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Difference between revisions of "Procedure 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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=putProposedResourceNameHere=
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=Procedure=
  
 
<!-- Resource names should meet the following characteristics:
 
<!-- Resource names should meet the following characteristics:
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<!-- The name of the committee that is proposed to have responsibility for developing and maintaining the resources. -->
 
<!-- The name of the committee that is proposed to have responsibility for developing and maintaining the resources. -->
[[YourCommitteeName]]
+
[[Patient Care]]
 +
 
 +
(Temporarily managed by FHIR Core with review from Patient care)
  
 
==Contributing or Reviewing Work Groups==
 
==Contributing or Reviewing Work Groups==
  
 
<!-- Additional work groups that may have an interest in contributing to, or reviewing  the content of the resource (optional) -->
 
<!-- Additional work groups that may have an interest in contributing to, or reviewing  the content of the resource (optional) -->
* Work Group Name
+
 
* or link
+
None
* or "None"
 
  
 
==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 -->
 
<!-- 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 -->
 +
Pending
  
 
==Scope of coverage==
 
==Scope of coverage==
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As a rule, resources should encompass all of these aspects.
 
As a rule, resources should encompass all of these aspects.
 
  -->
 
  -->
 +
An action that is performed on a patient. This can be a physical 'thing' like an operation, or less invasive like counselling or hypnotherapy.
 +
 +
An Act whose immediate and primary outcome (post-condition) is the alteration of the physical or mental condition of the subject. Used to record the details of procedures performed on a patient. This includes surgical procedures, diagnostic procedures, endoscopic procedures, biopsies. It also includes group therapy, training, psycho-therapy, music therapy, etc.  It does not include drug therapy, chemotherapy, radiation therapy, light therapy or other therapies where "dosage" is a primary aspect of the intervention.
 +
 +
Procedure specifically excludes activities whose primary activity is the introduction of medications or similar substances (Immunization, MedicationAdministration).  The focus of the Procedure resource is the actual activities performed, as opposed to Observation and DiagnosticReport which may be used to capture information learned while performing a procedure.  Activities whose sole purpose is to gain information without performing any significant disruption of the subject (e.g. MRI, colonoscopy, etc.) are not technically Procedures, though because of the scheduling, possibility of use of anesthetic, etc. many systems may choose to represent them as Procedures.
 +
 +
When capturing planned/intended procedures, CarePlan or Appointment should be used.
  
 
==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. -->
 +
Procedure[classCode=PROC, moodCode=EVN]
  
 
==Resource appropriateness==
 
==Resource appropriateness==
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* Have the characteristics of high cohesion & low coupling – need to explore whether coupling is good some places, not elsewhere – layers from Bo’s document  
 
* Have the characteristics of high cohesion & low coupling – need to explore whether coupling is good some places, not elsewhere – layers from Bo’s document  
 
  -->
 
  -->
 +
Procedures are a common activity within medical practice and recorded by most EMR systems.
  
 
==Expected implementations==
 
==Expected implementations==
  
 
<!--Key resources are justified by CCDA, for resources not deemed "key", what interest is there by implementers in using this particular resource. Provide named implementations if possible - ideally provide multiple independent implementations. -->
 
<!--Key resources are justified by CCDA, for resources not deemed "key", what interest is there by implementers in using this particular resource. Provide named implementations if possible - ideally provide multiple independent implementations. -->
 +
 +
A part of CCDA so can be expected to be implemented by most systems that support this. There are many specialist systems (particularly for surgical procedures) that record details of procedures.
  
 
==Content sources==
 
==Content sources==
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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? -->
 +
CCDA, openEHR, Affiliate specifications, existing systems
  
 
==Example Scenarios==
 
==Example Scenarios==
  
 
<!-- 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.) -->
 
<!-- 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.) -->
 +
 +
* Appendectomy
 +
* Biopsy
 +
* Counselling session
  
 
==Resource Relationships==
 
==Resource Relationships==
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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)
 
  -->
 
  -->
 +
The procedure resource is linked to:
 +
* Patient resource as the subject
 +
* Practitioner resource as the author
 +
* DiagnosticReport for the report of the procedure
 +
* Procedure/MedicationPrescription as related resources
 +
 +
It is likely the Specimen will also be included once that resource is specified.
  
 
==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 -->
 +
Expected to be balloted DSTU in 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.) -->
 +
david_hay
 +
 +
==Issues==
 +
* Revamped to clarify relationship to MedicationAdministration, Observation and DiagnosticReport.  Also expanded examples for non-surgical procedures and gave guidance on observations typically treated as procedures.
 +
* Need to confirm that light therapy, radiation, etc. aren't covered here.  Where should ultrasound therapy live?
 +
* Why/how would specimen relate to Procedure?  As a product?  Specimen now exists, so if it's in the 80%, add it.
 +
* Need better/tighter explanation of "related resources".  Related how?

Latest revision as of 05:48, 22 May 2014



Procedure

Owning committee name

Patient Care

(Temporarily managed by FHIR Core with review from Patient care)

Contributing or Reviewing Work Groups

None

FHIR Resource Development Project Insight ID

Pending

Scope of coverage

An action that is performed on a patient. This can be a physical 'thing' like an operation, or less invasive like counselling or hypnotherapy.

An Act whose immediate and primary outcome (post-condition) is the alteration of the physical or mental condition of the subject. Used to record the details of procedures performed on a patient. This includes surgical procedures, diagnostic procedures, endoscopic procedures, biopsies. It also includes group therapy, training, psycho-therapy, music therapy, etc. It does not include drug therapy, chemotherapy, radiation therapy, light therapy or other therapies where "dosage" is a primary aspect of the intervention.

Procedure specifically excludes activities whose primary activity is the introduction of medications or similar substances (Immunization, MedicationAdministration). The focus of the Procedure resource is the actual activities performed, as opposed to Observation and DiagnosticReport which may be used to capture information learned while performing a procedure. Activities whose sole purpose is to gain information without performing any significant disruption of the subject (e.g. MRI, colonoscopy, etc.) are not technically Procedures, though because of the scheduling, possibility of use of anesthetic, etc. many systems may choose to represent them as Procedures.

When capturing planned/intended procedures, CarePlan or Appointment should be used.

RIM scope

Procedure[classCode=PROC, moodCode=EVN]

Resource appropriateness

Procedures are a common activity within medical practice and recorded by most EMR systems.

Expected implementations

A part of CCDA so can be expected to be implemented by most systems that support this. There are many specialist systems (particularly for surgical procedures) that record details of procedures.

Content sources

CCDA, openEHR, Affiliate specifications, existing systems

Example Scenarios

  • Appendectomy
  • Biopsy
  • Counselling session

Resource Relationships

The procedure resource is linked to:

  • Patient resource as the subject
  • Practitioner resource as the author
  • DiagnosticReport for the report of the procedure
  • Procedure/MedicationPrescription as related resources

It is likely the Specimen will also be included once that resource is specified.

Timelines

Expected to be balloted DSTU in September 2013

gForge Users

david_hay

Issues

  • Revamped to clarify relationship to MedicationAdministration, Observation and DiagnosticReport. Also expanded examples for non-surgical procedures and gave guidance on observations typically treated as procedures.
  • Need to confirm that light therapy, radiation, etc. aren't covered here. Where should ultrasound therapy live?
  • Why/how would specimen relate to Procedure? As a product? Specimen now exists, so if it's in the 80%, add it.
  • Need better/tighter explanation of "related resources". Related how?