11 August 2015

Viet Nguyen, MDChief Medical OfficerHealth & Life SciencesInformation Systems & Global Solutionsviet.nguyen@systemsmadesimple.com

HL7 Clinicians on FHIR

History

• Purpose – to engage clinicians in the development and testing of FHIR

resources– to test the accuracy, validity and usability of clinical resources– to identify any issues arising from clinical use of clinical

resources tested– to provide recommendations to enhance/improve the clinical

resources tested– to identify lessons learnt such that future FHIR resources

development methodology and processes may be improved– Education

3

History

• Methods– Pre-WGM use case development– Tooling development – David Hay

• Participants– Clinicians from HL7 working groups (Patient Care, Pharmacy,

Clinical Genomics, EHR, Emergency Care, others)– FHIR Core Team

• Challenge Day– Friday of HL7 WGM (Chicago, San Antonio, Paris)– Large group (individual) vs Small Group (team)– Tooling evolution

4

Lessons Learned• Use cases

– Simpler is better…initially– Let complexity emerge

• Tooling - clinfhir.com– 3 iterations. “EHR-like”developer/modeler– Terminology binding– Allow user to see interdependencies between resources– Focus on FHIR, not the tooling

• Clinicians– Terminology/modeling/FHIR expertise varies– Focused on data entry aspects– “make it real”– “edge case” concerns– Need clearer boundaries during the discussion (culture/policy/process,

UI/EHR/Data models, interoperability) – all interdependent

5

clinfhir.com Demo