Difference between revisions of "CDS Hooks Interface for Hacking Health Brisbane 2017 Track 6"
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== Example == | == Example == | ||
+ | <pre> | ||
{ | { | ||
"hookInstance": "b18905aa-3e49-42e0-8d07-b757b3431a78", | "hookInstance": "b18905aa-3e49-42e0-8d07-b757b3431a78", | ||
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} | } | ||
} | } | ||
+ | </pre> |
Revision as of 13:54, 13 July 2017
This page describes the interface for track 6 for Hacking Health Brisbane 2017 (see [[1]])
Basics
The cds-hook is 'order-review' - see [[2]].
Given the scenario described in the track, we assume that there's no call back to the EHR - so all data is provided via pre-fetch. Therefore, the EHR provides the following information:
- hook = order-review
- a hook instance
- a user id
- a patient
- an encounter (e.g. information about the GP consultation)
- a patient and and encounter resource matching those in the pre-fetch data
- at least one Condition - (problem list for the patient, also in the prefetch data
- one or more ProcedureRequest resources, for each test (or panel) requested by the clinician (in the context)
- no oauth/redirect details
The service returns a set of cards (no profile on the response yet).
Implementations
There's an implementation at http://test.fhir.org/r3/cds-services/hacking-health. All that implementation does is return a card that describes technical issues with the submission from the EHR.
Example
{ "hookInstance": "b18905aa-3e49-42e0-8d07-b757b3431a78", "hook": "order-review", "fhirServer": "https://localhost.oridashi.com.au:8102", "redirect": "https://localhost.oridashi.com.au:8102", "user": "2", "patient": "23", "context": [ { "resourceType": "ProcedureRequest", "id": "45-7D396A146D1FD03A92F7230356FACDE6", "meta": { "versionId": "20170711021134", "lastUpdated": "2017-07-11T12:11:34.473+10:00" }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>2017-07-11 B-HCG (QUANTITATIVE)</p></div>" }, "status": "active", "code": { "text": "B-HCG (QUANTITATIVE)" }, "subject": { "reference": "Patient/23" }, "occurrenceDateTime": "2017-07-11" }, { "resourceType": "ProcedureRequest", "id": "45-9FC347A75ABE32AFAF65EB15792561DE", "meta": { "versionId": "20170711021134", "lastUpdated": "2017-07-11T12:11:34.473+10:00" }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>2017-07-11 B12</p></div>" }, "status": "active", "code": { "text": "B12" }, "subject": { "reference": "Patient/23" }, "occurrenceDateTime": "2017-07-11" }, { "resourceType": "ProcedureRequest", "id": "44-E0C0F0DA74A4ECB181463073C0B14DE0", "meta": { "versionId": "20170711020919", "lastUpdated": "2017-07-11T12:09:19.277+10:00" }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>2017-07-11 AIDS SCREEN</p></div>" }, "status": "active", "code": { "text": "AIDS SCREEN" }, "subject": { "reference": "Patient/23" }, "occurrenceDateTime": "2017-07-11" }, { "resourceType": "ProcedureRequest", "id": "44-C33384F0A2A439F9F70B0FF63F5B30A3", "meta": { "versionId": "20170711020919", "lastUpdated": "2017-07-11T12:09:19.277+10:00" }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>2017-07-11 FBE</p></div>" }, "status": "active", "code": { "text": "FBE" }, "subject": { "reference": "Patient/23" }, "occurrenceDateTime": "2017-07-11" } ], "prefetch": { "encounter": { "response": { "status": "200 OK" }, "resource": { "resourceType": "Encounter", "id": "1-760", "meta": { "lastUpdated": "2017-07-11T12:11:40+10:00" }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>2017-07-11 12:06 : General Practitioner<pre>\r\nTuesday July 11 2017 12:06:46\r\nDr A Practitioner\r\nVisit type:\r\nSurgery Consultation\r\n\r\nActions:\r\nPathology requested: AIDS SCREEN; FBE - \r\nPathology requested: B-HCG (QUANTITATIVE); B12 - \r\n
"
}, "status": "in-progress", "type": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "62247001", "display": "General Practitioner" } ] } ], "subject": { "reference": "Patient/23" }, "participant": [ { "type": [ { "coding": [ { "system": "http://hl7.org/fhir/v3/ParticipationType", "code": "ATND", "display": "attender" } ] } ], "individual": { "reference": "Practitioner/2" } } ], "period": { "start": "2017-07-11T12:06:46+10:00" } } }, "patient": { "response": { "status": "200 OK" }, "resource": { "resourceType": "Patient", "id": "23", "meta": { "lastUpdated": "2017-07-03T15:19:08+10:00" }, "text": { "status": "generated",
