FHIR Adding Custom .create - hl7-fhir

On fhir.epic.com I see a lot of different information you can add to a "patient chart". For example like allergy intolerances and conditions. Through the Create route you can add such info onto the patient's chart. However, is there a way where developers can add a custom create route. So, for example, I know a patients daily protein intake, but because the API doesn't have a protein.create I can't add it to the patient chart. Is there a work around for this?

No. The whole point of the interface is to use standard resources. Epic must map the data to their existing data. If implementers passed in custom data structures, there'd be no way for Epic to map that to their standard data structures.
The specific element you mentioned would typically be captured using Observation.

Related

Model-View-Controller: When programming in Qt does the model automatically update the data?

This is just a theoretical question, I am new to PyQT. I am not able to identify classes or code examples that will show how the model updates the data (if that is done via Qt)
Right now my understanding is that the programmer is responsible for writing the methods/code for updating the data when a change is done in the model data.
Am I correct ?
Update: It seems that my question needs a drawing :-)
So it is data as in data stored in a database. By my understanding the data in this picture is the data stored in the database not the data that the model is based on which is a subset of the data in the database
Try following some of the tutorials and look at the example programs provided with PyQt or PySide.
A model is an object which stores data. This can be as simple as a list of strings. A view is an object which displays data. Qt provides some standard models for storing common types of data and some standard views for displaying common types of data. For simple cases you can use these pre-built components. These components have standard methods for adding or removing data from the model, or updating the view as the model changes. These changes are propagated from the model to the view, or from the view or control widgets to the model, using signals. Thanks to standardized naming of methods and signals this all works pretty seamlessly.
However your specific data storage or data presentation needs might be a bit different. In this case you can implement a custom model or a custom view, or if necessary both. You implement your custom model (or view) by subclassing one of the classes provided by the framework. You have to implement specific named methods on these subclasses because it's the standard naming that makes the automatic behavior with other components work, but can also add your own custom methods and such as you see fit.
Further to MiniMe's comment:
Lets look at an example. Qt Models have a xx.setData() method to update a data item, which takes parameters specifying where in the model the data goes (index) and the new data. When you implement that method, you perform the work of updating the data to whatever underlying storage mechanism you use (e.g. a list or dictionary) and emit the xx.dataChanged() signal. If any views are linked to this model, they will have subscribed to this signal and so will update themselves automatically.
def setData(self, index, value):
# Update the data in the underlying python list self.my_list
# The index object is of a data type provided by Qt. To perform
# this operation we have to extract the row number where the change
# is to be made, then use that to update the appropriate entry in
# the list.
self.my_list[index.row()] = value
# Create a PyQt modelIndex object based on the row number that was
# updated. The self.index() method is provided by Qt.
modelIndex = self.index(index.row())
# Send the modelIndex of the change to any connected views so they
# know to update themselves
self.dataChanged.emit(modelIndex)
# In reality we'd do some validation checks and return False if there
# was a problem and the data change didn't happen.
return True
Similar methods would need to be implemented for adding a new data item in the list or removing a data item from the list. These methods would make the change, send a signal indicating which part of the model had changed to any attached views, then return. I hope this is more helpful.

