© 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 Kramer

FHIR Core team

Furore (Amsterdam, NL)

eMail: e.kramer@furore.com

Web: 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

3

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We exist now!

4

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At your service

5

© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.

Connectathons

6 FHIR Developer Days 2014 - 74 participants from 19 countries

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New products every day

7

© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.

EXPANDING THE SPEC2014 – Task 2

8

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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 PCDDeviceComponent

DeviceMetric

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-race

Pharmacy – refillsremaining, maxdeliveryrate

Procedure – incisiondatetime

Condition – criticality

ISO21090 – nullflavor, en-qualifier

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New: Operations

11

FHIR ServerFHIR REST

Complex

Operations

ReadUpdate Search

Check Drug

InteractionMerge

Patient

Expand

ValueSet

Validate

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Terminology services

12

$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.

© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.

Polling for changes (DSTU1)

13

FHIR

Order

Management

Lab System

1. Submit

Order

2. Monitor

new orders

3. Order

update

4. Monitor

placed ordersEHR

© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.

Notifications in FHIR (DSTU2)

Patient Care Device

FHIR

Device Alert

Manager

1. Register

device2. Subscribe to

device events

3. Send Alert

5. Retrieve alert

data

4. Send

notification

New: Subscriptions

© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.

EXPAND CONFORMANCE2014 – Task 3

15

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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

18

“Profile”

Structure

Definition

SearchParam

Definition

ValueSet

ConceptMap

NamingSystem

Operation

Definition

Conformance

Forge

Excel

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Guide

Implement

Author & Store

Implementation Guides

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DSTU2 CLASS HIERARCHY2014 – Appendix

20

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Patient

MRN 22234

“Ewout Kramer”

30-11-1972

Amsterdam

DSTU1: Resource and metadata

Metadata

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/profile

http://hl7.org/fhir/Profile/us-core

http://hl7.org/fhir/tag

http://example.org/fhir/Status#Test

© 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

22

Resource

DomainResource

Patient Observation

Bundle

Entry

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Basic elements

23

Resource

Id (http://example.org/fhir/Patient/4A33)

VersionId (http://example.org/fhir/Patient/4A33/_history/1)

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

Bundle

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Demo: Full example

24

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HANDLE ADOPTION IN US2014 – Task 3

25

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HSPC

Argonaut

SMART(on FHIR)

US Co-operations

26

FHIR

C-CDA 1.1

FHIR Profiles

(MU3)

Profiles,

OIDC/OAuth

Services

Intermountain Healthcare, Veterans Affiars, IBM, Epic, Cerner, Mayo, Kaiser, …

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(NEAR) FUTURE PLANS

27

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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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29

Questions?

© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.

30

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