Observation Delete use case

The "Delete" approach for observation resource will be as below. So this approach applies for any data point that is modelled as observation resource.

  • effectiveDateTime - will have the timestamp of the measurement/observation made.
  • identifier - will have the same unique identifier with which it has been ingested already
  • status - will always be "cancelled" for the deleted resource

   

Below is a sample for deleting a BG observation with internal confidence ID "AAAAA-AAAAA-AAAAA":

   

Step Description BG Value BG Measurement TimeStamp Type Identifier
1 A new blood glucose entry is made 170 2018-03-19T06:46:00+00:00 manual entry AAAAA-AAAAA-AAAAA
2 The entry is updated 177 2018-03-19T06:46:00+00:00 manual entry AAAAA-AAAAA-AAAAA
3 The entry is deleted; In FHIR it is logically deleted by replacing it with "cancelled" status 2018-03-19T06:46:00+00:00

The following bundle is generated on Step 3.

{
	"resourceType": "Observation",
	"identifier": [
		{
			"system": "http://roche.com/fhir/rdc/sid/observation/mySugr",
			"value": "AAAAA-AAAAA-AAAAA"
		}
	],
	"code": {
		"coding": [
			{
				"system": "http://loinc.org",
				"code": "41653-7",
				"display": "Glucose [Mass/volume] in Capillary blood by Glucometer"
			}
		]
	},
	"performer": [
		{
			"reference": "Patient/SandboxPat1"
		}
	],
	"effectiveDateTime": "2018-03-19T06:46:00+00:00",
	"meta": {
		"profile": [
			"http://roche.com/fhir/rdc/StructureDefinition/bg-observation"
		]
	},
	"subject": {
		"reference": "Patient/SandboxPat1"
	},
	"id": "821a82d5-6982-4768-8e0e-4d2a63aafd16",
	"category": [
		{
			"coding": [
				{
					"system": "http://roche.com/fhir/rdc/cs",
					"code": "clinical-observation",
					"display": "Clinical Observation"
				}
			]
		}
	],
	"device": {
		"reference": "DeviceMetric/57d99bc2-d1e4-4eb7-8dca-025a4e79466e"
	},
	"basedOn": [
		{
			"reference": "CarePlan/ab20a2dc-2a8c-4ea2-8629-8e9d8e72491e"
		}
	],
	"status": "cancelled",
	"valueQuantity": {
		"unit": "mg/dL",
		"system": "http://unitsofmeasure.org",
		"code": "mg/dL",
		"value": 177
	}
}