Tiro.health Implementation Guide
0.1.0 - ci-build

Tiro.health Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Graph Definitions

These define collections of interrelated resources that are useful to pass around as a group.

Patient With Most Recent Report

Graph to retrieve Patient with most recent Task of type 'complete-questionnaire'.

Report Details

Graph to retrieve Task of type 'complete-questionnaire' with Questionnaire, QuestionnaireResponse

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

OMOP Observation

Model resembling the OMOP-CDM 5.4 Observation table.

OMOP Person

Model resembling the OMOP-CDM 5.4 Person table.

OMOP Provider

Model resembling the OMOP-CDM 5.4 Provider table.

OMOP Record

Base model for a OMOP-CDM 5.4.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

LabMeasurement

A measurement of a laboratory test.

PCaMDT

Multi-disciplinary team (MDT) meeting for prostate cancer.

Quality Indicator

A Quality Indicator is a measure of the clinical quality of a service or intervention. Typically it is part of the nominator in Value-Based Healthcare model.

QuestionTree

A question tree is a template block that contains a tree of questions. Each question may have one or more answers and may have one or more child questions.

Report

FHIR Document Bundle with a Composition and a list of resources that describe the clinical report.

Table

A table is a template block that contains a repeating set of rows with a uniform set of columns.

TemplateBlock

A template block is a section of a template that defines a block of content that can be included in a document.

Tiro Questionnaire

Profile for a Tiro Questionnaire

TumorStaging

Tumor staging is the process of determining the extent of a cancer's spread from the original site of the tumor to other parts of the body. The staging system used most often in the United States is the TNM system. The T stands for tumor, the N stands for nodes, and the M stands for metastasis. The T describes the size and extent of the primary tumor. The N describes the size and extent of the lymph nodes involved. The M describes whether the cancer has spread to other parts of the body. The TNM system is used to stage many types of cancer, including breast cancer, colon cancer, lung cancer, and prostate cancer. The TNM system is also used to stage other types of cancer, such as melanoma, lymphoma, and leukemia. The TNM system is used to stage many types of cancer, including breast cancer, colon cancer, lung cancer, and prostate cancer. The TNM system is also used to stage other types of cancer, such as melanoma, lymphoma, and leukemia.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Answer Comment

Extension to add a comment to an answer in a QuestionnaireResponse

Bookmark

A bookmark extension

Bookmark Launch Context

List of bookmarks that must be available in the launch context.

Enable Suggestions

Enable suggestions for inline mentions in text fields

Initial Value Template

Set of initial values for a questionnaire

Input Group Separator

A separator character for input groups.

Item Orientation

Orientation of the items in the Questionnaire

Narrative Generation

This extension is used to define the narrative generation based on the QuestionnaireResponse.

Narrative Template

FHIR Extension for narrative templates used in Questionnaires. This extension contains a template that is used to dynamically generate the narrative content of a Questionnaire based on provided data.

Narrative Template Snippet

FHIR Extension for narrative snippets used in narrative templates within Questionnaires. These snippets are loaded into the rendering environment and can be referenced by narrative templates or by other snippets to generate dynamic content.

Pre Expand Flag

Flag to indicate that the value set has been pre-expanded.

Questionnaire Item Include In Group Summary

Indicates whether the question is included in the summary of the parent group.

Questionnaire answerOption SVG Element

Reference to an element defined inside the SVG document referenced by the itemMedia extension.

Regex

Regular expression to validate the answer to a question

Render Type

Render Type extension for the FHIR Questionnaire resource which indicates the layout preference for the Questionnaire

ValueSet Expansion Match Score

This extension adds a score to each code in the expansion of a value set. The score is used to sort the codes in the expansion.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Clinical M-Stage Lung Cancer with REO Addendum

Clinical M-Stage for Lung Cancer with REO Addendum

Clinical MStage Lung Cancer

AJCC 8th Edition Clinical MStage for Lung Cancer

Clinical NStage Lung Cancer

AJCC 8th Edition Clinical NStage for Lung Cancer

Clinical TStage Lung Cancer

AJCC 8th Edition Clinical TStage for Lung Cancer

Detected|Not Detected
LOINC Answer List LL744-4 for Detected Not Detected
Ja|Nee

SNOMED-CT codes for 'ja' and 'nee'

KWS Bookmark Value Set

All available bookmarks for Questionnaire population.

Lung Cancer Diagnosis

Diagnosis of Lung Cancer

Lung Cancer Location Of Metastasis

Location of metastasis for Lung Cancer

Positive Negative

Positive Negative from LOINC Answer List LL360-9

Question Tree Answer Item Code

The type of an answer in a question tree.

Questionnaire Item Orientation

Orientation of the items in the Questionnaire

Template Languages

Available template languages to generate a narrative for a Questionnaire item

WHO Score

SNOMED-CT bevindingen functioneringsniveau volgens Wereldgezondheidsorganisatie

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Addition codes to be used with the REO Multidisciplinary Discussion at UZ Leuven

Extra codes for the REO Multidisciplinary Discussion at UZ Leuven

Auto Generated Codes

Tiro.health Auto Generate Codes in case common standard CodeSystems are insufficïent.

Example Code

Example code for use in examples.

Form Activity

Activities that can be performed on form fields and which will be tracked through provenance

KWS Bookmark

A bookmark for KWS resources.

KWS Questionnaire Launch Context

Additional launch context for FHIR Questionnaires launched from KWS.

Questionnaire Item Orientation

Orientation of the items in the Questionnaire

Report Sections

This CodeSystem defines the sections of a report as they are coded in the EHR of ExampleHospital.

SNOMED CT

SNOMED CT

Task Input Type

Supported inputs for Tiro.health tasks.

