EPIC FHIR sandbox Observation.create(Vitals) - hl7-fhir

I would like to send measurements like blood pressure values to test patient's flowsheet in Epic sandbox. I have not figured out how to "place an order to create the episode and patient entered flowsheets" in Epic sandbox (https://fhir.epic.com/Specifications?api=963). Tried MyChart but I recon a physician role would be needed and maybe Hyperspace.
Any advice would be highly appreciated.
Thanks, Beibian

Related

How do I avoid exceeding the 5 topic limit when sending FCM notifications to certain topics while using boolean operations?

We are developing an application, the app itself is made in Ionic (Angular) and the server is running in Laravel (PHP) on an Amazon EC2 instance. The app uses the Capacitor FCM plugin to receive notifications from FCM, and the server uses Laravel FCM plugin to send notifications.
In the app, a registered user chooses several options, such as age range, address (region), gender, among other things. Let's assume we have the ages
10's~20's = age-1
30's = age-2
40's = age-3
50's = age-4
and address regions
Asia = area-1
Europe = area-2
America = area-3
Australia = area-4
and gender
Female = gender-1
Male = gender-2
The app subscribes to the topics that are based on what options the user chooses, for example, if he chooses 30's, America, and Male, then he will be subscribed to the topics age-2, area-3, and gender-2.
Here is where the problem arises.
From the server, we will need to send notifications to users that are subscribed to specific topics.
At first, we tried using boolean operations, so that when we can send notifications to people that are subscribed to the topics (age-2 or age-3) and (area-1 or area-2 or area-4) and (gender-1). The problem is, FCM does not allow more than 5 topics to be specified in the condition, in this case, 6 is being specified. (In reality, we can reach up to 17 topics in one sending)
Since that failed, we tried sending in batches, such that (age-2 or age-3) and (area-1 or area-3) will be sent in batches of
(age-2) and (area-1)
(age-2) and (area-3)
(age-3) and (area-1)
(age-3) and (area-3)
but we quickly realized that that means some people will get the notification more than once (since some fields are multiple selection, for example, a user might choose both Asia and America), and that is of course, undesirable.
We are running out of options besides using device tokens to send notifications to people individually, but we can have up to as many as 50,000 users. We are afraid that sending notifications to people individually might take some time. We are using Laravel Queue to process the sending of notifications in the background, but we are still kind of afraid of what might happen if we send notifications individually. Besides, that implementation sounds so dirty and far from optimal, which makes me think there should be better ways.
I would like to kindly ask if anyone knows of a way to solve this situation. We did consider using Amazon SNS, but it seems that SNS is lacking topic boolean conditions and it's quite difficult to implement on both app and server.
I would really, really appreciate any ideas, opinions, any guidance. I tried my best, but couldn't think of a better solution.
Thank you very much in advance!

Training None Intent in LUIS

I have a travel bot with following intents:-
BookAFlight (trained with 20 utterances)
GetTicketCopy (trained with 20 utterances)
CancelTicket (trained with 20 utterances)
None (default) (currently not trained)
MS documentation suggests that I train None for atleast 1-2 utterances for every 10 utterances added to other intents. Which means I would need say 6-12 utterances to train None.
My query is what kind of utterances should be used to train None?
Everything under the sun apart from what is relevant to my bot ( for e.g. I want to order a pizza, How is the weather today, Who is the president of USA? etc.)
All negative statements corresponding to the utterances used to train my other intents (for e.g. I don't want to book a flight ticket, I don't want to take a print out, I don't want to cancel my ticket etc.)
All utterances that corresponds to intents currently not covered in my scope but which users could still ask to a travel bot (for e.g. I want to Book a Cab to the airport, What is the status of my flight)
Long story short, I am trying to identify what kind of utterances should go into my None intent . Is None the right place to handle "Negative" variations of valid utterances.
None intent is not made for "Negative variations" but to tag everything that is not managed by your other intents.
So you should add utterances corresponding to cases that your bot cannot handle but linked to your context (your 3rd idea).
For example in one of my projects, None intent is trained with other use-cases of my customer than the one I will treat with my bot, based on my customer logs. And it's helping avoiding to throw an intent in a bad case
The LUIS docs suggest you should use COMPLETELY off-topic utterances for the None intent:
"Start with something specific that your bot shouldn't answer such [as] 'What kind of dinosaur has blue teeth?'"
They also suggest that for positive and negative reaction to some actions you create separate intents. Eg. Don't want a car / Want a car. Alternatively use single intent and mark relevant terms as positive and negative entities.

Adempiere - How can I create notification due to certain condition through Notice?

I have an Internal Use Inventory Window.
The schema process is that there are 3 people who are in charge of handling Internal Use Inventory.
They are Requester, Andrew and Richard.
When a requester request 5 items via Internal Use Inventory and complete the document,
The document will be delivered to Andrew so that he can approve it.
After document approved by Andrew, it'll be delivered to Richard. As Logistic man he checks whether there's enough stock or not.
Turns out the stock is only 3. So he's not approving the document because the stock is lack.
Thus, the document status become 'Not Approved'.
If the document 'Not Approved', there's a notification to Andrew that the document is not Approved
because the stock available cannot fulfill the stock requested by the User.
How can I make the notification itself ? is it through Notice ?
How can I make the notification through Notice? as I have browse the internet but I still have no idea on how to do it.
Your answer will be much appreciated, Thank you :)
The Notices functionality is intended for System related messaging.
For the process related messages you indicated you would use the Workflow processes and there are some examples in the Garden World demo customer. The Process_Requisition workflow gives you a basic example of something along the lines that you requested.

Worldwide SMS Payment Gate?

i need to insert some SMS payment for countries British, USA and other countries.
Could You recommned to me something cheap and with sending payouts to PayPal or Bank Account in other country?
Thanks for advice.
there are plenty but your best choice can be daopay.com; however it charges you 1000 Euro as activation fee!
If you need a free and good one, you may try smscoin.com .
Best

How would you design email notifications for a threaded comments system?

The current system features plaintext comments on pieces of content stored in a mySQL database, and I'm looking to add email notifications.
Current ideas:
Emails to each user in the thread (no matter how deep)?
Email only to the owner of the comment you are replying to?
Email to content owner for each new comment? Only root level comments?
Email only to users that check off a 'Notify me of replies' below each content piece, containing any new comment, threaded or not
Thoughts?
I'd design around the idea of notifications.
Users could pick which events they're interested in subscribing to, then indicate how they want to receive notifications by email. This way, you can accommodate users who want no notification, as well as those who want notification by email, digest email, SMS, RSS, smoke signals, carrier pigeons, and telegraph.
Ended up going with 2 settings that are changeable by the user:
Email me for any new root level comments [X] On [] Off
Email me for any new comment replies [X] On [] Off

Resources