FHIR Chat · Approach to SDOH screening forms · argonaut

Stream: argonaut

Topic: Approach to SDOH screening forms


view this post on Zulip Josh Mandel (Mar 07 2022 at 19:13):

@Eric Haas for FHIR-35364 listed above... the resolution refers to a HackMd doc but I don't know if that doc is frozen. In the doc I see:

Although QuestionnaireResponse can be searched using the standard FHIR RESTful API search parameters, individual responses are not directly searchable in QuestionnaireResponse. In order to search directly for and individual responses, they must be “parsed” into a searchable form - i.e. to a local FHIR or non-FHIR data store such as a database or FHIR Observations.

but I disagree with this. It is possible to search for QuestionnaireResponse for specific questions and answers in a structure way; you just happen to get back the whole instrument when you find a match.

view this post on Zulip Josh Mandel (Mar 07 2022 at 19:14):

That's an easy tweak though, just changing the descriptive language slightly.

view this post on Zulip Josh Mandel (Mar 07 2022 at 19:16):

Also on:

Each QuestionnaireResponse must support:
the questions and boolean, decimal, string, coded, and Attachment(a.k.a., binary) type answers
each question must have a identifier the pointing to question

I'm not clear on what this means -- aren't the Questions part of the Questionnaire rather than the QuestionnaireResponse? Are the quoted bits just talking about linkIds?

view this post on Zulip Josh Mandel (Mar 07 2022 at 19:17):

Re: search params I'd turn SHOULD into SHALL For the questionnaire param:

questionnaire SHOULD reference Allows retrieving QuestionnaireResponses that have been completed against a specified form

view this post on Zulip Josh Mandel (Mar 07 2022 at 19:19):

image.png

What does this MS mean for implementations choosing "Option 2" (Observations)? It seems at a glance to require them to support "Option 1" as well (since the derivedFrom points to a Questionnaire, right?)

view this post on Zulip Eric Haas (Mar 07 2022 at 20:09):

Yes, you can't point out a single question you get the whole blob.

view this post on Zulip Eric Haas (Mar 07 2022 at 20:11):

yes linkID's

view this post on Zulip Eric Haas (Mar 07 2022 at 20:12):

making think SHALL trigger certification testing so would be nice to get implementers to opine too

view this post on Zulip Eric Haas (Mar 07 2022 at 20:14):

no need to support FHIR questionnaire beyond meta elements can point to any form - so technically no. This is a question for implementers since we talked a lot about linking all the observations to a singe survey that is one way to do this.

view this post on Zulip Eric Haas (Mar 07 2022 at 20:20):

I have serious misgivings about this approach btw, As you have pointed out, these are pieces of the whole Q/QR workflow and making it understandable without including all the other pieces is challenging.

view this post on Zulip Eric Haas (Mar 09 2022 at 20:22):

@Josh, I invited you to edit


Last updated: Apr 12 2022 at 19:14 UTC