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- It is recommended that the level of bilirubin Bilirubin should be checked in newborn babies.
A monitoring agent is set up to ensure that newborns receive at least one reading within 12 hours from their birth. - Abnormal bilirubin values may lead to severe complications, so an alerting agent will be responsible to deliver notifications
to the appropriate actors.
Proof of concept
- A manager application (not implemented) embodies an institution's policies. It configures Subscription resources to monitor for
1) new Patients and 2) new Bilirubin observations.
As a new Patient is detected, the active monitor is notified. The monitor watches for Bilirubin observations for that patient and,
in case none is detected within a 12 hour period, it sends an email notification to a relevant actor.
Dev Environment:
- At least one Subscription capable FHIR endpoint will be provided
- https://hspc.isalusconsulting.com/dstu2/open-hsp-reference-api/data/Subscription
- Subscription resources
- Subscription Bilirubin having criteria "Observation?code=58941-6" and channel.endpoint="http://localhost:8080/bilirubin/onEvent" (note, this URL is relative to the sandbox)
- Subscription Newborn having criteria "Patient" and channel.endpoint="http://localhost:8080/newborn/onEvent" (note, this URL is relative to the sandbox)
- The server will expose Observation Resources of the following types:
- Transcutaneous Bilirubin Loinc Code 58941-6
- The StructureDefinition corresponding to the Observation types will be available here
- [Code : Profile URL TBD] (Travis: We aren't using a profile for this demo)
- New resources of the given types will be generated randomly for a test patient. Likewise, existing resources in the patient's record will be updated randomly
- Patient resource having a birth date/time of 11 hours 58 minutes in the past
- Bilirubin Observation resources
- Observation 1 having value = 11.0
- Observation 2 having value = 10.7
- Observation 3 having value = 14
- Observation 4 having value = 10.7
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