{"action":"created","issue":{"url":"https://api.github.com/repos/argonautproject/implementation-program/issues/43","repository_url":"https://api.github.com/repos/argonautproject/implementation-program","labels_url":"https://api.github.com/repos/argonautproject/implementation-program/issues/43/labels{/name}","comments_url":"https://api.github.com/repos/argonautproject/implementation-program/issues/43/comments","events_url":"https://api.github.com/repos/argonautproject/implementation-program/issues/43/events","html_url":"https://github.com/argonautproject/implementation-program/issues/43","id":159016306,"number":43,"title":"Oxygen Saturation - 59408-5 (Pulse Oximetry) vs 2708-6 (no method)","user":{"login":"brettmarquard","id":5429452,"avatar_url":"https://avatars.githubusercontent.com/u/5429452?v=3","gravatar_id":"","url":"https://api.github.com/users/brettmarquard","html_url":"https://github.com/brettmarquard","followers_url":"https://api.github.com/users/brettmarquard/followers","following_url":"https://api.github.com/users/brettmarquard/following{/other_user}","gists_url":"https://api.github.com/users/brettmarquard/gists{/gist_id}","starred_url":"https://api.github.com/users/brettmarquard/starred{/owner}{/repo}","subscriptions_url":"https://api.github.com/users/brettmarquard/subscriptions","organizations_url":"https://api.github.com/users/brettmarquard/orgs","repos_url":"https://api.github.com/users/brettmarquard/repos","events_url":"https://api.github.com/users/brettmarquard/events{/privacy}","received_events_url":"https://api.github.com/users/brettmarquard/received_events","type":"User","site_admin":false},"labels":[{"url":"https://api.github.com/repos/argonautproject/implementation-program/labels/data.vitals","name":"data.vitals","color":"0e8a16"}],"state":"open","locked":false,"assignee":null,"milestone":null,"comments":2,"created_at":"2016-06-07T20:26:03Z","updated_at":"2016-06-10T14:36:16Z","closed_at":null,"body":"Originally C-CDA had: 2710-2 (now deprecated)\r\nLOINC recommended: 59408-5 (SDWG agreed and approved, then reopened...)\r\nHL7 Orders and Observation is recommending method less: 2708-6\r\n\r\nNo one objects to method less code (2708-6), what concerns folks is Class/type=CHEM/Lab. SDWG didn’t think Pulse Oximetry was appropriate with the method less code.\r\n\r\nHL7 SDWG will discuss on their Thursday 6/16 conference call."},"comment":{"url":"https://api.github.com/repos/argonautproject/implementation-program/issues/comments/225199408","html_url":"https://github.com/argonautproject/implementation-program/issues/43#issuecomment-225199408","issue_url":"https://api.github.com/repos/argonautproject/implementation-program/issues/43","id":225199408,"user":{"login":"Healthedata1","id":7410922,"avatar_url":"https://avatars.githubusercontent.com/u/7410922?v=3","gravatar_id":"","url":"https://api.github.com/users/Healthedata1","html_url":"https://github.com/Healthedata1","followers_url":"https://api.github.com/users/Healthedata1/followers","following_url":"https://api.github.com/users/Healthedata1/following{/other_user}","gists_url":"https://api.github.com/users/Healthedata1/gists{/gist_id}","starred_url":"https://api.github.com/users/Healthedata1/starred{/owner}{/repo}","subscriptions_url":"https://api.github.com/users/Healthedata1/subscriptions","organizations_url":"https://api.github.com/users/Healthedata1/orgs","repos_url":"https://api.github.com/users/Healthedata1/repos","events_url":"https://api.github.com/users/Healthedata1/events{/privacy}","received_events_url":"https://api.github.com/users/Healthedata1/received_events","type":"User","site_admin":false},"created_at":"2016-06-10T14:36:16Z","updated_at":"2016-06-10T14:36:16Z","body":"These are great questions.  They are clinical in nature and really\nshouldn't be decided here.   But the underlying issue is categorizing a\nlaboratory measure as a vital sign.  Why is blood measurement a vital and\nnot a lab?  I can go either way on this. On the one hand there is the\ndesire to align with c-cda and the Structured Doc work group decision and I\nthink pulse ox o2 can be considered a vital due to its ubiquity.   On the\nother hand, if we are trying to keep the concept of O2 saturation pretty\ngeneric and methodless - I think if the *category *is vitals then its\nlikely a pulse ox measurement, if its *laboratory* then somebody got jabbed\nwith needle and a direct measure on blood was taken.  But that clinical\ndecision should be made by each organization or institution. Personally, I\ndon't think we can have a measure that is both a vital and a lab. Then the\nsearch by category vitals would probably get you them same thing in either\ncase.\n\nEric\n\nEric M Haas, DVM, MS\nHealth eData Inc\n211 South Jefferson Street, Napa, CA, 94559\n707.227.2608|Skype: haas.eric1\nehaas@healthedatainc.com <ehaas@healhtedatainc.com>\n\n\nOn Fri, Jun 10, 2016 at 6:01 AM, Michelle Miller <notifications@github.com>\nwrote:\n\n> Some of the feedback/questions I am getting internally regarding this\n> change:\n>\n> The list is a comprehensive list for a component axis of “Oxygen\n> saturation” and a method axis of “Pulse oximetry” (all challenges and\n> dimensions included). I’d be curious to know why a method of “Pulse\n> oximetry” is the deciding factor between vital and lab? Also, is the\n> patients “Oxygen saturation” max/min over an 8 hour period really an\n> acceptable substitute assuming that’s the only measurement you have taken\n> by a pulse oximeter? Are any/all the challenge specific LOINCs on that list\n> really acceptable substitutes?\n>\n> It’s worth nothing that there are point of care devices that measure\n> oxygen saturation on blood directly [1] that are not pulse oximeters. I\n> expect measurements taken with one of these devices would probably be\n> mapped to a methodless LOINC or a new yet to be created method specific\n> LOINC. For the purposes of inter-op, wouldn’t returning a value taken by\n> that device on the vitals panel be more/equally appropriate than the max\n> value taken by a pulse oximeter over an 8 hour period?\n>\n> [1] https://www.abbottpointofcare.com/products-services/istat-handheld\n>\n> —\n> You are receiving this because you commented.\n> Reply to this email directly, view it on GitHub\n> <https://github.com/argonautproject/implementation-program/issues/43#issuecomment-225175703>,\n> or mute the thread\n> <https://github.com/notifications/unsubscribe/AHEU6pm3bv_1LE_dOcNAJsCD9_JBN5-Tks5qKWAagaJpZM4IwUx4>\n> .\n>\n"}}
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