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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.
The HL7® FHIR® Burns Brighter
Ewout KramerFHIR Core team Furore (Amsterdam, NL)
eMail: [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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COMMUNITY BUILDING2014 – Task 1
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We exist now!
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At your service
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Connectathons
FHIR Developer Days 2014 - 74 participants from 19 countries
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New products every day
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EXPANDING THE SPEC2014 – Task 2
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New Resources
ConformanceValueSet, Conformance, StructureDefinition, OperationDefinition
SchedulingAppointment, Schedule, Slot
Workflow / PCCarePlan, Goal, Episode, Alert, Communication, ReferralRequest,
DiagnosticOrder
IHE XDS (MHD)DocumentReference
DocumentManifest
IHE PCDDeviceComponentDeviceMetric
DICOMImagingStudy, ImagingObjectSelection
AuditEvent (ATNA)
W3CProvenance
number of resources more or less doubled to just over 100
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+ =
New: Core extensions
Resources Extensions Solution
Patient – citizenship, mothersmaidenname, us-core-racePharmacy – refillsremaining, maxdeliveryrateProcedure – incisiondatetimeCondition – criticalityISO21090 – nullflavor, en-qualifier
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New: Operations
FHIR ServerFHIR REST
Complex Operations
ReadUpdate Search
Check Drug Interaction
MergePatient
ExpandValueSet
Validate
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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)
FHIROrder
Management
Lab System
1. Submit Order
2. Monitor new orders
3. Order update
4. Monitor placed ordersEHR
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Notifications in FHIR (DSTU2)
Patient Care Device
FHIRDevice Alert
Manager
1. Register device
2. Subscribe to device events
3. Send Alert
5. Retrieve alert data
4. Send notification
New: Subscriptions
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EXPAND CONFORMANCE2014 – Task 3
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Work on Profiles…
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Constraints on core model
Realm-specific valuesets
Extensions
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New: “Conformance” resources
“Profile”
StructureDefinition
SearchParamDefinition
ValueSet
ConceptMap
NamingSystem
OperationDefinition
Conformance
Forge
Excel
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Test & verify
Publish
Guide
Implement
Author & Store
Implementation Guides
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DSTU2 CLASS HIERARCHY2014 – Appendix
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Patient
MRN 22234“Ewout Kramer”30-11-1972Amsterdam
DSTU1: Resource and metadata
Metadata
Resource Identitieshttp://fhir.hl7.org/Patient/23E455A3Bhttp://fhir.hl7.org/Patient/23E455A3B/_history/4
Last updated2013-12-23T23:33:01+01:00
http://hl7.org/fhir/tag/profilehttp://hl7.org/fhir/Profile/us-core
http://hl7.org/fhir/taghttp://example.org/fhir/Status#Test
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DSTU2: Class hierarchy
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Resource
DomainResource
Patient Observation
Bundle
Entry
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Basic elements
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Resource
Id (http://example.org/fhir/Patient/4A33)VersionId (http://example.org/fhir/Patient/4A33/_history/1)LastUpdatedProfile (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
Bundle
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Demo: Full example
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HANDLE ADOPTION IN US2014 – Task 3
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HSPC
ArgonautSMART(on FHIR)
US Co-operations
FHIR
C-CDA 1.1FHIR Profiles(MU3)
Profiles, OIDC/OAuth
Services
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
Publish/subscribe, Operations New resources Profiles for CCDA 1.1 Updates to existing content
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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International HL7 FHIR Developer DaysNovember 18-20, 2015 in Amsterdam
Education 14 tutorials
pick & choose
Connectathon Meet fellow developers Put FHIR to the test
Networking FHIR experts and authors on hand
http://fhir.furore.com/devdays