onc fhir status update
DESCRIPTION
ONC FHIR status update. Lloyd McKenzie June 6, 2013. (Really fast). FHIR Intro. Healthcare Standards. What if it didn’t have to be like that?. Complex…. Slow… Hard to use and understand Require specialist skills, tools Costly. Introducing FHIR. - PowerPoint PPT PresentationTRANSCRIPT
© 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
© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
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 [email protected]
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