Stream: implementers
Topic: align DiagnosticReport & Observation Status and Cat codes
Eric Haas (Nov 17 2016 at 21:52):
Couple of tickets [#10344][#10633] (both of which I propose reopening ) [#11963],[#10142] suggesting alignment of category and Status codes for DiagnosticReport.status and Observation.statusThey are often used together and alignment makes sense in principle but the devil is in the details. here is what I am proposing for discussion, check out the code definitions in the fhir specification.
| Event Template | DiganosticReport | Observation | Aligned DR & OBC | |
|---|---|---|---|---|
| partial | preliminary | partial | ||
| in-progress | in-progress | |||
| suspended | suspended | |||
| aborted | aborted | |||
| completed | final | final | final | |
| corrected | amended | corrected | ||
| appended | cancelled | |||
| cancelled | cancelled | entered-in-error | ||
| entered-in-error | entered-in-error | unknown | ||
| unknown |
Use the Observation Category codes (below) for DiagnosicReport.category Valueset (example binding) instead of the V2 diagnostic ServiceSector codes.
social-history
vital-signs
imaging
laboratory
procedure
survey
exam
therapy
Richard Townley-O'Neill (Nov 18 2016 at 01:45):
I like the idea of improving alignment. There seems to be an important point of divergence between DiagnosticReport and Observation.
A DiagnosticReport is a report about a diagnostic investigation, and the definition of status "The status of the diagnostic report as a whole." and all of its values of status are all suitable for the status of a report.
An Observation is less clearly a report. The definition of status is about the observation, not the report: "The status of the result value." Some of the values of status are about the report, some about the observation, and some about either. There needs to be more clarity about whether the Observation resource is a for an observation or for a report of an observation. More clarity is also needed on what the status is.
Here is my summary of the observation status values
| Observation Status value | Applies to report | Applies to observation | note |
|---|---|---|---|
| registered | yes | ||
| preliminary | yes | ||
| final | yes | yes | |
| amended | yes | no | it would be an amended report on a new observation |
| cancelled | yes | yes | |
| entered-in-error | yes | no | |
| unknown | no | yes |
Last updated: Apr 12 2022 at 19:14 UTC
