AuDigitalHealth / ci-fhir-r4

Working drafts of HL7™ FHIR® Release 4 (R4) artefacts authored and maintained by the Informatics Architecture team at the Australian Digital Health Agency.

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Observation - Simple Imaging Observation #48

Closed davidmckillop closed 4 years ago

davidmckillop commented 4 years ago

Prerequisites

[x] I have searched open and closed issues to make sure it isn't already requested or reported
[x] I have written a descriptive issue title

The feature

Change description

Development of a profile to represent key elements of clinical relevance (such as imaging examination name and image date time) to accompany a rich text representation of a diagnostic imaging report as issued by the diagnostic service provider for the electronic exchange of diagnostic imaging reports between healthcare providers, and between healthcare providers and the My Health Record system infrastructure in Australia.

The main context of this profile is to support the existing requirements for My Health Record Diagnostic Imaging Report content in a FHIR format and drive CDA-based FHIR.

The existing CDA implementation including requirements can be found here: eHealth Diagnostic Imaging Report v1.2.2.

What it actually enables people to do

This profile supports the identification of tests performed for a patient enabling an individual to determine if the Diagnostic Imaging Report is of interest but does not directly support reporting of the actual results of the diagnostic imaging tests (see Atomic Diagnostic Imaging Observation for atomic reporting). The observation may represent the result of a simple test or it may group the set of results produced by a multi-test study. In the latter cases, the observation carries the code of the study / panel and references the individual tests that make up the study / panel as ‘has-member’ child observations.

How awesome would it be?

Workarounds

No good ones, potentially use of AU Diagnostic Observation could offer some value with terminology but meaningful use is not supported without further derivation and guidance.

Additional context

eHealth Diagnostic Imaging Report v1.2.2

View pathology and diagnostic imaging reports

Diagnostic imaging reports in My Health Record

dtr-agency commented 4 years ago

Work has started on developing a 'shell' ( i.e. must supports, cardinality, fixed values, metadata) StructureDefinition for a Simple Imaging Observation. Progressing content will be in a later phase 2 (i.e. slicing, terminology, invariants).

This shell profile with placeholder introductory content and early known issues will be included in Diagnostic Report FHIR IG. Progressing via CIFMM-3418.

dtr-agency commented 4 years ago

Product owner review passed, now submitted for internal review.

dtr-agency commented 4 years ago

Internal review picked up missing partOf.reference as 1..1. This has now been fixed and flicked back to review.

dtr-agency commented 4 years ago

Passed internal review; rebuilt Diagnostic Report output and on master to include the shell profile with placeholder introductory content. https://github.com/AuDigitalHealth/ci-fhir-r4/commit/fbe16e686a01f33a45c7252ea4455631580264ed Further work expected in a later phase 2 (i.e. slicing, terminology, invariants).

dtr-agency commented 4 years ago

Phase 2 work started. Intending to get to :

No 'work in progress' issues remain:
- status is bound as required - uri = "https://healthterminologies.gov.au/fhir/ValueSet/observationstatus-result-available-1"
- subject (Reference type too open)
The following features have been included:
- canonical URL change (removing '4.0') has been proliferated in referenced profiles
intro.md has good introductory material (context, purpose) and implementation guidance, there are no TBDs
Known issues is complete, correct, up-to-date and written for an external audience

Also fix typo in StructureDefinition.description replace 'or' with 'for'

dtr-agency commented 4 years ago

Product owner walkthrough - minor changes to known issues and intro.md. Product owner okayed content.

dtr-agency commented 4 years ago

Sent for internal review with @RichardTON

RichardTON commented 4 years ago

Issues found:

The introduction phrase"the set of results by of a multi-modality procedure" has an extra "of" or "by", reword.
Permit codes from the AU Base value set for Observation.code
Issue status (terminology binding) - this should not point to #48 but to #59

dtr-agency commented 4 years ago

Done
Disagree with nature of comment but same change outcome. Reverted the change to Observation.code as no change was authorised or desired.
Done.
Reverted unintentional removal of must supports due to an accidental copy paste overwrite including the invariant.

RichardTON commented 4 years ago

All OK.