Clinician on FHIR - May 2016 Montreal, Canada

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Planning Notes

Observation

Rob to host

• Goals for “Observation”
  • Explore the boundaries of observation (fit for purpose?)
    • How do we represent microbiology – culture and sensitivity/susceptibility?
      • Rob – will find examples
  • Inpatient vs Outpatient – how do you follow observations over time for outpatient visits over different encounters….? (may be synchronous capture or asynchronous capture)
    • Document Vital signs over one encounter (inpatient) – can we trend?
      • HR
      • Temp
      • POx
    • Document Vital signs (Height, Weight, glucose?) over multiple encounters (Outpatient visits)
      • – can we trend? i.e H and/or W on a growth chart?
  • How is a panel observation like apgar scores documented? (synchronous capture)
    • Apgar Score (put values here)
    • hemodynamic monitoring – Swan Ganz data (BP, HR, RR, Temp, Pox, (BP/MAP), wedge, CVP – Swan ganz – things that are together and stay together?)
    • How are they captured, how are they managed as a set maintaining their relationship – such as the systolic is always linked to its relative diastolic?
  • Provide observation use cases to work through during the session –
    • Perhaps in Aug/Sept - Explore the workflow in OO/FHIR – lab orders and lab results back in observation?

Planning Calendar

Preparation Master Plan