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Difference between revisions of "Observation FHIR Resource Proposal"

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This page documents a [[:category:Pending FHIR Resource Proposal|Pending]] [[:category:FHIR Resource Proposal|FHIR Resource Proposal]]
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This page documents an [[:category:Approved FHIR Resource Proposal|Approved]] [[:category:FHIR Resource Proposal|FHIR Resource Proposal]]
 
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[[Category:FHIR Resource Proposal]]
 
[[Category:FHIR Resource Proposal]]
[[Category:Pending FHIR Resource Proposal]]
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[[Category:Approved FHIR Resource Proposal]]
  
  
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DEFINITION (OBSERVATION):
 
DEFINITION (OBSERVATION):
  
The observation resource covers simple assertions and measurements made about a patient, device or other subject.
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The observation resource covers simple as well as complex assertions and measurements made about a patient, specimen, device or other subject.
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The resource name as it appears in a RESTful URL is /observation/
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Fundamentally, observations can be as simple as name/value pair assertions with little structure, as well as observations nested within other observations to represent a rich and complex observation, although there are several resources such as DiagnosticReport to manage and represent aggregation patterns for observations. Expected uses for this resource include:
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*Vital signs: temperature, blood pressure, respiration rate
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*Laboratory Data and other Diagnostic Measures
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*Measurements emitted by Devices
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*Clinical assessments such as APGAR
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*Personal characteristics: height, weight, eye-color
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*Diagnoses (Note: track-able conditions, allergies, adverse reactions and more complex structures are handled elsewhere)
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*Social history: tobacco use, family supports, cognitive status
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*Core characteristics: pregnancy status, death assertion
  
 
==RIM scope==
 
==RIM scope==
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==Resource appropriateness==
 
==Resource appropriateness==
  
Observations are a central element in healthcare, used to support diagnosis, monitor progress, determine baselines and patterns and even capture demographic characteristics. Fundamentally, observations are simple name/value pair assertions with little structure, though there are several resources such as DiagnosticReport to manage and represent rich aggregation patterns for observations. Expected uses for this resource include:
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Observations are a central element in healthcare, used to support diagnosis, monitor progress, determine baselines and patterns and even capture demographic characteristics.
*Vital signs: temperature, blood pressure, respiration rate
 
*Laboratory Data and other Diagnostic Measures
 
*Measurements emitted by Devices
 
*Clinical assessments such as APGAR
 
*Personal characteristics: height, weight, eye-color
 
*Diagnoses (Note: track-able conditions, allergies, adverse reactions and more complex structures are handled elsewhere)
 
*Social history: tobacco use, family supports, cognitive status
 
*Core characteristics: pregnancy status, death assertion
 
  
 
==Expected implementations==
 
==Expected implementations==
  
 
<!-- For resources not deemed "key", what interest is there by implementers in using this particular resource.  (Should ideally have multiple independent implementations) -->
 
<!-- For resources not deemed "key", what interest is there by implementers in using this particular resource.  (Should ideally have multiple independent implementations) -->
??
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Required for CCDA.  Referenced as part of DiagnosticReport.
  
 
==Content sources==
 
==Content sources==
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*HL7 v3 Laboratory Standard - Normative
 
*HL7 v3 Laboratory Standard - Normative
*HL7 v3 Other?
 
 
*HL7 v2.x
 
*HL7 v2.x
 
*HL7 OO Specimen DAM Project
 
*HL7 OO Specimen DAM Project
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 +
==Example Scenarios==
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 +
<!-- Provide a listing of the types of scenarios to be represented in the examples produced for this resource.  They should demonstrate the full scope of the resource and allow exercising of the resources capabilities (full element coverage, inclusion & omission of optional elements, repeating and singleton repeating elements, etc.) -->
  
 
==Resource Relationships==
 
==Resource Relationships==
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  -->
 
  -->
 
*Order
 
*Order
*OrderResponse ?
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*DiagnosticOrder
 
*DiagnosticReport
 
*DiagnosticReport
*ImagingStudy ?
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*ImagingStudy
 
*Problem
 
*Problem
  
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*Lorraine Constable
 
*Lorraine Constable
 
*Patrick Loyd
 
*Patrick Loyd
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 +
==Issues==
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# Need to explicitly define the difference between this and: Alert, AllergyIntolerance, AdverseReaction, Condition, DeviceObservation, OperationOutcome and Questionaire
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# Need the RIM scope to exclude the content for Alert, AllergyIntolerance, etc.
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# Should be looking at OpenEHR too.  National projects?
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# Need to provide a description for all "related" resources - related how?
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# Need to add example scenarios

Latest revision as of 05:44, 22 May 2014



Observation

Owning committee name

Orders & Observations WG

Interested Work Groups

  • All

FHIR Resource Development Project Insight ID

952

Scope of coverage

DEFINITION (OBSERVATION):

The observation resource covers simple as well as complex assertions and measurements made about a patient, specimen, device or other subject.

Fundamentally, observations can be as simple as name/value pair assertions with little structure, as well as observations nested within other observations to represent a rich and complex observation, although there are several resources such as DiagnosticReport to manage and represent aggregation patterns for observations. Expected uses for this resource include:

  • Vital signs: temperature, blood pressure, respiration rate
  • Laboratory Data and other Diagnostic Measures
  • Measurements emitted by Devices
  • Clinical assessments such as APGAR
  • Personal characteristics: height, weight, eye-color
  • Diagnoses (Note: track-able conditions, allergies, adverse reactions and more complex structures are handled elsewhere)
  • Social history: tobacco use, family supports, cognitive status
  • Core characteristics: pregnancy status, death assertion

RIM scope

  • ACT: Observation (ClassCode=OBS and descendants)
  • ACT: Observation (Code=ObservationType)

Resource appropriateness

Observations are a central element in healthcare, used to support diagnosis, monitor progress, determine baselines and patterns and even capture demographic characteristics.

Expected implementations

Required for CCDA. Referenced as part of DiagnosticReport.

Content sources

  • HL7 v3 Laboratory Standard - Normative
  • HL7 v2.x
  • HL7 OO Specimen DAM Project

Example Scenarios

Resource Relationships

  • Order
  • DiagnosticOrder
  • DiagnosticReport
  • ImagingStudy
  • Problem

Timelines

  • Vote by WG (Ready for ballot): July 2013
  • Ballot: September 2013

gForge Users

  • Lorraine Constable
  • Patrick Loyd

Issues

  1. Need to explicitly define the difference between this and: Alert, AllergyIntolerance, AdverseReaction, Condition, DeviceObservation, OperationOutcome and Questionaire
  2. Need the RIM scope to exclude the content for Alert, AllergyIntolerance, etc.
  3. Should be looking at OpenEHR too. National projects?
  4. Need to provide a description for all "related" resources - related how?
  5. Need to add example scenarios