This wiki has undergone a migration to Confluence found Here

Difference between revisions of "Observation FHIR Resource Proposal"

From HL7Wiki
Jump to navigation Jump to search
m (Created page with "{{subst::Template:FHIR Resource Proposal}}")
 
Line 1: Line 1:
 
 
<div class="messagebox cleanup metadata">
 
<div class="messagebox cleanup metadata">
 
<div style="float: left;">[[Image:OpenHotTopic.GIF|35px| ]]</div>
 
<div style="float: left;">[[Image:OpenHotTopic.GIF|35px| ]]</div>
Line 29: Line 28:
 
==Owning committee name==
 
==Owning committee name==
  
<!-- The name of the committee that is proposed to have responsibility for developing and maintaining the resources. -->
+
[[Orders & Observations WG]]
[[YourCommitteeName]]
 
  
 
==Interested Work Groups==
 
==Interested Work Groups==
  
<!-- Additional work groups that may have an interest in assisting with the content of the resource (optional) -->
+
* Anatomic Pathology
* Work Group Name
+
* Clinical Genomics
* or link
+
* Imaging Integration
* or "None"
+
* Public Health and Emergency Response
  
 
==FHIR Resource Development Project Insight ID==
 
==FHIR Resource Development Project Insight ID==
  
<!-- Please specify the id of your work group’s PSS for doing FHIR work.  (If submitted but not yet approved, just write “pending”.) The link to the PSS template can be found here: http://gforge.hl7.org/gf/download/docmanfileversion/6832/9398/HL7FHIR_DSTUballotPSS-20120529.doc -->
+
952
  
 
==Scope of coverage==
 
==Scope of coverage==
Line 55: Line 53:
 
As a rule, resources should encompass all of these aspects.
 
As a rule, resources should encompass all of these aspects.
 
  -->
 
  -->
 +
 +
DEFINITION (SPECIMEN):
 +
Any material sample taken from a biological entity, including a sample obtained from a  living organism or taken from the biological object after halting of all its  life functions. Biospecimen can contain one or more components including but not limited to cellular molecules, cells, tissues, organs, body fluids, embryos, and  body excretory products (source: NCIt, modified).
 +
 +
The specimen resource covers substances used for diagnostic and environmental testing.  This includes all types of living and non-living subjects where a subject is defined as the host from which the specimen was obtained.
  
 
==RIM scope==
 
==RIM scope==
  
 
<!-- Identify the formal RIM mapping for the root concept of the resource.  The expectation is that the RIM mapping will be sufficiently precise so as to not overlap with any other resource definition. -->
 
<!-- Identify the formal RIM mapping for the root concept of the resource.  The expectation is that the RIM mapping will be sufficiently precise so as to not overlap with any other resource definition. -->
 +
*Role: Specimen (RoleClass=SPM)
 +
**Entity (player): Material (EntityClass="MAT")
 +
**Entity (scoper): Choice - Person, Non-Human Living Subject, Material)
 +
*Entity: Place (EntityClass="PLC")
  
 
==Resource appropriateness==
 
==Resource appropriateness==
  
<!-- Does the resource meet the following characteristics?
+
Simple assertions and measurements made about a patient, device or other subject.
 +
 +
The resource name as it appears in a RESTful URL is /observation/
  
Must
+
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:
* Represents a well understood, "important" concept in the business of healthcare
+
•Vital signs: temperature, blood pressure, respiration rate
* Represents a concept expected to be tracked with distinct, reliable, unique ids
+
•Laboratory Data and other Diagnostic Measures
* Reasonable for the resource to be independently created, queried and maintained
+
•Measurements emitted by Devices
 
+
•Clinical assessments such as APGAR
Should
+
•Personal characteristics: height, weight, eye-color
* Declared interest in need for standardization of data exchange</span>
+
•Diagnoses (Note: track-able conditions, allergies, adverse reactions and more complex structures are handled elsewhere)
* Resource is expected to contain an appropriate number of "core" (non-extension) data elements (in most cases, somewhere in the range of 20-50)
+
•Social history: tobacco use, family supports, cognitive status
* Have the characteristics of high cohesion & low coupling – need to explore whether coupling is good some places, not elsewhere – layers from Bo’s document
+
•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) -->
 +
??
  
 
==Content sources==
 
==Content sources==
Line 84: Line 93:
  
 
Are there any source specifications that you wish to consult but are concerned about access to or expertise to consider? -->
 
Are there any source specifications that you wish to consult but are concerned about access to or expertise to consider? -->
 +
 +
*HL7 v3 Laboratory Standard - Normative
 +
*HL7 v3 Other?
 +
*HL7 v2.x
 +
*HL7 OO Specimen DAM Project
  
 
==Resource Relationships==
 
==Resource Relationships==
Line 95: Line 109:
 
Reference to resources is really only relevant at the "same or higher level" (Bo – fix this wording)
 
Reference to resources is really only relevant at the "same or higher level" (Bo – fix this wording)
 
  -->
 
  -->
 +
*Order
 +
*OrderResponse ?
 +
*DiagnosticReport
 +
*ImagingStudy ?
 +
*Problem
  
 
==Timelines==
 
==Timelines==
  
 
<!-- Indicate the target date for having the resource complete from a committee perspective and ready for vetting and voting -->
 
<!-- Indicate the target date for having the resource complete from a committee perspective and ready for vetting and voting -->
 +
 +
*Vote by WG (Ready for ballot): July 2013
 +
*Ballot: September 2013
  
 
==gForge Users==
 
==gForge Users==
  
 
<!-- Identify the userids who will require commit access to gForge to maintain the resource.  (Ensure all users have registered for gForge.) -->
 
<!-- Identify the userids who will require commit access to gForge to maintain the resource.  (Ensure all users have registered for gForge.) -->
 +
*Lorraine Constable
 +
*Patrick Loyd

Revision as of 18:37, 1 April 2013



putProposedResourceNameHere

Owning committee name

Orders & Observations WG

Interested Work Groups

  • Anatomic Pathology
  • Clinical Genomics
  • Imaging Integration
  • Public Health and Emergency Response

FHIR Resource Development Project Insight ID

952

Scope of coverage

DEFINITION (SPECIMEN): Any material sample taken from a biological entity, including a sample obtained from a living organism or taken from the biological object after halting of all its life functions. Biospecimen can contain one or more components including but not limited to cellular molecules, cells, tissues, organs, body fluids, embryos, and body excretory products (source: NCIt, modified).

The specimen resource covers substances used for diagnostic and environmental testing. This includes all types of living and non-living subjects where a subject is defined as the host from which the specimen was obtained.

RIM scope

  • Role: Specimen (RoleClass=SPM)
    • Entity (player): Material (EntityClass="MAT")
    • Entity (scoper): Choice - Person, Non-Human Living Subject, Material)
  • Entity: Place (EntityClass="PLC")

Resource appropriateness

Simple assertions and measurements made about a patient, device or other subject.

The resource name as it appears in a RESTful URL is /observation/

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: •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

??

Content sources

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

Resource Relationships

  • Order
  • OrderResponse ?
  • DiagnosticReport
  • ImagingStudy ?
  • Problem

Timelines

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

gForge Users

  • Lorraine Constable
  • Patrick Loyd