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  1. FHIR Specification Feedback
  2. FHIR-33391

How to store parameters related to the procedure?

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    • Icon: Change Request Change Request
    • Resolution: Unresolved
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • R5
    • Patient Care
    • STU
    • Procedure

    Description

      We need to store additional information (e.g., parameters) in a structured way regarding the execution of a procedure. For example, it was provided to the patient oxygen at 2 liters/minute per nasal canula.

       

      Other examples:

      • An 4 inch midline incision was performed in the lower abdomen.
      • The surgical dressing was packed (i.e. like a method) into the wound with iodine strip gauze.
      • The endotracheal tube was inserted 22 cm into the patient.   (It is not the tube is 22 cm, but was inserted 22 cm into the patient)
      • For the colonoscopy exam, the patient was placed in a left side lying position.   (positioning is a detail, and is not body site)

       

      A suggestion would be to include an element (suggestion of name: details) in the resource Procedure (solution similar to https://jira.hl7.org/browse/FHIR-31584):

       

       

      Element Card Data type Example
      .details 0..* BackboneElement  
      .details.parameter 0..* Backbone Element  
      .details.parameter.code 1..1 CodeableConcept CS#FlowMeasurement
      .details.parameter.value[x] 1..1 Quantity | Ratio | Range | boolean | CodeableConcept | string | Period 2 l/min (Quantity)
      .details.focus 0...1 CodeableReference (Device | DeviceDefinition | Medication | BiologicallyDerivedProduct | Substance | Condition)                                           

       

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            Unassigned Unassigned
            rquintano Ricardo Quintano
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            Dates

              Created:
              Updated: