MedMij:V2017.04 FHIR LaboratoryResults: verschil tussen versies

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Regel 241: Regel 241:
 
| The clinically relevant time of the report.
 
| The clinically relevant time of the report.
 
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=====Including other resources in searchresult=====
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The PHR may request that the XIS return resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This is useful when the PHR is searching on a clinical resource, but for every such resource returned, the client will also need for example the subject (Patient resource) or performer (Organization / Practitioner resource) or the Observastion resource that the clinical resource refers to. The client can use the _include parameter to indicate that the subject resources be included in the results. An example are shown below.
  
 
'''Example searches'''
 
'''Example searches'''

Versie van 20 dec 2017 12:56

{{#customtitle:MedMij FHIR use case LaboratoryResults}}

Naar medmij.nl
Medication process
AfsprakenstelselFunctioneelTechnischAfspraken-Functioneel-Technisch

Introduction

Actors involved

Persons Systems FHIR Capability Statements
Name Description Name Description Name Description
Patient The user of a personal healthcare enviorment. PHR Personal health record Verwijzing.png CapabilityStatement: Client LaboratoryResults process client requirements
Healthcare professional The user of a XIS XIS Healthcare information system Verwijzing.png CapabilityStatement: Server LaboratoryResults server requirements

Use case: retrieve laboratory results

Introduction

The retrieve laboratory results transaction is used by the PHR to retrieve a laboratory results from a XIS.

Actors

Transaction group Transaction Actor Role
Retrieve Laboratory Results(PULL) Retrieve laboratory results request Patient (using a PHR) Request laboratory results from the XIS
Retrieve laboratory results response Healthcare professional (using a XIS) Serves laboratory results to the PHR

Invocations

PHR: request message

The request message represents an HTTP GET parameterized query from the PHR to the XIS.

Trigger Events

When the patient(PHR) wants to obtain laboratory results, it issues a retrieve laboratory results request message.

Message Semantics

Search

The PHR executes an HTTP GET conform to the FHIR RESTfull and search specification against the XIS's Observation endpoint. This search query URL is configurable by the PHE and has the following format.

GET [base]/Observation?[parameters]{&_format=[mime-type]}

Search Parameters

The PHR may supply, and the XIS shall be capable of processing, all query parameters listed below. These search parameters are a selection of the defined search parameters by the HL7 FHIR specification search parameters of Observation.

Observation
Name Type Description
date date Obtained date/time. If the obtained element is a period, a date that falls in the period
Including other resources in result

The PHR may request that the XIS return resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This is useful when the PHR is searching on a clinical resource, but for every such resource returned, the client will also need for example the subject (Patient resource) or performer (Organization / Practitioner resource) or Specimen resource that the clinical resource refers to. The client can use the _include parameter to indicate that the subject resources be included in the results. An example are shown below.


Example searches

1. GET https://vonk.test-nictiz.nl/Observation
2. GET https://vonk.test-nictiz.nl/Observation?date=ge2010-01-01
3. GET https://vonk.test-nictiz.nl/Observation?date=ge2010-01-01&date=le2011-12-31 
4. GET https://vonk.test-nictiz.nl/Observation?include=Observation:specimen&date=ge2010-01-01&date=le2011-12-31_include 
  1. Retrieves all Observation resources
  2. Retrieves all Observation resources that have an effective date greater than 01-01-2010.
  3. Retrieves all Observation resources that have an effective date within a 2 year period.
  4. Retrieves all Observation resources that have an effective date within a 2 year period and includes Specimen information in the searchresults.
Expected Actions

The XIS shall process the query to discover Observation resources that match the search parameters given.

XIS: response message

The XIS returns a HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching observation information.

Trigger Events

The XIS completed processing of the retrieve laboratory results request message.

Message Semantics

Based on the query results, the XIS will either return an error or success. When the XIS needs to report an error, it SHALL use HTTP error response codes and SHOULD include a FHIR OperationOutcome resource with more details on the failure. If the request message is processed successfully, whether or not any observation resources are found, the HTTP status code SHALL be 200.

The response message shall be a Bundle resource of type "searchset" containing zero or more FHIR resources as entries. If the XIS is sending warnings, the Bundle resource SHALL also contain a FHIR OperationOutcome resource that contains those warnings. The FHIR specification describes the relevant sections:

Message resource content

The returned data to the PHR should conform to the profiles listed in the table below. This table shows the relevant ZIBs and their related profiles. The resources in the response message SHALL be a valid instance of these profiles. All resources SHALL include their related profile canonical URL in the meta.profile element in order to show compliance.

ZIB name NL ZIB name EN FHIR Resource URL profile Reference to section
Patient Patient Patient http://fhir.nl/fhir/StructureDefinition/nl-core-patient Verwijzing.png Patient
Zorgverlener HealthProfessional Practitioner http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner Verwijzing.png HealthProfessional
Zorgaanbieder HealthcareProvider Organization http://fhir.nl/fhir/StructureDefinition/nl-core-organization Verwijzing.png HealthcareProvider
LaboratoriumUitslag LaboratoryTestResult Observation http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation Verwijzing.png LaboratoryTestResult
Specimen http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen

Expected Actions

The PHR shall process the results according to application-defined rules. The PHR should be robust as the response may contain observation and specimen resources that match the query parameters.

Interactions, operations, search parameters

Interactions

The following logical interactions are needed for the retrieve laboratory results transaction:

Operations

No operations are defined or needed for this transaction.

Search parameters

The following search parameter type needs to be supported for this transaction.

Search parameter types:

Search result parameters:

Examples

Use case: retrieve laboratory diagnostic report

Introduction

The retrieve laboratory diagnostic report transaction is used by the PHR to retrieve a laboratory results from a XIS.

Actors

Transaction group Transaction Actor Role
Retrieve Laboratory Results(PULL) Retrieve laboratory diagnostic report request Patient (using a PHR) Request laboratory diagnostic report from the XIS
Retrieve laboratory diagnostic report response Healthcare professional (using a XIS) Serves laboratory diagnostic report to the PHR

Invocations

PHR: request message

The request message represents an HTTP GET parameterized query from the PHR to the XIS.

Trigger Events

When the patient(PHR) wants to obtain laboratory diagnostic report information, it issues a retrieve laboratory diagnostic report request message.

Message Semantics

Search

The PHR executes an HTTP GET conform to the FHIR RESTfull and search specification against the XIS's DiagnosticReport endpoint. This search query URL is configurable by the PHE and has the following format.

GET [base]/DiagnosticReport?[parameters]{&_format=[mime-type]}

Search Parameters

The PHR may supply, and the XIS shall be capable of processing, all query parameters listed below. These search parameters are a selection of the defined search parameters by the HL7 FHIR specification search parameters of DiagnosticReport.

DiagnosticReport
Name Type Description
date date The clinically relevant time of the report.
Including other resources in searchresult

The PHR may request that the XIS return resources related to the search results, in order to reduce the overall network delay of repeated retrievals of related resources. This is useful when the PHR is searching on a clinical resource, but for every such resource returned, the client will also need for example the subject (Patient resource) or performer (Organization / Practitioner resource) or the Observastion resource that the clinical resource refers to. The client can use the _include parameter to indicate that the subject resources be included in the results. An example are shown below.

Example searches

1. GET https://vonk.test-nictiz.nl/DiagnosticReport
2. GET https://vonk.test-nictiz.nl/DiagnosticReport?date=ge2010-01-01
3. GET https://vonk.test-nictiz.nl/DiagnosticReport?date=ge2010-01-01&date=le2011-12-31 
4. GET https://vonk.test-nictiz.nl/DiagnosticReport?include=DiagnosticReport:result&date=ge2010-01-01&date=le2011-12-31 
  1. Retrieves all DiagnosticReport resources
  2. Retrieves all DiagnosticReport resources that have an effective date greater than 01-01-2010.
  3. Retrieves all DiagnosticReport resources that have an effective date within a 2 year period.
  4. Retrieves all DiagnosticReport resources that have an effective date within a 2 year period and include the referenced Observation resources in the searchresults.
Expected Actions

The XIS shall process the query to discover DiagnosticReport resources that match the search parameters given.

XIS: response message

The XIS returns a HTTP Status code appropriate to the processing as well as a FHIR Bundle including the matching laboratory diagnostic report information.

Trigger Events

The XIS completed processing of the retrieve laboratory diagnostic report request message.

Message Semantics

Based on the query results, the XIS will either return an error or success. When the XIS needs to report an error, it SHALL use HTTP error response codes and SHOULD include a FHIR OperationOutcome resource with more details on the failure. If the request message is processed successfully, whether or not any DiagnosticReport resources are found, the HTTP status code SHALL be 200.

The response message shall be a Bundle resource of type "searchset" containing zero or more FHIR resources as entries. If the XIS is sending warnings, the Bundle resource SHALL also contain a FHIR OperationOutcome resource that contains those warnings. The FHIR specification describes the relevant sections:

Message resource content

The returned data to the PHR should conform to the profiles listed in the table below. This table shows the relevant ZIBs and their related profiles. The resources in the response message SHALL be a valid instance of these profiles. All resources SHALL include their related profile canonical URL in the meta.profile element in order to show compliance.

ZIB name NL ZIB name EN FHIR Resource URL profile Reference to section
Patient Patient Patient http://fhir.nl/fhir/StructureDefinition/nl-core-patient Verwijzing.png Patient
Zorgverlener HealthProfessional Practitioner http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner Verwijzing.png HealthProfessional
Zorgaanbieder HealthcareProvider Organization http://fhir.nl/fhir/StructureDefinition/nl-core-organization Verwijzing.png HealthcareProvider
LaboratoriumUitslag LaboratoryTestResult DiagnosticReport http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-DiagnosticReport Verwijzing.png LaboratoryTestResult
Observation http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation
Specimen http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen

Expected Actions

The PHR shall process the results according to application-defined rules. The PHR should be robust as the response may contain DiagnosticReport, Observation and Specimen resources that match the query parameters.

Interactions, operations, search parameters

Interactions

The following logical interactions are needed for the retrieve laboratory results transaction:

Operations

No operations are defined or needed for this transaction.

Search parameters

The following search parameter type needs to be supported for this transaction.

Search parameter types:

Search result parameters:

Examples