Stream: implementers
Topic: Where to put diagnostic questions?
Juerg Bleuer (Mar 15 2021 at 14:51):
Hi. I am modelling a Radiology Order: It is basically built upon the ServiceRequest resource. The main thing of a radiology order is the diagnostic question such as " Are there signs for a tumor?", "Is the head of the femur broken?" etc. reasonReference allows only for condition, observation and diagnostic report: What is the correct way of implementation? Thanky a lot for suggestions.
Elliot Silver (Mar 15 2021 at 18:21):
@Jonathan Whitby @Brian Bialecki @Richard Esmond
Eric Haas (Mar 15 2021 at 19:13):
ServiceRequest.supportingInfo
Element Id ServiceRequest.supportingInfo
Definition
Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as "ask at order entry questions (AOEs)". This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements.
Cardinality 0..*
Type Reference(Any)
Alternate Names Ask at order entry question; AOE
Comments
To represent information about how the services are to be delivered use the instructions element.
Eric Haas (Mar 15 2021 at 19:14):
reference the observations or a QR
Lloyd McKenzie (Mar 15 2021 at 20:46):
@Eric Haas I think "ask at order entry" questions are distinct from what's being asked for here. What Juerg is looking for is "What question are you trying to get an answer for from this radiology exam?"
Juerg Bleuer (Mar 15 2021 at 22:59):
@Eric Haas @Lloyd McKenzie** Yes, as Lloyd says: I order a rad exam and I want to know if the radiologist judges the bone to be broken or not.
Eric Haas (Mar 15 2021 at 23:25):
order details?
Lloyd McKenzie (Mar 16 2021 at 05:25):
Order details could work. But it's not clear from the definition. @Juerg Bleuer can you submit a change proposal for Observation to be updated to make the appropriate place clear?
Juerg Bleuer (Mar 16 2021 at 09:36):
@Lloyd McKenzie Thank you very much; I am happy to submit this change proposal asap.
Elliot Silver (Mar 16 2021 at 16:33):
@Juerg Bleuer Did a tracker get submitted for this? If it's easier, I can submit one for you.
Eric Haas (Mar 16 2021 at 16:57):
This would be a servicerequest tracker
Rob Hausam (Mar 16 2021 at 19:51):
This is pretty close to ServiceRequest.reason, but doesn't seem to quite fit that exactly. Maybe we need to broaden/clarify 'reason', or we might consider if it needs an additional element?
Elliot Silver (Mar 16 2021 at 20:18):
J#31552 added.
Eric Haas (Mar 16 2021 at 21:13):
I think it details.... Read this film and specifically answers these questions. vs read this film because I want to know..
Last updated: Apr 12 2022 at 19:14 UTC
