A material substance originating from a biological entity intended to be transplanted or infused into another (possibly the same) biological entity.
– hematopoietic stem cells (bone marrow, peripheral blood, or cord blood extraction)
– blood (whole, extracted cells, plasma, etc.)
– tissues (porcine valves, skin, bovine cardiac tissue, etc.)
– manipulated cells (e.g. CAR T-cells)
The workflow using this resource (e.g., request, administration) should be discussed and implemented in a consistent way as other similar resources are handled (e.g., device, medication)
– Boundaries and Relationships
This resource relates to these other resource:
– Procedure Request (for collection)
– Patient (“receiver” and “source”)
– Practitioner (who collected product)
– Substance (product processing) American Medical Informatics Association (AMIA)
– Diagnostic Report (containing HLA-typing)
– Biologically Derived Product (“parent” product for multi-day collections)
– Procedure (one for collection and one for transplantation, will need to add BiologicallyDerivedProduct to the “usedReference”)
Fast Healthcare Interoperability Resources (FHIR) is a draft standard describing data formats and elements (known as “resources”) and an application programming interface (API) for exchanging electronic health records. The standard was created by the Health Level Seven International (HL7) health-care standards organization.
Its goal is to facilitate interoperation between legacy healthcare systems, to make it easy to provide healthcare information to healthcare providers and individuals on a wide variety of devices from computers to tablets to cell phones, and to allow third-party application developers to provide medical applications which can be easily integrated into existing systems.
FHIR provides an alternative to document-centric approaches by directly exposing discrete data elements as services. For example, basic elements of healthcare like patients, admissions, diagnostic reports and medications can each be retrieved and manipulated via their own resource URLs (Uniform Resource Locators). FHIR was supported at an American Medical Informatics Association meeting by many EHR (Electronic Health Record) vendors which value its open and extensible nature.