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  1. FHIR Specification Feedback
  2. FHIR-42056

Pregnancy Status Profile Needs More Detail

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US QI Core (FHIR)
    • 6.0.0-ballot
    • Clinical Quality Information
    • STU
    • Observation example
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      Recommend use of Simple Observation and add examples based on estimated delivery date as expressed in International Patient Summary (IPS) https://build.fhir.org/ig/HL7/fhir-ips/StructureDefinition-Observation-pregnancy-edd-uv-ips.html. And reference calculation methodology from ACOG for gestational age.
      Calculated gestational age is derived with the ACOG method and EDD.

      And include examples for SimpleObservation to represent:
      code "Date and time of obstetric delivery" ("LOINC Code (93857-1)")
      code "Delivery date Estimated" ("LOINC Code (11778-8)")
      code "[#] Births.preterm" ("LOINC Code (11637-6)")
      code "[#] Births.term" ("LOINC Code (11639-2)")
      code "[#] Parity" ("LOINC Code (11977-6)")
      code "[#] Pregnancies" ("LOINC Code (11996-6)")

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      Recommend use of Simple Observation and add examples based on estimated delivery date as expressed in International Patient Summary (IPS) https://build.fhir.org/ig/HL7/fhir-ips/StructureDefinition-Observation-pregnancy-edd-uv-ips.html . And reference calculation methodology from ACOG for gestational age. Calculated gestational age is derived with the ACOG method and EDD. And include examples for SimpleObservation to represent: code "Date and time of obstetric delivery" ("LOINC Code (93857-1)") code "Delivery date Estimated" ("LOINC Code (11778-8)") code " [#] Births.preterm" ("LOINC Code (11637-6)") code " [#] Births.term" ("LOINC Code (11639-2)") code " [#] Parity" ("LOINC Code (11977-6)") code " [#] Pregnancies" ("LOINC Code (11996-6)")
    • Floyd Eisenberg/Juliet Rubini:22-0-1
    • Clarification
    • Non-substantive

    Description

      It appears the only responses in US Core are possible pregnancy, not pregnant, or pregnancy.  Other useful data elements to capture would be estimated delivery date, gestational age, gravidity and parity.

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            jen_seeman Jennifer Seeman
            marilyn_parenzan Marilyn Parenzan
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              Updated:
              Resolved: