Connectathon 14 January 2017 San Antonio US-Core Connectathon 14 January 2017 San Antonio

Participants Aegis Cerner Corepoint Health Epic MITRE T-Systems Transcend Insights

US-Core The US Core implementation guide is a set of profiles every US-Realm based EHR FHIR server must support. The IG provides the data elements, extensions, and terminology to implement the ONC 2015 Edition Common Clinical Data Set (CCDS) and Argonaut requirements. It evolved from the broader Data Access Framework (DAF) initiative. Future US FHIR projects focused on patient and provider access are encouraged to build on US core.

…3rd incarnation of ‘US-Core’ Track Assessed the consistency of server support for US-Core APIs and consistency of content across servers Condition /Condition?patient=[id] /Condition?patient=[id]&clinicalstatus=active,recurrance,remission /Condition?patient=[id]&category=problem /Condition?patient=[id]&category=health-concern Device / Implanted Device /Device?patient=[id] DiagnosticReport /DiagnosticReport?patient=[id]&category=LAB /DiagnosticReport?patient=[id]&code=[LOINC{,LOINC2,LOINC3,...}]

Results ‘Most’ APIs Supported: DSTU2 --> STU3 transition under development Under development CareTeam CarePlan Devices Discussion Items CapabilityStatement Requiring code|codeSystem on queries Date modifiers Requirements for meta…require profile? (NO!) Server results tracker

Medication Track

Our Big Question How does a client access the patient medication list?

MedicationStatement

Queries nailed down Get ‘All’ Meds Get ‘Active’ Meds /MedicationStatement?status=active,completed,stopped,on-hold&subject=[id] Get ‘Active’ Meds /MedicationStatement?status=active&subject=[id] Get Active Orders /MedicationRequest?status=active&subject=[id] Get Encounter Meds /MedicationStatement?status=active&subject=id]&encounter=[id]

Patient Medication List Query If I query for MedicationStatement, I will get all patient medications. If I query for MedicationStatement and MedicationRequest I will get all patient medications, and medication requests which are a subset of the patient medications. This list will include duplicate medications. Clients can dedepulicate by…link (DSTU2-supporting information) and STU3 …‘basedOn’or derived from’) MedicationAdministration – will have link to MedicationRequest which is duplicated by a MedicationStatement and MedicationDispense…future

Patient Medication List Query If I query for MedicationStatement, I will get all patient medications. If I query for MedicationStatement and MedicationRequest I will get all patient medications, and medication requests which are a subset of the patient medications. This list will include duplicate medications. Clients can dedepulicate by…link (DSTU2-supporting information) and STU3 …‘basedOn’or derived from’) MedicationAdministration – will have link to MedicationRequest which is duplicated by a MedicationStatement and MedicationDispense…future

Track Leads Brett Marquard Eric Haas Melva Peters Nagesh Bahsyam (Dragon)