Stream: Orders and Observation WG
Topic: Extension for risk on a thing
Eric Haas (Mar 31 2020 at 00:27):
We need a generic risk extension for Specimen (and possibly for Biologic Product and Procedure) that can handle various labels, levels (infectious risk, aerosol-generating procedure, radioactive, etc.)
Eric Haas (Mar 31 2020 at 00:27):
would this be a reference to Flag?
Lloyd McKenzie (Mar 31 2020 at 00:30):
Typically Flag points to the thing flagged rather than the reverse. Right now, Specimen hasn't been identified as a subject type, but it certainly could be. Does it make sense for the risk flag to be maintained independently or should it be a property of the extension directly?
Eric Haas (Mar 31 2020 at 00:30):
@Riki Merrick are there handling and risk elements in the Specimen DAM that are planned for addition?
Eric Haas (Mar 31 2020 at 00:32):
These sound like generic labels like a caution sticker on Mrs Smith's cat Mittens chart. so flag is probably overkill.
Eric Haas (Mar 31 2020 at 00:36):
So a caution extension or a handling extension with valueCodeable to describe the peril is the simplest solution
Eric Haas (Mar 31 2020 at 00:37):
http://hl7.org/fhir/StructureDefinition/specimen-specialHandling already is there for Specimen will see if:
- that covers it or needs something more - FHIR on OO Call
- whether the context is too narrow and should be more generic for any "thing". - discuss here
Eric Haas (Mar 31 2020 at 00:40):
I suspect handling is too narrow for generic risks and need something similar for that but they are tied together.
Riki Merrick (Mar 31 2020 at 02:56):
Funny you should say that - we were just talking about a generic risk that
might be needed for specimen - it is in the DAM; biologicallyDerivedProduct
and procedures - see minutes from today:
https://confluence.hl7.org/display/OO/Specimen+Call+Minutes+March+23%2C+2020
the v2 vocab is focused on specimen, but for procedure we would need
something to include aerosol creating at the moment.
Riki Merrick
Vernetzt, LLC
rikimerrick@gmail.com
cell: 916.216.0052
skype: riki.merrick
Rob Hausam (Mar 31 2020 at 03:22):
I thought Eric's comments were probably in response to our discussion today - even better that they were independent but in concert with it.
Last updated: Apr 12 2022 at 19:14 UTC
