Stream: implementers
Topic: FHIR version
Grahame Grieve (Jul 18 2016 at 11:50):
heads up all - by the end of this year the FHIR revision will have rolled over past 10000. If you assume string order, of 4 digits, you'll be caught out...
Ankita Srivastava (Jul 20 2016 at 08:41):
Hi Grahame, I have a query related to CCDA - CCD file. In case we want to store multiple CCD files of same patient then how should we compare the data in that case? In CCD file there are two levels of id available - one at section level and other at entry level. Should we consider both id for identifying existing data or entry level id is sufficient for that?
Grahame Grieve (Jul 20 2016 at 21:49):
I think you'll haev to give me more context. is this in regard to FHIR?
Ankita Srivastava (Jul 21 2016 at 05:49):
Hi Grahame, I am working on CCDA to FHIR mapping. First time patient will upload CCDA file on portal in which data will be converted into fhir and will get stored in DB. Again he uploads one more CCDA file with existing and new entries in the file. Now at the time of storing the data in DB, how will I identify whether the entry is already existing or new one?
Ankita Srivastava (Jul 22 2016 at 05:20):
Let me know.. if you need anything else..
Grahame Grieve (Jul 22 2016 at 05:26):
my opinion is that you cannot know whether it's already existing or not. @Rick Geimer might offer an opinion
Ankita Srivastava (Jul 22 2016 at 05:31):
Hi Grahame.. so another query related to this only.. if a patient gets CCDA - CCD file from hospital with some observations containing unique id. After some days, if he gets another CCDA - CCD file from the same hospital so in this case previous observations will contain same id (as existing in previous doc) or different one?
Grahame Grieve (Jul 22 2016 at 05:36):
my experience is that the answer is mostly no, and that you can't tell from looking at the document
Ankita Srivastava (Jul 22 2016 at 05:38):
Thanks.. that means it will complicate the scenario in case we want to handle ccda file merge in fhir
Grahame Grieve (Jul 22 2016 at 05:39):
yep. that's going to be extremely hard because of that specific issue.
Grahame Grieve (Jul 22 2016 at 05:39):
@Rick Geimer - a blog post subject for you....
Last updated: Apr 12 2022 at 19:14 UTC
