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AuDigitalHealth / ci-fhir-r4

Working drafts of HL7™ FHIR® Release 4 (R4) artefacts authored and maintained by the Informatics Architecture team at the Australian Digital Health Agency.
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StructureDefinition - Vital Signs panel to support exchange of digital health in Australia #106

Closed udaychandrupatla closed 2 years ago

udaychandrupatla commented 3 years ago

Prerequisites

The issue / feature

Change description

In order to support the electronic exchange of useful vital sign information within _Australia TBD.

Vital signs reflect the body's physiological status. Measurement and interpretation of the the vital signs are significant components of assessment; it is done to obtain the base line about the patient condition, for diagnostic purposes, and for therapeutic purposes. Vital signs are assessed on admission, with every change in patient's health status, before of after the surgery or an invasive diagnostic procedure, etc.

What it actually enables people to do

TBD

Mockups

n/a

How awesome would it be?

Vital sign data is pervasive throughout all aspects of healthcare, from child health assessments, to aged care transfer letters, and all points in between. Supporting the standard exchange of such content across all of these potential use cases would indeed be awesome.

Workarounds

n/a

Additional context

In order to support the provision of SNOMED codes for Observation.code, input from the Agency Terminology team was requested regarding specific SNOMED codes for each of the corresponding vital sign types. As at Aug 2021, the proposed codes are as follows:

Vital sign type LOINC SNOMED
Blood pressure 85354-9 75367002\|Blood pressure\|
Body height 8302-2 50373000\|Body height measure\|
Body mass index 39156-5 60621009\|Body mass index\|
Body temperature 8310-5 386725007\|Body temperature\|
Body weight 29463-7 27113001\|Body weight\|
Head circumference 9843-4 TBC 363811000\|Head circumference measure\|
Heart rate 8867-4 364075005\|Heart rate\|
Oxygen saturation 2708-6 442476006\| Arterial oxygen saturation\|
Respiratory rate 9279-1 86290005\| Respiratory rate\|
robeastwood-agency commented 2 years ago

A PR has just been merged into HL7AU master hl7au/au-fhir-base/#717 that includes many improvements to the suite of 10 vital sign profiles.

More refinements are expected in time to bring them to a state expected with higher levels of maturity.

dtr-agency commented 2 years ago

This work is now done. Refinements on the documentation of this issue may be added during closure.