HL7 and negation
thomas.beale at openehr.org
Sat Jun 11 07:24:03 EDT 2016
On 11/06/2016 11:44, Grahame Grieve wrote:
>> Aside: apparently the FHIR approach to representing things like 'no
>> known allergies' is to infer it by seeing if an allergies list is
>> empty or not. That sounds like a bad idea to me. If 'no known
>> allergies' is understood as a clinically meaningful statement made by
>> e.g. a GP (based on reliable knowledge about the patient), checking
>> for a list being empty in some EMR system isn't at all the same
>> thing. All that latter does is establish that no allergies have been
>> recorded on this particular system.
> Well, that would be a bad idea. But that's ok because that's not what
> we do ;-)
good to know. I have incorrectly remembered the content of FHIR
discussions on this topic.
> There is a specific flag on list for noting the clinically meaningful
> statement, but what we've found is that almost all systems treat the
> statement of no allergies in an allergy record as an explicit statement
that sounds right.
> Btw, I don't think that the statement of no allergy is a case of a
> negation statement
Is there any online summary of how negations, exclusions etc are
understood in FHIR?
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