FHIR Chat · Contained resource narratives · implementers

Stream: implementers

Topic: Contained resource narratives


view this post on Zulip Brian Postlethwaite (Apr 11 2017 at 01:48):

There is an invariant dom-1 (http://hl7.org/fhir/domainresource.html#invs) that prevents a contained resource from having narrative. Does anyone else think that this is limiting what you can have in there too much?
It means that you can't have the likes of a care plan with goals as narrative only contained references, for each of the individual goal. They would all have to be thrown into the CarePlan's narrative and therefore a UI can't present it nicely, apart from a large blob on the screen.

view this post on Zulip Brian Postlethwaite (Apr 11 2017 at 01:49):

anyone else have similar use cases?

view this post on Zulip Brian Postlethwaite (Feb 02 2018 at 00:21):

Anyone?
relevant to the Clinical Note discussions? @Michelle (Moseman) Miller

view this post on Zulip Richard Townley-O'Neill (Feb 02 2018 at 00:51):

I do not have a similar case at the moment.
But, it sounds like a problem to me.
It would be nice to have the reasons for not allowing this documented in the DomainResource resource.

view this post on Zulip Lloyd McKenzie (Feb 02 2018 at 01:48):

The contained resources can't stand alone. Therefore the important information would be expected to be in the Reference.display and the Resource.text of the containing resource. For the goal use-case, just put the narrative in the display if you want it kept separate from a discrete capture perspective.

view this post on Zulip Richard Townley-O'Neill (Feb 02 2018 at 01:50):

Reference.display sounds good to me.

view this post on Zulip Richard Townley-O'Neill (Feb 02 2018 at 01:53):

Maybe not.
Is it a problem that display is string and text is Narrative?

view this post on Zulip Akeem Leighton Foster Spencer (Feb 06 2018 at 16:30):

I notice when I render a patient's careplan's narratives, It looks like this:

A table inside a div for the text attribute in relations to the carePlan resource.

pasted image

Maybe this topic should be moved to a different stream? (Or a new one).


Last updated: Apr 12 2022 at 19:14 UTC