MedMij FHIR Implementation Guide AllergyIntolerance
MedMij:Vprepub/Issuebox FHIR IG
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Introduction
This page describes a patient's use case, in a personal health record (PHR) context, for exchanging allergy and intolerance data. Functional specification of this use case is described in the functional design wiki pages.
Note: This implementation guide builds on the general guidelines described in the use case overarching principles.
Actors involved
| Persons | Systems | FHIR Capability Statements | |||
|---|---|---|---|---|---|
| Name | Description | Name | Description | Name | Description |
| Patient | The user of a personal healthcare environment. | PHR | Personal health record |  CapabilityStatement: Client
|
AllergyIntolerance client requirements |
| Healthcare professional | The user of a XIS | XIS | Healthcare information system | CapabilityStatement: Server
|
AllergyIntolerance server requirements |
Use case: Retrieve AllergyIntolerance information
This FHIR implementation guide assumes that the PHR system is able to make a connection to the right XIS that contains the patient's information. It does not provide information on finding the right XIS nor does it provide information about security. Moreover, each transaction is performed in the context of a specific authenticated patient, for whose context (token) has been established using the authentication mechanisms described in the 'Afsprakenstelsel'. Each XIS Gateway is required to perform filtering based on the patient associated with the context for the request, so only the records associated with the authenticated patient are returned. For this reason, search parameters should not be included for patient identification.
Introduction
The retrieve AllergyIntolerance transaction is used by the PHR to retrieve allergy and intolerance information from the XIS.
Actors
| Transaction group | Transaction | Actor | Role |
|---|---|---|---|
| Retrieve AllergyIntolerance(PULL) | Retrieve AllergyIntolerance request | Patient (using a PHR) | Request allergy and intolerance information from the XIS |
| Retrieve AllergyIntolerance response | Healthcare professional (using a XIS) | Serves allergy and intolerance information to the PHR |
Invocations
PHR: request message
The request message represents an HTTP GET query from the PHR to the XIS.
Trigger Events
When the patient(PHR) wants to obtain allergy and intolerance information, it issues a retrieve AllergyIntolerance request message.
Message Semantics
The PHR executes an HTTP GET conform to the FHIR RESTful and search specification against the XIS's AllergyIntolerance endpoint. This search query has the following format.
GET [base]/AllergyIntolerance
Expected Actions
The XIS shall process the query to discover AllergyIntolerance resources that match the patient in the context.
XIS: response message
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the allergy and intolerance information.
Trigger Events
The XIS completed processing of the Retrieve AllergyIntolerance request message.
Message Semantics
The returned data to the PHR should conform to the HCIMs and associated profiles listed in the table below. 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.
|
|
MedMij uses the FHIR Packaging mechanism. This conveniently bundles all examples, profiles and other conformance resources you need into a single archive, which can be downloaded or installed using the appropriate FHIR tooling. This version of the information standard uses the following packages: Note: any other version with the same major.minor version is compatible. See Semantic Versioning for more information. |
| Zib name NL | Zib name EN | FHIR Resource | URL profile |
| Patient | Patient | Patient | http://fhir.nl/fhir/StructureDefinition/nl-core-patient |
| AllergieIntolerantie | AllergyIntolerance | AllergyIntolerance | http://nictiz.nl/fhir/StructureDefinition/zib-AllergyIntolerance |
| Zorgverlener | HealthProfessional | Practitioner | http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner |
| PractitionerRole | http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole | ||
| Zorgaanbieder | HealthcareProvider | Organization | http://fhir.nl/fhir/StructureDefinition/nl-core-organization |
| Contactpersoon | ContactPerson | Patient.contact | http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson |
Example instances of FHIR resources can be found on Simplifier. Please note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of any information standard.
Expected Actions
The PHR processes the results according to application-defined rules. The PHR should be robust as the response may contain AllergyIntolerance information resources as mentioned in the former section.
