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The HL7® FHIR®
Burns Brighter
Ewout Kramer
FHIR Core team
Furore (Amsterdam, NL)
eMail:
Web:
[email protected]
http://www.furore.com
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
What was 2014 like?
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2014 – Task 1
COMMUNITY BUILDING
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We exist now!
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At your service
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Connectathons
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FHIR Developer Days 2014 - 74 participants from 19 countries
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
New products every day
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2014 – Task 2
EXPANDING THE SPEC
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New Resources
Workflow / PC
Scheduling
CarePlan, Goal, Episode, Alert,
Communication, ReferralRequest,
DiagnosticOrder
Appointment, Schedule, Slot
DICOM
ImagingStudy, ImagingObjectSelection
AuditEvent (ATNA)
IHE XDS (MHD)
DocumentReference
DocumentManifest
W3C
Provenance
IHE PCD
DeviceComponent
DeviceMetric
Conformance
ValueSet, Conformance,
StructureDefinition,
OperationDefinition
number of resources more or less doubled to just over 100
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New: Core extensions
Resources
Extensions
Solution
Patient – citizenship, mothersmaidenname, uscore-race
Pharmacy – refillsremaining, maxdeliveryrate
Procedure – incisiondatetime
Condition – criticality
ISO21090 – nullflavor, en-qualifier
+
=
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New: Operations
Read
Update
Search
FHIR Server
FHIR REST
Validate
Check Drug
Interaction
Complex
Operations
Merge
Patient
Expand
ValueSet
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Terminology services
$expand – Use the definition to create a
simple set of codes for data entry or
validation
$lookup - Given a code/system, or a
Coding, get additional details about the
concept
$validate-code - Validate that a coded
value is in the set of codes allowed by a
value set.
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Polling for changes
(DSTU1)
1. Submit
Order
EHR
4. Monitor
placed orders
FHIR
Order
Management
2. Monitor
new orders
3. Order
update
Lab System
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New: Subscriptions
Notifications in FHIR (DSTU2)
1. Register
device
2. Subscribe to
device events
FHIR
Device Alert
Manager
3. Send Alert
Patient Care Device
4. Send
notification
5. Retrieve alert
data
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2014 – Task 3
EXPAND CONFORMANCE
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Work on Profiles…
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Constraints on
core model
Realm-specific valuesets
Extensions
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
New: “Conformance”
resources
“Profile”
Structure
Definition
SearchParam
Definition
Operation
Definition
Forge
ConceptMap
Excel
NamingSystem
Conformance
ValueSet
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Implementation Guides
Guide
Author & Store
Implement
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2014 – Appendix
DSTU2 CLASS HIERARCHY
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DSTU1: Resource and
metadata
Metadata
Patient
MRN 22234
“Ewout Kramer”
30-11-1972
Amsterdam
Resource Identities
http://fhir.hl7.org/Patient/23E455A3B
http://fhir.hl7.org/Patient/23E455A3B/_history/4
Last updated
2013-12-23T23:33:01+01:00
http://hl7.org/fhir/tag
http://example.org/fhir/Status#Test
http://hl7.org/fhir/tag/profile
http://hl7.org/fhir/Profile/us-core
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
DSTU2: Class hierarchy
Resource
Bundle
DomainResource
Entry
Patient
Observation
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Basic elements
Resource
Id (http://example.org/fhir/Patient/4A33)
VersionId (http://example.org/fhir/Patient/4A33/_history/1)
Bundle
LastUpdated
Profile (0..* Uri’s)
Tag (0..* Coding)
Security (0..* Coding)
DomainResource
Text (the Resource’s narrative)
Contained (0..* Resource)
Extension (0..* Extension)
ModifierExtension (0..* Extension)
Patient
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Demo: Full example
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2014 – Task 3
HANDLE ADOPTION IN US
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US Co-operations
Services
HSPC
SMART
(on FHIR)
Profiles,
OIDC/OAuth
FHIR
Argonaut
C-CDA 1.1
FHIR Profiles
(MU3)
Intermountain Healthcare, Veterans Affiars, IBM, Epic, Cerner, Mayo, Kaiser, …
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(NEAR) FUTURE PLANS
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DSTU 2
Expected content includes:
Additional capabilities
New resources
Profiles for CCDA 1.1
Updates to existing content
Publish/subscribe, Operations
Check tracker for proposal and agreed changes
Ballot during May Paris WGM
Publish around end of July 2015
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Questions?
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© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
International HL7 FHIR Developer Days
November 18-20, 2015 in Amsterdam
Education
14 tutorials
Connectathon
pick & choose
Meet fellow developers
Put FHIR to the test
Networking
FHIR experts and authors on hand
http://fhir.furore.com/devdays
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