More FHIR Messaging: ADT messages

We’ve previously talked about converting HL7 Version 2 messages (hereafter called ‘v2’) to FHIR bundles. Let’s take that a step further and dig into a bit more detail about processing messages in FHIR.

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Updating Observations in FHIR

Had an interesting question put to me yesterday. We’re developing functionality to store Observations sourced both from a User Interface and also personal devices like Blood Pressure monitors, Scales & Glucose meters; and then do interesting stuff with them – like render them as a chart in a UI, make available to mobile devices, perform analytics and so forth.

As part of the testing process, one of the developers asked (as developers do) – what should we do if we get an updated observation, and the Observation.name is different from the original? It’s not impossible that the user in a UI selected the wrong type of observation (which is Observation.name in DSTU-1) initially and then sent an update through.

Putting to one side the security aspects (are they allowed to make this kind of update) and the version history – what should the repository do?

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FHIR in the news…

A time is going to come when FHIR news is just going to be just plain ordinary (or not worth reporting on) – but until then, articles like this (sent to me by my son who isn’t even in health IT) are still exciting!

cheers…

More Argonaut stuff

Interesting article on how FHIR and Argonaut continue to gain momentum in the US.

FHIR does seem on track to become the Lingua Franca of healthcare information exchange…

SMART writing

And hot on the heels of the last post that referenced a ‘FAQ’ from the SMART on FHIR Support group is this question about using the SMART interface for writing as well as reading data.

The question:

looking at the docs they all show how to get data and launch apps but nothing about sending data. Is the import also fhir or do I have to hack the database instead?

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SMART, CIMI, FHIR & Argonaut

Saw an interesting question and answer on the SMART support forum about the relationship between SMART and FHIR which Josh has allowed be to copy here (as it’s so topical might now). The question was:

Anyone who happens to know … I’d appreciate it if you could clue me in…

Other than the kick ass implementations done on the SMART-on-FHIR side of world, is there something that SMART adds definitionally to the pile of stuff at documented in a very scattered fashion (not a criticism – it’s the nature of what these things) over at HL7 FHIR? Or is it Boston Children’s/Harvard’s project working to implement the HL7 FHIR standards in a coherent way? Or … what?

Also, via CIMI (which I get the purpose of, I think), I came across Health Services Platform Consortium (HSPC). What are they doing that SMART-on-FHIR isn’t doing? Even all of the posted “apps” that “they” have developed that are running come from you. Do they (above and beyond what the mission is here) have a technical purpose? Or is it politics or marketing or something of the like that I don’t understand.

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FHIR DSTU-2 Profiles

A couple of posts on Profiles in the DSTU-2 candidate from the guys at Furore:

These guys have been involved with – and supported – FHIR from the very beginning, are the maintainers of one of the FHIR test servers (Spark) and are also the authors of the reference profile editor (forge) so they know their stuff!