FHIR Chat · HealthEvent aka Milestone · implementers

Stream: implementers

Topic: HealthEvent aka Milestone


view this post on Zulip Jeffy Mathew Jose (Mar 17 2020 at 11:43):

Do we have a canonical way of expressing health events? Say like child's first crawl or progress of a persons' ability to walk after an accident.
Am not sure if those are simple observations.

view this post on Zulip Jose Costa Teixeira (Mar 17 2020 at 12:06):

what makes you hesitate on observations?

view this post on Zulip Grey Faulkenberry (Sep 09 2020 at 18:43):

I was hoping I could follow-up with this question. There isn't an officially standardized coding system for developmental milestones in pediatrics. But there is recently a group that has compiled and index here: https://idob.info/observations/, based on this paper (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6731149/). It would need some work, but do you think it would look something like this?

    "resourceType": "Observation",
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "LP155782-8",
                "display": "PEDS - developmental milestones"
            },
            {
                "system": "http://snomed.info/sct",
                "code": "251803000",
                "display": "Child developmental finding (finding)"
            }
        ]
    },
    "component": [
        {
            "valueCodeableConcept": {
                "coding": [
                    {
                        "system": "https://idob.info/",
                        "code": "IDOB#5309003",
                        "display": "Briefly looks at objects"
                    }
                ]
            },
            "valueCodeableConcept": {
                "coding": [
                    {
                        "system": "https://idob.info/",
                        "code": "IDOB#5252000",
                        "display": "Alerts to sound"
                    }
                ]
            }
        }
    ]
}```

view this post on Zulip Grey Faulkenberry (Sep 09 2020 at 18:53):

Although one of my concerns regards the codes. The Loinc code, as I understand it, is only supposed to be used for PEDS:DM. And the Snomed code I think is for abnormal findings, not just standard development.


Last updated: Apr 12 2022 at 19:14 UTC