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A comment on Launch HN: Medplum (YC S22) – Open-Source Firebase for Healthcare. Parent comment

Re:Launch HN: Medplum (YC S22) – Open-Source Firebase for He... by rahul_agarwal on Tuesday November 08, 2022 @06:06PM (#33525507)
Yes it is! As we’ve worked with users, we’ve been continually impressed by how the FHIR spec handles complex real-world use cases. Because of this flexibility, we made the decision to store FHIR natively, rather than roll a custom schema under the hood and convert to FHIR on the fly.
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Re:Launch HN: Medplum (YC S22) – Open-Source Firebase for He... by neonate on Tuesday November 08, 2022 @09:21PM (#33526882)
> we’ve been continually impressed by how the FHIR spec handles complex real-world use cases

what's an example?

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Re:Launch HN: Medplum (YC S22) – Open-Source Firebase for He... by brown on Wednesday November 09, 2022 @12:11AM (#33527722)
One of the most complex Medplum projects is a large multi-party lab integration. We followed the US Core Lab Profile (https://hl7.org/fhir/us/core/StructureDefinition-us-core-obs...). We not only represented the labs results in FHIR (ServiceRequest, Observation, DiagnosticReport), we also represented the full lab catalog (ObservationDefinition, ActivityDefinition, PlanDefinition).

Time after time, stakeholders would raise new requirements -- how do we model pregnancy status? how do we model multi-step lab tests? how do we model contextualized reference ranges? Time after time, the FHIR schema had a clear answer.

That goes a long way to simplifying and streamlining multi-party integrations, and cuts out a lot of wasted time trying to reinvent everything from scratch.

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