Details
-
Change Request
-
Resolution: Persuasive with Modification
-
Medium
-
US Core (FHIR)
-
7.0.0-ballot
-
Cross-Group Projects
-
US Core Average Blood Pressure Profile
-
-
Eric Haas/Gay Dolin: 17-0-0
-
Clarification
-
Non-compatible
Description
The tables provides a slice for uscore-avg-bp to state the average BP panel code (96607-7). However, it still requires the use of 85354-9 as well which is creating some challenges:
- These two codes are not equivalent, so should not be used within the same instance of Observation.code
- Arguing that 85354-9 includes 8478-0 does not work either as then uscore-avg-bp should have be set to that, not 96607-7
- Since they need to be equivalent, the consumer of this resource may just read 85354-9 and think they know what they have, but they don't and it totally different.
There is the challenge that this profile is a profile on the Blood Pressure Profile that requires the use of 85354-9. As that would at least be confusing, if not actually incorrect, suggest to base Average Blood Pressure Profile directly on the Vital Signs Profile thus removing the need to include 85354-9 altogether and avoid the contradiction and potential for misinterpretation.
Attachments
Issue Links
- is voted on by
-
BALLOT-57988 Negative - Hans Buitendijk : 2024-Jan-FHIR US CORE E7 STU
- Balloted
-
BALLOT-60166 Negative - Frank Oemig - Cerner : 2024-Jan-FHIR US CORE E7 STU
- Balloted
- relates to
-
FHIR-43960 CLONE - Clarify that the LOINC 85354-9 is used for all blood pressure measurements
- Resolved - change required
-
FHIR-43959 Clarify that the LOINC 85354-9 is used for all blood pressure measurements
- Resolved - No Change