Stream: Gravity sdoh-cc
Topic: Connectathon 25
Andy Gregorowicz (Aug 26 2020 at 16:01):
Is anyone planning on participating in the September Connectathon? I'd like to put together a Gravity compliant Questionnaire based on PRAPARE, if anyone is interested in working with me.
Abbie Watson (Aug 29 2020 at 18:10):
Well, on the one hand, Symptomatic has a Gravity implementation from Connectathon 24 and could participate. On the other hand, the implementation from last Connectathon brought in zero inquiries or interest, and I'm poor from grad school loans and need to focus on implementations that are bringing in revenue. Interested, but there's no sponsor and other things are getting priority.
Robert Dieterle (Aug 31 2020 at 14:46):
There is already one available on NLM as part of the questionnaire tooling.
Andy Gregorowicz (Aug 31 2020 at 15:58):
NLM does have a version of PRAPARE, but it isn't an SDC Questionnaire, nor is it an "SDOH Questionnaire" (which is a term I've seen used in the track documentation and the IG). Is the NLM version good enough for use in the track?
Abbie Watson (Aug 31 2020 at 17:29):
Okay, so Symptomatic will be turning on our Gravity servers again, and will be available to participate in Connectathon 25. Might not be able to focus quite as much time on Gravity as last connectathon; but happy to run Questionnaire resources through our screening app.
Name: Abigail Watson
Organization: Symptomatic, LLC
Zulip: @Abigail Watson
Role: Screening App
BaseURL: https://gravity.symptomatic.io/baseR4
Notes: Focusing on the Structured Data Capture IG. Testing Gravity, In-Person Pre-Arrival Notional Workflow, and Care Coordination questionnaires.
Michael Cox (Aug 31 2020 at 18:08):
Andy Gregorowicz said:
NLM does have a version of PRAPARE, but it isn't an SDC Questionnaire, nor is it an "SDOH Questionnaire" (which is a term I've seen used in the track documentation and the IG). Is the NLM version good enough for use in the track?
Hi @Andy Gregorowicz , Mike C here from Onyx Health. We have built functionality to support Questionnaire deployment, using a Task resource, retrieval of the Questionnaire and acceptance of the QuestionnaireResponse POST from the client to our FHIR server. We have a custom-built FHIR server platform which also handles an OAuth 2.0 flow scoped to the patient. I would love to chat further with you about this, as I believe we can service your needs with functionality we have created for our SDOH Questionnaire use-case.
Please feel free to respond here, reach out in this Zulip chat private messages, or send us an email to get discussing.
Tagging our FHIR wizard @Mark Scrimshire to loop him in as well.
Michael Cox
michael.cox@onyxhealth.io
443-763-6400
Andy Gregorowicz (Aug 31 2020 at 19:13):
Thanks @Michael Cox and @Abigail Watson. So it sounds like if I take the existing PRAPARE Questionnaire and enhance it with SDC, one or both of you would be a place to host it. Is that correct?
Michael Cox (Aug 31 2020 at 23:07):
Andy Gregorowicz said:
Thanks Michael Cox and Abigail Watson. So it sounds like if I take the existing PRAPARE Questionnaire and enhance it with SDC, one or both of you would be a place to host it. Is that correct?
Yes sir, our SAFHIR platform can host your FHIR data in our server and allow for CRUD for R4 compliant FHIR operations.
@Abigail Watson - your application is more concerned with the rendering of the Questionnaire for the end user correct? Perhaps all three of us could cover the full use-case working together! :sunglasses:
Abbie Watson (Aug 31 2020 at 23:09):
Yeah, the Screening App should be able to display it also. How far away are we from having the PRAPARE Questionnaire ready? It would help to get a copy of it sooner rather than later.
Michael... same drill as last time; you create the authorization token which I update on the server. In theory, it should be mostly set up from last time. We just need to retrace our steps.
Michael Cox (Aug 31 2020 at 23:25):
Abigail Watson said:
Yeah, the Screening App should be able to display it also. How far away are we from having the PRAPARE Questionnaire ready? It would help to get a copy of it sooner rather than later.
Michael... same drill as last time; you create the authorization token which I update on the server. In theory, it should be mostly set up from last time. We just need to retrace our steps.
Agreed, I was thinking the same thing. Excited to collab folks! @Andy Gregorowicz
Andy Gregorowicz (Sep 01 2020 at 14:58):
@Abigail Watson I can give you the Questionnaire straight from NLM. It doesn't have any SDC extensions. I can add SDC, but I'm wondering what is supported.
Abbie Watson (Sep 01 2020 at 15:25):
Well, let's start with that. We have some of SDC implemented, not all; but happy to add more functionality in. I have a couple of Questionnaire/SDC items for next week, and it seems to be the topic of interest. If you could send over the NLM Questionnaire, that would be great.
Andy Gregorowicz (Sep 01 2020 at 17:23):
Abbie Watson (Sep 01 2020 at 17:45):
Give me a day or two to take a look, and I'll get a screenshot generated.
Michael Cox (Sep 02 2020 at 02:21):
Andy Gregorowicz said:
I will load this in our FHIR backend in preparation!
Abbie Watson (Sep 03 2020 at 18:49):
Okay, so did a mapping of the LOINC file into FHIR Questionnaire format:
Symptomatic-Gravity-PRAPARE-Import.png
And managed to render out a questionnaire in our preview view:
Symptomatic-Gravity-PRAPARE-Questionnaire-Collapsed.png
Symptomatic-Gravity-PRAPARE-Questionnaire-Expanded.png
Abbie Watson (Sep 03 2020 at 18:55):
And here is the JSON. I'm working on loading it up into our Gravity servers right now, but it requires some code updates and a redeploy.