"div": "
ANDREWS,Maureen (Female 94y)
"
}, "extension": [ { "url": "http://oridashi.com.au/fhir/Profile/patient-extensions#ethnicity", "valueCoding": { "system": "http://oridashi.com.au/system/abs/ethnicity", "code": "1104", "display": "Torres Strait Islander" } }, { "url": "http://oridashi.com.au/fhir/Profile/patient-extensions#ethnicity", "valueCoding": { "system": "http://oridashi.com.au/system/abs/ethnicity", "code": "5100", "display": "Mainland South-East Asian" } }, { "url": "http://oridashi.com.au/fhir/Profile/patient-extensions#ethnicity", "valueCoding": { "system": "http://oridashi.com.au/system/abs/ethnicity", "code": "1102", "display": "Australian Aboriginal" } }, { "url": "http://hl7.org.au/fhir/StructureDefinition/indigenous-status", "valueCoding": { "system": "http://meteor.aihw.gov.au/content/index.phtml/itemId/602543#Codes", "code": "3", "display": "Both Aboriginal and Torres Strait Islander origin" } } ], "identifier": [ { "use": "usual", "type": { "coding": [ { "system": "http://hl7.org/fhir/v2/0203", "code": "MC", "display": "Patient's Medicare Number" } ], "text": "Medicare Number" }, "system": "http://ns.electronichealth.net.au/id/medicare-number", "value": "22947241715" }, { "type": { "coding": [ { "system": "http://hl7.org/fhir/v2/0203", "code": "PEN", "display": "Pension Number" } ], "text": "Pensioner Number" }, "system": "http://ns.electronichealth.net.au/id/customer-reference-number", "value": "561388922HL" }, { "use": "usual", "type": { "coding": [ { "system": "http://hl7.org/fhir/v2/0203", "code": "NI", "display": "National unique individual identifier" } ], "text": "IHI" }, "system": "http://ns.electronichealth.net.au/id/hi/ihi/1.0", "value": "8003608233326545" }, { "use": "usual", "type": { "coding": [ { "system": "http://hl7.org/fhir/v2/0203", "code": "MB", "display": "Member Number" } ], "text": "Health Fund Number" }, "value": "19473022SB", "assigner": { "display": "BUPA AUSTRALIA HEALTH PTY LTD" } } ], "active": true, "name": [ { "use": "usual", "family": "ANDREWS", "given": [ "Maureen" ], "prefix": [ "Mrs" ] }, { "use": "nickname", "text": "Maureen" } ], "telecom": [ { "system": "phone", "value": "12344321", "use": "home" }, { "system": "phone", "value": "33334444", "use": "work" }, { "system": "phone", "value": "12343212", "use": "mobile", "rank": 1 }, { "system": "email", "value": "andrews.m@hcn.samplesdb.com.au", "use": "home" } ], "gender": "female", "birthDate": "1923-06-23", "deceasedBoolean": false, "address": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/iso21090-preferred", "valueBoolean": true } ], "use": "home", "type": "physical", "line": [ "314 Hope Street" ], "city": "Bundaberg", "state": "QLD", "postalCode": "4670" } ], "generalPractitioner": [ { "reference": "Organization/0" } ], "managingOrganization": { "reference": "Organization/0" } } }, "problems": { "response": { "status": "200 OK" }, "resource": { "resourceType": "Bundle", "id": "423aff27-1d2a-41c6-9620-d1e0ecb0947b", "meta": { "versionId": "20170713234839", "lastUpdated": "2017-07-13T23:48:39.503+10:00" }, "type": "searchset", "total": 16, "link": [ { "relation": "self", "url": "https://localhost.oridashi.com.au:8102/Condition?patient=23&_list=%24current-problems" }, { "relation": "last", "url": "https://localhost.oridashi.com.au:8102/Condition?patient=23&_list=%24current-problems&_page=1&_snapshot=636355865194254397" } ], "entry": [ { "fullUrl": "https://localhost.oridashi.com.au:8102/Condition/145", "resource": { "resourceType": "Condition", "id": "145", "meta": { "versionId": "20170509013646", "lastUpdated": "2017-05-09T11:36:46.43+10:00", "security": [ { "system": "http://hl7.org/fhir/v3/Confidentiality", "code": "N", "display": "normal" } ] }, "text": { "status": "generated",
"div": "
2017-05-09 Diabetes Mellitus
"
