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Description
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Text from 2015 Final Rule:��
We note that we believe that inhaled oxygen concentration is a necessary measurement in order to correctly interpret the pulse oximetry measurement, and are including it in the list of vital signs for exchange��Full text:��We continue to differentiate between systolic and diastolic blood pressure as two distinct�vital signs, but note that Health IT Modules may store and display the two values in one field as�long as they are exchanged as two separate fields. We have revised "body weight measured" to�"body weight." We have revised "oxygen saturation in arterial blood by pulse oximetry" to�"pulse oximetry" and will allow implementers, for the purposes of testing and certification, to�choose the LOINC(r) code with "pulse oximetry" in its name that best represents the method of�measurement for exchange. We note that we believe that inhaled oxygen concentration is a�necessary measurement in order to correctly interpret the pulse oximetry measurement, and are�including it in the list of vital signs for exchange. This does not mean that providers are required�to capture this measurement every time, only that certified Health IT Modules are able to�exchange the value if present. Last, we have removed BMI and mean blood pressure from the list�of vital signs.�In summary, we require that the following vital signs must be exchanged as part of the�Common Clinical Data Set using a LOINC(r) code and with a UCUM code for the unit of�measure associated with the vital sign measurement:��
* ….�
* Pulse oximetry; and��*
Inhaled oxygen concentration.
So Question is if anybody is currently exchanging this and how do we implement it in the Arg-DQ guide?
Options:
- Too late, do nothing
- add a new vitals parameter with a LOINC and UCUM and implement as related
qualified-by
observation to SPO2- as a contained resource
- as an external resource