Trying to identify if a data injection method has a name already

Lets say we have a class "Car" than has different pieces of data ( maker, model, color, fabrication date, registration date, etc). The class has no method to get data, but it knows to as for it from another object (sent via constructor, let's cal it for short DS).- and the same for when needing to update changes.
A method getColor() would be implemented like this
if(! this->loaded('color')){
this->askDS('color') // this will do the necesarry work to generate a request to DS
}
return this->information('color');
Nothing too fancy so far. No comes the part i want to find out if it has a name, or if there are libraries / frameworks that do this already.
DS has a list of methods registered dinamically based on the class that needs data. For car we have:
input: car serial number, output: method to use to read the numbers to extract raw values
input: car raw color value, output: color code
input: car color code, manufacturer, year, mode, output:human-readable color (for example navy blue)
Now, DS or any method does not have an ordered list of using command to start from serial number and return the color blue, but if can construct a chain of methods that from one set of data, it can run them in order and get the desired data.
For our example above, DS runs 1,2,3 in that order and injects the data resulted from all methods into the class object that needed it.
Now if the car needs registration info, we have method (4) that gets that from the police database with an api request.
So, given:
- a type of model (class/object)
- a list of methods that take a fixed list of input(object properties) and give out a fixed list of output (object properties)
- a class DS that can glue the methods and run the needed ones for a model to get from property A (serial) to properby B (human readable colour) without the model or DS having a preconfigured way to get this data but finding it as needed.
does this have a name or is it already implemented somewhere ?
I've implemented a very basic prototype and it works very nice and i think this implementation method has useful features:
if you have a set of methods that do sql queries and then your app switches to using an api, you only need to change the methods and don't have to touch any other part of the application
when looking for a chain of methods that resolve the 'need' the object has, you can find a method chain, run it, if it fails keep looking for another list of methods based on the currently available data - so if you have multiple sources for a piece of data, it can try multiple versions
starting from the above paragraph i could start with an app that only has sql queries for data retrieval - when i find out a part of the app overloads the sql server i could add a method to retrieve data from cache with a lower cost than the one from database (or multiple layered caches, each with different costs)
i could probably add business logi in the mix the same ways as cache, and based on the user location / options present different data
this requires less coding overall, and decouples the data source from the object, making each piece easier to mock/test
what is needed to make this fast is a caching solution for the discovered method chains, since matching hundreds of thousands of methods per model type would be time-consuming but I don't think this is very hard to do - just store all found chains in memory as you find them and some metadata to be able to resume a search from any point in time - when you update the methods, just clear the cache, take a performance hit for the first requests
Thank you for your time
What you describe sounds like a somewhat roundabout way of doing Dependency Injection. Quote:
"Passing the service to the client, rather than allowing a client to
build or find the service, is the fundamental requirement of the
pattern."
Depending on what language you're using, there should be several Dependency Injection frameworks/libraries available.

Generating Navigation for different user types, MVC, PHP

I have this idea of generating an array of user-links that will depend on user-roles.
The user can be a student or an admin.
What I have in mind is use a foreach loop to generate a list of links that is only available for certain users.
My problem is, I created a helper class called Navigation, but I am so certain that I MUST NOT hard-code the links in there, instead I want that helper class to just read an object sent from somewhere, and then will return the desired navigation array to a page.
Follow up questions, where do you think should i keep the links that will only be available for students, for admins. Should i just keep them in a text-file?
or if it is possible to create a controller that passes an array of links, for example
a method in nav_controller class -> studentLinks(){} that will send an array of links to the helper class, the the helper class will then send it to the view..
Sorry if I'm quite crazy at explaining. Do you have any related resources?
From your description it seems that you are building some education-related system. It would make sense to create implementation in such way, that you can later expand the project. Seems reasonable to expect addition of "lectors" as a role later.
Then again .. I am not sure how extensive your knowledge about MVC design pattern is.
That said, in this situation I would consider two ways to solve this:
View requests current user's status from model layer and, based on the response, requests additional data. Then view uses either admin or user templates and creates the response.
You can either hardcode the specific navigation items in the templates, from which you build the response, or the lit of available navigation items can be a part of the additional information that you requested from model layer.
The downside for this method is, that every time you need, when you need to add another group, you will have to rewrite some (if not all) view classes.
Wrap the structures from model layer in a containment object (the basis of implementation available in this post), which would let you restrict, what data is returned.
When using this approach, the views aways request all the available information from model layer, but some of it will return null, in which case the template would not be applied. To implement this, the list of available navigation items would have to be provided by model layer.
P.S. As you might have noticed from this description, view is not a template and model is not a class.
It really depends on what you're already using and the scale of your project. If you're using a db - stick it there. If you're using xml/json/yaml/whatever - store it in a file with corresponding format. If you have neither - hardcode it. What I mean - avoid using multiple technologies to store data. Also, if the links won't be updated frequently and the users won't be able to customize them I'd hardcode them. There's no point in creating something very complex for the sake of dynamics if the app will be mostly static.
Note that this question doesn't quite fit in stackoverflow. programmers.stackexchange.com would probably be a better fit

How do I create and process dynamic forms in ASP.NET MVC 3?

