FHIR Chat · Observation valueString · v2 to FHIR

Stream: v2 to FHIR

Topic: Observation valueString


view this post on Zulip Tushar Nair (Oct 29 2020 at 21:50):

Hello,

I am mapping ORUs to FHIR. Need some advise regarding the formatting of the string data in Observation.value . Consider an example where we convert a report in raw form from OBX segment(s): <b>CLINICAL HISTORY:</b> RUQ pain<br/>. <b>COMMENTS:</b> The visualized liver is of uniform echo texture without evidence of mass or defect. There is no intra or extrahepatic biliary ductal dilatation. The common bile duct measures up to 4 mm. The gallbladder is physiologically distended with multiple calculi<br/><b>IMPRESSION</b>: Multiple gallstones with a thickened gallbladder wall and reported positive Murphy's sign. These findings are concerning for acute or chronic cholecystitis. Please correlate clinically<br/>. Is the expectation that when we convert this from OBX to FHIR, it should be already formatted or there is a way to format this in FHIR as well? I got some input from @Michele Mottini that valueAttachment is a good option but is currently not scoped in R4 and shall be available in R5. What is best approach in the current circumstances?


Last updated: Apr 12 2022 at 19:14 UTC