Stream: new zealand
Topic: HL7NZ FHIR Connectathon Nov 20 2018
Peter Jordan (Nov 10 2018 at 22:56):
@David Hay , @Michael Lawley , @John Carter & @Brian Postlethwaite - let's use this Stream & Thread for all simple communications relating to the Connectathon and on the day itself for interactive chat. I'll post longer communications as Private Messages. Peter J
Michael Lawley (Nov 12 2018 at 06:58):
@Jim Steel will also want to know about this I expect
David Hay (Nov 12 2018 at 18:34):
Is Jim coming over as well?
Peter Jordan (Nov 12 2018 at 19:30):
Yes - we sent out an email yesterday to all participants including links to ConMan and a recommendation to use this Stream for interactive chat (there is also a link to it in ConMan).
David Hay (Nov 12 2018 at 20:26):
excellent...
Michael Lawley (Nov 19 2018 at 21:46):
(deleted)
Matthew Ferguson (Nov 19 2018 at 23:14):
Hmmm looks like I didn’t get the email about needing to bring a laptop.
Matthew Ferguson (Nov 19 2018 at 23:22):
Also I’ve got a question about the encounter resource. Where should the specialty go for an inpatient encounter? Use an extension? Or create a linked referralrequest resource?
David Hay (Nov 20 2018 at 00:27):
@Brian Postlethwaite ? There a 'serviceType' in R4 that seems close. If you wanted to use this in R3, then an extension would be needed...
Brian Postlethwaite (Nov 20 2018 at 01:22):
Yes, that's correct, we aligned Encounter with Appointment in R4. (assuming you had an appointment)
Matthew Ferguson (Nov 20 2018 at 01:41):
Yes that looks perfect.
Another question. Is there an easy way to merge an incoming resource from a source system (think a FHIR CDR being feed from multiple source systems) with the resource that is already in the FHIR?
The usecase is when two systems have a record for the same thing but one of them has extra information. When the system with less information has an update, a PUT request would wipe out that extra information right?
Jim Steel (Nov 20 2018 at 01:42):
You could get closer with a patch. Not all server support it though, and its not quite the same as a merge
Matthew Ferguson (Nov 20 2018 at 01:45):
(deleted)
Matthew Ferguson (Nov 20 2018 at 01:50):
I’m assuming adding latitude and longitude (and google s2 cell id) is something that would be suitable for an extension. Is it possible to extend the address structure, or would the patient resource need to be extended?
Lloyd McKenzie (Nov 20 2018 at 02:03):
The extension already exists: http://build.fhir.org/extension-geolocation.html
Brian Postlethwaite (Nov 20 2018 at 02:57):
There is a closure table operation that can provide you relationships from a provided value, and a set that you know about
http://hl7.org/fhir/terminology-service.html#closure
Brian Postlethwaite (Nov 20 2018 at 03:14):
A little while back I did a presentation on server design that covers many of the issues when implementing a fhir server.
https://www.slideshare.net/BrianPostlethwaite1/fhir-server-design-review
Michael Lawley (Nov 20 2018 at 03:54):
Here's the query that we developed for Health Pathways that finds codes "relevant to" injury of ankle:
curl -X GET \ 'https://ontoserver.csiro.au/stu3-latest/ValueSet/$expand?url=http://snomed.info/sct?fhir_vs=ecl/%28%3E%3E%20%28125603006%29%20OR%20%3C%20%28125603006%29%20OR%20%28%2A%20:%20%2A%20=%20%3C%3C%28125603006%20.%20363698007%29%29%29' \ -H 'Postman-Token: fb28e8b1-b131-4cef-a0fc-792951313583' \ -H 'cache-control: no-cache'
Michael Lawley (Nov 20 2018 at 03:56):
This uses a pattern of the form:
https://ontoserver.csiro.au/stu3-latest/ValueSet/$expand?url=http://snomed.info/sct?fhir_vs=ecl/(>> ({{code}}) OR < ({{code}}) OR (* : * = <<({{code}} . 363698007)))
where {{code}} is replaced by your code of interest (in te above, this was 125603006 |Injury of ankle|
Peter Jordan (Nov 20 2018 at 19:08):
@David Hay , @Michael Lawley , @Brian Postlethwaite , @Jared Davison , @Jim Steel & @John Carter - thanks guys for your leadership and stellar contributions to yesterday's successful event. Really enjoyed the trans-Tasman collaborations. I hope to see some of the outcomes recorded in ConMan, in addition to the nascent Provider Directory Services work that's now in GitHub.
Last updated: Apr 12 2022 at 19:14 UTC
