Stream: fhircast-github
Topic: fhircast-docs / Issue #250 Add event ClinicalFinding to s...
Github Notifications (FHIRcast) (May 05 2019 at 21:18):
NiklasSvenzen opened Issue #250
To be able to pass real time structured data between two clinical applications, it would be great to have a FHIRCast event that supports this. A typical use case is when integrating a PACS viewer and a reporting system, where the reading physician wants to include discrete measurements (findings) from the viewer directly into the report without having to retype all the data.
Suggestion:
structured-data-clinical-finding
Description:
A clinical finding has been observered containing strucutred dataExample:
{
"context": [
{
"key": "patient",
"resource": {
"resourceType": "Patient",
"id": "ewUbXT9RWEbSj5wPEdgRaBw3",
"identifier": [
{
"system": "urn:oid:1.2.840.114350",
"value": "185444"
},
{
"system": "urn:oid:1.2.840.114350.1.13.861.1.7.5.737384.27000",
"value": "2667"
}
]
}
},
{
"key": "study",
"resource": {
"resourceType": "ImagingStudy",
"id": "8i7tbu6fby5ftfbku6fniuf",
"uid": "urn:oid:2.16.124.113543.6003.1154777499.30246.19789.3503430045",
"identifier": [
{
"system": "7678",
"value": "185444"
}
],
"patient": {
"reference": "Patient/ewUbXT9RWEbSj5wPEdgRaBw3"
}
}
},
{
"key": "ClinicalFinding",
"resource": {
"resourceType": "Observation",
"id": "a67tbi5891trw123u6f9134",
"status": "preliminary",
"category": {
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "imaging",
"display": "Imaging"
},
"code": {
"system": "http://hl7.org/fhir/ValueSet/observation-codes",
"code": "10193-1",
"display": "Physical findings of Breasts Narrative"
},
"issued": "2019-05-05T13:28:17.239-05:00",
"identifier": [
{
"system": "dcm:121151",
"value": "Lesion-1"
}
],
"component": [
{
"code": {
"coding": [
{
"system": "https://loinc.org",
"code": "21889-1",
"display": "Size Tumor"
}
]
},
"valueQuantity": {
"value": 13.3,
"unit": "mm",
"system": "http://unitsofmeasure.org",
"code": "mm"
},
},
{
"code": {
"coding": [
{
"system": "dcm",
"code": "121242",
"display": "Distance from Nipple"
}
]
},
"valueQuantity": {
"value": 60,
"unit": "mm",
"system": "http://unitsofmeasure.org",
"code": "mm"
},
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "19100000",
"display": "Structure of lower inner quadrant of breast (body structure)"
}
]
}
},
{
"code": {
"coding": [
{
"system": "dcm",
"code": "111345",
"display": "Macrocalcifications"
}
]
}
}
]
}
]
}
Github Notifications (FHIRcast) (May 06 2019 at 22:46):
isaacvetter edited Issue #250
To be able to pass real time structured data between two clinical applications, it would be great to have a FHIRCast event that supports this. A typical use case is when integrating a PACS viewer and a reporting system, where the reading physician wants to include discrete measurements (findings) from the viewer directly into the report without having to retype all the data.
Suggestion:
structured-data-clinical-finding
Description:
A clinical finding has been observered containing strucutred dataExample:
{ "context": [ { "key": "patient", "resource": { "resourceType": "Patient", "id": "ewUbXT9RWEbSj5wPEdgRaBw3", "identifier": [ { "system": "urn:oid:1.2.840.114350", "value": "185444" }, { "system": "urn:oid:1.2.840.114350.1.13.861.1.7.5.737384.27000", "value": "2667" } ] } }, { "key": "study", "resource": { "resourceType": "ImagingStudy", "id": "8i7tbu6fby5ftfbku6fniuf", "uid": "urn:oid:2.16.124.113543.6003.1154777499.30246.19789.3503430045", "identifier": [ { "system": "7678", "value": "185444" } ], "patient": { "reference": "Patient/ewUbXT9RWEbSj5wPEdgRaBw3" } } }, { "key": "ClinicalFinding", "resource": { "resourceType": "Observation", "id": "a67tbi5891trw123u6f9134", "status": "preliminary", "category": { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "imaging", "display": "Imaging" }, "code": { "system": "http://hl7.org/fhir/ValueSet/observation-codes", "code": "10193-1", "display": "Physical findings of Breasts Narrative" }, "issued": "2019-05-05T13:28:17.239-05:00", "identifier": [ { "system": "dcm:121151", "value": "Lesion-1" } ], "component": [ { "code": { "coding": [ { "system": "https://loinc.org", "code": "21889-1", "display": "Size Tumor" } ] }, "valueQuantity": { "value": 13.3, "unit": "mm", "system": "http://unitsofmeasure.org", "code": "mm" }, }, { "code": { "coding": [ { "system": "dcm", "code": "121242", "display": "Distance from Nipple" } ] }, "valueQuantity": { "value": 60, "unit": "mm", "system": "http://unitsofmeasure.org", "code": "mm" }, }, { "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "19100000", "display": "Structure of lower inner quadrant of breast (body structure)" } ] } }, { "code": { "coding": [ { "system": "dcm", "code": "111345", "display": "Macrocalcifications" } ] } } ] } ] }
Github Notifications (FHIRcast) (Jun 04 2019 at 14:50):
isaacvetter commented on Issue #250:
Should this event be
Observation.open?
Last updated: Apr 12 2022 at 19:14 UTC
