fhir intro and background at hl7 germany 2014
DESCRIPTION
A thorough overlook of FHIR, starting out with a general intro and discussing FHIR exchange patterns, architecture and profilingTRANSCRIPT
![Page 2: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/2.jpg)
Our common problem
• Avoid speaking between lunch and afternoon coffee
• No one is interesting to listen to for more than 45 minutes
![Page 3: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/3.jpg)
So….Please…
• I’ll break the presentation in 45 minutes
• State your questions at any time
• Read your e-mail if you need to
![Page 4: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/4.jpg)
Fast(well, that’s relative)
HealthcareInteroperability(that’s what we need)
Resources(the web technology bit)
![Page 5: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/5.jpg)
January 2011The HL7 Board initiated
“Fresh Look”
“What would we do if we were to revisit the healthcare interoperability space from scratch?”
Grahame
LloydEwout
![Page 6: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/6.jpg)
Why something new?
![Page 7: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/7.jpg)
![Page 8: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/8.jpg)
“How can I get data from my server to my iOS app?”
“How do I connect my applications using cloud storage?”
“How can I give record-based standardized access to my PHR?”
![Page 9: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/9.jpg)
If your neighbour 's son can’t hack an app with <technology X> in a weekend…..
Focus on implementers
you won’t get adopted
![Page 10: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/10.jpg)
Focus on implementersKeep common scenarios simpleLeverage existing technologiesMake content freely available
![Page 11: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/11.jpg)
12
![Page 12: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/12.jpg)
REST
![Page 13: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/13.jpg)
WHAT’S IN THE BOX?
![Page 14: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/14.jpg)
Slice & dice your data into “resources”
MedicationPrescription Problem
Cover 80% - Context independent - Unit of exchange/storage
![Page 15: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/15.jpg)
Consistent documentation
Organization “ACME Hospital”National Drive 322Orlando, FL
Organization “ACME Hospital”National Drive 322Orlando, FL
PatientMRN 22235“Olaf Olafsson”01-01-1994Bergen
PatientMRN 22234“Ewout Kramer”30-11-1972Amsterdam
Thousands of examples
![Page 16: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/16.jpg)
Structure of a Resource(XML example)
![Page 17: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/17.jpg)
How many resources?Currently: about 68
• Administrative– Patient, Location, Encounter,
Organization, • Clinical Concepts
– AllergyIntolerance, Questionnaire, Observation
• Infrastructure– ValueSet, Composition, Profile,
Conformance
Next up…still about 100 to go
• Scheduling- Appointment, Availability, Slot
• Financial- Claim, Account, Coverage
• Consent
Full support for C-CDA
![Page 18: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/18.jpg)
Generic Specific
Cover all usecases - (n)ever
HL7v3 RIMHL7 CDA
C-CCD
openEHR RM
HL7v2
IHE PDQFHIR
openEHR Archetypes
openEHR Templates
HL7v3 CMETS
![Page 19: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/19.jpg)
+ =
Cover the 80% out of the box…
![Page 20: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/20.jpg)
Organization “ACME Hospital”National Drive 322Orlando, FL
PatientMRN 22234“Ewout Kramer”30-11-1972Amsterdam
+ Haircolor BROWN
+ Taxoffice Id NLOB33233
You can extend:- Resources- Elements of Resources- FHIR Datatypes
![Page 21: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/21.jpg)
Resources, Extensions, Profiles
+ =DiagnosticReport
Observation
"extensions"
"Profile"
![Page 22: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/22.jpg)
Package & publish: The Profile
“My First Profile”V1.0 by Ewout
![Page 23: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/23.jpg)
Document from the resource to the wireHTTP/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
![Page 24: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/24.jpg)
Message
Document
REST
CORBA
SOAP ?
Packaging & transport
Yes, v2 style messagingis also supported! √Yes, v3 CDA style documentsare also supported!
√
![Page 25: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/25.jpg)
Implementer support…
![Page 26: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/26.jpg)
In Summary…
• Basic “80%” Resources• Extension mechanism• Publication mechanism for specs (profiles)• Package as Message, Document or “REST”• XML/JSON/HTTP protocol for transport• Examples, documentation, API’s, connectathons
![Page 27: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/27.jpg)
Where are we?• January 2014 First Draft Standard for Trial Use ballot (“DSTU1”)
– Semi-stable platform for implementers Additional DSTU versions roughly annually to make fixes, introduce new resources
• May 2015 Second Draft Standard for Trial Use ballot (“DSTU2”)– Additional (C-CDA) resources, more workflow support, work on validation, community
feedback
• Normative is around 3 years out– We want lots of implementation
experience before committing to backward compatibility
29
![Page 28: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/28.jpg)
Questions?
