Stream: implementers
Topic: FHIR
supriya bhartiya (May 24 2016 at 13:47):
Hi can any one help post in FHIR
Pascal Pfiffner (May 24 2016 at 13:56):
Hi Supriya. I'd like to suggest this article to get you started:
http://stackoverflow.com/help/how-to-ask
Pravin Kolhe (Oct 06 2016 at 05:00):
Can someone please give me a reference to know details of FHIR and how FHIR is significant than existing HL7 standards? I am New to the FHIR concepts!
Pravin Kolhe (Oct 06 2016 at 05:02):
Can please someone give me reference to learn FHIR details and how exactly is significant than HL7 existing standards? Consider me as novice in FHIR..!
Lloyd McKenzie (Oct 06 2016 at 05:11):
The best place to start is the spec: http://hl7.org/fhir. Read the intros, executive summary, etc. You may find this page of the specification helpful as well: http://hl7.org/fhir/comparison.html
Lloyd McKenzie (Oct 06 2016 at 05:11):
There are lots of blogs and other places to turn to for more information as well. You can find most of them by navigating to the FHIR wiki from the FHIR specification home page
Shalini Sheoran (Oct 06 2016 at 16:29):
How are mental health records handled in FHIR? Are there any sample mental health records available?
Lloyd McKenzie (Oct 07 2016 at 04:08):
How would you expect mental health records to be distinct from health records in general? Are you interested in the additional privacy constraints or some other aspect?
Abdul Rauf (Nov 09 2016 at 10:50):
Hello every one i am new and want to implement FHIR API, please help and guide, using mvc, C#, Thanks
Abdul Rauf (Nov 09 2016 at 11:06):
I have already implemented my Web API, using MVC, i want to implement SNOMED CT using FHIR?
Abdul Rauf (Nov 09 2016 at 11:09):
not Matlab, its about SNOMED CT
Abdul Rauf (Nov 09 2016 at 11:10):
like i want to search a concept like "Malaria" in SNOMED CT and it has code value '123456' i have to show this in FHIR
Grahame Grieve (Nov 09 2016 at 12:33):
have you looked at the terminology services interface?
Sachin (Nov 06 2017 at 10:37):
Hi @everyone Will you guys point me to the link where i can get fhir xsd scema.
Michel Rutten (Nov 06 2017 at 10:41):
Hi @Sachin, you can find them on the downloads page of the FHIR specification:
https://www.hl7.org/fhir/fhir-all-xsd.zip
Sachin (Nov 06 2017 at 11:56):
Hi @Sachin, you can find them on the downloads page of the FHIR specification:
https://www.hl7.org/fhir/fhir-all-xsd.zip
Thanks Michel, Actually i had gone through that link but those schemas are throwing errors when i triedto use it in biztalk server.
Michel Rutten (Nov 06 2017 at 11:57):
That's a different issue... sorry, can't offer any help here.
Lloyd McKenzie (Nov 06 2017 at 22:55):
Try using the fhir-single.xsd - it's designed to be tool-friendly
Bob Milius (Nov 07 2017 at 19:30):
@Sachin I've found links to it on the resource page. e.g., on https://www.hl7.org/fhir/observation.html, scroll down to the line
"Alternate definitions: Master Definition (XML, JSON), XML Schema/Schematron (for ) + JSON Schema, ShEx (for Turtle)" and there are links to the .xsd and .sch files for Observation. There's also https://www.hl7.org/fhir/fhir-base.xsd
sandeep nani (Feb 12 2020 at 12:03):
Hello Guys,
ashima bhasin (May 14 2020 at 07:49):
Hi, I am confused with X12 (EDI transaction) and FHIR. Where does FHIR lies in EDI transaction? is FHIR replacing EDI transactions?
Grahame Grieve (May 14 2020 at 07:50):
it seems unlikely at this time but @MaryKay McDaniel might have a more informed perspective
ashima bhasin (May 14 2020 at 07:52):
i read that this can also be used to determine eligibility of a patient. and Currently its done using 270 X12 transaction.
Grahame Grieve (May 14 2020 at 07:53):
sounds like you should look at the Da Vinci track documentation and the Da Vinci implementation guides
joseph Salac (May 26 2020 at 15:16):
(deleted)
Prameela (Sep 16 2020 at 07:58):
Can someone help me to get the CPCDS to FHIR mapping latest files
David Pyke (Sep 16 2020 at 12:10):
https://build.fhir.org/ig/HL7/carin-bb/Common_Payer_Consumer_Data_Set.html
Prameela (Sep 18 2020 at 07:44):
Thanks
Yengibar Manasyan (Sep 23 2020 at 15:13):
Hi everyone, I have a question about changing logic.
Copy/paste from the documentation:
Note that chained parameters are applied independently to the target resource. For example,
GET Patient?general-practitioner.name=Joe&general-practitioner.address-state=MN
may return Patients cared for by Joe from CA and Jane from MN: no one practitioner need satisfy both conditions.
So, for me, it sounds like this: general-practitioner.name=Joe OR general-practitioner.address-state=MN.
How it must work in case of GET Patient?general-practitioner.name=Joe&general-practitioner.name=Steve?
Should it be like the previous one: general-practitioner.name=Joe OR general-practitioner.name=Steve or it must be general-practitioner.name=Joe AND general-practitioner.name=Steve?
Lloyd McKenzie (Sep 23 2020 at 15:28):
It would match if the Patient has a GP with the name Joe and a GP with the name Steve - it would not expect that both names occur on the same practitioner - though they could.
