rbeckman-nextgen / test-mc3

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Probable misnamed FHIR element in Mirth FHIR Object Builder #4278

Open rbeckman-nextgen opened 4 years ago

rbeckman-nextgen commented 4 years ago

Ive been developing a channel to convert HL7v2 RDE messages to FHIR MedicationRequest resources. (Mirth 3.7.1 and FHIR Preview Extensions 3.7.1.b258).

Seems to work well for the most part and nicely intuitive to use but I've noticed what looks like an error in the FHIR Object Builders naming of an element.

In FHIR STU3, MedicationRequest.dosageInstruction is a Dosage element which has a placeholder element - 'dose[x]'. This can be of type Range or SimpleQuantity.

Where the SimpleQuantity option is required the dose[x] placeholder should substitute 'doseQuantity' as the name of the element. However, the Mirth FHIR Object Builder is naming this element 'doseSimpleQuantity' and is thus not conforming with the FHIR standard. See the dosageInstruction below (a fragment of the larger MedicationRequest) for how it appears in JSON -

"dosageInstruction": [ { "timing": { "event": "2017-12-13T15:02:00+00:00" }, "route": "oral", "doseSimpleQuantity": { "value": 1, "unit": "g" } } ],

Example MedicationRequest resources on the STU3 web site (eg the Medicationrequest0308.json) appear to support my view that the Object Builder is incorrectly naming this element.

Another observation on this. I notice that the schema/model information view in the FHIR Object Builder also shows this element misnamed as doseSimpleQuantity, so I wonder if this could be the underlying cause.

I also flipped the outbound serialization for the destination to be XML rather than json - the generated xml failed to include this element and its value & unit attributes, though did correctly transform the rest of the resource. I dont know how Mirth is mapping between json and xml but is it possible the XML schema has the correct name for the element and it doesn’t map to the invalid name known to json??

Imported Issue. Original Details: Jira Issue Key: MIRTH-4423 Reporter: jcneal Created: 2019-06-26T13:49:11.000-0700