Introduction

This page provides instructions for the Clinical Data Source when testing the QEDm profile. You should read the overview at QEDm: Read This First and then follow the instructions below.

Instructions

Find clinical content in IPS bundles and CDA documents in the IPQ-QEDm folder of the Connectathon Artifacts repository. For each content option you support (e.g., Observation, Allergy/Intolerance), load FHIR resources into your system per the subsections below.  

• Please do not enter less content or more content than is defined for each patient. You might add content to an individual resource, but do not add or substract resources. Validation of test results is difficult when you do not include the expected data.
• Separate disclaimer under Observations
• You might discover that the data in the patient record is contradictory and/or might generate alerts because medications do not go with diagnoses. Please contact the owner of the test data to help resolve the issue and make corrections.
• The QEDm profile does not place requirements on the method for entering the resource data into the Clinical Data Source. For QEDm testing, the Clinical Data Source is allowed to use any method of extraction / translation. That method will not be examined / reviewed.
• The IPS files for patients Merlot and Gines provide a simple source of data for FHIR resources as these files contain FHIR Bundles.
• The files for Ross (CCD, Procedure, Diag Imaging) are Consolidated CDA documents and provide some challenges. You are welcome to use automated software to extract the clinical data or extract by hand.
• We will allow some flexibility when looking at the FHIR resources you have defined by looking at the CDA documents. We hope that a future version of the test environment will be more explicit. 

Observation

The Observation resource is more difficult than the other clinical items as there are 20 observations in the Ross CCD file and one observation in the Ross Procedure File.

• Extract and enter the one observaton from the Ross Procedure file.
• Extract and enter at least 5 observations from the Ross CCD file. As mentioned above, this can be a manual or automated process.

AllergyIntolerance

Extract and enter 4 clinical data items for Allergy/Intolerance from these sources and enter into your system:

Condition

Extract and enter 2 clinical data items for Condition from these sources and enter into your system:

Diagnostic Report

Extract and enter 2 clinical data items for DiagnosticReport from these sources and enter into your system:

MedicationStatement

The documents listed below include medications for three patients. Extract the medications from the documents and convert to MedicationStatement resources with the related Medication resources.

MedicationRequest

The section above tells you to create MedicationStatement resources from medications found in three documents. Follow the same guidance to create MedicationRequest resources for these three patients. That is, you can assume that each medication is also described by a MedicationRequest.

Immunization

Extract and enter 5 clinical data items for Immunization from these sources and enter into your system:

Procedure

Extract and enter 2 clinical data items for Procedure from these sources and enter into your system:

Encounter

Extract and enter 1 clinical data items for Encounter from these sources and enter into your system:

Provenance

You might be expecting to find directions for Provenance resources here. Testing for Provenance resources is coupled with mXDE testing. You can read about that testing environment on the mXDE Read This First page.