Hi all,
We’re using OpenELIS Global [3.2.3], integrated with our EMR via [FHIR / HL7 v2] electronic orders.
In Test Management, we can set different reference ranges for a test based on sex and age.
We also need different ranges for pregnant patients (ideally per trimester) for tests like Hemoglobin, TSH, ALP and Creatinine, so that results are flagged correctly in antenatal care.
I have a few questions:
-
Is there a built-in way to define reference ranges based on pregnancy status (or any patient condition other than sex and age)? If so, where is it configured?
-
If not, how are other implementations handling this? For example:
- Creating separate “pregnancy” versions of the affected tests?
- Adding the pregnancy range as a result comment or report note?
- A customization in their own deployment?
-
If separate test versions is the usual approach, how do you manage LOINC codes, since both versions measure the same analyte? We match incoming EMR orders by LOINC, so duplicates are a concern for us.
-
Where should pregnancy status be captured: on the patient, on the sample/order, or somewhere else? Can it be received from an EMR order (e.g., as supporting information on the FHIR ServiceRequest)?
-
Is this on the roadmap, or would the team be open to a contribution in this area?
Any guidance or examples from existing deployments would be really helpful.