Stream: uk
Topic: NHS System Ids
Richard Kavanagh (Mar 30 2016 at 08:18):
Within HSCIC we have created a number of profiles and consequently a number of FHIR System Ids which we would expect to be shared across the FHIR developments in the the UK. I'd be interested in thoughts on how these should be exposed so that:
1) They are easy to access by all
2) Other people can add their systems ids as well
Thoughts?
Jonny Rylands (Mar 30 2016 at 09:58):
Yes this is great and absolutely needed for good interoperability - there are a number of places that are already duplicating identifier systems (Endeavour, Black Pear) so would be good to centralise this and remove any duplication.
Suggest something simple (webpage) in a central location (developer.nhs.uk?) to start with? With a submission form to request the addition of new identifiers?
Kevin Mayfield (Mar 30 2016 at 20:32):
Yep a web page would do. I've not been using profiles (FGM, GP Appointments, etc) but have been delving into them to get identifiers. (This is for a English trust not Scottish board)
Jonny Rylands (Mar 30 2016 at 20:39):
I've put a page up at http://fhir.endeavourhealth.org/profiles/identifiersystems.html for the Endeavour FHIR guide, which references the various NHS ones published so far. Would be great if this could be done by the centre. Cheers
Kevin Mayfield (Mar 30 2016 at 20:56):
This is a list of identifiers I'd extracted from published English profiles (the Scottish aren't official but in use on Scotland) http://www.mayfield-is.co.uk/index.html#/news
Jonny Rylands (Mar 30 2016 at 22:23):
Excellent thanks. Where did you get the CHI number system from? (http://fhir.nhs.scot.uk/Patient/CHINumber)
René Spronk (Mar 31 2016 at 04:49):
The scotish NHS 111 service uses a FHIR based repository - they must have assigned all sorts or URIs for that project.
Kevin Mayfield (Mar 31 2016 at 05:15):
CHI is from NHS Lothian (Edinburgh)
Jonny Rylands (Mar 31 2016 at 11:27):
Do you have a web reference to it?
Kevin Mayfield (Mar 31 2016 at 11:32):
No sorry
Jonny Rylands (Mar 31 2016 at 11:35):
OK thanks anyway
Richard Kavanagh (Apr 01 2016 at 17:30):
I'll pick this up when I am back in the office (week after next).
Kevin Mayfield (Apr 03 2016 at 06:36):
@Jonny Rylands Just had a browse around your profiles, they are very similar to the ones I'm using in secondary care. Main difference is naming of identifiers - we're (plus HSCIC) using different URI's identifiers to describe the same set of values (NHS Number, Organisation Type, specialty/treatment function codes, etc. Are you planning to align with HSCIC when they publish them (or is the the other way around).
Kevin Mayfield (Apr 03 2016 at 07:03):
Question is for project I'm about to start, I'd like to get identifiers aligned as I'm finding they are awkward to change later on. We're looking to exchange documents between secondary care trusts, I'd like to use FHIR(+REST) and base it on the XDS (http://wiki.ihe.net/index.php?title=Cross-Enterprise_Document_Sharing). It will only be sending of documents for now (ITI-41 in the link).
Ian McNicoll (Apr 03 2016 at 08:11):
@Kevin Mayfield @Jonny Rylands Keep me in the loop as we will want to stay aligned re Ripple.
Jonny Rylands (Apr 04 2016 at 09:28):
@Kevin Mayfield We'll align to HSCIC, certainly in identifier/coding systems/valuesets. We'll most likely align to their resource profiles as long as they fit our use cases. We've fed into their design process for some of the profiles so we don't expect theirs to be wildly different.
Jonny Rylands (Apr 04 2016 at 09:28):
@Ian McNicoll Will do.
Kevin Mayfield (Apr 05 2016 at 06:46):
@Richard Kavanagh I'd find it useful to have the HSCIC@FHIRCodeSystems mapped to tables in the 'HSCIC ITK - Interoperability Message Specification Reference Tables' document. Not all of the them just the ones used frequently but something that says 'User Table 0006 - Religion' is http:/fhir.england.nhs.uk/Patient/Religion used in Patient or 'User Table 0009 - Ambulatory status' http:/fhir.england.nhs.uk/Encounter/AmbulatoryStatus used in Encounter.
Kevin Mayfield (Apr 05 2016 at 06:53):
I'm currently building a NHS ITK HL7v2 end point which populates a FHIR HAPI JPA Server. It's not a full implementation and a work in progress - it's coded operational requirements (and for a specific trust) - code is available here https://github.com/KevinMayfield/AyeUp/tree/master/HL7v2-HAPI
Kevin Mayfield (Apr 08 2016 at 16:50):
Update: Have moved code over to a new repository https://github.com/KevinMayfield/Jorvik
Last updated: Apr 12 2022 at 19:14 UTC
