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Difference between revisions of "Prognosis 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 a [[: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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=Prognosis=
  
 
<!-- 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]]
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[[Clinical Decision Support Workgroup]]
  
 
==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
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* [[Patient Care]]
* or link
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* [[Clinical Genomics]]
* or "None"
 
  
 
==FHIR Resource Development Project Insight ID==
 
==FHIR Resource Development Project Insight ID==
 
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Pending
 
<!-- 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 -->
  
 
==Scope of coverage==
 
==Scope of coverage==
 
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Prognosis describes the expected outcome for a particular subject based on an analysis of present condition and surrounding factors.  It typically includes probability assessments for a variety of potential outcomes.  It may be generated by clinicians or by automated decision support tools.  The resource covers both human and animal subjects as well as groups.  It applies to all clinical disciplines as well as public health.  It is not specific to any delivery environment or region.
 
<!-- Define the full scope of coverage for the resource.  The scope must be clearly delineated such that it does not overlap with any other existing or expected resource.  The scope will be used to govern "what is the set of potential applications to consider when evaluating what elements are 'core' – i.e. in the 80%"
 
<!-- Define the full scope of coverage for the resource.  The scope must be clearly delineated such that it does not overlap with any other existing or expected resource.  The scope will be used to govern "what is the set of potential applications to consider when evaluating what elements are 'core' – i.e. in the 80%"
  
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==RIM scope==
 
==RIM scope==
 
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Observation[classCode=OBS, moodCode=EXPEC]
 
<!-- 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. -->
  
 
==Resource appropriateness==
 
==Resource appropriateness==
 
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Prognosis is a well understood concept in clinical medicine.  Risk assessments and evaluation of likely outcomes is a key step in the management of many conditions.  While a prognosis may be supported by various inputs such as Observations, FamilyHistory, Conditions, etc., the Prognosis itself is a separate statement that is authored and maintained as a separate record. 
 
<!-- Does the resource meet the following characteristics?
 
<!-- Does the resource meet the following characteristics?
  
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==Expected implementations==
 
==Expected implementations==
 
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This element will be used as part of the QUICK model - the harmonized logical model for clinical decision support and quality metrics.  It will also be used in the ClinicalGenomic pedigree model to capture the results of a genetic risk assessment.
 
<!--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. -->
  
 
==Content sources==
 
==Content sources==
 
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* Clinical Genomics pedigree model
 +
* QUICK logical model
 +
* OpenEHR?
 
<!-- List all of the specifications (beyond those in the "standard" (FHIR_Design_Requirements_Sources) list of source specifications) that you’re planning to consult
 
<!-- List all of the specifications (beyond those in the "standard" (FHIR_Design_Requirements_Sources) list of source specifications) that you’re planning to consult
  
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==Example Scenarios==
 
==Example Scenarios==
 
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* Risk assessment for future health conditions based on a genetic family history assessment
 +
* Evaluation of likely outcomes from an oncology assessment
 +
* Population risk assessment based on immunization coverage and outbreak information
 
<!-- 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.) -->
  
 
==Resource Relationships==
 
==Resource Relationships==
 
+
* Observation, FamilyHistory, Condition, Procedure and potentially other resources can be taken as "source" information used in developing the prognosis
 +
* Condition will frequently be the target of a prognosis
 +
* Patient and Group will be the subject of a prognosis
 
<!-- What are the resources do you expect will reference this resource and in what context?
 
<!-- What are the resources do you expect will reference this resource and in what context?
  
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==Timelines==
 
==Timelines==
 
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To be published as at least a draft for the Jan 2015 FHIR DSTU release
 
<!-- 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 -->
  

Latest revision as of 20:49, 8 April 2015



Prognosis

Owning committee name

Clinical Decision Support Workgroup

Contributing or Reviewing Work Groups

FHIR Resource Development Project Insight ID

Pending

Scope of coverage

Prognosis describes the expected outcome for a particular subject based on an analysis of present condition and surrounding factors. It typically includes probability assessments for a variety of potential outcomes. It may be generated by clinicians or by automated decision support tools. The resource covers both human and animal subjects as well as groups. It applies to all clinical disciplines as well as public health. It is not specific to any delivery environment or region.

RIM scope

Observation[classCode=OBS, moodCode=EXPEC]

Resource appropriateness

Prognosis is a well understood concept in clinical medicine. Risk assessments and evaluation of likely outcomes is a key step in the management of many conditions. While a prognosis may be supported by various inputs such as Observations, FamilyHistory, Conditions, etc., the Prognosis itself is a separate statement that is authored and maintained as a separate record.

Expected implementations

This element will be used as part of the QUICK model - the harmonized logical model for clinical decision support and quality metrics. It will also be used in the ClinicalGenomic pedigree model to capture the results of a genetic risk assessment.

Content sources

  • Clinical Genomics pedigree model
  • QUICK logical model
  • OpenEHR?

Example Scenarios

  • Risk assessment for future health conditions based on a genetic family history assessment
  • Evaluation of likely outcomes from an oncology assessment
  • Population risk assessment based on immunization coverage and outbreak information

Resource Relationships

  • Observation, FamilyHistory, Condition, Procedure and potentially other resources can be taken as "source" information used in developing the prognosis
  • Condition will frequently be the target of a prognosis
  • Patient and Group will be the subject of a prognosis

Timelines

To be published as at least a draft for the Jan 2015 FHIR DSTU release

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