Page 1
© 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 KramerFHIR Core team Furore (Amsterdam, NL)
eMail: [email protected] : http://www.furore.com
Page 2
© 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?
Page 3
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
COMMUNITY BUILDING2014 – Task 1
3
Page 4
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
4
We exist now!
Page 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.
5
At your service
Page 6
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
6
Connectathons
FHIR Developer Days 2014 - 74 participants from 19 countries
Page 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.
7
New products every day
Page 8
© 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
Page 9
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
New Resources
ConformanceValueSet, Conformance, StructureDefinition, OperationDefinition
SchedulingAppointment, Schedule, Slot
Workflow / PCCarePlan, Goal, Episode, Alert, Communication, ReferralRequest,
DiagnosticOrder
IHE XDS (MHD)DocumentReference
DocumentManifest
IHE PCDDeviceComponentDeviceMetric
DICOMImagingStudy, ImagingObjectSelection
AuditEvent (ATNA)
W3CProvenance
number of resources more or less doubled to just over 100
Page 10
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
+ =
New: Core extensions
Resources Extensions Solution
Patient – citizenship, mothersmaidenname, us-core-racePharmacy – refillsremaining, maxdeliveryrateProcedure – incisiondatetimeCondition – criticalityISO21090 – nullflavor, en-qualifier
Page 11
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
11
New: Operations
FHIR ServerFHIR REST
Complex Operations
ReadUpdate Search
Check Drug Interaction
MergePatient
ExpandValueSet
Validate
Page 12
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
12
Terminology services
$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.
Page 13
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
13
Polling for changes (DSTU1)
FHIROrder
Management
Lab System
1. Submit Order
2. Monitor new orders
3. Order update
4. Monitor placed ordersEHR
Page 14
© 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
FHIRDevice Alert
Manager
1. Register device
2. Subscribe to device events
3. Send Alert
5. Retrieve alert data
4. Send notification
New: Subscriptions
Page 15
© 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
Page 16
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
Work on Profiles…
Page 17
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
Constraints on core model
Realm-specific valuesets
Extensions
Page 18
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
18
New: “Conformance” resources
“Profile”
StructureDefinition
SearchParamDefinition
ValueSet
ConceptMap
NamingSystem
OperationDefinition
Conformance
Forge
Excel
Page 19
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
Test & verify
Publish
Guide
Implement
Author & Store
Implementation Guides
Page 20
© 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 HIERARCHY2014 – Appendix
20
Page 21
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
Patient
MRN 22234“Ewout Kramer”30-11-1972Amsterdam
DSTU1: Resource and metadata
Metadata
Resource Identitieshttp://fhir.hl7.org/Patient/23E455A3Bhttp://fhir.hl7.org/Patient/23E455A3B/_history/4
Last updated2013-12-23T23:33:01+01:00
http://hl7.org/fhir/tag/profilehttp://hl7.org/fhir/Profile/us-core
http://hl7.org/fhir/taghttp://example.org/fhir/Status#Test
Page 22
© 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
Page 23
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
Basic elements
23
Resource
Id (http://example.org/fhir/Patient/4A33)VersionId (http://example.org/fhir/Patient/4A33/_history/1)LastUpdatedProfile (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
Page 24
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
24
Demo: Full example
Page 25
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
HANDLE ADOPTION IN US2014 – Task 3
25
Page 26
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
26
HSPC
ArgonautSMART(on FHIR)
US Co-operations
FHIR
C-CDA 1.1FHIR Profiles(MU3)
Profiles, OIDC/OAuth
Services
Intermountain Healthcare, Veterans Affiars, IBM, Epic, Cerner, Mayo, Kaiser, …
Page 27
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
(NEAR) FUTURE PLANS
27
Page 28
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
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
Page 29
© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
29
Questions?
Page 30
© 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