Stream: cimi
Topic: INR
John Moehrke (Sep 20 2018 at 02:06):
Is there a profile for how to communicate INR results?
Grahame Grieve (Sep 21 2018 at 03:59):
cholesterol - there's a sample profile in the spec. But it really just says 'use a LOINC code'. I think that should be enough for cholesterol - anything else would be like 'how do you determine the reference/recommended range'?, and there's not single profile for that
John Moehrke (Sep 21 2018 at 12:50):
I found that, but I think it uses a deprecated code 35200-5. And has no guidance on the other values in the panel. So I followed the LOINC pattern in 57698-3 instead. putting total in value[], and the HDL and LDL in components
Grahame Grieve (Sep 21 2018 at 22:21):
http://build.fhir.org/lipid-report.html
Grahame Grieve (Sep 21 2018 at 22:21):
that's the guidance on the other values in the panel
Grahame Grieve (Sep 21 2018 at 22:22):
you should not use components; they are different observations with different methods, reference ranges, interpretations, and their own error status values
John Moehrke (Sep 29 2018 at 19:34):
I can follow that example for INR... is this the CIMI recommendation or just the best approximation of what is possible today?
John Moehrke (Sep 29 2018 at 19:47):
wait... lipid-report is Cholersterol... so that is the solution to my other question.
John Moehrke (Sep 29 2018 at 19:48):
INR is https://r.details.loinc.org/LOINC/43153-6.html?sections=Comprehensive
John Moehrke (Sep 29 2018 at 19:51):
I can follow the lead of the lipid-report pattern to do INR given the layout LOINC has.. right? So a DiagnosticReport and a bunch of Observations.
John Moehrke (Oct 22 2018 at 18:30):
For INR, I seem to have a simple single Observation. with category=laboratory, code=5902-2, and valueQuantity. Is this right?
Mark Kramer (May 05 2019 at 23:40):
I sent a message to #implementers to see if there is any interest in “Objective FHIR”. Good to know before we invest our time
Last updated: Apr 12 2022 at 19:14 UTC
