Patient Monitoring Outcome FHIR Implementation Guide
0.1.0 - STU1 Belgium flag

Patient Monitoring Outcome FHIR Implementation Guide, published by My Organization. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/patient-monitoring/ and changes regularly. See the Directory of published versions

OPAT

This FHIR implementation content is currently under development and may be subject to significant changes. Use this information with caution, as it may not yet reflect finalized or fully validated guidance. Always verify details before relying on them for production use.

DRAFT: 2025-02-07

Care Pathway Overview

Certain infections, such as those affecting bones, joints, heart valves, or the prostate, require long-term intravenous (IV) antibiotics. The OPAT (Outpatient Parenteral Antimicrobial Therapy) care pathway involves the continuation of intravenous antibiotic therapy initiated in the hospital, in the outpatient setting.

Process and Workflow Description

Start-Up

  • Parameters Monitored:

    • Heart Rate
    • Blood Pressure
    • Body temperature
    • Body weight
    • Oxygen saturation
    • Nausea
    • Diarrhea
    • Eruption of skin
    • Pain infection site
    • Blocked catheter
    • Catheter moved or removed
    • Redness of skin over lesion
    • Pain puncture wounds
    • Leakage
    • Pain of shoulder region

Data Collection

  • Technology is CE-certified, with end-to-end encryption and GDPR compliance.

Integration Modules for EPD

Outcome Module - FHIR Integration

Vital Signs & symptoms
  • Frequency: Ad hoc registrations by patients and healthcare providers.
  • LOINC & SNOMED Codes:
General
Description Code(s) Possible answers
Heart rate LOINC 8867-4 Not applicable
Blood pressure LOINC 8480-6 / 8462-4 Not applicable
Body temperature LOINC 8310-5 Not applicable
Body weight LOINC 29463-7 Not applicable
Oxygen Saturation (SPO2) measurement LOINC 2708-6 Not applicable
Nausea SNOMED 422587007 LOINC
- LA137-2 (None)
- LA6752-5 (Mild)
- LA6751-7 (Moderate)
- LA6750-9 (Severe)
Diarrhea SNOMED 62315008 SNOMED
- 2667000 (Absent)
- 255604002 (Mild)
- 6736007 (Moderate severity)
- 24484000 (Severe)
Eruption of skin SNOMED 271807003 SNOMED
- 2667000 (Absent)
- 255604002 (Mild)
- 6736007 (Moderate severity)
- 24484000 (Severe)
Pain infection site ?? LOINC 72514-3 (pain scale 0-10)
Blocked catheter SNOMED 1156073005 SNOMED
- 373066001 (Yes)
- 255604002 (Mild)
Catheter moved or removed ?? ??
Redness of skin over lesion SNOMED 822962003 SNOMED
- 2667000 (Absent)
- 255604002 (Mild)
- 6736007 (Moderate severity)
- 24484000 (Severe)
Skin red around insertion site ?? ??
Pain puncture wounds ?? LOINC 72514-3 (pain scale 0-10)
Pain of shoulder region SNOMED 45326000 SNOMED
- 2667000 (Absent)
- 255604002 (Mild)
- 6736007 (Moderate severity)
- 24484000 (Severe)
Body fluid retention SNOMED 43498006 SNOMED
- 2667000 (Absent)
- 255604002 (Mild)
- 6736007 (Moderate severity)
- 24484000 (Severe)

These FHIR modules ensure standardized data exchange between systems and guarantee consistency of the vital parameters.

Specification:

For detailed specifications, refer to the