Task Output Type

Supported outputs for Tiro.health tasks.

Task Type

Supported task types by Tiro.health

Template Languages

Available template languages to generate a narrative for a Questionnaire item

Tiro Questionnaire Item Control

Custom Questionnaire Item Control by Tiro Health

UCUM

UCUM

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Abdominal Surgeon

A practitioner role for an abdominal surgeon

Blood Pressure (formatted input)

Text field for Blood Pressure which decomposes automatically into Systolic and Diastolic components

Blood Pressure (grouped input)

Blood Pressure with Systolic and Diastolic components

Bookmark Snapshot

A snapshot of KWS bookmarks

CM Stage

CM Stage Observation.

CN Stage

CN Stage Observation.

CT Stage

CT Stage Observation.

Charlson Comorbidity Calculator

Library to calculate the Charlson Comorbidity Index

Clinical TNM Stage

Clinical TNM Stage

Conclusion Questionnaire

A questionnaire to conclude the report.

Demo Patient

Patiënt for illustration purposes.

Diagnose datum

Datum waarop de diagnose is gesteld.

Dr. Hause

Example medical doctor specialized in urology/oncology

Dr. Pauwels

A practitioner named Dr. Pauwels

Dr. Pneumologist

Example medical doctor specialized in urology/oncology

Example Hospital

This is an example hospital.

Example Report Template

Report Template represented as FHIR Questionnaire with references to sub-questionnaires that represent building blocks of the report.

Example Table

An example table.

FilledReport

A filled report.

Follow-up after TURB

Percentage of patients with a TURB procedure for bladder cancer who have a MOC or Follow-up containing anatomical pathology report with a diagnosis of bladder cancer within 6 months after the TURB procedure.

Initial Report

An initial report to be filled in.

Input Component Library

Library of reusable input controls and input groups for FHIR Questionnaire items

Jan Jansens

A patient named Jan Jansens

Jan Jansens Contact

An ongoing encounter with Jan Jansens

LCaStaging Composition

Composition containing the Lung Cancer Staging Report.

LCaStaging Template

Questionnaire for Lung Cancer Staging.

LCaStagingResponse

QuestionnaireResponse for Lung Cancer Staging.

Lung Cancer Patient

Example patient that is diagnosed with lung cancer.

Lung Cancer Staging

Lung Cancer Staging Condition.

Lung Cancer Staging Encounter

Example encounter where a patient has a lung cancer level.

Lung Cancer Staging Report

Bundle containing the Lung Cancer Staging Report including the QuestionnaireResponse and related resources.

Metastasis

Metastasis Observation.

Multiple Choice Example

Questionnaire demonstrating the use of multiple choice questions defined as seperate items.

Multiple Choice Response Example

Questionnaire response demonstrating the use of multiple choice questions defined as seperate items.

Nested Answer Horizontal

This is an example of a nested answer horizontal question.

PCA PSA

PSA Measurement observation

PCA PSA

PSA Measurement observation

PCa EAU Risk Group

EAU Risk Group observation of the prostate tumor.

PCa Gleason Score

Gleason Score observatoin

PCa T Stage

Clinical T Stage observation of the prostate tumor.

PD-L1 Expression

PD-L1 Expression Observation.

PSA

PSA is a measurement of the prostate specific antigen in a blood sample.

Patient Identifier

A system for identifying patients in the ReportServer.

Population Request

Request for a population of patients.

Prostate Cancer

Patient is diagnosed with prostate cancer.

Prostate Cancer MDT

Defines the set of resources to created during the MDT Prostate Cancer.

Prostate Cancer Patient

Example patient that is diagnosed with prostate cancer.

Prostate Cancer Staging Composition

Example of a Composition from a Prostate Cancer Staging report.

Prostate Cancer Staging Report

FHIR Document containing all resources related to the Prostate Cancer diagnosis for PCaPatient by Dr. Hause.

QuestionnaireWithBookmarks

A basic questionnaire with launch context referring to bookmarks.

REO Previous Problem

Previous problems overview for REO Multidisplincary Discussion

REO Previous Therapies

Previous therapies overview for REO Multidisplincary Discussion

Raised PSA Encounter

Example encounter where a patient has a raised PSA level.

Raised PSA diagnosis

Patient is diagnosed with raised PSA.

Report Population Bundle

A bundle containing a resources to populate the report.

Response

A response to the questionnaire.

SACQ

Self Administered Comorbidty Questionnaire

Session

A session to launch a questionnaire.

Smoking Status

Smoking Status

Subcribe to All Reports

This subscription triggers an event when a report is updated and the extraction of FHIR resources has completed.

Subcribe to Single Report

This subscription triggers an event when a specific report is updated and the extraction of FHIR resources has completed.

TNM Stage Group

TNM Stage Group Observation.

Table Layout Renderer

Render library to render a FHIR Questionnaire in a table layout

Tree Layout Renderer (Version 3)

Render library to render a FHIR Questionnaire in a tree like question-answer layout

URS because of TCC

Ureterenoscopie because of a TCC

URS because of TCC

Ureterenoscopie because of a TCC

URS because of TCC

Uretorenoscopy because of a TCC

URS because of TCC

Uretorenoscopy because of a TCC

Value Set With Expansion Score

This value set has an expansion with scores for each code.

Value Set With Pre Expand Flag

This value set has a flag to indicate that it has been pre-expanded.

WHO Score

Functioneringsniveau volgens Wereldgezondheidsorganisatie

Other

These are resources that are used within this implementation guide that do not fit into one of the other categories.

Report updates

This topic triggers an event when a report is updated and the extraction of FHIR resources has completed.