Industry on FHIR€¦ · Industry on FHIR . Building a Community . Charles Jaffe, MD, PhD CEO, Health Level 7 . HIMSS 18 . Las Vegas March 6-8, 2018

Industry on FHIR Building a Community

Charles Jaffe, MD, PhD CEO, Health Level 7

HIMSS 18 Las Vegas

March 6-8, 2018

“The best way to predict the future is to invent it.”

Alan Kay Address to PARC, 1971

Thanks Apple Newton

Introduced: August 2, 1993 Discontinued: February 27, 1998

Just 15 years too early

I have hopes for tomorrow’s healthcare.

Clinicians will have all of the data they require

when and where it’s needed

Patients will receive care based upon

verifiable evidence.

“The difference between physicians and pilots is that pilots realize that they have to get into the airplane with the people they care for.”

Dr. Lawrence Weed

Clinical decision support will become a fundamental part

of care delivery.

Chris Chute, MD Mayo Clinic

“The plural of anecdote is not data.”

Regulated clinical research

will be based upon

real-world data.

Drugs in clinical use will be more than 50% effective.*

* Huskies, VJB, et al, BMC, 18:5, 2017

The social determinants of

health will be seamlessly

integrated into patient care

decisions.

Physicians will be compensated for outcomes

rather than for services.

“If the Federal Government were put in charge of the

Sahara Desert, in five years we would run out of sand.”

Milton Friedman Economist & Nobel Laureate

Value-based Care will be our legacy

Courtesy: The Prado

HL7 FHIR can help us get there…faster

A few starting points

If writing computer code is not one of your core competencies, I won’t pretend it is.

You don’t have to take notes. All of this

may change in the next few months, anyway.

Yes, you may have the slides.

Benjamin Disraeli

“How much easier it is to be critical than correct.”

Some problems with standards*

*Sung to the tune of “How do you solve a problem like Maria?”

Change Management is about taking well-informed chances

We probably shouldn’t

mess with it.

Three Laws of Interoperability

1. Policy supersedes technology

2. You can hide the complexity, or make it worse, but you can’t make it go away

3. Cheap, flexible, and interoperable: pick two

Some Federal Regulations May Change

Healthcare Delivery & Cognitive Complexity

Charles Kettering

“If you’re doing something the same way for ten years,

the chances are you are doing it wrong.”

Fresh Look asked, “What would interoperability look like

if only we could start over?”

And not throw out the good stuff we learned along the way.

Henry Ford

“If I had asked my customers what they wanted, they would have asked for a faster horse.”

Fast Healthcare Interoperability Resources

The principles underlying FHIR development

are meant to address the challenges learned in

30 years of standards development.

FHIR enables an evolutionary

development path with

other HL7 standards*

* Many are embedded in Federal regulation

FHIR focuses on implementation*

* and implementers

FHIR development is global*

FHIR development workshops in UK, Canada, Australia, Netherlands, Argentina, and Japan…as of Monday.

FHIR is Free

FHIR is licensed through Creative Commons without fees or royalties

“You can accomplish anything in life, if you don’t mind who gets

the credit.” Harry Truman

FHIR is both the technology and

the agreement on the meaning of the data.

FHIR in a nutshell

HL7 FHIR is more than technology.

HL7 FHIR is about

Community.

The HL7 FHIR Community of Implementers

Albert Einstein

“We can’t solve problems with the same kind of thinking when

we created them.”

HL7 FHIR Foundation is the home for implementers,

supporting an Implementation Registry, reference implementations & tools,

and a Community Forum.

www.FHIR.org

Partners in Interoperability is a diverse coalition of stakeholders

collaborating on a single platform reusing the data for many purposes

Oct.18-19 Johns Hopkins Mar. 21-22 Georgia Tech Dec. 6-7 LSU

The Argonaut Project is a private-sector initiative established

in 2014 to accelerate FHIR implementation.

It has released its 2018 Implementation Guide and Roadmap for this year.

Da Vinci Project

Advancing “Value-Based Care” by leveraging FHIR for the capture of

granular clinical data from patient records to improve quality, to reduce costs, and to enhance care management

The tech community, from Google to IBM Watson to Apple,

is working to integrate the FHIR platform

into their products and roadmap.

based upon the Argonaut Project Implementation Guide

Apple iOS 11.3 will support EHR data

International BioPharma is leveraging HL7 FHIR

for real-world clinical trials, post-marketing bio-

surveillance, and genomics integration.

Sync4Science, Sync4Genes, & DIGITizE

use FHIR to enable Genomic Data for

Precision Medicine, Translational Science,

& Clinical Decision Support

4th Annual HL7 Genomics Summit

February 20-21, 2018

Washington

A collaboration of device manufacturers &

technology vendors committed to seamless

exchange of data between clinical devices and health

information systems

Devices on FHIR

Digital Quality Summit

• Partnership: HL7 & NCQA leverage FHIR to enable digital quality measures

• Meeting & Connectathon, Washington Nov 1-2, 2017

• Future testing of digital measures during Connectathon, New Orleans,

Jan 27-28, 2018

Carequality & CommonWell Health have partnered on a common FHIR platform

to foster interoperability

Council of Medical Specialty Societies is developing FHIR platform solutions for

re-imagining the evolution of clinical registries

International BioPharma is leveraging HL7 FHIR

for real-world clinical trials, post-marketing bio-

surveillance, and genomics integration.

Thanks

The HL7 FHIR Community of

Government Agencies

US Federal agencies, including FDA, CDC, NIH, DoD, VAH, and

others have active FHIR integration programs

Thanks

VA Lighthouse

API Gateway

API gateway platform enabling developers to build mobile and web Apps for both providers and patients

CDC is developing initiatives to leverage FHIR for reporting &

analytics

The openFDA Initiative has developed a library of open APIs to allow fluid access of

research data to a broad community of investigators

Thanks

The HL7 FHIR Community of

Standards Developers

Thanks

IHE & DICOM™

Imaging & Image reporting

Thanks

World Wide Web Consortium®

Semantic Health: RDF on FHIR

Thanks

Regenstrief & SNOMED®

Coordinating Clinical Terminologies

Thanks

Healthcare Services Platform Consortium®

Open ecosystem of interoperable applications, content, and services

Thanks

Healthcare Services Platform Consortium®

Open ecosystem of interoperable applications, content, and services

Thanks

Boston Children’s Hospital

SMART on FHIR

Thanks

Office of the National Coordinator for HIT

Comprehensive Cooperative Agreement including

FHIR for Bulk Data Transfer

Becoming Community Learning more about HL7 FHIR

HL7 FHIR Developer Days

June 19-21, 2018, Boston

September 26-28, 2018 Washington, DC

FHIR Applications Roundtable is a showcase for FHIR Apps

& Development tools and provides a unique environment

for collaboration

HL7 FHIR Clinical Connectathon

October 5, 2018 Baltimore

What’s Next for HL7 FHIR?

• CDS Hooks Implementation Guide

• FHIR Certification • Inter-version Support • Bulk data Support • New content (New Resources) • FHIR Foundation services • R4 Normative Release

“Perhaps the time has come to abandon the notion of the FHIR Hype

Cycle. FHIR is not about hype. FHIR is about promise.”

Ed Hammond

Thanks

[email protected]