![Page 29: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/29.jpg)
INTERLUDE: SOURCE OF FHIR
![Page 30: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/30.jpg)
“Source” of FHIRStraight from the HL7 SVN “code” respositoryat gforge.hl7.org
![Page 31: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/31.jpg)
Publication process
.INI
Publication tool(org.hl7.fhir.tools.jar)
Java, C#,Delphi eCoreDefinitions.xml
Website
ValidationSchema’s
Examples
DictXml Resource profiles
ResourceUML
examples
![Page 32: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/32.jpg)
Let’s browse the Spec
DSTU1, Dev andNightly Build…
![Page 33: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/33.jpg)
Pillars of FHIR
Exchange : Simple, Concise, ModularConformance : Capable, Comprehensive, fine-grainedOntology / Mapping : Thorough, Deep, Authoritative
![Page 34: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/34.jpg)
FHIR EXCHANGE LAYERCombining resources into useful exchanges
![Page 35: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/35.jpg)
FHIR server
Patient ObservationOrganization
PatientPatient Observation
Observation
REST:“Repository” model of healthcare
CreateUpdate Query
Lab System
CreateUpdate
Hospital System
CreateUpdate Query Subscribe
![Page 36: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/36.jpg)
Play with the exchange layer
![Page 37: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/37.jpg)
Practitioner
Patient
Observation
![Page 38: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/38.jpg)
![Page 39: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/39.jpg)
“Business” identifiers
![Page 40: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/40.jpg)
FHIR server @ hospitalA.org
PractitionerPractitioner/87
Organization
Organization/1
FHIR server @ lab.hospitalA.org
DiagnosticReport
DiagnosticReport/4445
Observation
Observation/3ff27
result
In REST: Possibly distributed…
42
FHIR server @ pat.registry.org
PatientPatient/223
managing
subject
perfo
rmer
![Page 41: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/41.jpg)
http://fhirblog.com/2014/01/24/modelling-encounters-with-fhir/
![Page 42: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/42.jpg)
Below the Resource: FHIR Primitives
![Page 43: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/43.jpg)
Below the Resource: FHIR datatypes
![Page 44: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/44.jpg)
Below the Resource: FHIR datatypes
![Page 45: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/45.jpg)
Exchanging Lists of Resources
• We call them “bundles” of Resources– Search result– History– Multiple-resource inserts (“batches”)– Documents or messages
• So, we need an industry-standard to represent lists, and a place to put our metadata
![Page 46: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/46.jpg)
“Atom”: New reports in the mail
![Page 47: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/47.jpg)
Let’s do a search
• Patient/example• Patient?name=eve
• DiagnosticReport?subject=Patient/example
![Page 48: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/48.jpg)
Bundle: FHIR Document
50
Dr. BernardPractitioner Patient Mary
Patient
Discharge Medslist
Vital Signslist
PulseObservation
BPObservation
DyclofenacMedicationPrescription
TamsulosinMedicationPrescription
Kidney StonesCondition
DischargeSummary
Composition
Chief Complaintsection
Physicalsection
Medicationssection
subjectauthor
content
content
content
entry
entry
![Page 49: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/49.jpg)
FHIRRepository
Regardless of paradigm the content is the same
Lab System
Receive a lab result in a message…
FHIR MessageFHIR Document
…Package it in a discharge summary document
NationalExchange
REST
![Page 50: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/50.jpg)
FHIROrder
Management
Polling feeds in FHIR (DSTU1)
Lab System
1. Submit Order
2. Monitor new orders
3. Order update
4. Monitor placed orders
EHR
![Page 51: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/51.jpg)
Notifications in FHIR (DSTU2)
Patient Care Device
FHIRDevice Alert
Manager
1. Register device
2. Subscribe to device events
3. Send Alert
5. Retrieve alert data
4. Send notification
![Page 52: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/52.jpg)
THE FHIR CONFORMANCE LAYERAdapting FHIR to local needs
![Page 53: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/53.jpg)
The need for Conformance
• Many different contexts in healthcare, but a single “core spec” with operations and Resources
• Need to be able to describe restrictions based on use and context
• Allow for these usage statements to:– Authored in a structured manner– Published in a repository– Used as the basis for validation, code, report and UI generation.
![Page 54: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/54.jpg)
Compliance
Publication
Guidance
Implementation
Find & maintain
Retrieve & use
Repository
![Page 55: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/55.jpg)
Tagging a profiled Resource
Patient
MRN 22234“Ewout Kramer”30-11-1972Amsterdam
http://hl7.org/fhir/tag/profile“I’m a Patient as defined in the Norwegian Profile – see http://hl7.no/Profiles/patient-no”
![Page 56: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/56.jpg)
(Distributed) validation
App’s server
Store &Validate
Country validation serverValidate Y
Profile X
Profile Y
Profile YD
ownload &
Validate
Profile X
Profile Y
![Page 57: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/57.jpg)
Extend/restrict the API
• Conformance Resource: describes how a client or server uses or should use the FHIR API
Which FHIR version? Which Resources? Which elements in the Resources? What search operations?
