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© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. ONC FHIR status update Lloyd McKenzie June 6, 2013
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© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. FHIR INTRO (Really fast)
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© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Healthcare Standards Complex…. Slow… Hard to use and understand Require specialist skills, tools Costly 3 What if it didn’t have to be like that?
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© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Introducing FHIR Fast Health Interoperability Resources Pronounced “Fire” Based on industry best practices, with a focus on simplicity and implementability Leverage web technologies Human readability as base level of interoperability One syntax – documents, messages, services, REST Computable templates/profiles that work in all architectures 4
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© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Resources “Resources” are: Small logically discrete units of exchange Defined behaviour and meaning Known identity / location Smallest unit of transaction “of interest” to healthcare E.g. Patient, Provider, Specimen, Drug, Lab Result, Allergy, Care Plan, Study, Adverse Reaction 5
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© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Resources have 3 parts Defined Structured Data The logical, common contents of the resource Mapped to formal definitions/RIM & other formats Extensions Local requirements, but everyone can use Published and managed (w/ formal definitions) Narrative Human readable (fall back) 6
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© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. FHIR STATUS 7
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© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Organizational penetration Broad support from board and TSC Significant uptake within main HL7 Work Groups Redirecting energy from v3 50 FHIR-related quarters at last WGM Leading effort on enhanced governance processes 8
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© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Ballots First DSTU (Jan 2014 latest) 48 resources in scope 10 Infrastructure 25 for CCDA support 6 for IHE (ATNA, XDS) & DICOM 7 other sources Significant up-front QA Will pass after one, possibly two ballots No guarantee of backward compatibility 9
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© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Ballots Second DSTU (~Jan 2015) Additional “key” resources Referral, Appointment, Diet, Radiation Additional domains Financial, Public Health, Clinical Studies, etc. Resource Profiles ‘Standard’ extensions? Possibility of 3rd DSTU 10
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© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Ballots Normative ballot not likely until 2016 Want significant (and broad) implementation experience Promising wire-format compatibility, don’t want the overhead of workarounds for many years Some resources may not go normative if they haven’t been sufficiently exercised Will evaluate providing transforms for DSTU Normative depending on need, resources 11
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© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Implementer supports Multiple reference implementations Auto-generated interfaces in 4+ languages Public test servers Automated test tools Draft tooling to convert CCDA -> FHIR Tooling in progress for Profile development/maintenance 12
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© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Implementer experience 3 connectathons so far (30+ implementers) Increasing attendance, including EMR vendors for first time At least 20 companies/projects looking at/working on FHIR with intention of production use (Possibly in limited environments) Significant interface engine interest 13
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© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Long range plans Most resource development complete within 3 years For some Work Groups, even sooner Focus will change from resource development to: Profile/extension development & maintenance Vetting external profiles/extensions Implementer support 14
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© 2013 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Follow Up Read the spec: hl7.org/fhirhl7.org/fhir Follow #FHIR on Twitter Implementation questions on stackoverflow Tag hl7_fhir Shape the specification: Make comments online (wiki linked to spec) Try implementing it Come to the next Connectathon and/or HL7 meeting Sept. in Cambridge Contact me lloyd@lmckenzie.com 15
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