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PicoElementDefinition FHIR Resource Proposal

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picoElementDefinition

Owning work group name

Clinical_Decision_Support

Committee Approval Date:

June 22, 2018

Contributing or Reviewing Work Groups

  • Clinical Decision Support
  • Clinical Quality Information
  • Biomedical Research and Regulation

FHIR Resource Development Project Insight ID

1422

Scope of coverage

The scope of the picoElementDefintion resource is to describe a "PICO" element that knowledge (evidence, assertion, recommendation) is about. PICO stands for:

  • Population - the population within which exposures and outcomes are being considered
  • Intervention - the conditional state or exposure state being described for which one is expressing the risk of or effect on an outcome
  • Comparison - the alternative conditional state or alternative exposure state when one is comparing states for the effect on an outcome
  • Outcome - the result or effect of an intervention or exposure in a population

PICO (and its variants like PECO or PICOT) is a universal acronym used in evidence-based medicine communities to clearly express research questions and evidence findings.

The picoElementDefinition resource allows expression of the components of a PICO question in codeable and reusable formats.

RIM scope

Resource appropriateness

Across the evidence-based medicine community (hundreds of thousands of people communicating the results of healthcare research and recommendations), the PICO elements are the foundational components of expressing what evidence assertions and recommendations are about. Standardizing the specification of these PICO element definitions is necessary to support interoperability across the evidence-based medicine domain.

Expected implementations

Many knowledge producers who express the biomedical research community knowledge will be the implementers using this resources. Examples of these knowledge producers include Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Cochrane, Duodecim Medical Publications Ltd (from the Finnish Medical Society), EBSCO Health, MAGIC (stands for Making GRADE the Irresistible Choice), and numerous guideline development organizations.

Content sources

Example Scenarios

Resource Relationships

Resource Boundaries

Timelines

gForge Users

When Resource Proposal Is Complete

When you have completed your proposal, please send an email to FMGcontact@HL7.org

FMG Notes