EDIT: Original file removed. See updated version below.
Andy Gregorowicz (Sep 03 2020 at 18:57):
That's awesome
Andy Gregorowicz (Sep 03 2020 at 18:57):
It looks like they posted an agenda for the track now: https://confluence.hl7.org/pages/viewpage.action?pageId=86974627#id-202009GravitySDOHCCTrack-Agenda
Abbie Watson (Sep 04 2020 at 14:16):
Digging into the PRAPARE Questionnaire a bit more... the linkIds for the SECTION and CNE items were duplicated in the original file. If you go to the LOINC page for the SECTION linkId, you'll find the CNE subitems are different:
https://loinc.org/93043-8/
Long story short, here is an updated version with properly coded CNE item linkIds:
PRAPARE-Questionnaire.json
Michael Cox (Sep 09 2020 at 22:52):
@Abigail Watson @Andy Gregorowicz Hey guys, ready to rock tomorrow!!??
I am loading the latest PRAPARE questionnaire on our connectathon platform.
Abbie Watson (Sep 09 2020 at 22:54):
Well, sort of. I landed a new gig this week that pays the rent, and as much as I'd love to have Gravity top priority, I have morning onramping meetings with the client tomorrow; and I also have to participate with the SANER project. I've got a few hours to contribute to Gravity, but tomorrow is split between 3 or 4 groups that want my attention. Let me know how I can help. But I'm spread thin this time around. Keep me posted though, and I'll try to help with what I can.
Michael Cox (Sep 09 2020 at 22:59):
Abigail Watson said:
Well, sort of. I landed a new gig this week that pays the rent, and as much as I'd love to have Gravity top priority, and have morning meetings with the client; and I also have to participate with the SANER project. I've got a few hours to contribute to Gravity. Let me know how I can help. But I'm spread thin this time around. Keep me posted though, and I'll try to help with what I can.
Okay, congrats on the gig! Good luck onboarding. :clap:
I can provide access to the Questionnaire by simply delivering you the bearer token. The flow is simple, right? GET Questionnaire ; { render and complete on Symptomatic } ; POST QuestionnaireResponse .. right? Are we still using Task or no?
Andy Gregorowicz (Sep 09 2020 at 23:02):
@Michael Cox looking forward to working together
Andy Gregorowicz (Sep 09 2020 at 23:04):
I can try working through things using by sending a QuestionnaireResponse using Postman
Michael Cox (Sep 10 2020 at 13:58):
Andy Gregorowicz said:
I can try working through things using by sending a QuestionnaireResponse using Postman
Let's start on it! Our platform has an OAuth process that you can step through in the Postman > Authorization > SELECT Oauth 2.0 on dropdown
I can also supply the token if that gets too complicated. But why not give it a shot to show a secure access through OAuth 2.0.
https://nw-sf-con-uses0-rbyh-safhirapim.azure-api.net/CarinBB2.0/api/
^^ To access the above, you will need an app registration with sahfir (client id, client secret and necessary oauth endpoints). Let's get in a private chat and share that.
FOR CS: https://nw-sf-con-uses0-rbyh-safhirapim.azure-api.net/metadata
Corey Smith (Sep 10 2020 at 14:22):
@Michael Cox @Andy Gregorowicz this is great. if bob finishes his presentation early, would you like to share with other participants what you're working on today?
Corey Smith (Sep 10 2020 at 15:17):
Hello all. We will be starting a presentation on the profiles in the current version of the Gravity IG in 15 minutes ( (11:30 AM EDT) ). We will be taking a close look at examples and help participants who reviewed the previous version of the IG (Connectathon 24) understand some of the differences. Please join us.
Corey Smith (Sep 10 2020 at 17:54):
Hello all. Swapna from LOINC is back and is going to do her presentation about representing SDOH screening instruments in LOINC now. The session will be recorded.
Michael Cox (Sep 10 2020 at 18:46):
Corey Smith said:
Michael Cox Andy Gregorowicz this is great. if bob finishes his presentation early, would you like to share with other participants what you're working on today?
I'm so sorry Corey, I was locked in to some stuff with the CARIN team. I am awaiting some further details from Andy but perhaps tomorrow AM we can present something?
Corey Smith (Sep 10 2020 at 21:06):
Michael Cox said:
Corey Smith said:
Michael Cox Andy Gregorowicz this is great. if bob finishes his presentation early, would you like to share with other participants what you're working on today?
I'm so sorry Corey, I was locked in to some stuff with the CARIN team. I am awaiting some further details from Andy but perhaps tomorrow AM we can present something?
No problem at all Michael. We were ahead of schedule and just wanted to give you an opportunity to find other participants to test with and to share what you're doing. Was totally optional.... I'm sure we will have plenty of time tomorrow if you'd like to share what you've done. We will have to play the timing by ear a bit...
Monique van Berkum (Sep 10 2020 at 22:25):
Hello All, The slides from Joee's exercise today creating an SDC Questionnnaire and QuestionnaireResponse and the output Questionnaire.json and QuestionnaireResponse.json are posted on https://confluence.hl7.org/display/FHIR/2020-09+Gravity+SDOH-CC+Track
Joee Garcia (Sep 10 2020 at 22:35):
Hi everyone, BTW, for those who just attended the exercise on creating an HVS Questionnaire a couple of minutes ago. I figured out why the Questionnaire output did not work right away, some expressions I copied from my slides had a curly quote (’) instead of a single straight quote ('). These didn't make the LHC tools happy. The ones posted by Monique should have the fixes.
Last updated: Apr 12 2022 at 19:14 UTC