What formats (json/xml)?Is this a test server? Who can I contact?
![Page 58: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/58.jpg)
Extend/restrict the API
• OperationDefinition Resource: describes additional operations over and above the RESTful interactions defined in the specification
What is the name, input/output parameters, what does it do? Works on which resources?
![Page 59: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/59.jpg)
Constrain the Resources
61
Limit cardinality to 1..2(e.g. to at maximum your organizations’ identifier + the national one)
1..21..1
Limit names to just 1 (instead of 0..*)
Forbid any telecom elements
0..0
StructureDefinition Resource: describes additional restrictions on a resource
![Page 60: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/60.jpg)
Constrain the Resources
62
Fix value: Only allow “active” Patients
=“true”
If deceased is given, it must be a dateTime, not a boolean
Use our national codes for MaritalStatus
Use another profiled Resource
OrganizationNL
![Page 61: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/61.jpg)
Extending a Resource
Key = location of formal definition
Value = value according to definition
ExtensionDefinition Resource: describes possible extensions to a resource or datatype
![Page 62: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/62.jpg)
Ontology Support
ValueSet Resource: describes a set of codes or concepts that can be used in a context
NamingSystem Resource: provides formal definitions of system namespaces for identifiers and terminologiesConceptMap Resource: maps between terminologies and/or structures
![Page 63: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/63.jpg)
For implementer convenience, the specification itself publishes its base definitions using these same resources!
![Page 64: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/64.jpg)
Implementation Guide Publication
Publication tool
Website
ValidationSchema’s
Examples
DictXml Resource profiles
Profiled resources
StructureDefinition
ExtensionDefinition ValueSet
ConceptMap
NamingSystem
OperationDefinition
![Page 65: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/65.jpg)
![Page 66: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/66.jpg)
THE FHIRSTARTERSSome examples from early-adopters
![Page 67: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/67.jpg)
http://www.forbes.com/sites/danmunro/2014/03/30/setting-healthcare-interop-on-fire/
![Page 68: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/68.jpg)
Form Filler
Form Repository
EmptyQuestionnaires
1. Form Request+ Patient data in FHIR
Form Client
2. Prepopulated
Questionnaire
3. Filled out form
CompletedQuestionnaires
ONC Structured Data Capture
![Page 69: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/69.jpg)
Patient & Provider registry
CCD Documents
Hospital System
Resources
FHIR Documents
National Patient Portal
References
PDF Documents
![Page 70: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/70.jpg)
72
FHIR & C-CDA
• C-CDA is mandated by Meaningful Use• FHIR is a new specification• FHIR is not a replacement for C-CDA (yet)• Project to migrate C-CDA content to FHIR• In the future, FHIR may gradually replace C-
CDA
![Page 71: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/71.jpg)
(XDS) references
• CDA documents in FHIR systems• FHIR documents stored elsewhere (i.e. registry/repository following the XDS
model)• PDF documents, and even digital records of faxes where sufficient information is
available• Other kinds of documents, such as records of prescriptions.
A DocumentReference resource is used to describe a document that is made available to a healthcare system.
It is used in document indexing systems, and are used to refer to:
![Page 72: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/72.jpg)
IHE MHD
“This winter (…) the Volume 2 part of Mobile Health Documents (MHD) will be replaced with the appropriate content describing a profile of DocumentReference to meet the needs of MHD and the family of Document Sharing in XDS, XDR, and XCA.”
John Moehrke, august 16, 2013
![Page 73: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/73.jpg)
http://smartplatforms.org/smart-on-fhir/
![Page 74: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/74.jpg)
BlueButton
SMART
SMART
FHIR
FHIR
AnyFHIR
Server(PHRs!)
FHIR
![Page 75: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/75.jpg)
![Page 76: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/76.jpg)
Next Steps for you
• Read the spec at http://hl7.org/fhir• Try implementing it• Come to a (European?) Connectathon!
• [email protected] • #FHIR• Implementor’s Skype Channel• FHIR Developer Days (November 24 – 26), Amsterdam• StackOverflow: hl7 fhir tag
![Page 77: FHIR intro and background at HL7 Germany 2014](https://reader038.vdocument.in/reader038/viewer/2022103017/55624eb5d8b42a6c368b4d06/html5/thumbnails/77.jpg)
pagina 79
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