HL7®, FHIR® and the flame Design mark are the registered trademarks of Health Level Seven International and are used with per mission. Amsterdam, November 20 - 22 | @HL7 @FirelyTeam | #fhirdevdays | www.devdays.com/us FHIR Documents René Spronk, trainer/training coordinator, Firely/Ringholm
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FHIR Documents · 2019-12-10 · 1 Agenda FHIR Documents t core components Document Profiling FHIR Exchange Patterns CDA and FHIR Documents Document Metadata / IHE XDS Documents v.
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HL7®, FHIR® and the flame Design mark are the registered trademarks of Health Level Seven International and are used with per mission.
Generated text narrative is fully derived from structured content
Blood
Pressure 120 80
Database
... ...
systolicBP int
diastolicBP int
... ...
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Blood pressure 120/80</p>
</div>
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<section>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Patient with onset of asthma
in his teens</p>
</div>
</text>
</section>
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Narrative based narrative is richer than structured content (‘additional’ information)
Database
... ...
familyHistory text
... ...
Family
History:
Patient with onset of
asthma in his teens
<entry>
<reference value=" Observation/12486"/>
<!- Observation: asthma -->
</entry>
</section>
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What are the “medical document principles” ?
• Persistence – A document continues to exist in an unaltered state
• Stewardship – A document is maintained by an organization entrusted with its care.
• Potential for authentication - A document is an assemblage of information that is intended to be legally authenticated.
• Context - A document establishes the default context for its contents.
• Wholeness - Authentication of a document applies to the whole and does not apply to portions of the document without the full context of the document.
• Human readability – A document is human readable.
Source: HL7 CDA specification
FHIR Documents certainly meet these criteria.
HL7®, FHIR® and the flame Design mark are the registered trademarks of Health Level Seven International and are used with per mission.