Reference( CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) For example, a MedicationRequest may require a patient to have laboratory test performed before it is dispensed. ObservationDefinition can be referenced by its canonical url using instantiatesCanonical, or by a name or an identifier using the appropriate sub-elements of instantiatesReference.Ī plan, proposal or order that is fulfilled in whole or in part by this event. See Choice of Data Types for further information about how to use The reference to a FHIR ObservationDefinition resource that provides the definition that is adhered to in whole or in part by this Observation instance.Ĭanonical( ObservationDefinition)| Reference( ObservationDefinition) This is a business identifier, not a resource identifier (see discussion)Īllows observations to be distinguished and referenced. Value.empty() or (coding.intersect(%).exists()).empty()Ī unique identifier assigned to this observation. If de is the same as an then the value element associated with the code SHALL NOT be present Other resources are used to provide context for observations such as laboratory reports, etc.ĭataAbsentReason SHALL only be present if Observation.value is not presentĭataAbsentReason.empty() or value.empty() Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. ![]() This resource is used to capture those that do not require more sophisticated mechanisms. Observations are a key aspect of healthcare. Measurements and simple assertions made about a patient, device or other subject. See the Observation Package for further details.ĭetailed Descriptions for the elements in the Observation resource. This page has been approved as part of an ANSI standard. All rights reserved.10.1.9 Resource Observation - Detailed Descriptions Orders and Observations Work GroupĬompartments: Device, Encounter, Patient, Practitioner, RelatedPerson Instrumentation Methods Numerical data Radio frequency identification device Standards Statistics.Ĭopyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. With continued improvement of electronic monitoring systems, combining electronic monitoring with observational methods may provide the best information as part of a multimodal strategy to improve and sustain hand hygiene compliance rates among HCP. Increasing evidence suggests that monitoring only Moments 1, 4, and 5 provides reasonable estimates of compliance with all 5 Moments. ![]() ![]() Disadvantages include the cost of installation, variable accuracy in estimating compliance rates, issues related to acceptance by HCP, insufficient data regarding their cost-effectiveness and influence on health care-related infection rates, and the ability of most systems to monitor only surrogates for Moments 1, 4, and 5. Electronic and camera-based systems can monitor hand hygiene performance on all work shifts without a Hawthorne effect and provide significantly more data regarding hand hygiene performance. ![]() Disadvantages include the resources required for observational surveys, insufficient sample sizes, and nonstandardized methods of conducting observations. Advantages of observational surveys include the unique ability to establish compliance with all of the World Health Organization "My 5 Moments for Hand Hygiene" initiative Moments and to provide just-in-time coaching. Observation by trained auditors is considered the gold standard method for establishing hand hygiene compliance rates. Monitoring hand hygiene compliance among health care personnel (HCP) is an essential element of hand hygiene promotion programs.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |