Stream: implementers
Topic: Which Resource to Use?
Lee Surprenant (May 25 2016 at 16:59):
We have a set of informational/cautionary notes that we'd like to represent with FHIR. We're currently planning to represent them with extensions on core resources (e.g. OrderSet/PlanDefinition/CarePlan), but I'm wondering if we'd be better off having them as their own domain resources (since they are re-used across certain resources)
Lee Surprenant (May 25 2016 at 17:00):
In early versions of FHIR (DSTU 1?) there was an Alert resource "for managing clinical and administrative facts that need to be brought to the attention of users of clinical systems". Was it replaced by something else? Maybe subsumed by the CDS hooks stuff?
Dave Carlson (May 25 2016 at 17:53):
Lee, I believe that Alert was replaced by Flag.
Andrew Ross (May 25 2016 at 18:42):
there's also http://hl7-fhir.github.io/communication.html, which is a bit more general but whose use cases include "A reminder or alert delivered to a responsible provider"
Andrew Ross (May 25 2016 at 18:43):
as well as the associated http://hl7-fhir.github.io/communicationrequest.html, which can represent "A computer-based decision-support system requesting a reminder or alert be delivered to a responsible provider"
Grahame Grieve (May 25 2016 at 21:34):
yes Alert ==> Flag. That's what you should use
Lee Surprenant (May 26 2016 at 14:02):
Yeah, I saw "Communication" but it didn't seem right. I somehow missed 'Flag' until now...thx for the pointers!
Lee Surprenant (May 26 2016 at 14:10):
hmm, no general "description" element in Flag for the text of the message to be presented to the users
Lee Surprenant (May 26 2016 at 14:11):
so I was thinking maybe they just want me to use the normal narrative "text" element for that
Lee Surprenant (May 26 2016 at 14:11):
but then this example has me a little confused: http://hl7.org/fhir/2016May/flag-example.xml.html
Lee Surprenant (May 26 2016 at 14:12):
in this case there is some important information in the text of the corresponding 'code'
Lee Surprenant (May 26 2016 at 14:13):
and the narrative text is more of a title
Lee Surprenant (May 26 2016 at 14:17):
'code' has definition of "The coded value or textual component of the flag to display to the user" so I guess thats right
Lee Surprenant (May 26 2016 at 22:14):
Follow-on question: Can a Flag be about a definition resource like OrderSet/Protocol (soon to be PlanDefinition)? How about something like a Medication or Device? Currently, it seems to be scoped much tighter than that.
Lee Surprenant (May 26 2016 at 22:15):
subject Σ 1..1 Reference(Patient | Location | Group | Organization | Practitioner) Who/What is flag about?
Lloyd McKenzie (May 26 2016 at 23:10):
Flag.code.text is where the description would go.
Lloyd McKenzie (May 26 2016 at 23:10):
We had no use-cases for them to be about other things, but if you bring them forward, you can probably talk the WG to generalize the subject to be Any.
Lee Surprenant (May 26 2016 at 23:40):
thx lloyd, I opened it as http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10083
John Moehrke (May 27 2016 at 21:25):
Note IHE just released for Public Comment a profile that I think has this usecase . See the anouncement at http://us1.campaign-archive2.com/?u=a75e449ea24da34a9a89ed37a&id=a67b4428f1&e=f71f998cbe
Last updated: Apr 12 2022 at 19:14 UTC