In an upcoming project, we will be creating forms for citizen's to fill out to start the process of applying for the requested license or permit. As one can imagine, a form tends to change often. I would prefer to plan this into the application to avoid making changes on a yearly/monthly/"the big boss want's it yesterday" basis.
My searching has shown me some examples based on the object passed to the view, but those would require coding changes. Others use XML, but never seems to go through the entire process from creating the from to storing the inputted data into the database. It isn't that I need hand holding the entire way; it's that this is something completely different for me and I want some guidance to get me in the right direction. I am thinking along the lines of how these survey sites (like SurveyMonkey) create dynamic polls.
Is there any tools, utilities, tutorials, or books that may cover this quite well?
I would imagine you would probably want to take advantage of Display / EditorTemplates. You would define an interface IQuestion or something, and then have a bunch of different form options that implement that interface. So your model would have a List<IQuestion>, and then for each question in the list, Html.EditorFor(item) or so.
Then some kind of standardized way of storing the answers into a table (perhaps a unique save / load method on IQuestion. That's my take anyways. You could define the questions via DB and then your models could have varying counts (and elements) in the List<IQuestion>. Just run a DB script (or some kind of admin page) and you could dynamically change the form displayed.

Displaying computed data with external dependencies

I'm building a report that needs to include an 'estimate' column, which is based on data that's not available in the dataset.
Ideally I'd like to be able to define a Java interface
public int getEstimate(int foo_id, int bar_id, int quantity);
where foo_id, bar_id and quantity are available in the row I want the estimate presented.
There will be multiple strategies for producing the estimate so it would be good to use an interface to allow swapping them when needed.
Looking at the BIRT docs, I think it's possible I ought to be using the event handler mechanisms, but that seems to only allow defining a class to use and I'd somehow like to inject a configured estimator.
A non-obfuscated example might be to say that I have a dataset which includes an IP address column, and I'd like to be able to use some GeoIP service to resolve the country from the IP address. In that case I'd have an interface public String getCountryName(String address) and the actual implementations may use MaxMind, a local cache or some other system.
How would I go about doing this?
Or.. would I be better off by writing a scripted data source that can integrate the computed data before delivering it to BIRT?
Or.. some sort of scripted data source that is then used to create a join data set?
I think a Scripted Data Source would work fine, but a Java-based event handler would be more straightforward. You can implement it as a simple POJO and get access to any and all the complex objects and tools that will allow you to calculate your estimate. The simplest solution of all may simply to be adding a calculated field to the data set.
When creating the calculated field, you can get pretty complex in terms of the scripting logic you can leverage in order to produce the resultant value. The nicest thing about this route is that all the other column values in the row (which I assume you need to calculate the estimate) are made available via the Expression editor. You can pull in complex objects (POJOs) to help in your calculations here as well by using the "Packages" object (i.e. var red = new Packages.redwood.HelloWorld())
If you want to create the Event Handler class, here is what I would do. I would create a text object and bind the onCreate even to your POJO (by extending the TextItemEventAdapter) and override the "onCreate" method. There you can do any work you want to and at the end simply call 'text.setText(theEstimateResult);' to make the estimate itself visible. As far as accessing data values to do your calculations, You can get to those in the POJO too. I assume the estimate will be a part of a larger table of values. You can access any specific row value via the reportContext.
Those are the two ideas I would give a try first. The computed column is the fastest to implement and the least likely to throw you a curve during deployment. Let me know which way you choose and we can hash it out further if needed.

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