Stream: terminology
Topic: Observation Extension - risk of disorder
Michael Hosking (Oct 12 2017 at 02:37):
Hi all,
After reviewing the FHIR Observation resource and the relevant terminology binding - what are people's experiences on using the Observation resource to capture "observation of risk"?
The below FHIR extension suggests this could be used but does not suggest any terminology binding. Does that mean any coding system can be used?
eg.
| 705089007 | At risk of breast cancer (finding)
https://www.hl7.org/fhir/extension-family-member-history-genetics-observation.html
Allows capturing risk-relevant observations about the relative that aren't themselves a specific health condition; e.g. Certain ethnic ancestries that are disease-relevant, presence of particular genetic markers, etc.
Eric Haas (Oct 12 2017 at 04:48):
sounds more like a clinical assessment to me....
Michael Hosking (Oct 15 2017 at 19:48):
Are you suggesting using a different FHIR resource? ie. https://www.hl7.org/fhir/riskassessment.html?
Eric Haas (Oct 16 2017 at 16:52):
What I meant is that a finding of risk really isn't a measurement. The observable is 'mother had breast cancer" the assessment leads to the determination of risk. So think another resources is more appropriate. @Michelle (Moseman) Miller or @Lloyd McKenzie may want to chime in here as well.
Lloyd McKenzie (Oct 17 2017 at 00:16):
Observation and RiskAssessment are your best candidates. RiskAssessment allows you to capture more detail, but a raw determination as an Observation would be acceptable. (RiskAssessment is a "tuned" Observation resource like AllergyIntolerance and Condition, so you should expect some overlap in practice.)
Last updated: Apr 12 2022 at 19:14 UTC
