4 ms·

So, I could actually show you the emails where I helped move JSON from a MAY implement (with XML as a SHALL), to it being a proper first class member of the spe

by lbhnact 11y ago

So, I could actually show you the emails where I helped move JSON from a MAY implement (with XML as a SHALL), to it being a proper first class member of the spec. The FHIR core team was and continues to be interested in feedback from experienced integrators. I read your comments here occasionally; you're smart, participate! You use the phrase 'lingua franca' which provides and interesting analogy - it was implemented globally by a group of imperialists who controlled the trade transshipment points of a big chunk of the world by force of arms; is there a corollary in health care? Actors on the web that have a profit motive to play together have adopted a set of norms (REST, JSON) to manage tasks that are usually trivial compared to medical knowledge representation. We still can't get an iCal right, for goodness' sake. Everyone else is buttoned up, and FB and GOOG don't exactly share network data with each other. Regarding point four: if it get's specific to times, then you do have to indicate time zone, just ate the dateTime level: "If hours and minutes are specified, a time zone SHALL be populated." (https://www.hl7.org/fhir/datatypes.html#dateTime https://www.hl7.org/fhir/datatypes.html#dateTime)

angersock 11y ago
Thanks for getting JSON into a SHALL. :) It's not a timezone on point 4, as explained elsewhere that's the offset (if I'm reading the spec correctly here). As a minor history point...JSON was "discovered" by Crockford and given away as a spec, to everyone, to make life easier. REST is a (still hotly debated) style for designed HTTP API endpoints. :) The thing about the medical knowledge representations is that every single bloody thing that might be useful to implementors or folks looking to improve the field (from the outside, because inside medicine there are significant structural and political issues preventing meaningful change) is locked behind a goddamn paywall, taxed and kept from view lest it ever actually get out there and be useful. How much does it cost to get a copy of, for example, the standards for displaying ECG signals? Do you know where you'd purchase them offhand? How about that SNOMED? Medicine is basically the poster child for what happens when a community is allowed to horde knowledge and IP and then self-police to ensure that you can't interact with them without paying for that stuff.

by lbhnact 11y ago

angersock 11y ago

Thanks for getting JSON into a SHALL. :) It's not a timezone on point 4, as explained elsewhere that's the offset (if I'm reading the spec correctly here). As a minor history point...JSON was "discovered" by Crockford and given away as a spec, to everyone, to make life easier. REST is a (still hotly debated) style for designed HTTP API endpoints. :) The thing about the medical knowledge representations is that every single bloody thing that might be useful to implementors or folks looking to improve the field (from the outside, because inside medicine there are significant structural and political issues preventing meaningful change) is locked behind a goddamn paywall, taxed and kept from view lest it ever actually get out there and be useful. How much does it cost to get a copy of, for example, the standards for displaying ECG signals? Do you know where you'd purchase them offhand? How about that SNOMED? Medicine is basically the poster child for what happens when a community is allowed to horde knowledge and IP and then self-police to ensure that you can't interact with them without paying for that stuff.