Use case: Retrieve AllergyIntolerance612ToFHIRConversion
This FHIR implementation guide assumes that the PHR system is able to make a connection to the right XIS that contains the patient's information. It does not provide information on finding the right XIS nor does it provide information about security. Moreover, each transaction is performed in the context of a specific authenticated patient, for whose context (token) has been established using the authentication mechanisms described in the 'Afsprakenstelsel'. Each XIS Gateway is required to perform filtering based on the patient associated with the context for the request, so only the records associated with the authenticated patient are returned. For this reason, search parameters should not be included for patient identification.
Introduction
A PHR uses the retrieve AllergyIntolerance612ToFHIRConversion transaction to retrieve "6.12-based" allergy and intolerance information from a XIS. This information is based on a conversion from the 6.12 information standard. The XIS converts the requested information by a PHR to FHIR-resources.
The 6.12 AllergyIntolerance information is originally exchanged in HL7v3-messaging format. For interested readers the HL7v3-specifications can be found in the 6.12 template for 'potential contraindications'.
However, please note that it is not necessary for a PHR to have knowledge of the HL7v3-format to implement this use case.
Actors
| Transaction group | Transaction | Actor | Role |
|---|---|---|---|
| Retrieve AllergyIntolerance612ToFHIRConversion (PULL) | Retrieve AllergyIntolerance612ToFHIRConversion request | Patient (using a PHR) | Request allergy and intolerance information from the XIS |
| Retrieve AllergyIntolerance612ToFHIRConversion response | Healthcare professional (using a XIS) | Serves allergy and intolerance information to the PHR |
Invocations
PHR: request message
The request message represents an HTTP GET query from the PHR to the XIS.
Trigger Events
When the patient(PHR) wants to obtain allergy and intolerance information, it issues a retrieve AllergyIntolerance612ToFHIRConversion request message.
Message Semantics
The PHR executes an HTTP GET conform to the FHIR RESTfull and search specification against the XIS's AllergyIntolerance612ToFHIRConversion endpoint. This search query has the following format.
GET [base]/AllergyIntolerance
Expected Actions
The XIS shall process the query to discover AllergyIntolerance resources that are part of the 6.12 information standard and match the patient in the context.
XIS: response message
The XIS returns an HTTP Status code appropriate to the processing as well as a FHIR Bundle including the appropriate allergy and intolerance information.
Trigger Events
The XIS completed processing of the Retrieve AllergyIntolerance request message.
Message Semantics
The returned data to the PHR should conform to the HCIMs and their associated profiles listed in the table below. 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.
|
|
MedMij uses the FHIR Packaging mechanism. This conveniently bundles all examples, profiles and other conformance resources you need into a single archive, which can be downloaded or installed using the appropriate FHIR tooling. This version of the information standard uses the following packages: Note: any other version with the same major.minor version is compatible. See Semantic Versioning for more information. |
| Zib name NL | Zib name EN | FHIR Resource | URL profile |
| Patient | Patient | Patient | http://fhir.nl/fhir/StructureDefinition/nl-core-patient |
| AllergieIntolerantie | AllergyIntolerance | AllergyIntolerance | http://nictiz.nl/fhir/StructureDefinition/mp612-AllergyIntoleranceToFHIRConversion |
| Zorgverlener | HealthProfessional | Practitioner | http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner |
| PractitionerRole | http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole | ||
| Zorgaanbieder | HealthcareProvider | Organization | http://fhir.nl/fhir/StructureDefinition/nl-core-organization |
| Contactpersoon | ContactPerson | Patient.contact | http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson |
Example instances of FHIR resources can be found on Simplifier. Please note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of any information standard.
Expected Actions
The PHR processes the results according to application-defined rules. The PHR should be robust as the response may contain AllergyIntolerance information resources as mentioned in the former section.
Terminology, NamingSystems, Mappings
MedMij:Vissue-MM-1386/Template Terminologies NamingSystems Mappings
Release notes
Release notes can be found on the functional design page.
