Stream: Vital Signs
Topic: Blood Pressure Panel Implementation
Madhur Rajendran (May 14 2020 at 17:02):
We've added sample corresponding extensions to the Blood Pressure Panel Observations based on the IG. Looking for feedback if this was what was expected from the profile. This is just a mock implementation, so all the blood pressure panels return the same extensions:
Claude Nanjo (May 14 2020 at 17:19):
It looks okay to me Madhur. Probably the best person to weigh in is Nathan. For the reference range, it might vary based on guideline (ACC2017, JNC8), patient (> 60, with CKD), etc... If included it would be good to specify this somehow.
Nathan Davis (May 14 2020 at 18:17):
@Madhur Rajendran It looks okay to me as well. What you have for reference range works but, Claude is correct here; reference ranges will depend on which guideline is being used. It seems to me that the best place for this to go into is the referenceRange.appliesTo element but I don't know if these reference range guidelines are in any standard code system. We could create a temporary CodeSystem profile to hold the codes we need until they've been included in a standard such as SNOMED, if you need us to. Or we could extend referenceRange with a Guidline Source that would be a CodeableConcept. Either of these options would take some time to get into the profile.
Jenni Syed (May 14 2020 at 18:54):
I'm not sure we know where the reference range comes from in our server (guideline wise) as I think each site may be able to modify and specify. I think we know what "concepts" they're based on (like age, gender) since that's how we choose which range gets associated to an observation that interprets to H/N/L
Claude Nanjo (May 14 2020 at 19:18):
In our case, clinicians may select the desired guidelines/targets they wish to consider for their patients.
Nathan Davis (May 14 2020 at 19:42):
@Claude Nanjo Do you have a list of the guidelines the clinicians may choose from?
Claude Nanjo (May 14 2020 at 20:50):
Right now we are using only JNC8 and ACC2017
Last updated: Apr 12 2022 at 19:14 UTC