}, "clinicalStatus": "active", "verificationStatus": "confirmed", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "439401001", "display": "Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://oridashi.com.au/system/code/medicaldirectorterm", "code": "diabm", "display": "Diabetes Mellitus" } ], "text": "Diabetes Mellitus" }, "subject": { "reference": "Patient/23" }, "onsetDateTime": "2017-05-09", "abatementBoolean": false } }, { "fullUrl": "https://localhost.oridashi.com.au:8102/Condition/144", "resource": { "resourceType": "Condition", "id": "144", "meta": { "versionId": "20170504000145", "lastUpdated": "2017-05-04T10:01:45.153+10:00", "security": [ { "system": "http://hl7.org/fhir/v3/Confidentiality", "code": "N", "display": "normal" }, { "system": "http://oridashi.com.au/system/code/include-in-summary", "code": "SUMMARY", "display": "summary" } ] }, "text": { "status": "generated",
"div": "
2017-05-04 FREE TEXT TEST (inactive)
"
}, "clinicalStatus": "resolved", "verificationStatus": "confirmed", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "439401001", "display": "Diagnosis" } ] } ], "code": { "text": "FREE TEXT TEST" }, "subject": { "reference": "Patient/23" }, "onsetDateTime": "2017-05-04", "abatementBoolean": true } }, { "fullUrl": "https://localhost.oridashi.com.au:8102/Condition/140", "resource": { "resourceType": "Condition", "id": "140", "meta": { "versionId": "20170426041908", "lastUpdated": "2017-04-26T14:19:08.9+10:00", "security": [ { "system": "http://hl7.org/fhir/v3/Confidentiality", "code": "N", "display": "normal" }, { "system": "http://oridashi.com.au/system/code/include-in-summary", "code": "SUMMARY", "display": "summary" } ] }, "text": { "status": "generated",
"div": "
2017-04-06 Fracture - Elbow (Bilateral)
"
}, "clinicalStatus": "active", "verificationStatus": "confirmed", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "439401001", "display": "Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://oridashi.com.au/system/code/medicaldirectorterm", "code": "frac.elbo", "display": "Fracture - Elbow" } ], "text": "Fracture - Elbow (Bilateral)" }, "subject": { "reference": "Patient/23" }, "onsetDateTime": "2017-04-06", "abatementBoolean": false } }, { "fullUrl": "https://localhost.oridashi.com.au:8102/Condition/139", "resource": { "resourceType": "Condition", "id": "139", "meta": { "versionId": "20170403045948", "lastUpdated": "2017-04-03T14:59:48.403+10:00", "security": [ { "system": "http://hl7.org/fhir/v3/Confidentiality", "code": "N", "display": "normal" }, { "system": "http://oridashi.com.au/system/code/include-in-summary", "code": "SUMMARY", "display": "summary" } ] }, "text": { "status": "generated",
"div": "
2017-04-03 Fracture - Ankle (Left)
"
}, "clinicalStatus": "active", "verificationStatus": "confirmed", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "439401001", "display": "Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://oridashi.com.au/system/code/medicaldirectorterm", "code": "frac.ankl", "display": "Fracture - Ankle" } ], "text": "Fracture - Ankle (Left)" }, "subject": { "reference": "Patient/23" }, "onsetDateTime": "2017-04-03", "abatementBoolean": false } }, { "fullUrl": "https://localhost.oridashi.com.au:8102/Condition/135", "resource": { "resourceType": "Condition", "id": "135", "meta": { "versionId": "20170206121715", "lastUpdated": "2017-02-06T23:17:15.053+11:00", "security": [ { "system": "http://hl7.org/fhir/v3/Confidentiality", "code": "N", "display": "normal" } ] }, "text": { "status": "generated",
"div": "
2017-02-06 Diabetes Mellitus
"
}, "clinicalStatus": "active", "verificationStatus": "confirmed", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "439401001", "display": "Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://oridashi.com.au/system/code/medicaldirectorterm", "code": "diabm", "display": "Diabetes Mellitus" } ], "text": "Diabetes Mellitus" }, "subject": { "reference": "Patient/23" }, "onsetDateTime": "2017-02-06", "abatementBoolean": false } }, { "fullUrl": "https://localhost.oridashi.com.au:8102/Condition/134", "resource": { "resourceType": "Condition", "id": "134", "meta": { "versionId": "20170204130943", "lastUpdated": "2017-02-05T00:09:43.377+11:00", "security": [ { "system": "http://hl7.org/fhir/v3/Confidentiality", "code": "N", "display": "normal" }, { "system": "http://oridashi.com.au/system/code/include-in-summary", "code": "SUMMARY", "display": "summary" } ] }, "text": { "status": "generated",
"div": "
2017-02-05 Left Ventricular Hypertrophy
"
