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Difference between revisions of "Substance 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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Examples: Pharmaceutical substances, disposable supplies, durable equipment, implantable devices, food items, waste, traded goods
 
Examples: Pharmaceutical substances, disposable supplies, durable equipment, implantable devices, food items, waste, traded goods
  
Scope Challenge: When to use substance vs medication.  Medication is a subtype of substance.
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Substance is used when the focus is the material as opposed to the source of the material and the processing done on it - in which case Specimen is more appropriate.
  
 
==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. -->
**Entity: Material (EntityClass="MAT")
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Entity: Material (EntityClass="MAT")
 
 
  
 
==Resource appropriateness==
 
==Resource appropriateness==
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<!-- 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
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Commonly as part of the use of other resources - such as MedicationPrescription or MedicationAdministration. A substance might also be related to dietary observations or adverse reactions.
  
 
==Content sources==
 
==Content sources==
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*HL7 v3 IDMP Standard
 
*HL7 v3 IDMP Standard
 
*HL7 v2.x
 
*HL7 v2.x
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*openEhr archetypes
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==Example Scenarios==
 +
* A person believes that their hayfever is an allergy to pollen. An allergy test is performed using a number of different substances to determine if there is a specific cause.
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* A clinician has a specific 'recipe' for a wart treatment. This involves the creation of a solution form a number of different substances, not all of which are coded in commonly user terminologies.
 +
  
 
==Resource Relationships==
 
==Resource Relationships==
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*Medication
 
*Medication
 
*Supply
 
*Supply
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*Device
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*AdverseReaction
  
 
==Timelines==
 
==Timelines==
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<!-- 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
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*Approved by OO WG: May 2013 WGM
*Ballot: September 2013
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*Planned Ballot: September 2013
  
 
==gForge Users==
 
==gForge Users==
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*Lorraine Constable
 
*Lorraine Constable
 
*Patrick Loyd
 
*Patrick Loyd
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 +
==Issues==
 +
* Scope Challenge: When to use substance vs medication.  Medication is a subtype of substance.  Also need to come up with better differentiation between this and Specimen
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* Need explanation of relations to other resources

Latest revision as of 05:51, 22 May 2014



Substance

Owning committee name

Orders & Observations WG

Interested Work Groups

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

FHIR Resource Development Project Insight ID

952

Scope of coverage

DEFINITION (SUBSTANCE): This resource will cover data elements, structures and relationships required to uniquely define and identify substances and specified substances within medicinal products or used for medicinal purposes, dietary supplements, food and feed additives, cosmetics, etc.

Any material is a substance. Substances come in a wide variety of physical forms and can pass through different states (ie. Gas, liquid, solid) while still retaining their physical composition and material characteristics.

Examples: Pharmaceutical substances, disposable supplies, durable equipment, implantable devices, food items, waste, traded goods

Substance is used when the focus is the material as opposed to the source of the material and the processing done on it - in which case Specimen is more appropriate.

RIM scope

Entity: Material (EntityClass="MAT")

Resource appropriateness

In healthcare, substances are used to treat patients, substances are analyzed for diagnostic, treatment, and research, subjects come in contact with certain substance thereby causing a need for healthcare, and so forth.

Expected implementations

Commonly as part of the use of other resources - such as MedicationPrescription or MedicationAdministration. A substance might also be related to dietary observations or adverse reactions.

Content sources

  • HL7 v3 Laboratory Standard - Normative
  • HL7 v3 IDMP Standard
  • HL7 v2.x
  • openEhr archetypes

Example Scenarios

  • A person believes that their hayfever is an allergy to pollen. An allergy test is performed using a number of different substances to determine if there is a specific cause.
  • A clinician has a specific 'recipe' for a wart treatment. This involves the creation of a solution form a number of different substances, not all of which are coded in commonly user terminologies.


Resource Relationships

  • Order
  • DiagnosticOrder
  • DiagnosticReport
  • ImagingStudy
  • Medication
  • Supply
  • Device
  • AdverseReaction

Timelines

  • Approved by OO WG: May 2013 WGM
  • Planned Ballot: September 2013

gForge Users

  • Lorraine Constable
  • Patrick Loyd

Issues

  • Scope Challenge: When to use substance vs medication. Medication is a subtype of substance. Also need to come up with better differentiation between this and Specimen
  • Need explanation of relations to other resources