Stream: ihe
Topic: Distributed FHIR
Michael van der Zel (Oct 10 2019 at 12:27):
Suppose there are multiple information sources (ehr in hospital 1, ehr in hospital 2, gp) were data is available for 1 patient.
Suppose there is an index with endpoints per patient.
I am thinking about a solution were there is an index were we can get the Endpoints were data is available for a specific patient.
Is there anybody that can point me to examples or specifications for this?
Also interested in SMART-on-FHIR apps that can than present / integrate this data.
Thanks!
(I am not sure were to ask this question and I thought to start here)
John Moehrke (Oct 10 2019 at 12:33):
I think you are describing the problem that a new work item is to address. This work item intends to orchistrate the many existing (and some gaps) into an HIE that is based around FHIR -- https://github.com/IHE/IT-Infrastructure/tree/master/MHD-HIE
John Moehrke (Oct 10 2019 at 12:33):
As to the discovery of endpoints. the mCSD profile contains this functionality, for providing a directory where organization endpoints are published.
Michael van der Zel (Oct 15 2019 at 11:08):
As to the discovery of endpoints. the mCSD profile contains this functionality, for providing a directory where organization endpoints are published.
I would like to query for (organisation) endpoints based on a specific patient. If I interpret the mCSD right, it does not support that use-case.
John Moehrke (Oct 16 2019 at 20:24):
correct. you would find endpoints from mCSD, then do a query at each endpoint for the patient (PDQm)
John Moehrke (Oct 16 2019 at 20:26):
There could be a massive Patient registry... nothing to stop someone from centralizing a patient registry (using PDQm and/or PIXm). Then from that you would see all the alias Patient resources, each would be at different organizational endpoints. This however creates a massive patient database.
Last updated: Apr 12 2022 at 19:14 UTC
