Stream: implementers
Topic: Teledermatology
Blake Mumford (Jul 20 2017 at 04:32):
Hi,
Long time lurker, first time posting.
I'm looking at using FHIR data model for a (hopefully) simple teledermatology app for our public clinic.
We want to enable patients to send photos of rashes using their mobile. This will allow us to monitor response to treatment more closely without the need to recall them physically to the clinic. (We have many patients who live several hours away.)
I'm wondering what the best FHIR resource is to represent a patient sending a message to the clinic with one or more photos attached with a simple comment. Is it Encounter + a reference to a Media resource? Or is it a referral?
What is the best FHIR resource to represent a clinician responding with instructions in response to the patient's message? Communication?
Thanks,
Blake
Richard Townley-O'Neill (Jul 20 2017 at 05:18):
Maybe the patient sends the photos in Observation.component.valueAttachment and the comments in Observation.comment.
Richard Townley-O'Neill (Jul 20 2017 at 05:24):
Maybe the clinician response can be a Communication with a Clinical Impression and a Task
Lloyd McKenzie (Jul 20 2017 at 05:25):
Pictures are most ideally represented using Media. Comment would be Observation. "Sending instructions" depends on the types of instructions you're providing - ProcedureRequest or CarePlan are the most likely...
Blake Mumford (Jul 20 2017 at 08:55):
Thanks! I'll give those a go
Brian Postlethwaite (Jul 24 2017 at 04:22):
Just an FYI, but when you're sending the images, check on the sizes that you're sending, and in your create call, you might want to set the prefer header to outcome so that you don't get the image sent back to you that you just saved.
http://hl7.org/fhir/http.html#2.21.0.5.2
Last updated: Apr 12 2022 at 19:14 UTC
