Current Context

Current application context can be queried using well known Observation resource identifiers.

Current Provider Identifier

Will return a resource <id> valueString value when a user is currently logged into the clinical system.

This can be used to obtain practitioner details via <fhir-host>/Practitioner/<id>

Note: FHIR STU3 service now had globally (rather than locally) unique identifiers

Read

GET <fhir-host>/Observation/CTX-PROVIDER

Example

<Observation xmlns="http://hl7.org/fhir">
    <id value="CTX-PROVIDER" />
    <meta>
        <lastUpdated value="2017-12-07T14:54:42.49+11:00" />
    </meta>
    <text>
        <status value="generated" />
        <div xmlns="http://www.w3.org/1999/xhtml">
            <p> Context: PROVIDER - CEBD70498A0C2465B2808432371E6571.1</p>
        </div>
    </text>
    <status value="final" />
    <code>
        <coding>
            <system value="http://oridashi.com.au/system/code/context" />
            <code value="PROVIDER" />
            <display value="Provider Context" />
        </coding>
    </code>
    <effectiveDateTime value="2017-12-07T14:54:42.4906904+11:00" />
    <valueString value="CEBD70498A0C2465B2808432371E6571.1" />
</Observation>

Direct DLL Call

When hosing your own FHIR service using the FHIR-SERVER.dll you may call the library interface directly to obtain logged in practitioner context:

  string practitionerId = server.ContextPractitioner;

Current Patient Identifier

Will return a resource <id> valueString value when a user is currently logged into the clinical system and a patient record is open and in focus. NOTE: mulitple patients can be open in the clinical system at one time this call indicates the patient record that in the active (current focus) window on screen.

This can be used to obtain current patient details via <fhir-host>/Patient/<id>

Note: FHIR STU3 service now had globally (rather than locally) unique identifiers

Read

GET <fhir-host>/Observation/CTX-PATIENT

Example

<Observation xmlns="http://hl7.org/fhir">
    <id value="CTX-PATIENT" />
    <meta>
        <lastUpdated value="2017-12-07T14:55:05.463+11:00" />
    </meta>
    <text>
        <status value="generated" />
        <div xmlns="http://www.w3.org/1999/xhtml">
            <p> Context: PATIENT - CEBD70498A0C2465B2808432371E6571.5</p>
        </div>
    </text>
    <status value="final" />
    <code>
        <coding>
            <system value="http://oridashi.com.au/system/code/context" />
            <code value="PATIENT" />
            <display value="Patient Context" />
        </coding>
    </code>
    <effectiveDateTime value="2017-12-07T14:55:05.4636076+11:00" />
    <valueString value="CEBD70498A0C2465B2808432371E6571.5" />
</Observation>

Direct DLL Call

When hosing your own FHIR service using the FHIR-SERVER.dll you may call the library interface directly to obtain active/in focus patient context:

  string patientId = server.ContextPatient;

Current Organisation Identifier

Will return a resource <id> valueString value if a user is currently logged into the clinical system.

This can be used to obtain organization/clinic details via <fhir-host>/Organization/<id>

Note: FHIR STU3 service now had globally (rather than locally) unique identifiers

Read

GET <fhir-host>/Observation/CTX-ORGANISATION

Example

<Observation xmlns="http://hl7.org/fhir">
    <id value="CTX-ORGANISATION" />
    <meta>
        <lastUpdated value="2017-12-07T14:56:07.318+11:00" />
    </meta>
    <text>
        <status value="generated" />
        <div xmlns="http://www.w3.org/1999/xhtml">
            <p> Context: ORGANISATION - CEBD70498A0C2465B2808432371E6571.1</p>
        </div>
    </text>
    <status value="final" />
    <code>
        <coding>
            <system value="http://oridashi.com.au/system/code/context" />
            <code value="ORGANISATION" />
            <display value="Organisation Context" />
        </coding>
    </code>
    <effectiveDateTime value="2017-12-07T14:56:07.3189622+11:00" />
    <valueString value="CEBD70498A0C2465B2808432371E6571.1" />
</Observation>

Direct DLL Call

When hosing your own FHIR service using the FHIR-SERVER.dll you may call the library interface directly to obtain current organization/clinic context:

  string organizationId = server.ContextOrganization;

Current Application Context

Will return a valueString value if a user is currently logged into the clinical system, represents the currently active view on screen.

Read

GET <fhir-host>/Observation/CTX-APPLICATION

Example

<Observation xmlns="http://hl7.org/fhir">
    <id value="CTX-APPLICATION" />
    <meta>
        <lastUpdated value="2017-12-07T14:57:04.685+11:00" />
    </meta>
    <text>
        <status value="generated" />
        <div xmlns="http://www.w3.org/1999/xhtml">
            <p> Context: APPLICATION - MEDICATION.LIST</p>
        </div>
    </text>
    <status value="final" />
    <code>
        <coding>
            <system value="http://oridashi.com.au/system/code/context" />
            <code value="APPLICATION" />
            <display value="Application Context" />
        </coding>
    </code>
    <effectiveDateTime value="2017-12-07T14:57:04.6857468+11:00" />
    <valueString value="MEDICATION.LIST" />
</Observation>

Value Set

• MEDICATION.LIST - current medications list
• MEDICALHISTORY.LIST - past medical history list
• IMMUNISATION.LIST - immunisations list
• INVESTIGATION.LIST - investigations list
• OTHER.LIST - unspecified list
• PRESCRIBING - prescribing medications entry
• MEDICALHISTORY.ENTRY - condition/procedure entry
• PATHOLOGY.ORDER - ordering pathology entry
• IMAGING.ORDER - ordering imaging entry
• 'LOGIN - login prompt
• UNKNOWN - another window unclassified (app is running)