Table 1.
Bili App Data Elements and Dissemination Concerns
| Data Element | FHIR Resource | Example of Query Parameters | API | Dissemination Concerns |
| Birth time | Patient | Patient/[id] | Native, custom | An Epic non-FHIR API is used to get the birth time and add it as an extension to the native FHIR resource |
| Hospitalization | Encounter | Encounter?type=http://snomed.info/sct|32485007 | Native | Was not available in Epic 2017; now available |
| Albumin test | Observation | Observation?code= http://loinc.org|1751-7 | Native | Mapping may be required* |
| Blood type | Observation | Observation?code= http://loinc.org|19057-9 | Native | Mapping may be required* |
| Direct bilirubin test | Observation | Observation?code= http://loinc.org|1968-7 | Native | Mapping may be required* |
| Direct Coombs test | Observation | Observation?code= http://loinc.org|51006-5 | Native | Mapping may be required* |
| Gestational age | Observation | Observation?code= http://loinc.org|18185-9 | Custom | Was not available in Epic 2017 |
| Indirect Coombs test | Observation | Observation?code= http://loinc.org|893-8 | Native | Mapping may be required* |
| Total bilirubin test | Observation | Observation?code= http://loinc.org|1975-2 | Native | Mapping may be required* |
| Transcutaneous bilirubin test | Observation | Observation?code= http://loinc.org|58941-6 | Native | Mapping may be required* |
| Inpatient phototherapy procedure | Procedure | Procedure?code=http://snomed.info/sct|31394004 | Custom | Initially used custom FHIR service; can be replaced with native EHR Observation interface through LOINC mapping |
| Outpatient phototherapy procedure request | Procedure Request | ProcedureRequest?code= http://snomed.info/sct|31394004 | Custom | Requires custom FHIR service |
| Natural mother | Related Person | RelatedPerson?code=http://snomed.info/sct|65656005 | Custom | Requires custom FHIR service |
| Mother’s blood type | Observation (Mother) | Observation?code= http://loinc.org|882-1 | Custom | Requires custom FHIR service |
| Mother’s indirect Coombs test | Observation (Mother) | Observation?code= http://loinc.org|893-8 | Custom | Requires custom FHIR service |
*
Mapping of local codes to LOINC may be required in EHR configuration