Vital Signs Cross-Country Cross-Language Cross-Paradigm (Demo) IG, published by FO. This guide is not an authorized publication; it is the continuous build for version 0.6.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/frankoemig/vital-signs-demo/ and changes regularly. See the Directory of published versions
Body Weight
This is the homepage for body weight…
Step 1: MindMap
Body Weight administrative identifier dateTime DT: instant encounter involved persons subject author performer protocol measuring type DT: code measured estimated clothing DT: code none light middle heavy eating DT: code beforeMeal afterMeal shoes DT: boolean comment DT: text measurement value DT: integer unit kg g (for newborns) reference range low high age interpretation DT: code low normal high lost body structures
Body Weight Information Model Body Weight value: decimal interpretation: code measuringType: code clothing: code eating: code shoes: boolean dateTime: instant Body Parts part: code Subject Author Performer Lost Body Structure code Reference Range low high age 1 0..1 0..1 0..1 0..* lost 0..*
Body Weight Hierarchy Vital Sign status: code category: code = vital-sign code: code observationDate: instant|period Body Weight category: code = vital-sign-bw code: code value: integer unit: code interpretation: code date: instant ... Patient Author US Core BW DE Core BW DE KBV BW DE MII BW DE Standard BW for EHR subject author
Step 4: Technology Binding (ITS)
How to represent the same information in different standards?
Step 4a: Profile (with FHIR)
Body Weight FHIR Profile Body Weight (Observation) category: vital-sign-bw code: code value: integer unit: code dataAbsentReason referenceRange: Range interpretation: code method: code dateTime: instant Lost Body Parts code: code Clothing code Shoes code Eating code Author Subject id age Performer 0..1 1 0..1 0..* 0..1 0..1 0..1
Step 4b: Template (with CDA)
tbd
Step 4c: OBX Segment Group profile (with v2.x)
Please see logical model .
As a draft:
Segment
Card.
Content
Value Type
Unit
Code
Comment
PID
1..1
Patient information
n/a
n/a
n/a
PID-3
PV1
1..1
Visit information
n/a
n/a
n/a
PV1-19
OBX
1..1
body weight
NM
(k)g
$LOINC#tbd
main entry into BW results
PRT
0..*
for different participants
n/a
n/a
n/a
appropriate participant definitions are necessary
OBX
0..1
eating
CWE
tbd
$LOINC#tbd
OBX
0..1
clothing
CWE
tbd
$LOINC#tbd
OBX
0..*
missing body structures
CWE
tbd
$SCT#tbd
Notes:
It has to be considered that segments are relevant that are not directly represented in the same group.
Some codes are just place holders.
Country-specific Derivations
.. are not necessary so far.
References + Specifics