}, "clinicalStatus": "active", "verificationStatus": "confirmed", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "439401001", "display": "Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://oridashi.com.au/system/code/medicaldirectorterm", "code": "lvh", "display": "Left Ventricular Hypertrophy" } ], "text": "Left Ventricular Hypertrophy" }, "subject": { "reference": "Patient/23" }, "onsetDateTime": "2017-02-05", "abatementBoolean": false } }, { "fullUrl": "https://localhost.oridashi.com.au:8102/Condition/131", "resource": { "resourceType": "Condition", "id": "131", "meta": { "versionId": "20161118041140", "lastUpdated": "2016-11-18T15:11:40.173+11:00", "security": [ { "system": "http://hl7.org/fhir/v3/Confidentiality", "code": "N", "display": "normal" }, { "system": "http://oridashi.com.au/system/code/include-in-summary", "code": "SUMMARY", "display": "summary" } ] }, "text": { "status": "generated",
"div": "
2016 Tibial fracture
"
}, "clinicalStatus": "active", "verificationStatus": "confirmed", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "439401001", "display": "Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://oridashi.com.au/system/code/medicaldirectorterm", "code": "frac.tibi", "display": "Tibial fracture" } ], "text": "Tibial fracture" }, "subject": { "reference": "Patient/23" }, "onsetDateTime": "2016", "abatementBoolean": false } }, { "fullUrl": "https://localhost.oridashi.com.au:8102/Condition/130", "resource": { "resourceType": "Condition", "id": "130", "meta": { "versionId": "20161118034559", "lastUpdated": "2016-11-18T14:45:59.507+11:00", "security": [ { "system": "http://hl7.org/fhir/v3/Confidentiality", "code": "N", "display": "normal" }, { "system": "http://oridashi.com.au/system/code/include-in-summary", "code": "SUMMARY", "display": "summary" } ] }, "text": { "status": "generated",
"div": "
2016 Retinopathy
"
}, "clinicalStatus": "active", "verificationStatus": "confirmed", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "439401001", "display": "Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://oridashi.com.au/system/code/medicaldirectorterm", "code": "retinopa", "display": "Retinopathy" } ], "text": "Retinopathy" }, "subject": { "reference": "Patient/23" }, "onsetDateTime": "2016", "abatementBoolean": false } }, { "fullUrl": "https://localhost.oridashi.com.au:8102/Condition/129", "resource": { "resourceType": "Condition", "id": "129", "meta": { "versionId": "20161116111603", "lastUpdated": "2016-11-16T22:16:03.21+11:00", "security": [ { "system": "http://hl7.org/fhir/v3/Confidentiality", "code": "N", "display": "normal" } ] }, "text": { "status": "generated",
"div": "
2016-11-16 Diabetes Mellitus
"
}, "clinicalStatus": "active", "verificationStatus": "confirmed", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "439401001", "display": "Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://oridashi.com.au/system/code/medicaldirectorterm", "code": "diabm", "display": "Diabetes Mellitus" } ], "text": "Diabetes Mellitus" }, "subject": { "reference": "Patient/23" }, "onsetDateTime": "2016-11-16", "abatementBoolean": false } }, { "fullUrl": "https://localhost.oridashi.com.au:8102/Condition/29", "resource": { "resourceType": "Condition", "id": "29", "meta": { "versionId": "20130220051313", "lastUpdated": "2013-02-20T16:13:13.46+11:00", "security": [ { "system": "http://hl7.org/fhir/v3/Confidentiality", "code": "N", "display": "normal" }, { "system": "http://oridashi.com.au/system/code/include-in-summary", "code": "SUMMARY", "display": "summary" } ] }, "text": { "status": "generated",
"div": "
1999-08-10 Anaemia - iron deficiency
"
}, "clinicalStatus": "active", "verificationStatus": "confirmed", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "439401001", "display": "Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://oridashi.com.au/system/code/medicaldirectorterm", "code": "anem@irond", "display": "Anaemia - iron deficiency" } ], "text": "Anaemia - iron deficiency" }, "subject": { "reference": "Patient/23" }, "onsetDateTime": "1999-08-10", "abatementBoolean": false } }, { "fullUrl": "https://localhost.oridashi.com.au:8102/Condition/31", "resource": { "resourceType": "Condition", "id": "31", "meta": { "versionId": "20130220051311", "lastUpdated": "2013-02-20T16:13:11.98+11:00", "security": [ { "system": "http://hl7.org/fhir/v3/Confidentiality", "code": "N", "display": "normal" } ] }, "text": { "status": "generated",
