Stream: implementers
Topic: Observation.category for Obstetric observations
Cooper Thompson (Aug 05 2020 at 19:04):
For obstetric observations, such as lactation status, pregnancy status, and organ inventory (organ inventory I guess is broader than OB...), what Observation.category would folks consider the best fit? Would any of the values in the preferred valueset work, or would a separate code be better?
Options that stood out to me include:
- exam - however the description says this is for physical exams by clinicians on the patient's body. And the OB info is often just patient reported via question/answer.
- survey - this seems the most obvious to me, but I understand that survey has a more specific meaning than what is communicated in the current description of that code
QuestionnaireResponse I suppose could be an option, but even though this info is provided via question/response interaction with the patient, Observation feels better to me.
Lloyd McKenzie (Aug 05 2020 at 22:35):
@Eric Haas for the category question.
QuestionnaireResponse isn't queriable by the data within the response, so your instinct to use Observation is a good one. (Though you might do raw data capture using a QuestionnaireResponse before propagating it to Observations.)
Cooper Thompson (Aug 11 2020 at 18:21):
Looks like this is related to FHIR#14677.
Cooper Thompson (Aug 11 2020 at 18:25):
I'm confused by the first bit of the resolution though:
1) Move Pregnancy status to "social-history" line item in introduction
Is that a typo? Is that intended to mean 'remove pregnancy status from "social history" line item in introduction'?
Eric Haas (Aug 12 2020 at 02:36):
@Cooper Thompson RE FHIR#14677: this is a proposal that went nowhere. The category codes are a minefield. I have moved on since I don't have the time or patience to hash it out. But you are welcome to it.
Last updated: Apr 12 2022 at 19:14 UTC
