Stream: questionnaire
Topic: Observation-category for symptoms
Fred Hersch (Jul 30 2021 at 07:35):
We are planning to represent symptoms as observations. What is the right observation-category to use? Would it be 'survey'? Also, for risk factors like smoking would you use 'social-history'?
@Jose Costa Teixeira @Aditya Kurkure
Fred Hersch (Jul 30 2021 at 07:40):
I see US core uses social-history for smoking status: https://www.hl7.org/fhir/us/core/StructureDefinition-us-core-smokingstatus.html
Lloyd McKenzie (Jul 30 2021 at 13:54):
I think 'exam' would be most appropriate for symptoms, though it's not perfect. Note that the value set is only 'preferred', which means your free to use other codes. You can also submit a change request if you feel there's a gap in the set of recommended codes.
Lloyd McKenzie (Jul 30 2021 at 13:54):
(As a side note, this isn't really a questionnaire-related question, so might be better raised on #implementers or #Orders and Observation WG)
Fred Hersch (Aug 02 2021 at 13:44):
Lloyd McKenzie said:
I think 'exam' would be most appropriate for symptoms, though it's not perfect. Note that the value set is only 'preferred', which means your free to use other codes. You can also submit a change request if you feel there's a gap in the set of recommended codes.
Thanks @Lloyd McKenzie - follow-up question. Where/how are the observation category codes defined in a Questionnaire? We are trying to work through how to extract this using DefinitionBased extraction approach. Do you know of any good examples? Thanks
Lloyd McKenzie (Aug 02 2021 at 15:02):
They're not. Category is optional, so we hadn't thought about how to populate it, but given its importance to filtering, we probably should have. Can you submit a change request for us to talk about this?
Fred Hersch (Aug 03 2021 at 01:22):
Thanks Lloyd I'll do that
cc: @Jing Tang @Peter Lubell-Doughtie @Aditya Kurkure
Fred Hersch (Aug 04 2021 at 13:41):
Fred Hersch said:
Thanks Lloyd I'll do that
cc: Jing Tang Peter Lubell-Doughtie Aditya Kurkure
Quick question @Lloyd McKenzie should I add the change request to SDC or FHIR Core?
Lloyd McKenzie (Aug 04 2021 at 14:23):
SDC. That's where we talk about extraction
Fred Hersch (Aug 05 2021 at 00:44):
Lloyd McKenzie said:
SDC. That's where we talk about extraction
Thanks. Done.
Last updated: Apr 12 2022 at 19:14 UTC
