Stream: implementers
Topic: Adverse Events in DSTU2?
Jean Duteau (Nov 13 2019 at 21:12):
I am working with a system that has implemented DSTU2 and they want to convey AdverseEvents. The AdverseEvent resource obviously didn't exist in DSTU2 so I'm trying to find an appropriate resource in DSTU2 to convey the info. I looked at Condition, Observation, ClinicalImpression and none of these seems perfect. Any thoughts from anyone else?
Grahame Grieve (Nov 13 2019 at 21:33):
everything is an observation ;-)
Lloyd McKenzie (Nov 13 2019 at 21:54):
Worst case, you can model it using Basic, though Observation and a whack of components might be (slightly) more tolerable.
Jean Duteau (Nov 13 2019 at 22:11):
When is the right time to use components? I am trying to express a bunch of Death information:
-date of death
-reported cause(s) of death
-was autopsy done?
-autopsy-determined cause(s) of death
Are those all separate Observations or can those be represented as a Death observation with a bunch of components?
Grahame Grieve (Nov 13 2019 at 22:11):
sound like separate observations. Components: same time, method, performer, etc
Grahame Grieve (Nov 13 2019 at 22:12):
maybe you have a questionnaire
Lloyd McKenzie (Nov 13 2019 at 22:58):
Components are when the information doesn't make sense except in the context of other information. E.g. saying 'sensitive' without saying 'to what' isn't super helpful. QuestionnaireResponsecan be used as a data capture tool, but it's pretty useless for searching/analysis
Marc Hadley (Nov 14 2019 at 18:37):
Just FYI, most of these data elements are part of the Vital Records Death Reporting IG: http://hl7.org/fhir/us/vrdr/2019May/Profiles.html
Espen Stranger Seland (Dec 04 2019 at 11:01):
Something new on the topic? We also need a cause of death profile. Could use the outcome extension proposal. We need this for (later) reporting Mortality and Morbidity to WHO.
Yunwei Wang (Dec 04 2019 at 17:12):
VRDR IG (@Marc Hadley mentioned above) has profiles for cause of death.
Cause Of Death Condition FHIR Condition Cause of Death Pathway FHIR List
Espen Stranger Seland (Dec 10 2019 at 08:32):
Thanks. What type of resource should be used (in a pathway) for physical/traumatic events like "fell off the bike", "car accident" etc. ? I would guess Observation, but not sure.
Espen Stranger Seland (Dec 10 2019 at 08:40):
Sorry, found it: http://hl7.org/fhir/us/vrdr/2019May/InjuryIncident.html
Last updated: Apr 12 2022 at 19:14 UTC
