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Measurement ranges are defined in the following, different resources:
ActivityDefinition, in the extension
ActivityDefinition.ehealth-referenceRange
. These are generic, that is, non-patient specific ranges applicable for the particular activity, say, a measurement of oxygen saturation.ServiceRequest, in the extension
ServiceRequest.ehealth-referenceRange
. These are patient-specific ranges applicable to the particular activity in the particular CarePlan referencing the ServiceRequest. A Patient can have multiple CarePlan with multiple ServiceRequest and therefore, possibly differing measurement ranges even for the same activity type, say, measurement of oxygen saturation.Observation, in the element
Observation.referenceRange
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The structure used in the extension ehealth-referenceRange contains the following subset of elements defined in Observation.referenceRange
:
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the description
is Coding forreference-value
(see https://docs.ehealth.sundhed.dk/latest-released/igfhir/ValueSet-ehealth-goal-description.html)lifeCycleStatus
isaccepted
start
has astartDate
target.measure
is an observation code in the ValueSet goal-target-measure similar to that of the corresponding ActivityDefinitionFor an ActivityDefinition with
code
being a Coding of Blood Pressure (or other composite measurement), the Goal should contain a number oftargets
, each with the respectivetarget.measure
matching a component of the composite measurement (e.g. systolic and diastolic blood pressure for blood pressure).
target.detailQuantity
contains the actual reference base value (and unit). The reference base value can beaddresses
is a reference to the ServiceRequest where the relative reference range is maintained.
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Certain considerations should be made when maintaining measurement ranges in the eHealth Infrastructure. For the current list of allowed measurement range types, some can overlap and some typically should not, or at least only at their low or high bounds.
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