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Attendees: Rob H, JD Nolen, Kathy, Riki

SpecimenDAM to FHIR

  • Performer
    • Add performer on Specimen ProcessingActivity
      • Add performer under the backbone element as a reference to practitioner or practitionerRole
      • OR
      • Make a choice in existing procedure to be a codeable concept OR a reference to procedure – but would have to extend the subject reference to specimen?, or would that be the same as the subject on specimen
        • If we used procedure, we could re-use the body site to describe when a specimen is derived from another part of a specimen, or would we use a specimenCollection procedure
        • Isn't specimen collection also a procedure?
      • Should we make a backbone for specimen collection that has a reference to procedure of type specimencollection but keep some of the attributes that are specimen specific as attributes in the backbones
        • What to do with AOE kind of things that need to be recorded at time of collection:
          • Fasting status
          • Pregnancy status – no that is on the patient
          • Medication dosage and time since medication administration
          • Glucose amount and time since administration
        • Tags:
          • Acute vs convalescent phase serum
          • Fetal tests on twins
        • In DAM we have the AOEs connected to the specimenCollectionProcedure
        • What is the boundary of processing vs collectionProcedure
          • What are the definitions around one specimen across multiple containers vs different specimen
          • When do we have a derived specimen vs just a new form of the same specimen
        • Do we want to remove collection and processing and create a procedure backbone that is 0..*
        • Ok- so maybe not even worry about
          • Send email to the listserve with this question and also in zulip­­ (and include a note that folks interested in this topic should subscribe the listserve)
            • JD to draft
          • Add performer on SpecimenMoveActivity for next week
        • If we used procedure, we could re-use the body site to describe when a specimen is derived from another part of a specimen, or would we use a specimenCollection procedure
        • Isn't specimen collection also a procedure?
      • Should we make a backbone for specimen collection that has a reference to procedure of type specimencollection but keep some of the attributes that are specimen specific as attributes in the backbones
        • What to do with AOE kind of things that need to be recorded at time of collection:
          • Fasting status
          • Pregnancy status – no that is on the patient
          • Medication dosage and time since medication administration
          • Glucose amount and time since administration
        • Tags:
          • Acute vs convalescent phase serum
          • Fetal tests on twins
        • In DAM we have the AOEs connected to the specimenCollectionProcedure
        • What is the boundary of processing vs collectionProcedure
          • What are the definitions around one specimen across multiple containers vs different specimen
          • When do we have a derived specimen vs just a new form of the same specimen
        • Do we want to remove collection and processing and create a procedure backbone that is 0..*

          • Send email to the listserve with this question and also in zulip­­ (and include a note that folks interested in this topic should subscribe the listserve)
            • JD to draft
          • Add performer on SpecimenMoveActivity for next week
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