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Re: [Health-dev] Problem in FHIR server installation.

From: Chris
Subject: Re: [Health-dev] Problem in FHIR server installation.
Date: Mon, 6 Apr 2015 16:52:22 -0700
User-agent: Mutt/1.5.23 (2014-03-12)


> Unless I'm mistaken, the specific test doesn't have a value. But that's
> > a bug, it should tell you that. I looked at other error handling, and
> > seems I wasn't displaying the errors.
> No, the test has a result value, upper limit, lower limit and a unit but I
> typed the complete analyte name(unit was auto completed). I'm attaching  a
> screenshot for reference.

Since the test type was CBC, it should've auto-filled the analytes. You
created the test with no order, I think. Which is fine.  I pushed
a commit for better error handling and displaying value-less tests. Then
I copied what you did on the demo server:

Lab results --> New --> Fill in info and save.

The FHIR demo server displays the analyte test correctly. Try the new
code, maybe some unintended fix; if not, should give you a more helpful

> For me, the main reason I haven't added write support is because there
> > is already synchronization among instances, which means write support is
> > for non-Health systems (mostly).
> My work deals with working on mobile platform that a doctor can use to
> check on patients and saving new patient records on the HIS with which
> doctor is affiliated with. I'm trying to implement GNU health as the HIS,
> so I'll be sending and receiving records over the network (preferably
> through web service). Therefore, I was looking for write support.

The tryton group are working on a web client, is that what you're

> To be honest, I'm not too familiar with SNOMED or ICD10. I've looked up
> > code values in both, and things like that, but little more. I don't
> > think you are talking about, for example, 'Mild', 'Moderate', etc. which
> > Health does use, and which are SNOMED concepts. You are thinking more
> > robust, so I would have to say no. I think, however, that moving the
> > models closer to SNOMED concepts and values is a good goal.
> Yes, I was thinking that each test, drug or disease can be defined in a
> common dictionary supporting interoperability with other HIS. But how are
> these tests stored right now. Is their some IDs linked with them or do I
> have to create custom test each time? (For example, Hemoglobin has an
> ID 441689006

All the diseases have the ICD10-CM codes attached. There is a pathology
model which holds the info about the disease or condition. You can get
the ICD10-CM code from the disease model. Similarly, procedures have
ICD10-PCS codes attached. If you want, it's possible to convert them
into another system. Specific tests do not have the codes attached (like
with drugs). But, that may happen in the future.



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