Stream: implementers
Topic: Device Explant
Jenni Syed (Jul 01 2016 at 15:37):
How would everyone expect a Devie explant to be represented w/the Device resource?
Jenni Syed (Jul 01 2016 at 15:38):
IE: previously device/123 was returned w/the patient associated... on explant, is the patient just removed? This seems awkward
Eric Haas (Jul 01 2016 at 23:52):
If you mean for example: the bone plate was removed. That is something I was wondering as well: I considered creating a table to further define the device statuses when the device is affixed to a patient or adding a new element or new statuses.
- available = in/on the patient
- unavailable = no longer in/on the patient
some devices are reused so after patient A's explant become patient B's implant.
Jenni Syed (Jul 05 2016 at 18:40):
I was under the impression that on the *Device* resource a Device is unavailable if it's already being used - hence if it is in the patient it would be unavailable
Jenni Syed (Jul 05 2016 at 18:40):
@Eric Haas Part of why I'm asking is the use of Device for MU 3/CCDS
Jenni Syed (Jul 05 2016 at 18:40):
The true history/procedure to implant etc would be a different resource
Jenni Syed (Jul 05 2016 at 18:41):
But I would like to understand what we would expect the linked device to look like for these use cases since CCDS seems to be driving primarily via the Device resource
Eric Haas (Jul 05 2016 at 19:05):
@ Jenni See this closed issue : https://github.com/argonautproject/implementation-program/issues/27 - For Argo not addressing statuss directly but this needs to be addressed...
Eric Haas (Jul 05 2016 at 19:28):
I'm checking what C-CDA is doing. It looks like they use an effective time + status. Maybe @Brett Marquard can chime in here. I am thinking we need an effectiveDate for Device? to reflect its in-use status. Still need to look at the status of available and unavailable when the device is implanted/explanted. (maybe if reused it switches back and forth.
Brett Marquard (Jul 05 2016 at 19:51):
C-CDA doesn't have good statuses for the device. It includes the ability to record a device was implanted, or removed, but doesn't have a template right now to say the device is implanted and off.
Last updated: Apr 12 2022 at 19:14 UTC
