Stream: argonaut
Topic: pregnancy history
Paul Biondich (Nov 14 2019 at 20:50):
Greetings friends. My institution is doing some foundational work with the WHO in mapping their clinical guidelines to standard terminologies and FHIR to enable computable guidelines. We are in the midst of some early pilot demonstration work with them, and we have decided to start from either the IPS or USCDI as an intermediate EHR patient object representation. As it relates to USCDI/Argonaut, we found it difficult to figure out where we'd graft in pregnancy history. Any immediate thoughts come to mind? Happy to give more context if necessary.
Lloyd McKenzie (Nov 14 2019 at 21:01):
Pregnancy history would principally be a collection of Observations.
Grahame Grieve (Nov 14 2019 at 21:12):
@Danielle Friend @Jenni Syed how is this appearing in your servers?
Eric Haas (Nov 14 2019 at 21:36):
Public health has already worked on this in the ECR guide... @Sarah Gaunt can provide more details. Whatever we do needs to align with their needs as well.
Grahame Grieve (Nov 14 2019 at 21:41):
well, but is that what Argonaut servers are actually doing?
Eric Haas (Nov 14 2019 at 23:27):
You can ignore public health needs but eventually will have to deal with it sooner or later this stuff gets written into regulations too typically following a population health scare...
Paul Biondich (Nov 15 2019 at 14:15):
Public health has already worked on this in the ECR guide... Sarah Gaunt can provide more details. Whatever we do needs to align with their needs as well.
Hmm, now this is something that didn't occur to me (using an electronic case report as the intermediate EHR form)
Paul Biondich (Nov 15 2019 at 14:16):
Pregnancy history would principally be a collection of Observations.
That seems like the default backstop option to any circumstance where previous groups haven't rendered an opinion. :) Everything can be a bag of observations, right? :)
Lloyd McKenzie (Nov 15 2019 at 14:36):
The data in a pregnancy record is primarily observations. There's a wee bit of medications and procedure stuff in there, but all of the measurements, reports of last menstrual period, past pregnancies, etc. are all point-in-time observations.
Lloyd McKenzie (Nov 15 2019 at 14:36):
The grouper for everything would be EpisodeOfCare
Paul Biondich (Nov 15 2019 at 14:53):
The data in a pregnancy record is primarily observations. There's a wee bit of medications and procedure stuff in there, but all of the measurements, reports of last menstrual period, past pregnancies, etc. are all point-in-time observations.
Thanks @Lloyd McKenzie ... hope you're well, btw! :)
Lloyd McKenzie (Nov 15 2019 at 14:57):
I'm pretty pumped because the gForge to Jira migration happens today :)
Last updated: Apr 12 2022 at 19:14 UTC
