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    NEWS2 Body Temperature Guidance

    Guidance for populating the NEWS2 Body Temperature Observation.

    The NEWS2 body temperature observation reading uses the <a href=”https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-BodyTemperature-Observation-1” “target=”_blank”>CareConnect-BodyTemperature-Observation-1</a> profile.

    Guidance for Populating a NEWS2 Body Temperature Observation

    Note that some elements are “Left uncurated as no use case in NEWS2”, and are not needed for NEWS2.

    CareConnect-BodyTemperature-Observation-1 element Population Guidance
    identifier A unique identifier assigned to this observation (such as a generated Universally Unique Identifier {UUID})
    basedOn Left uncurated as no use case in NEWS2
    status Fixed to "final"
    category The code is fixed to "vital-signs"
    The system is fixed to "http://hl7.org/fhir/observation-category"
    code The code MUST contain the Magic Code as per the HL7 vital signs guidance, MUST also have a SNOMED CT equivalent Magic Code and MAY have a more refined SNOMED CT concept code

    For NEWS2 body temperature Magic Code, the code is fixed to "8310-5" and the system is fixed to "http://loinc.org"

    For NEWS2 body temperature SNOMED CT Magic Code, the code is fixed to "276885007", and the system is fixed to "http://snomed.info/sct"

    For more refined SNOMED CT codes, the code is from the valueSet defined here and the system is fixed to "http://snomed.info/sct"

    If a more refined SNOMED CT code is used, then the userSelected element for that code MUST be checked
    subject A link to the Patient
    context Left uncurated as no use case in NEWS2
    effective[x] The date and time that the body temperature was taken, using effectiveDateTime
    issued Left uncurated as no use case in NEWS2
    performer A link to the performer who carried out this observation. This must be a qualified practitioner and associated organisation
    value[x] The actual body temperature reading as a valueQuantity. The unit is fixed to "Cel" and the system fixed to UCUM "http://unitsofmeasure.org"
    dataAbsentReason Left uncurated as no use case in NEWS2 (as only observations with values should be sent for NEWS2)
    interpretation Left uncurated as no use case in NEWS2
    comment Any additional notes or actions that the performer wishes to convey
    bodySite Left uncurated as no use case in NEWS2. Body site information may be implied by the pre-coordinated SNOMED CT concept used in Observation.code
    method Left uncurated as no use case in NEWS2
    device Left uncurated as no use case in NEWS2
    referenceRange Left uncurated as no use case in NEWS2
    related A link to any related observations
    component None of the component elements are required for CareConnect-BodyTemperature-Observation-1

    More Refined SNOMED CT Codes for Body Temperature

    «386725007|Body temperature (observable entity)|
    MINUS («248458005|Comparative temperature in limbs (observable entity)|
    OR «852591000000107|Maximum body temperature (observable entity)|
    OR «852601000000101|Minimum body temperature (observable entity)|
    OR «852581000000105|Target body temperature (observable entity)|
    OR «364419004|Temperature of cervical spine (observable entity)|
    OR «364424001|Temperature of thoracic spine (observable entity)|
    OR «364429006|Temperature of lumbar spine (observable entity)|
    OR «248835004|Temperature of breast (observable entity)|
    OR «250124002|Temperature of joint (observable entity)|
    OR «431197002|Temperature of digit (observable entity)|
    OR «364518005|Temperature of foot (observable entity)|
    OR «363997004|Temperature of pinna (observable entity)|
    OR «364537001|Temperature of skin (observable entity)|)

    Example

    Tags: design

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