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Difference between revisions of "Observation FHIR Resource Proposal"

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DEFINITION (OBSERVATION):
 
DEFINITION (OBSERVATION):
  
The observation resource covers simple as well as complex assertions and measurements made about a patient, device or other subject.
+
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==
 
==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:
+
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) -->
??
+
Future
  
 
==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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  -->
 
  -->
 
*Order
 
*Order
*OrderResponse ?
+
*DiagnosticOrder
 
*DiagnosticReport
 
*DiagnosticReport
*ImagingStudy ?
+
*ImagingStudy
 
*Problem
 
*Problem
  

Revision as of 15:48, 9 May 2013



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

Future

Content sources

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

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