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implementers have expressed concern about having to reference different entire documents for similar reporting types in different "domains"
e.g., sending cancer data in the US vs. UK vs. Germany – due to local policy, some elements can't be made required in Europe but are necessary for reporting cancer cases in the US
difficult to determine the deltas at a glance
may only be minor differences, e.g., cardinality of a single element
IHE has included realm-specific constraints as appendices, or even separate volume, for "national extensions"
is it possible to do something similar within a given FHIR profile vs. creating separate profiles implementers have to search for and reference?
still difficult to easily determine the deltas between profiles
AMS: can adjust which profile is used as the "base" for a new profile so that the differential view shows the specific deltas between them
Craig: would it help to see a "lineage" of which profiles are "children" or "siblings" of other profiles? right now, a profile only links to its own "parent"
Wendy: yes, that would help a lot
will put on the agenda for joint FHIR-I discussion during Thurs. Q1 at WGM next week
could also discuss during Wed. Q1 discussion about US Public Health Profiles
15 min.
average blood pressure for inclusion within USCDIv4
for self-monitored blood pressure, an average value can be a better indicator than a lot of individual readings
Why store average blood pressure vs. calculate it based on individual readings? – could be important to capture / document average values if individual observations are not available
USCDI doesn't specify whether to store vs. calculate, just how to exchange data – other existing USCDI elements (e.g., vitals percentiles) are often calculated
LOINCs have already been created for average blood pressure
the time period represented by average values is important to know, but how to support that can be figured out in more detail once the concept is closer to being included in USCDI
Public Health impact – while blood pressure is not currently reported to Public Health routinely, PHAs do work with clinicians to encourage monitoring of patients' blood pressure
comment submission period for USCDI V4 is currently open through Sept. 30th
folks in support of this new element should submit a comment indicating that
