FHIR and null flavors - hl7-fhir

I am trying to understand how FHIR handles null flavors in comparison to CDA. Here, FHIR says that "FHIR approaches the problem differently. Null flavors are only introduced in the core specification in those circumstances where it is expected that most systems will need them. Where needed, the flavors are constrained to those relevant to that element."
What does this mean? Does this mean that FHIR allows null flavors only in some circumstances, i.e., in some resources where it is expected that most systems will need them? But in my reading of FHIR so far where I came across several resource I found none with null flavor.
Or is it the case that FHIR does not at all allow null flavors and if one needs it, extensions should be used?

It's indeed the case that if one needs nullFlavours, extensions may be used.
When we wrote "Null flavors are only introduced in the core specification in those circumstances where it is expected that most systems will need them" we expected our resources to have "real" elements in places where nullflavours are common (but then with a more useful name, e.g. "tooSmallToMeasure" in an Observation). This did happen to the v3 "negation" indicator, which was for example turned into an element Procedure.notPerformed.
As it turned out sometimes nullFlavors are explicitly allowed or required, but this is not done in the general specification but only in profiles and Implementation Guides, where their use is detailed and the circumstances in which they may appear is explicitly documented.

Related

When to use an inline codeSystem in a FHIR ValueSet

When creating a FHIR ValueSet using ALL codes of a small externally defined code list, which would be more appropriate (and indeed correct per the FHIR specification) - a composition or an inline codeSystem?
As an example, creating a ValueSet from the following code list:
http://www.datadictionary.nhs.uk/data_dictionary/attributes/e/end/ethnic_category_code_de.asp
Would there be advantages/disadvantages of using either method?
Inline definition of a code system is used when the code system and value set are synonymous - you're inventing codes and saying the value set contains all of them. Places this occurs are when we're defining structural codes for FHIR (ones that we'll be maintaining rather than external organization) or for things like Questionnaires where the codes might be specific to that particular questionnaire. In general, inventing your own code system isn't encouraged because it's less likely people will recognize it. It's better to draw codes from standardized code systems, be those international (like SNOMED, LOINC, ICD9, etc.) or national or even organization-maintained code systems.

the implementations of JMS2

Who knows how many implementations for JMS2.0 which is JSR343 spefic?
I'm searching a full sample to demonstrate a JMS2 application, but I'm short of this knowledge.
I hope the list of these implementations including the name, url and the beginning version supporting JMS2.

