Resources
In order to encode the Lung Diagnosis Pathway decision points, the FHIR Workflow Module was ued to share information, state or relationsships between systems. This proof on concept is also based on the used of a shared health care record for the patient. While not all resources represented in the the figure below have been used, it presents a highl level overview of the various resources and their realtionships in the context of work-flow execution.| PlanDefinition |
| identifier |
| system : http://someIdentifier.com |
| value : LungDiagnosis_PD |
| name : LungCancerDiagnosis |
| title : Lung Cancer Diagnosis |
| type |
| coding |
| code : workflow-definition |
| status : active |
| action |
| title : LDCT Lung |
| trigger |
| type : data-added |
| data |
| type : Observation |
| codeFilter |
| code |
| system : http://snomed.org |
| code : 66857006 |
| display : Hemoptysis |
| condition |
| kind : start |
| expression |
| expression : START EXP TO BE FILLED IN |
| condition |
| kind : stop |
| expression |
| expression : STOP EXP TO BE FILLED IN |
| definition : ActivityDefinition/LDCTLungActDef1 |
| action |
| title : Lung Rads 1 |
| trigger |
| type : data-added |
| data |
| type : Observation |
| codeFilter |
| code |
| system : http://snomed.org |
| code : 16334891000119106 |
| display : Low dose computed tomography of chest without contrast (procedure) |
| condition |
| kind : start |
| expression |
| language : application/x-fhir-query |
| expression : /Observation?subject:Patient/{id}/&value-concept=http://radlex.org|RID50136 |
| condition |
| kind : stop |
| expression |
| language : text/cql |
| expression : TO BE FILLED IN - 5 years of follow up |
| definition : PlanDefinition/LungDiagnosis_PD1 |
| action |
| title : Lung Rads 2 |
| trigger |
| type : data-added |
| data |
| type : Observation |
| codeFilter |
| code |
| system : http://snomed.org |
| code : 16334891000119106 |
| display : Low dose computed tomography of chest without contrast (procedure) |
| condition |
| kind : start |
| expression |
| language : application/x-fhir-query |
| expression : /Observation?subject:Patient/{id}/&value-concept=http://radlex.org|RID50137 |
| condition |
| kind : stop |
| expression |
| language : text/cql |
| expression : Low Dose Chest CT Within 5 Years |
| definition : PlanDefinition/LungDiagnosis_PD2 |
| action |
| title : Lung Rads 3 |
| trigger |
| type : data-added |
| data |
| type : Observation |
| codeFilter |
| code |
| system : http://snomed.org |
| code : 16334891000119106 |
| display : Low dose computed tomography of chest without contrast (procedure) |
| condition |
| kind : start |
| expression |
| language : application/x-fhir-query |
| expression : /Observation?subject:Patient/{id}/&value-concept=http://radlex.org|RID50138 |
| definition : PlanDefinition/LungDiagnosis_PD3 |
| action |
| title : Lung Rads 4A |
| trigger |
| type : data-added |
| data |
| type : Observation |
| codeFilter |
| code |
| system : http://snomed.org |
| code : 16334891000119106 |
| display : Low dose computed tomography of chest without contrast (procedure) |
| condition |
| kind : start |
| expression |
| language : application/x-fhir-query |
| expression : /Observation?subject:Patient/{id}/&value-concept=http://radlex.org|RID50139 |
| definition : PlanDefinition/LungDiagnosis_PD4A |
| action |
| title : Lung Rads 4B |
| trigger |
| type : data-added |
| data |
| type : Observation |
| codeFilter |
| code |
| system : http://snomed.org |
| code : 16334891000119106 |
| display : Low dose computed tomography of chest without contrast (procedure) |
| condition |
| kind : start |
| expression |
| language : application/x-fhir-query |
| expression : /Observation?subject:Patient/{id}/&value-concept=http://radlex.org|RID50140 |
| definition : PlanDefinition/LungDiagnosis_PD4B |
| action |
| title : Lung Rads 4X |
| trigger |
| type : data-added |
| data |
| type : Observation |
| codeFilter |
| code |
| system : http://snomed.org |
| code : 16334891000119106 |
| display : Low dose computed tomography of chest without contrast (procedure) |
| condition |
| kind : start |
| expression |
| language : application/x-fhir-query |
| expression : /Observation?subject:Patient/{id}/&value-concept=http://radlex.org|RID50141 |
| definition : PlanDefinition/LungDiagnosis_PD4X |