Add support for patient vital signs measurements

hl7ch / ch-emed

FHIR Implementation Guide which defines the documents for the exchange of medication information in the context of the Swiss EPR

https://fhir.ch/ig/ch-emed/index.html

MIT License

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Add support for patient vital signs measurements #148

Open qligier opened 2 years ago

qligier commented 2 years ago

Body weight and height may be needed for the drug dosing.

Should the CH Core Patient be extended and those Observations be added in the contained elements?

Example of body weight coding: https://hl7.org/fhir/observation-example.html

oliveregger commented 2 years ago

FHIR defines profiles for vitalsigns, e.g. bodyweight is here: http://hl7.org/fhir/StructureDefinition/bodyweight

instead of adding it as contained i would suggest to add them as full resource to the bundle (the observation points to the patient), and maybe add a vital section in the composition to reference it, contained should be only used for resources which have no own existence.

ziegm commented 1 year ago

IPAG does not include this for medication. How do we deal with such feature requests?

Should we introduce an additional vitalSigns section in all documents?

e.g. Profile Medication Card Composition with additional section according to IPS
- Examples Composition with Body Height and Body Weight
TBD: title 'Vital Signs' in DE/FR/IT

ziegm commented 1 year ago

12.01. PJ/QL/OE/MZ

@pjolo will check it with IPAG

pjolo commented 1 year ago

Feedback from IPAG:

Would like to leave the eMedication as defined in the IPAG report.
The information on height and weight should be available in the primary system and does not need to be shown in the eMedication.
Experience should first be gained with the minimal dataset
If there are many requests after the establishment, it can be discussed again.

Conclusion: Vital signs should not be included in the eMedication documents from IPAG's point of view.

qligier commented 1 year ago

I agree that it doesn't have to be added to the minimal dataset yet, but it doesn't cost much to add it to the specifications as a "may support" already. We have found the patient weight multiple times in our prescription samples, so it seems more important than thought by IPAG.

pjolo commented 1 year ago

The request will not be implemented as no new information should be included as defined in the IPAG report. The issue will be kept open for future discussion.