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== Example == | == Example == | ||
| + | <pre> | ||
{ | { | ||
"hookInstance": "b18905aa-3e49-42e0-8d07-b757b3431a78", | "hookInstance": "b18905aa-3e49-42e0-8d07-b757b3431a78", | ||
| Line 1,193: | Line 1,194: | ||
} | } | ||
} | } | ||
| + | </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": "
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