Vital Signs Cross-Country Cross-Language Cross-Paradigm (Demo) IG
0.6.0 - ci-build

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 WeightadministrativeidentifierdateTimeDT: instantencounterinvolved personssubjectauthorperformerprotocolmeasuring typeDT: codemeasuredestimatedclothingDT: codenonelightmiddleheavyeatingDT: codebeforeMealafterMealshoesDT: booleancommentDT: textmeasurementvalueDT: integerunitkgg (for newborns)reference rangelowhighageinterpretationDT: codelownormalhighlost body structures

Step 2: Information Model

Body Weight Information ModelBody Weightvalue: decimalinterpretation: codemeasuringType: codeclothing: codeeating: codeshoes: booleandateTime: instantBody Partspart: codeSubjectAuthorPerformerLost Body StructurecodeReference Rangelowhighage10..10..10..10..*lost0..*

Step 3: Hierarchy for Vital Signs Profiles (informative)

Body Weight HierarchyVital Signstatus: codecategory: code = vital-signcode: codeobservationDate: instant|periodBody Weightcategory: code = vital-sign-bwcode: codevalue: integerunit: codeinterpretation: codedate: instant...PatientAuthorUS Core BWDE Core BWDE KBV BWDE MII BWDE Standard BW for EHRsubjectauthor

Step 4: Technology Binding (ITS)

How to represent the same information in different standards?

Step 4a: Profile (with FHIR)

Body Weight FHIR ProfileBody Weight (Observation)category: vital-sign-bwcode: codevalue: integerunit: codedataAbsentReasonreferenceRange: Rangeinterpretation: codemethod: codedateTime: instantLost Body Partscode: codeClothingcodeShoescodeEatingcodeAuthorSubjectidagePerformer0..110..10..*0..10..10..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

  • US Core
  • DE Core
  • NHS Core