© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.

ONCFHIR status

updateLloyd McKenzie

June 6, 2013

© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.

FHIR INTRO(Really fast)

© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.

Healthcare Standards

Complex…. Slow… Hard to use and understand Require specialist skills, tools Costly

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What if it didn’t have to be like that?

© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.

Introducing FHIR

Fast Health Interoperability Resources Pronounced “Fire”

Based on industry best practices, with a focus on simplicity and implementability

Leverage web technologies

Human readability as base level of interoperability

One syntax – documents, messages, services, REST Computable templates/profiles that work in all architectures

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Resources

“Resources” are: Small logically discrete units of exchange Defined behaviour and meaning Known identity / location Smallest unit of transaction “of interest” to healthcare

E.g. Patient, Provider, Specimen, Drug, Lab Result, Allergy, Care Plan, Study, Adverse Reaction

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Resources have 3 parts

Defined Structured Data The logical, common contents of the resource Mapped to formal definitions/RIM & other formats

Extensions Local requirements, but everyone can use Published and managed (w/ formal definitions)

Narrative Human readable (fall back)

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FHIR STATUS

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Organizational penetration Broad support from board and TSC Significant uptake within main HL7 Work

Groups Redirecting energy from v3 50 FHIR-related quarters at last WGM

Leading effort on enhanced governance processes

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Ballots

First DSTU (Jan 2014 latest) 48 resources in scope

10 Infrastructure 25 for CCDA support 6 for IHE (ATNA, XDS) & DICOM 7 other sources

Significant up-front QA Will pass after one, possibly two ballots No guarantee of backward compatibility

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Ballots

Second DSTU (~Jan 2015) Additional “key” resources

Referral, Appointment, Diet, Radiation Additional domains

Financial, Public Health, Clinical Studies, etc. Resource Profiles ‘Standard’ extensions?

Possibility of 3rd DSTU

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Ballots

Normative ballot not likely until 2016 Want significant (and broad) implementation

experience Promising wire-format compatibility, don’t want the

overhead of workarounds for many years Some resources may not go normative if they

haven’t been sufficiently exercised Will evaluate providing transforms for DSTU <->

Normative depending on need, resources

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Implementer supports

Multiple reference implementations Auto-generated interfaces in 4+ languages Public test servers Automated test tools Draft tooling to convert CCDA -> FHIR Tooling in progress for Profile

development/maintenance

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Implementer experience

3 connectathons so far (30+ implementers) Increasing attendance, including EMR vendors for

first time At least 20 companies/projects looking

at/working on FHIR with intention of production use (Possibly in limited environments) Significant interface engine interest

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Long range plans

Most resource development complete within 3 years For some Work Groups, even sooner

Focus will change from resource development to: Profile/extension development & maintenance Vetting external profiles/extensions Implementer support

© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.

Follow Up Read the spec: hl7.org/fhir Follow #FHIR on Twitter Implementation questions on stackoverflow

Tag hl7_fhir Shape the specification:

Make comments online (wiki linked to spec) Try implementing it Come to the next Connectathon and/or HL7 meeting

Sept. in Cambridge

Contact me lloyd@lmckenzie.com

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