5a kramer fhir out-of-the-box ehealth interoperability ehin 2014
DESCRIPTION
Ewout Kramer, Furore FHIR: Out-of-the-box eHealth interoperability? EHiN 2014, IKT-Norge og HODTRANSCRIPT
(well, that’s relative)
(that’s what we need)
(the web technology bit)
Focus on implementers
Keep common scenarios simple
Leverage existing technologies
Make content freely available
FHIR Manifesto (abridged)
If your neighbour 's son can’t hack an app with <technology X> in a weekend…..
Focus on implementers
you won’t get adopted
6
www.programmableweb.com
Slice & dice your data into “resources”
How many resources?Currently: about 60
• Administrative– Patient, Location, Encounter,
Organization,
• Clinical Concepts– AllergyIntolerance,
Questionnaire, Observation
• Infrastructure– ValueSet, Composition, Profile,
Conformance
Next up…still about 60 to go
• Scheduling- Appointment, Availability, Slot
• Financial- Claim, Account, Coverage
• Consent• Devices
– Metric, DeviceComponent
• Care Transfer
Full support for C-CDA
Generic Specific
Flexibility vs. useability
Re-useable Single purpose
HL7v3 RIM
HL7 CDAC-CCD
openEHR RM
HL7v2
IHE PDQFHIR
openEHRArchetypes
openEHRTemplates
HL7v3 CMETS
+ =
Cover the 80% out of the box…
Race
Middle name
Lunar Hijri birthdate
FHIR RepositoryStandardFHIR REST
CustomOperations
Read
Update
Search
Check Drug Interaction
MergePatient
Standardize with your partners…not the world
Conformance & Profile
Guidance
Implementation
Find & maintain
Retrieve & use
Repository
Packaging & transport
Yes, v2 style messagingis also supported! √Yes, v3 CDA style documentsare also supported!
√
Document from the resource to the wire
HTTP/1.1 200 OKContent-Type: application/json;charset=utf-8Content-Length: 627Content-Location: /fhir/person/@1/history/@1Last-Modified: Tue, 29 May 2012 23:45:32 GMTETag: "1“
"Person":{"id":{"value":"1"},"identifier":[{"type":{"code":"ssn","system":"http://hl7.org/fhir/sid
What’s Next?• Februari 2014 First Draft Standard for Trial Use (DSTU)
– Semi-stable platform for implementers Additional DSTU versions roughly annually to make fixes, introduce new resources
• June 2015 Second Draft Standard for Trial Use (DSTU2)
• Normative – 2016?– We want *lots* of implementation
experience before committing to backward compatibility
17
18
International HL7 FHIR Developer Days
November 24-26, 2014 in Amsterdam
Education
– 14 tutorials
Connectathon
– Meet fellow developers
– Put FHIR to the test
Networking
– FHIR experts and authors on hand
http://fhir.furore.com/devdays
Questions?