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Welcome to the OO-on-FHIR-Micro-Profile wiki!
##Assumptions
- Profile on USLab which is a profile on US-core Observation and US-Core DiagnosticReport
- Use LRI to inform
- Use existing FHIR example to inform
- Other input...
##Simple summary of mandatory and must support elements
###Overview:
DiagnosticReport is the 'entry point' for reporting and receiving micro and susceptibility results Observation is used to both nest the susceptibility results for micro and report the atomic results.
The DiagnosticReport references Observation panel(s) for each organism isolated. Each Observation panel references related Observations which
- identify the organism
- (optionally) record other measurements such as a gram stain
- records the antibacterial susceptibility measurements with another (nested) Observation panel which references related Observations that records the susceptibility measurements.
Other conformance items to consider:
- Terminology
- create micro valueset(s) with extensible binding for coded elements
- Server and Client requirements:
- require _includes here
Profile list:
Profile | Derived from | Core Resource |
---|---|---|
Micro Report | US-Core DiagnosticReport,USLAB DiagnosticReport | DiagnosticReport |
Micro Observation Panel | US-Core Observation,USLAB Observation Panel | Observation |
Micro Coded Observations | US-Core Observation,USLAB Coded Observation | Observation |
Micro Numeric Observations | US-Core Observation,USLAB Numeric Observation | Observation |
Micro ABX Susceptibility Observation Panel | US-Core Observation,USLAB Observation Panel | Observation |
Micro ABX Susceptibility Coded Observations | US-Core Observation,USLAB Coded Observation | Observation |
Micro ABX Susceptibility Numeric Observations | US-Core Observation,USLAB Numeric Observation | Observation |
Micro Report
Each Micro Report must include
- a status
- a identifier (Filler)
- a category code of ‘LAB’
- (micro category code as translation?)
- a code (preferably a LOINC code) which tells you what is being measured
- a patient
- a time indicating when the specimen was collected
- a time indicating when the measurement was reported
- who issued the report
- at least one result
- (a reference to "Micro Observation Panel Profile")
- (for a final)
- The request(order) for the test
Each micro report must support:
(stuff from LRI OBR and ORU)
- an identifier (Placer)
- the specimen
- A conclusion code
- coded diagnosis
- Formatted text report
Observation Panels
Each Micro Observation Panel and Micro ABX Susceptibility Observation Panel must include:
- a status
- an identifier (Filler)
- a category code of ‘laboratory’
- ?micro category code as translation?
- a category code of ‘result' or 'AOE'
- a LOINC code, if available, which tells you what is being measured
- performing organization
- a patient
- related observations or a reason if there are no panel members
- reference to appropriate profiles for each type of observation panel
Each micro atomic observation must support:
(stuff from LRI OBX and OBR)
- an identifier (Placer)
- a time indicating when the specimen was collected
- a time indicating when the measurement was reported
- the specimen
- a specimen rejection reason
- a reason if there are no panel members
'Simple' Observations
Each Micro (ABX Susceptibility) Coded Observations and Micro (ABX Susceptibility) Numeric Observations must include:
- a status
- an identifier (Filler)
- a category code of ‘laboratory’
- ?micro category code as translation?
- a category code of ‘result' or 'AOE'
- a LOINC code, if available, which tells you what is being measured
- a patient
- performing organization
- a coded or numeric result value or a reason if there are no values
Each micro atomic observation must support:
(stuff from LRI OBX and OBR)
- an identifier (Placer)
- a time indicating when the specimen was collected
- a time indicating when the measurement was reported
- the specimen
- a specimen rejection reason
- a reference range
- a coded interpretation of the result