Stream: implementers
Topic: Condition Evidence
Stephen Royce (Aug 03 2016 at 01:30):
Does information like "The standard definition of obese is having a BMI > 30" constitute "evidence" in support of a diagnosis of "obese"? In general, is evidence intended to be a list of all information used in support of the reasoning used to arrive at a conclusion regarding the type of condition, or is it simply a list of observations about the patient, e.g. BMI of 33.
Jeffrey Chen (Aug 03 2016 at 02:18):
I think it depends on how dirty you want the evidence to be... You can either use 162690006 | On examination - obese (finding) | as evidence.code or reference to a BMI observation. BTW, BMI 25-30 is only overweight. So, reference to an observation will make more sense for BMI=28 patients. For us, we only use the worst pathology report as evidence. Too much information doesn't do any help.
Stephen Royce (Aug 03 2016 at 02:24):
So, the fact that I was given the wrong information about what constitutes obese aside (I've updated my comment accordingly!), the point is, is the Condition.evidence element intended to cover criteria that support your conclusion. Another example of such criteria might be a reference to a paper in a journal describing some new reason for diagnosing a given set of symptoms differently than current practice.
Last updated: Apr 12 2022 at 19:14 UTC
