Page Comparison

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• A ClinicalImpresssion:

  • .finding for each .component in the observation (e.g. systolic and diastolic blood pressure) or a single finding if the observation does not contain components.

    • Each finding for observation will have one of the following alert levels:

      • http://snomed.info/sct, 442082004, fund ved måling inden for referenceinterval (green)

      • http://snomed.info/sct, 442096005, fund ved måling uden for referenceinterval (red, yellow)

    • If the finding is for a component, then it will contain an observation code identifying the component (e.g. systolic blood pressure). With release 13 there will always be an observation code within the finding containing alert levelWith Release 13 a new finding entry will be added

  • .

    The

    finding

    will contain an

    for the overall assessment which is either green, yellow or red based on the worst severity from components or a single observation

    . (http

    , see green, yellow and red in .https://docs.ehealth.sundhed.dk/

    cs/

    latest-released/ig/ValueSet-ehealth-clinicalimpression-finding-codes

    )

    .html.

  • A Task related to the ClinicalImpression with priority based on the highest alert level found:

    • asap if any values are found in “red alert” reference ranges

    • urgent if any values are found in “yellow alert” reference ranges (and no “red alert” found)

    • routine if no red or yellow alerts are found

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The rule processes absolute reference ranges only, that is, Observation.referenceRange.type where the Coding has:

• system: urn:oid:1.2.208.184.100.1

• code: RAL or GAL, for red alarm absolute reference range and yellow alarm absolute reference range, respectively.

...

• A ClinicalImpresssion:

  • .finding as follows:

    • If the triggered red set is not empty, a finding.item with a Coding:

      • system = http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes

      • code = red-question-answer

      • display = Rød spørgsmål/svar-kombination fundet i spørgeskemabesvarelse

      • With release 13

      • system = http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes

      • code = red

      • display = Red overall assessment

    • If the triggered yellow set is not empty, a finding.item with a Coding:

      system = http

      :

      //ehealth.sundhed.dk/cs/clinicalimpression-finding-codescode = yellow-question-answer

      • display = Gul spørgsmål/svar-kombination fundet i spørgeskemabesvarelse

      • With release 13

        system = http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes

      • code = yellow

      • display = yellow overall assessment

    • If both triggered sets are empty, a finding.item with a Coding:

      system = http

      :

      //ehealth.sundhed.dk/cs/clinicalimpression-finding-codes

    • code = green-question-answer

    • display = Grøn spørgsmål/svar-kombination fundet i spørgeskemabesvarelse

    With release 13

    • system = http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes

    • code = green

    • display = Green overall assessment

    • If the Questionnaire does contain answer significance definitions but none have been triggered, a finding.item with a Coding:

      • system = http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes

      • code = no-effective-answer-significance

      • display = Ingen triageringsindikator for spørgsmål/svar-kombination har fundet anvendelse

    • If the Questionnaire does not contain answer significance definitions, a finding.item with a Coding:

      • system = http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes

      • code = no-answer-significance-defined

      • display = Ingen triageringsindikator defineret i spørgeskemaet

  • list of .ehealth-questionnaireresponse-finding-basis for each basis for the overall ClinicalImpression as follows:

    • linkId set to linkId for the Questionnaire item/QuestionnaireResponse item pair which triggered the finding basis

    • value set to value of the answer which triggered the finding basis

    • finding set to green-question-answer, yellow-question-answer or red-question-answer from http://ehealth.sundhed.dk/vs/clinicalimpression-finding-codes based on signifiance on triggered ehealth-questionnaire-answerSignificance

    • ehealth-questionnaire-answerSignificance is the triggered answerSignificance which is gathered from Questionnaire item

• A Task related to the ClinicalImpression with:

  • priority set to the priority value determined above.

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