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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Appetite Observation

An observation of how well or poor the appetite of a patient is.

Bladder continence Observation

An observation of bladder continence.

CLinical note Observation

A clinical note

Drain fluid Observation

An observation drain fluid observations. Drain fluid is measured in mL per 24h

Holter Diagnostic Report

A profile for ambulatory cardiac rhythm monitoring reports (Holter)

Holter Observation

An observation for rhythm events detected in Holter recordings

Nausea Observation

An observation of how well or poor the nausea of a patient is.

Painkiller usage Observation

An observation if the patient uses pain killers or not

Stool Observation

An observation of stool according to the Bristol stool scale

Surgical wound pain observation

An observation of the pain reported by the patient in a surgical wound.

Wexner/CCIS score Observation

Wexner/CCIS score observation

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

0-10 scale, 0.5 increments, Very well to Very poor

Scale going from 0 to 10 in increments of 0.5. Indicating values very well to very port (see https://loinc.org/LL3092-5)

Continence level

LOINC codes to represent the level of continence reported

FluidDrainVS
Heart Failure Symptom Codes

SNOMED CT codes representing common patient-reported symptoms in heart failure

Holter Event Codes

Codes used to classify Holter-detected rhythm events

Holter Observation Component Codes

LOINC codes for component observations in Holter events (e.g., heart rate)

Holter Report Code

Ambulatory cardiac rhythm monitor report (Holter)

Pain severity - 0-10 verbal numeric rating

Pain severity scale, where 0 is no pain and 10 is the worst pain imaginable. See https://loinc.org/72514-3

Symptom Severity Scale

SNOMED CT codes to represent severity of patient-reported symptoms

YesNoVS

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Abdominal pain example

Pain scale is used as answer

Appetite example

Answer scaled 0 to 10 with steps of 0.5. 0 being being very poor, 10 being very well.

Bladder Continence
BloodPressureExample

Blood Pressure example

BloodPressureExample2

Blood Pressure example without device and with bodysite

BodyTemperatureExample

Temperature example

BodyTemperatureExample2

Temperature example without device

BodyWeightExample

Body Weight example

BodyWeightExample2

Body Weight example registered by patient

Catheter moved or removed example

NO LOINC OR SNOMED CODE FOR SYMPTOM. Answer options to be determined.

Clinical note

Free text clinical note

Diarrhea example

Possible answers are absent, mild, moderate, severe

Distended abdomen example

Answer options are none, mild, moderate, severe.

HeartRateExample

Heart Rate example

HeartRateExample2

Heart Rate example registered by patient

Holter AFib Episode

Detected AFib event

Holter DiagnosticReport Example

This diagnostic report summarizes Holter rhythm findings including AFib and a supraventricular episode.

Holter Supraventricular Event

Supraventricular arrhythmia

Leakage catheter example

NO LOINC OR SNOMED CODE FOR SYMPTOM. Answer options to be determined.

Level of responsiveness example

Level of responsiveness (ACVPU scale)

National Early Warning Score example

National Early Warning Score (NEWS)

Nausea example

Answer options are none, mild, moderate, severe.

Nausea example

Answers 0-10 scale, 0.5 increments, Very well to Very poor

Orthopneu example

Possible answers are absent, mild, moderate, severe

OxygenSaturationExample

Oxygen saturation example

OxygenSaturationExample2

Oxygen saturation example registered by patient

Pain during urination example

Possible answers are yes and no

Pain in calves example

Possible answers are yes and no

Pain infection site example

NO LOINC OR SNOMED CODE FOR SYMPTOM. Pain scale is used as answer.

Pain puncture wounds example

NO LOINC OR SNOMED CODE FOR SYMPTOM. Pain scale is used as answer.

Pain surgical wounds example

NO LOINC OR SNOMED CODE FOR SYMPTOM. Pain scale is used as answer.

Pain surgical wounds example

Pain score related to the surgical wound

Redness puncture wounds example

NO LOINC OR SNOMED CODE FOR SYMPTOM. Answer options to be determined.

Reduced appetite example

Answer options are absent / mild / moderate / severe.

RespiratoryRateExample

Respiration example

RespiratoryRateExample2

Respiration example registered by patient

Shortness of breath example

Possible answers are yes and no

Shoulder pain example

Pain scale is used as answer.

Stool assessment using the bristol stool form score

Score from 1 to 7

Usage of pain killers

Did the patient take any painkillers (Yes/No)

incontinence assessment using the wexner/CCIS score

Score from 0 to 20

incontinence assessment using the wexner/CCIS score

Score from 0 to 20