Stream: Orders and Observation WG
Topic: Incontinence
Grahame Grieve (Nov 07 2019 at 07:21):
Do we have a recommended way to represent "incontinent" as a value for Urine Output?
Grahame Grieve (Nov 07 2019 at 09:15):
are arterial systolic and diastolic pressures part of the vital signs panel?
Eric Haas (Nov 07 2019 at 18:03):
the vitals sign panel code is https://r.details.loinc.org/LOINC/85353-1.html?sections=Comprehensive
which includes systolic and diastolic pressure so yes
Eric Haas (Nov 07 2019 at 18:03):
all members are optional
Eric Haas (Nov 07 2019 at 18:04):
(deleted)
Eric Haas (Nov 07 2019 at 18:04):
not that I know of...
Grahame Grieve (Nov 07 2019 at 19:16):
it's not clear to me that arterial pressures are in the vital signs panel. THe LOINC definition says "Intravascular systolic" as the component. The heirarchy is not useful.
Eric Haas (Nov 07 2019 at 19:59):
the system however is "Arterial system" I don't understand the issue. What would you prefer?
Grahame Grieve (Nov 07 2019 at 20:10):
I would like the vital signs profile to be clear about whether the LOINC magic code is requied for arterial systolic and diastolic blood pressure, or just for vascular ones
Eric Haas (Nov 07 2019 at 20:56):
I am sure that there is no difference between intravascular and arterial. but it could be made clear in the description in the profile we are obligated to use the LOINC names but we could change to the fully specified name?
Grahame Grieve (Nov 07 2019 at 21:01):
I think it would be enough to document in narrative - and I see I am asking the question the wrong way around. Does it include venous pressure?
Eric Haas (Nov 07 2019 at 21:14):
no that is something different clinically. So I see how the LOINC common name can be misleading.... components the same and the long name is meant to be common but in this case is too generic.
60987-5 Central venous pressure (CVP) Systolic
Intravascular systolic
Pres
Pt
Central venous catheter (CVP)
Grahame Grieve (Nov 07 2019 at 21:22):
right, that's what we should clarify.
Eric Haas (Nov 08 2019 at 00:15):
Rob Hausam (Nov 12 2019 at 05:20):
So, this has been discussed earlier, but I think not yet entirely clarified. Do we intend the vital signs profile to include all arterial systolic and diastolic blood pressure measurements, or only the ones that are treated in systems as actual vital signs (i.e. displayed in a "vital signs" panel or equivalent)? An example of arterial bp measurements that I believe would generally not be considered as vital signs would be standing bp measurements obtained as part of an evaluation of orthostatic blood pressures.
Last updated: Apr 12 2022 at 19:14 UTC