Artifact naming convention

We're doing a big project on OSGi and adding some commons modules. There's some discussion about naming the artifact.
So, one possibility when naming the module is for example:
cmns-definitions (for common definitions), another is cmns-definition, still another is cmns-def. This has some effect also on the package name. Now it's
xx.xxx.xxx.xxx.xxx.commons.definitions, if changing to cmns-def it would be xx.xxx.xxx.xxx.xxx.commons.def.
Inside this package will be classes like enums and other definitions to be used throughout the system.
I personally lean to cmns-definitions since there's not only 1 definition inside the package. Other people point out that java.util doesn't have only 1 utility there for example. Still, java.util is an abbreviation for me. It can mean java utility or java utilities. Same thing happens with commons-lang.
How would you name the package? Why would you choose this name?
cmns-definitions
cmns-definition
cmns-def
Bonus question: How to name something like cmns-exceptions? That's how I name it. Would you name it cmns-xcpt?
ËDIT:
I'm throwing in my own thoughts on this in the hope of being either confirmed or contradicted. If you can, please do.
According to what I think, the background reason why you name something is to make it easier to understand what's inside it. Or, according to Peter Kriens, to make it easy to remember and being able to automate processes via patterns. Both are valid arguments.
My reasoning is as follows in terms of pattern:
1) When a substantivation occurs and it's well known in the industry, follow it on your naming.
Eg:
"features" is a case on this. We have a module called cmns-features. Does this mean we have many features on this module? No. It means "the module that implements the "features" file from Apache karaf".
"commons" is a substantivation of "common" well-accepted on the industry. It doesn't mean "many common". It means "Common code".
If I see extr-commons as a module name, I know that it contains common code for extr (in this case extraction), for example.
2) When a quantity of classes inside the module are cooperating to give a distinct "one and one only" meaning to the whole, use singular form to name it.
The majority of modules are included here. If I name something cmns-persistence-jpa, I mean that whatever classes inside cooperate together to provide the jpa implementation of cmns-persistence-api. I don't expect 2 implementations inside it, but actually a myriad of classes that together make one implementation. Crystal clear to me. No?
3) When a grouping of classes is done with the sole purpose of gathering classes by affinity, but the classes don't cooperate together to no purpose, use plural.
Here is the case for example of cmns-definitions (enums used by the whole system).
Alternatively, using an abbreviation circumvents the problem, e.g. cmns-def which can be also "interpreted expanded" by a human reader to cmns-definitions. Many people use also "xxxx-util" meaning xxxx-utilities.
Still a third option can be used to pack things together, using a name that itself means a pluralization. The word "api" comes to mind, but any word that pluralizes something would do, like "pack".
Support to these cases (3) are well-known modules like commons-collections (using the plural) or commons-dbcp (using abbreviation) or commons-lang (again abbreviation) and anything that uses api to pack classes together by affinity.
From apache:
commons-collections -> many powerful data structures that accelerate development of most significant Java applications
commons-lang -> host of helper utilities for the java.lang API
commons-dbcp -> package of several database connection pools
'it is just a name ...'
I find in my long career that these just names can make a tremendous difference in productivity. I do not think it makes a difference if you use definitions, definition, or def as long as you're consistent and use patterns in the name that are easy to remember and can be used to automate processes. A build based on a consistent naming scheme is infinitely easier to work with than a build with "nice human display" names that are ad-hoc and have no discernible pattern.
If you use patterns, names tend to become shorter. Now people working with these names usually spent a lot of time with them. So their readability is not nearly as important as their mnemonic value. It turns out that abbreviations of 3 or 4 characters are surprisingly powerful. One of the reason is they work well is that there is only one possible abbreviation while if you go longer there are many candidates.
Anyway, most import part is the overall consistency. Good luck.
definitions (or def or definition) is a bad name because it doesn't have any semantic to a reader. You're in an object oriented world (I suppose) - try to follow its conventions and principles. Modules in Maven should be named after the biggest "abstraction" they contain. "Definition" is a form, not a meaning.
Your question is similar to: "Which class name is better FileUtilities or FileUtils". Answer: none.
Basically what you do with the Definitions and Exceptions is to provide kind of an API for your other modules. So I propose to combine definitions, exceptions and add interfaces to it. Then it makes sense to call it all cmns-api. I normally prefer the singular names as they are shorter but you are free to decide as it is just a name.

Suggestions for using attributes beyond [[noreturn]]?

Coming from the discussions about the use of vendor specific attributes in another question I asked myself, "what rules should we tell people for using attributes that are not listed in the standard"?
The two attributes that are defined are [[ noreturn ]] and [[ carries_dependencies ]]. The standard leaves open how compilers should react on unknown attributes -- thus, by the standard they may stop with an error message. This is not what e.g. GCC does, it emits a warning and continues. This is probably a behavior to be expected by the most-common compilers. For this reason I would have like to read a "should" in the standard, but we don't have it.
The paper N2553 brings up flexible attributes. It lists further attributes used by GCC (
unused, weak) and MSVC (dllimport). for OpenMP, the widely supported parallelizing framework, scoped attributes are suggested, eg. omp::for(clause, clause), omp::parallel(clause,clause). So, it is very likely that we will se some vendor specific attributes very soon after they support the syntax at all, indeed.
Therefore, when we now go "out in the world" and tell people about C++11, what should the advice be about using attributes?
Only use noreturn and carries_dependencies
Use your compilers old syntax instead, eg. __attribute__((noreturn)) and define a macro when you port the code (the current situation)
Use those attributes your favorite compiler supports freely, knowing this code might not be portable to another standard-conforming compiler, because if the standard allows a compiler to stop with an error, you have to consider this will happen. This sounds a bit like advocating writing non-portable code.
Or, my guess, expect the most-used compilers to warn about unknown attributes, so you can use vendor-specific attributes, keeping in mind that in rare cases you may get problems.
Note the slight difference in the last two bullet-items. While both say "use those attributes you need", item3's message is "do not care about other compilers", while item4 implicitly rephrases the standard texts "implementation defined behavior" to "the compiler should emit a diagnostic message".
What could be the suggestion for an upcoming Best Practice here?
The best practice — the only one that is reasonably portable in practical terms, never mind ambiguity in the Standard — is to use macros. It will be many years before we can forget about compilers that don't support attributes.
The number of compilers and the number of custom __keywords__ defined by those compilers will always be increasing, and it makes sense for the language to define a way to contain the damage. It doesn't need to revolutionize the way people write unportable code, or make unportable code portable (although standard attributes do that). There is a benefit simply to giving caffeine-addled compiler backend engineers a sandbox for when they want to extend the grammar.
It is a bit alarming, though, that no attribute tokens are reserved to the implementation, or to the language besides the ones currently standard. So there will be trouble when they decide to standardize more of them.

