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

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Line 27: Line 27:
  
 
  {
 
  {
 +
  "hookInstance": "b18905aa-3e49-42e0-8d07-b757b3431a78",
 
   "hook": "order-review",
 
   "hook": "order-review",
−
   "hookInstance": "123",
+
   "fhirServer": "https://localhost.oridashi.com.au:8102",
−
   "user": "Practitioner/123",
+
   "redirect": "https://localhost.oridashi.com.au:8102",
−
   "patient": "Patient/1234",
+
   "user": "2",
−
   "encounter": "Encounter/234",
+
   "patient": "23",
−
   "context": [{
+
   "context": [
−
     "resourceType": "ProcedureRequest",
+
    {
−
    "subject": {
+
      "resourceType": "ProcedureRequest",
−
      "reference": "Patient/1234"
+
      "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"
 
     },
 
     },
−
     "context": {
+
     {
−
       "reference": "Encounter/234"
+
      "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"
 
     },
 
     },
−
     "code": {
+
     {
−
       "coding": [{
+
      "resourceType": "ProcedureRequest",
−
         "system": "http://loinc.org",
+
      "id": "44-C33384F0A2A439F9F70B0FF63F5B30A3",
−
         "code": "24320-4"
+
      "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": {
 
   "prefetch": {
−
     "patient" : {
+
     "encounter": {
−
    "resourceType": "Bundle",
+
      "response": {
−
    "entry": [{
+
        "status": "200 OK"
 +
      },
 
       "resource": {
 
       "resource": {
−
         "resourceType": "Patient",
+
         "resourceType": "Encounter",
−
         "gender": "male",
+
         "id": "1-760",
−
         "birthDate": "1970-01-01",
+
         "meta": {
−
         "id": "1234"
+
          "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": {
 
       "resource": {
−
         "resourceType": "Encounter",
+
         "resourceType": "Patient",
−
         "id": "234",
+
         "id": "23",
−
         "subject": {
+
        "meta": {
−
           "reference": "Patient/1234"
+
          "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>"
 
         },
 
         },
−
         "reason": [{
+
         "extension": [
−
           "text": "Sudden LOC"
+
          {
−
         }]
+
            "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": {
 
       "resource": {
−
         "resourceType": "Condition",
+
         "resourceType": "Bundle",
−
         "subject": {
+
         "id": "423aff27-1d2a-41c6-9620-d1e0ecb0947b",
−
           "reference": "Patient/1234"
+
        "meta": {
 +
           "versionId": "20170713234839",
 +
          "lastUpdated": "2017-07-13T23:48:39.503+10:00"
 
         },
 
         },
−
         "code": {
+
         "type": "searchset",
−
           "coding": [{
+
        "total": 16,
−
             "system": "http://snomed.info/sct",
+
        "link": [
−
             "code": "73211009",
+
          {
−
             "display": "Diabetes mellitus"
+
            "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",
 +
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                    {
 +
                      "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>1999-08-10 Anaemia - iron deficiency</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": "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>1999-02-25 Urinary tract infection</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": "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>1999-02-03 Schizophrenia - borderline</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": "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>1992 Atrial Fibrillation</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": "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>1960-02-20 Pregnancy </p></div>"
 +
              },
 +
              "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>1952-02-20 Pregnancy </p></div>"
 +
              },
 +
              "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": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>1950-02-20 Pregnancy </p></div>"
 +
              },
 +
              "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"
 +
            }
 +
          }
 +
         ]
 
       }
 
       }
−
     }]
+
     }
 
   }
 
   }
−
}
+
}

Revision as of 13:53, 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": "

2017-07-11 B-HCG (QUANTITATIVE)

" 

     },
     "status": "active",
     "code": {
       "text": "B-HCG (QUANTITATIVE)"
     },
     "subject": {
       "reference": "Patient/23"
     },
     "occurrenceDateTime": "2017-07-11"
   },
   {
     "resourceType": "ProcedureRequest",
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2017-07-11 B12

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2017-07-11 AIDS SCREEN

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2017-07-11 FBE

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2017-07-11 12:06 : General Practitioner

\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

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ANDREWS,Maureen (Female 94y)

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2017-05-09 Diabetes Mellitus

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2017-05-04 FREE TEXT TEST (inactive)

" 

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2017-04-06 Fracture - Elbow (Bilateral)

" 

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2017-04-03 Fracture - Ankle (Left)

" 

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2017-02-06 Diabetes Mellitus

" 

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"div": "

2017-02-05 Left Ventricular Hypertrophy

" 

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"div": "

2016 Tibial fracture

" 

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2016 Retinopathy

" 

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2016-11-16 Diabetes Mellitus

" 

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"div": "

1999-08-10 Anaemia - iron deficiency

" 

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               "text": "Anaemia - iron deficiency"
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             "text": {
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"div": "

1999-02-25 Urinary tract infection

" 

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                 "coding": [
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                     "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"
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             ],
             "code": {
               "coding": [
                 {
                   "system": "http://snomed.info/sct",
                   "code": "77386006",
                   "display": "Pregnant"
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               ]
             },
             "subject": {
               "reference": "Patient/23"
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             "onsetDateTime": "1960-02-20",
             "abatementDateTime": "1960-02-20"
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         },
         {
           "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"
           }
         }
       ]
     }
   }
 }

}

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