ANF Discussion | @Keith Campbell | Limitations with HL7 in the past regarding an anti-pattern called sub-classing by inheritance. FHIR is the next iteration to contain and alignment best practices around clinical data statements. KNARTs also came about to help document clinical knowledge artifacts, but still limited to multiple possible implementations which can differ and is subjective across individual informaticist/clinicians. CIMI tries to work with an idea of a clinical statement. This idea is the essence in a reproducible representation and query process. statements have topics (a good starting point for ANF) ANF is an extension of CIMI geared towards forcing/enabling a reconciliation of how to capture a clinical statement across multiple data source from different Originally there were 4 statements to capture medical data (Observation, Finding, outcomes, Request) This was reduced through collaboration efforts to Performance and Request clinical statements E.g., Performance is that I lost 30 pounds over the next three months which could be a result of a request to loose 30 pounds over the next three months The topic is still the same across both statement types, weight loss of loosing 30 pounds over the next three months
The narrative statement is geared towards individuals who aren’t utilizing performance and request statement types
Turning coded data elements into ANF topics
|