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© 2012 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. HL7 FHIR Lloyd McKenzie January 31, 2014
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© 2012 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” Leverages experience of v2, v3 & CDA HL7’s “reboot” of standards – what should interoperability look like today? 2
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© 2012 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. FHIR Manifesto Focus on Implementers Target support for common scenarios Leverage cross-industry web technologies Require human readability as base level of interoperability Make content freely available Support multiple paradigms & architectures Demonstrate best practice governance
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© 2012 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 4
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© 2012 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) 5
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© 2012 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. 6 Human Readable Summary Standard Data Content: MRN Name Gender Date of Birth Provider Extension with reference to its definition
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© 2012 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Extensions Managing extensibility is a central problem Everyone needs extensions, everyone hates them Alternative is too complex FHIR tames extensibility Built in extensibility framework (engineering level) Define, publish, find extensions Use them This tames the overall specification 7
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© 2012 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Current state 5 connectathons (40+ companies) Multiple reference implementations Auto-generated interfaces in 4+ languages Public test servers IHE & DICOM both exploring W3C assisting with Semantic Web aspects 1 st DSTU to publishes today 8
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© 2012 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. FHIR & OWL Resource instances to be expressed as RDF (3 rd form with XML & JSON as primaries) Profile instances to be expressed as OWL class models Allow (partial) validation & reasoning Exploring exposing RIM mappings using OWL + SPARQL Detection of duplicate/overlapping elements Core & extension Validation of RIM and 21090 alignment 9
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© 2012 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Next steps More resources (Referral, Coverage, etc.) Profiles for CCDA 1.1 OWL & RDF representations ONC trial vMR 10
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© 2012 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 Shape the specification: Make comments online (commenting widget in spec) Try implementing it Come to the next Connectathon Come to the next HL7 meeting (May in Phoenix) Contact me lloyd@lmckenzie.com 11
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