Are semantics and syntax the same?

What is the difference in meaning between 'semantics' and 'syntax'? What are they?
Also, what's the difference between things like "semantic website vs. normal website", "semantic social networking vs. normal social networking" etc.
Syntax is the grammar. It describes the way to construct a correct sentence. For example, this water is triangular is syntactically correct.
Semantics relates to the meaning. this water is triangular does not mean anything, though the grammar is ok.
Talking about the semantic web has become trendy recently. The idea is to enhance the markup (structural with HTML) with additional data so computer could make sense of the web pages more easily.
Syntax is the grammar of a language - the rules by which to form sentences or expressions.
Semantics is the meaning you are trying to express with your code.
A program that is syntactically correct will compile and run.
A program that is semantically correct will actually do what you as the programmer intended it to do. i.e. it doesn't have any bugs in it.
Two programs written to perform the same task in different languages will use different syntaxes, but they would be the same semantically.
If you are talking about web (rather than programming languages):
The syntax of the language is whatever the browser (or processing program) can legally recognize and handle, and render to you. For example, your browser can render HTML, while your API can parse XML trees.
Semantics involve what is actually being represented. There's a lot of buzz now about semantic webs and all that stuff, but it essentially means that each entity is also associated with some human-readable information or metadata, so that a certain tag would have a supposed meaning and refer you to it.
Social networks are the same story. You put knowledge in the links
"An ant ate an aunt." has a correct syntax, but will not make sense semantically. A syntax is a set of rules that can be combined to produce infinite number of gramatically valid sentences, but few, very few of which has a semantics.
Syntax is the word order of a sentence. In English it would be the subject-verb-object form.
Semantic is the meaning behind words. E.g: she ate a saw. The word saw doesn't match according to the meaning of the sentence. but it is grammatically correct. so its syntax is correct. =)
Specifically, semantic social networking means embedding the actual social relationships within the page markup. The standard format for doing this as defined by microformats is XFN, XHTML Friends Network. In regards to the semantic web in general, microformats should be the go-to guide for defining embedded semantic content.
Semantic web sites use the concept of the semantic web, which aims to bring meaning to web content by using special annotations to identify certain concepts in a page. This makes possible the automatic (by a computer, not a human) reasoning about the content, which improves its aggregation, extraction, indexing and searching.
Explanations above are vague on the semantics side, semantics could mean the different elements at disposition to build arguments of value(these being comprehensible, to end-user man and digestible to the machine).
Of course this puts semantics and the programmer-editor-writer-communicator in the middle: he decides on the semantics that should be ideally defined to his public, comprehended by his public, general convention by his public and digestible to the machine-computer. Semantics should be agreed upon, are conceptual, must be implementable to both sides.
Say footnotes, inline and block-quotes, titles and on and on to end up into a well-defined and finite list. Mediawiki, wikitext as an example fails in that perspective, defining syntax for elements of semantic meaning left undefined, no finite list agreed upon. "meaning by form" as additional of what a title as an example again carries as textual content. Example "This is a title" becomes only semantics integrated by the supposition within agreed upon semantics, and there can be more then one set of say "This is important and will be detailed"
Asciidoc and pandoc markup is quite different in it's semantics, regardless of how each translates this by convention of syntax to output formats.
Programming, output formats as html, pdf, epub can have consequentially meaning by form, by semantics, the syntax having disappeared as a temporary tool of translation, and as one more consequence thus the output can be scanned robotically for meaning, the champ of algorithms of 'grep': Google. Looking for the meaning of "what" in "What is it that is looked for" based upon whether a title or a footnote, or a link is considered.
Semantics, and there can be more then one layer, even the textual message carries (Chomsky) semantics thus could be translated as meaning by form, creating functional differences to anything else in the output chain, including a human being, the reader.
As a conclusion, programmers and academics should be integrated, no academic should be without knowledge of his tools, as any bread and butter carpenter. Programmers should be academics in the sense that the other end of the bridging they accomplish is the end user, the bridge... much so: semantics.
m.

Resources