Stream: clinFHIR
Topic: Observations and DIagnostics
Grahame Grieve (Sep 23 2016 at 13:37):
welcome to the table
Rob Hausam (Sep 23 2016 at 13:40):
yes, welcome
Nitin Jain (Sep 23 2016 at 13:41):
Hi
Manoj Sharma (Sep 23 2016 at 14:07):
https://global.gotomeeting.com/join/588436589
Rob Hausam (Sep 23 2016 at 14:44):
David, we noted that we can't add translation codes in a CodeableConcept data type (e.g. both local code and LOINC for a lab test)
David Hay (Sep 23 2016 at 16:06):
yeah - philip pointed that out. It's on the list!
Grahame Grieve (Sep 23 2016 at 16:22):
http://fhir.hl7.org.au/fhir/rcpa/index.html
Andrea Pitkus, PhD, MLS(ASCP)CM (Sep 23 2016 at 18:16):
In addition to the unique order number from the EHR (clinician request on a patient) there is a unique identifier of a lab test order from each laboratory. In this case, it's 90613.
Andrea Pitkus, PhD, MLS(ASCP)CM (Sep 23 2016 at 18:17):
Another issue we noticed was for specimen resource, it does allow body site (SCT codes as required for MU in the v2 lab guides in SPM 8), but doesn't permit laterality or other qualifiers (SCT qualifier values as required for MU in the v2 lab guides in SPM 9).
Andrea Pitkus, PhD, MLS(ASCP)CM (Sep 23 2016 at 18:18):
another challenge was we could add the specimen resource to the patient for diagnostic request
Andrea Pitkus, PhD, MLS(ASCP)CM (Sep 23 2016 at 18:18):
However, we couldn't link the same specimen to the diagnostic report. 10 other specimens showed up in the query (Paul jackson was the pt)
David Hay (Sep 23 2016 at 18:21):
wrt BodySite - AFAIK you'd need to post-co-ordinate or use an extension... (ie create a profile on BodySite that allows this). You should be able to do this in CF, though I'd use a datatype of string just to keep it simple - in real life a codeableconcept would probably be better...
Andrea Pitkus, PhD, MLS(ASCP)CM (Sep 23 2016 at 18:21):
do know lab order workflow is in progress. seems like a way is needed for when the MD completes the diagnostic request to have a trigger for the task resource to collect the specimens (creating specimen resources) and then a means to transport the specimen to the lab. The lab needs to know when to look for the patient order. The diagnostic request is also not linked to the diagnostic report/observation.
David Hay (Sep 23 2016 at 18:27):
wrt adding the specimen to the DR - the issue is that only 10 specimens are shown. This is because the hapi server is paging and CF is not following the links. On the list to fix... One option to try is to search on some criteria that makes the resultset less than 10 - but it's a scruffy answer I admit. Also doesn't help that all the entries in the list say 'specimen'!
David Hay (Sep 23 2016 at 18:30):
btw - just checked and there are 306 specimens currently, so some searching will be required... Happy to take suggestions about what should be saved in the list, and what search criteria are the best (and therefore what properties should be entered against the resource)...
David Hay (Sep 23 2016 at 18:32):
Oh wait - specimen has a subject reference - it should be directly selectable - that's a config problem with CF which I will fix... Ignore what I just said...
David Hay (Sep 23 2016 at 18:35):
fixed...
Christopher Herzog (Sep 23 2016 at 18:35):
versioning of observation result changes?
David Hay (Sep 23 2016 at 18:35):
?
Last updated: Apr 12 2022 at 19:14 UTC
