2015May core #178 - Body site shouldn't be a separate element

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    • Type: Change Request
    • Resolution: Not Persuasive
    • Priority: Medium
    • FHIR Core (FHIR)
    • DSTU1 [deprecated]
    • Orders & Observations
    • Observation
    • 4.20.4
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      Motion to find not persuasive as a denormalized approach is more appropriate in FHIR, particularly profiles, to make it more implementable, while it can still be done through related observations if the other observation attributes need to vary. Need to have best practice and value set alignment between Observation.Code and Observation.BodyPosition.

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      Motion to find not persuasive as a denormalized approach is more appropriate in FHIR, particularly profiles, to make it more implementable, while it can still be done through related observations if the other observation attributes need to vary. Need to have best practice and value set alignment between Observation.Code and Observation.BodyPosition.
    • Lorraine Constable/Patrick Loyd: 10-1-3
    • Clarification

      Existing Wording: The body position during the observation :

      The position of the body when the observation was done,

      e.g., standing, sitting. To be used only when the body

      position in not precoordinated in the observation code.

      observation-delta (extension observation-

      delta.html)

      Qualitative change or trend in the measurement :

      The qualitative change in the value relative to the previous

      measurement. Usually only recorded if the change is

      clinically significant.

      Comment:

      body position and other specialized things (like cuff size for BP) are usually reported as related observations when they are not pre-coordinated. Requiring these as independent fields in the record will create havoc with reporting in a flow sheet. Either the cell will get very crowded, or the application will have to create a pseudo variable for each body position

            Assignee:
            Unassigned
            Reporter:
            clemmcdonald
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved: