Supply - Resource has not yet been created, need to review requirements and current v3 substance models
• Observation - Resource is create, need to discuss Observation vs. DiagnosticReport and what makes them different resources.
  • Atlanta WGM - Done - observation and result have been harmonized
• DiagnosticReport - Resource has been balloted, Most changes applied from ballot reconciliation, 2 still open to apply

1. Table 0078 concepts
2. Resource boundaries between observation and diagnostic report - Done - observation and result have been harmonized

• Specimen - Resource is created (just a shell with only an identifier), need to review requirements and current v3 models and ongoing specimen DAM project
  • Atlanta WGM - Done - observation and result have been harmonized
• Review Order resource
• Review OrderResponse resource
• Review DiagnosticOrder

Resource Development Notes

Specimen

• Review of Specimen DAM for content
  • Specimen Attributes not added to Specimen Resource

1. used a resource reference to Parent specimen rather than track the Parent Identifier
2. formCode - consider this as pre-coordinated in specimen type
3. isDerived as this can be determined by the existence of a parent specimen
4. description -
5. container Condition
6. specimenProcessingStep

• • do we need to deal with Recursive containers and / or Storage equipment
  • datatype on position?
  • container may fail the 80/20

Documents

• Review Notes (Jan 2013) on Lab FHIR Models: LabReportDiscussion