Orrin Lippoff,M.D. (Feb 19 2021 at 16:56):
trying to find a company to help set up FHIR or Da Vinci to enable obtain authorizations for specialty referrals
Orrin Lippoff,M.D. (Feb 19 2021 at 16:57):
Trying to find a company to help us utilize FHIR or Di Vinci to obtain specialty referral authorizations loaded onto our server as needed
Lloyd McKenzie (Feb 19 2021 at 17:05):
If you'd like to solicit, please send a private message to @Grahame Grieve. He will post the request on the appropriate stream. (Solicitations aren't appropriate on this stream)
booma radhakrishnan (Apr 16 2021 at 15:50):
We are planning to have initial set of patient screening questions for the patients and wanted to save the symptoms based on the response positive or negative symptoms and save back to the patient details. Which resource type can be used that can be supported in EHR systems.
Lloyd McKenzie (Apr 16 2021 at 15:58):
Observation is generally used to represent symptoms.
Venky (Sriram) Nagaraja Rao (Mar 09 2022 at 22:07):
hi there
Though FHIR is a standard by intent, am not seeing it as a standard in spirit
Too many implementation guides and the JSON does not adhere to anything strict.
Comments/Opinions/Thoughts welcome
Lloyd McKenzie (Mar 09 2022 at 22:47):
It may be helpful to think of FHIR as a 'foundation' for standards. FHIR standardizes everything where there is consensus across its scope. However, its scope is vast - inpatient, outpatient, veterinary, social services, public health, research, claims - in every country in the world. As a result, there's a limit to what constraints can reasonably be imposed. We can't say that Patient.name is mandatory when the patient might be a chicken, someone who arrives unconscious at the ER, or a record submitted as part of anonymized reporting.
However, by defining the building blocks, the technical architectures for exchange, and the process for specifying constraints on the spec when it's used in specific contexts, FHIR drives considerable re-use and consistency and means that the starting point for discussions around interoperability in a particular healthcare discipline, a particular country, or some other context don't have to start from ground zero. Furthermore, it greatly increases the likelihood that different implementers solving similar problems in different places will come up with solutions with a much better impedance match than they would if they'd simply written their own JSON schemas.
The other key part of FHIR is the community (e.g. this forum) where, even in the absence of specific guidance in the FHIR core spec, implementers improve their alignment through talking about issues, searching to see what others have done, leveraging and aligning with the work of other IG creators, and providing feedback that evolves both the core spec and the IGs.
FHIR is definitely not a panacea. There is no guarantee that two systems defined completely independently will share say "drug prescription" information out-of-the box. Different choices will be made around drug codes or the level of detail in which to encode dosage. One might choose messaging, another REST. However, it's still going to be less work to get those systems to talk to each other than it would have been with HL7 v3, or even possibly HL7 v2.
John Moehrke (Mar 10 2022 at 14:51):
@Grahame Grieve this response from @Lloyd McKenzie needs to be "guest blog" on your product director blog...
Cooper Thompson (Mar 10 2022 at 15:31):
This is somewhat related to this blog post: http://www.healthintersections.com.au/?p=2921
Rupal jain (Mar 24 2022 at 06:08):
How EHR's can adopt FHIR if its already having a large database of patients with hl7 information
René Spronk (Mar 24 2022 at 06:57):
Architecturally there are various ways of supporting this, but exposing the FHIR API through a webserver and mapping your internal database structures to FHIR resources would be a prime option.
Rupal jain (Mar 24 2022 at 07:56):
will hapi server is the best fhir server through which mapping can be done? or do we require to create our own fhir server?or linking the parser in between EHR and FHIR server and that FHIR can communicate with 3rd party fhir server will be the best way? Is there any implementation guide or tool available for mapping ?
René Spronk (Mar 24 2022 at 08:05):
FHIR doesn't mandate nor recommend any particular architectural approach or tools, as that is a highly contextual decision, and for each tool there are probably competing alternatives. You may wish to study the FHIR spec when it comes to implementation aspects, such as the http://build.fhir.org/implsupport-module.html page.
In general, asking generic open questions is unlikely to lead to specific answers on this volunteer based forum. What, specifically, do you feel the best solution in your context would be? If you were to detail your proposed way of implementing a solution it would be easier for the FHIR community to comment. (see also: https://confluence.hl7.org/display/FHIR/FHIR+Rules+for+Asking+Questions)
Shreelekha Verma (Mar 28 2022 at 11:06):
Hi Everyone, I have question related to Provenance.
When the bundle content type is JSON then, I am getting element name as _recorded instead of recorded for Provenance.
This happens only when DataAbsent Extension is present for recorded element.
However in the case of XML the element name is recorded.
image.png
What can be the cause of addition of _ when the bundle is in JSON format?
Stephen MacVicar (Mar 28 2022 at 12:22):
That is how extensions on primitive elements are represented in JSON: https://www.hl7.org/fhir/json.html#primitive
Lloyd McKenzie (Mar 28 2022 at 15:11):
If you have a 'simple' data type (date, string, integer, etc.) and need to communicate either 'extension' or 'id', you can't do that within the simple type because in JSON simple types are just of type 'string' or 'boolean' or whatever. So there's a parallel element starting with _ that is an 'object' that can contain those nested elements. See https://build.fhir.org/json.html#primitive
Last updated: Apr 12 2022 at 19:14 UTC