"div": "
1999-02-25 Urinary tract infection
"
}, "clinicalStatus": "active", "verificationStatus": "confirmed", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "439401001", "display": "Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://oridashi.com.au/system/code/medicaldirectorterm", "code": "infe.urint", "display": "Urinary tract infection" } ], "text": "Urinary tract infection" }, "subject": { "reference": "Patient/23" }, "onsetDateTime": "1999-02-25", "abatementBoolean": false } }, { "fullUrl": "https://localhost.oridashi.com.au:8102/Condition/27", "resource": { "resourceType": "Condition", "id": "27", "meta": { "versionId": "20130220051307", "lastUpdated": "2013-02-20T16:13:07.947+11:00", "security": [ { "system": "http://hl7.org/fhir/v3/Confidentiality", "code": "N", "display": "normal" } ] }, "text": { "status": "generated",
"div": "
1999-02-03 Schizophrenia - borderline
"
}, "clinicalStatus": "active", "verificationStatus": "confirmed", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "439401001", "display": "Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://oridashi.com.au/system/code/medicaldirectorterm", "code": "schip@bord", "display": "Schizophrenia - borderline" } ], "text": "Schizophrenia - borderline" }, "subject": { "reference": "Patient/23" }, "onsetDateTime": "1999-02-03", "abatementBoolean": false } }, { "fullUrl": "https://localhost.oridashi.com.au:8102/Condition/26", "resource": { "resourceType": "Condition", "id": "26", "meta": { "versionId": "20130220051305", "lastUpdated": "2013-02-20T16:13:05.777+11:00", "security": [ { "system": "http://hl7.org/fhir/v3/Confidentiality", "code": "N", "display": "normal" }, { "system": "http://oridashi.com.au/system/code/include-in-summary", "code": "SUMMARY", "display": "summary" } ] }, "text": { "status": "generated",
"div": "
1992 Atrial Fibrillation
"
}, "clinicalStatus": "active", "verificationStatus": "confirmed", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "439401001", "display": "Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://oridashi.com.au/system/code/medicaldirectorterm", "code": "fibra", "display": "Atrial Fibrillation" } ], "text": "Atrial Fibrillation" }, "subject": { "reference": "Patient/23" }, "onsetDateTime": "1992", "abatementBoolean": false, "note": [ { "text": "Not medically re" } ] } }, { "fullUrl": "https://localhost.oridashi.com.au:8102/Condition/P14", "resource": { "resourceType": "Condition", "id": "P14", "meta": { "versionId": "20130220045221", "lastUpdated": "2013-02-20T15:52:21.113+11:00" }, "text": { "status": "generated",
"div": "
1960-02-20 Pregnancy
"
}, "clinicalStatus": "resolved", "verificationStatus": "confirmed", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "439401001", "display": "Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "77386006", "display": "Pregnant" } ] }, "subject": { "reference": "Patient/23" }, "onsetDateTime": "1960-02-20", "abatementDateTime": "1960-02-20" } }, { "fullUrl": "https://localhost.oridashi.com.au:8102/Condition/P13", "resource": { "resourceType": "Condition", "id": "P13", "meta": { "versionId": "20130220045112", "lastUpdated": "2013-02-20T15:51:12.813+11:00" }, "text": { "status": "generated",
"div": "
1952-02-20 Pregnancy
"
}, "clinicalStatus": "resolved", "verificationStatus": "confirmed", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "439401001", "display": "Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "77386006", "display": "Pregnant" } ] }, "subject": { "reference": "Patient/23" }, "onsetDateTime": "1952-02-20", "abatementDateTime": "1952-02-20" } }, { "fullUrl": "https://localhost.oridashi.com.au:8102/Condition/P12", "resource": { "resourceType": "Condition", "id": "P12", "meta": { "versionId": "20130220044957", "lastUpdated": "2013-02-20T15:49:57.963+11:00" }, "text": { "status": "generated",
"div": "
1950-02-20 Pregnancy
"
}, "clinicalStatus": "resolved", "verificationStatus": "confirmed", "category": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "439401001", "display": "Diagnosis" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "77386006", "display": "Pregnant" } ] }, "subject": { "reference": "Patient/23" }, "onsetDateTime": "1950-02-20", "abatementDateTime": "1950-02-20" } } ] } } }
}