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Difference between revisions of "CDS Hooks Interface for Hacking Health Brisbane 2017 Track 6"

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   "hookInstance": "b18905aa-3e49-42e0-8d07-b757b3431a78",
 
   "hookInstance": "b18905aa-3e49-42e0-8d07-b757b3431a78",
 
   "hook": "order-review",
 
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Revision as of 13:58, 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</pre></p></div>"
        },
        "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>ANDREWS,Maureen (Female 94y)</p></div>"
        },
        "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>2017-05-09 Diabetes Mellitus</p></div>"
              },
              "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>2017-05-04 FREE TEXT TEST (inactive)</p></div>"
              },
              "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>2017-04-06 Fracture - Elbow (Bilateral)</p></div>"
              },
              "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>2017-04-03 Fracture - Ankle (Left)</p></div>"
              },
              "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>2017-02-06 Diabetes Mellitus</p></div>"
              },
              "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>2017-02-05 Left Ventricular Hypertrophy</p></div>"
              },
              "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>2016 Tibial fracture</p></div>"
              },
              "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>2016 Retinopathy</p></div>"
              },
              "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",
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