Forslag til tekst om R6 i guidance

HL7Norway · Dec 4, 2024 · ea5c716 · ea5c716
1 parent 996079f
commit ea5c716
Show file tree

Hide file tree

Showing 2 changed files with 10 additions and 5 deletions.
diff --git a/VitalSigns/input/pages/guidance.md b/VitalSigns/input/pages/guidance.md
@@ -1,6 +1,10 @@
 ### Use of LOINC codes
 
-In FHIR, the LOINC codes (magic value) are mandatory to indicate what category of measurement the given observation is. This is problematic in Norway as LOINC is not generally used in clinical systems in Norway. The magic value codes are to be considered as category codes and if more precise coding is needed SNOMED or other terminology are recommended to use in addition to the magic value.  
+In [FHIR vital-signs](https://hl7.org/fhir/observation-vitalsigns.html), the LOINC codes (magic value) are mandatory to indicate what category of measurement the given observation is. Until release R5 the magic value was mandatory in the Observation.code element. This is problematic in Norway as LOINC is not generally used in clinical systems in Norway. The magic value codes are to be considered as category codes and if more precise coding is needed SNOMED or other terminology are recommended to use in addition to the magic value.
+
+### FHIR R6 changes
+
+R6 makes several changes to the use of magic values in vital-signs observations. First of the magic value is placed in the Observation.category which better represents our interpretation of the magic value, as a high level category that makes it easy to find similar measurements. Secondly there are valuesets for the Observation.code values that the vital-signs category should be used for. At the moment these valuesets only contains LOINC codes, which is problematic for use in Norway.
 
 ### Pulse rate vs Heart rate
 

diff --git a/docs/2024-12-02-notater.md b/docs/2024-12-02-notater.md
@@ -19,8 +19,7 @@ Lars Andreas Nystad
 
 ## Notater
 
-Guideance - Guidance  
-
+* AKSJON: Guideance - Guidance, OK  
 * AKSJON: Hvem er publisher for verdisett?  
   * Mest naturlig at det publiseres av HL7 Norge.  
   * HL7 Norge kan få en gratis versjon av Ontoserver.  
@@ -35,7 +34,7 @@ Guideance - Guidance
     * [arketype henvisning](https://arketyper.no/ckm/archetypes/1078.36.2165/sharewithcolleague)  
     * En linje pr. profil  
   * OK, lagt i copyright
-  * FIKS, ulik henvisning pr profil
+  * FIKS, ulik henvisning pr. profil
 * AKSJON: Lisens, hvilken lisens skal vi bruke, skrive det inn i konfigen sushi
   * OK, konfigureres i SUSHI  
   * Sjekk hva de bruker internasjonalt for lisens  
@@ -52,7 +51,9 @@ Guideance - Guidance
   * OK
 * AKSJON: Litt om utviklingen i R6 rund bruk av LOINC koder.  
   * På Guidance siden  
-* AKSJON: Overskrifter blir veldig rare (nivåene)  
+  * 
+* AKSJON: Overskrifter blir veldig rare (nivåene)
+  * OK  
 
 ## Workshop