Bread Dog
dogofbread.bsky.social
Bread Dog
@dogofbread.bsky.social
Software Dev

Debugging and refactoring coding challenges are underrated. You learn a lot more about a dev by seeing how they take an existing codebase and make sense of it and make changes. Rather than rushing to make a toy solution to a toy problem.
December 4, 2024 at 9:29 PM
Next step is to make sure your keyboard and mouse also have colorful lights.
December 4, 2024 at 9:25 PM
I think finding your way around different locks on school computers is just a canon event.
December 4, 2024 at 5:22 AM
I was going to go into a lack of handling of more complex family names but I realized even FHIR goes "Nah, fuck that" and just says to provide the whole thing as a string. But still got me sent on a side journey reading this: www.w3.org/Internationa...
Personal names around the world
How do people's names differ around the world, and what are the implications of those differences on the design of forms, databases, ontologies, etc. for the Web?
www.w3.org
December 4, 2024 at 5:03 AM
Side note, kind of interesting that the "old" use is higher in the hierarchy than the maiden name, when the old use can contain incorrect names (again, kept for record purposes), but I digress.
December 4, 2024 at 5:03 AM
Now FHIR itself doesn't apply any sort of hierarchy to these names (besides maiden name, existing for records purposes), but one could imagine wanting an actual hierarchy in user-facing applications. For example, there is the "anonymous" use meant to protect identities.
December 4, 2024 at 5:03 AM
The first one being that the name (represented in the HumanName structure) has, well, multiple names. Medplum just grabs the first name in the array and rendering that. But it is an array in the first place cause each has their own use.

build.fhir.org/valueset-nam...
Valueset-name-use - FHIR v6.0.0-ballot2
build.fhir.org
December 4, 2024 at 5:03 AM
The impetus was just wanting to build my own PatientSummary component rather than use medplum's prebuilt one, and realizing that the medplum's libs sort of take a simplified approach to rendering the patient's name when the FHIR spec itself has a lot of caveats.
December 4, 2024 at 5:03 AM
Day 3 update, been messing around with medplum in a small react app and there is a lot I like, but already starting to fall down rabbit hole around the #FHIR human name format and making me want to build a small util library.
December 4, 2024 at 5:03 AM
Cool, will give it a watch.

Yeah, the Microsoft tool is interesting.
December 4, 2024 at 12:47 AM
Looks like microsoft has a tool for this, and seeing a few examples, so looks like an interesting topic to dive into. Welp, time to get working

github.com/microsoft/FH...
GitHub - microsoft/FHIR-Converter: Conversion utility to translate legacy data formats into FHIR
Conversion utility to translate legacy data formats into FHIR - microsoft/FHIR-Converter
github.com
December 3, 2024 at 6:41 AM
Something I've been mulling over is basically a sort of "second layer" data integration tool. Like let's say X and Y tools have disparate formats, have an intermediary tool that you can build strategies for communication and use FHIR in the middle.
December 3, 2024 at 6:41 AM
Day 2 of spending some time researching into this, medplum is interesting. Think I'm going to just start building some stuff with it
December 3, 2024 at 6:28 AM
Interesting. Probably different usage habits of different circles. On the subject of social capital, I would guess "powerusers" would be less likely to want to jump ship. A lot of the people I saw leave were more casual users who were like "Well, this isn't as fun anymore".
December 2, 2024 at 9:49 PM
I think a lot of people did. The few times I've logged in since my feed is a ghost town relative to what it was.

The issue for larger institutions was that there was no viable alternative (in terms of popularity and reach) and those scales are just now starting to tip.
December 2, 2024 at 9:24 PM
test failed. build did not pass.

hmm, that feels wrong

git commit --allow-empty -m "Trigger Build"
December 2, 2024 at 9:13 PM
Also looking into openEHR
December 2, 2024 at 5:18 AM
So I'm coming at this from the eyes of developer and outsider trying to find bottlenecks in my own effort to learn and develop using the available resources.
December 2, 2024 at 5:12 AM
My interest in this sparked from a conversation with my mother, somebody who works on the healthcare admin side, who was lamenting the state of data interoperability in the field
December 2, 2024 at 5:12 AM