© 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 Kramer FHIR Core team Furore (Amsterdam, NL) Web:

© 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?

© 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 BUILDING 2014 – Task 1 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. We exist now! 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. At your service 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. Connectathons 6 FHIR Developer Days participants from 19 countries

© 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 products every day 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. EXPANDING THE SPEC 2014 – Task 2 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. New Resources Conformance ValueSet, Conformance, StructureDefinition, OperationDefinition Scheduling Appointment, Schedule, Slot Workflow / PC CarePlan, Goal, Episode, Alert, Communication, ReferralRequest, DiagnosticOrder IHE XDS (MHD) DocumentReference DocumentManifest IHE PCD DeviceComponent DeviceMetric DICOM ImagingStudy, ImagingObjectSelection AuditEvent (ATNA) W3C Provenance number of resources more or less doubled to just over 100

© 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 ResourcesExtensionsSolution Patient – citizenship, mothersmaidenname, us- core-race Pharmacy – refillsremaining, maxdeliveryrate Procedure – incisiondatetime Condition – criticality ISO21090 – nullflavor, en-qualifier

© 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: Operations 11 FHIR Server FHIR REST Complex Operations Read Update Search Check Drug Interaction Merge Patient Merge Patient Expand ValueSet Expand ValueSet Validate

© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Terminology services 12 $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.

© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Polling for changes (DSTU1) 13 FHIR Order Management Lab System 1. Submit Order 2. Monitor new orders 3. Order update 4. Monitor placed orders EHR

© 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 FHIR Device Alert Manager 1. Register device 2. Subscribe to device events 3. Send Alert 5. Retrieve alert data 4. Send notification New: Subscriptions

© 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 CONFORMANCE 2014 – Task 3 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. Work on Profiles…

© 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 Constraints on core model Realm-specific valuesets Extensions

© 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: “Conformance” resources 18 “Profile” Structure Definition SearchParam Definition ValueSet ConceptMap NamingSystem Operation Definition Conformance Forge Excel

© 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

© 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 2014 – Appendix 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. Patient MRN “Ewout Kramer” Amsterdam Patient MRN “Ewout Kramer” Amsterdam DSTU1: Resource and metadata Metadata Resource Identities Last updated T23:33:01+01:

© 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 ResourceDomainResourcePatientObservationBundleEntry

© 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 ( VersionId ( LastUpdated Profile (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

© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Demo: Full example 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. HANDLE ADOPTION IN US 2014 – Task 3 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. HSPC Argonaut SMART (on FHIR) US Co-operations 26 FHIR C-CDA 1.1 FHIR Profiles (MU3) Profiles, OIDC/OAuth Services Intermountain Healthcare, Veterans Affiars, IBM, Epic, Cerner, Mayo, Kaiser, …

© 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

© 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

© 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?

© 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 Days November 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