Stream: argonaut
Topic: Oxygen sat inspired O2
Eric Haas (Dec 20 2016 at 22:41):
Text from 2015 Final Rule says Inhaled oxygen concentration must be exchanged as part of the Common Clinical Data Set using a LOINC(r) code and with a UCUM code for the unit of measure.
Is anybody exchanging this?
Jenni Syed (Dec 21 2016 at 14:31):
@Eric Haas We would return anything that is charted, so if the result has been recorded, it could be retrieved from FHIR
Robert McClure (Dec 21 2016 at 23:22):
@Eric Haas , as you saw on the OO list, I'm working to figure out how this should be coded. Have you gotten any confirmation that your proposed approach to link two observations with "qualified by" is how folks are doing this in FHIR? Any thoughts on how they have aligned a C-CDA tempalte for the same thing?
Eric Haas (Dec 21 2016 at 23:28):
@Brett Marquard is tuned into CCDA for this. I think we are still in discovery
Eric Haas (Dec 22 2016 at 06:51):
would you refernce the fiO2 from the spO2 as part of a vitals observtion. ( for both clinician and patient)?
Brett Marquard (Dec 22 2016 at 21:54):
We haven't had a chance to discuss on SD
Rob Hausam (Dec 23 2016 at 17:11):
I think that Eric's approach for this makes sense. If we do want to record/transmit the device and it's settings (which I think we typically don't), then Cecil's comments on the OO list about Device/DeviceMetric also would apply.
Michelle (Moseman) Miller (Jan 03 2017 at 14:46):
To add to @Jenni Syed 's earlier comment, I don't believe we are using related observations for this currently.
Jay Lyle (Mar 28 2018 at 15:27):
Has there been any movement on this? We'd like to qualify SpO2 with O2 rate.
Eric Haas (Mar 28 2018 at 16:37):
No. Question is whether the community implements this as a separate observations and if so a stand alone observation or a component or is a code. If its a separate observation I would personally think component would be better ( shifting my view from before ) and if is typically a code ( O2 at room air, etc ) then use translations on code. @Brett has CCDA worked this out yet?
Brett Marquard (Mar 29 2018 at 02:56):
No, not resolved in C-CDA. Just didn't get enough momentum that both are captured.
Last updated: Apr 12 2022 at 19:14 UTC
