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Overview of FHIR: resources, extensibility and profiles as used during the EHiN meeting in Oslo, november 2014
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Out-of-the-box eHealth interoperability?
Ewout Kramere.kramer@furore.com
EHiN, november 4thm 2014
Fast(well, that’s relative)
HealthcareInteroperability(that’s what we need)
Resources(the web technology bit)
Focus on implementersKeep common scenarios simpleLeverage existing technologiesMake content freely available
FHIR Manifesto (abridged)
If your neighbour 's son can’t hack an app with <technology X> in a weekend…..
Focus on implementers
you won’t get adopted
6
www.programmableweb.com
REST
Slice & dice your data into “resources”
How many resources?Currently: about 60
• Administrative– Patient, Location, Encounter,
Organization, • Clinical Concepts
– AllergyIntolerance, Questionnaire, Observation
• Infrastructure– ValueSet, Composition, Profile,
Conformance
Next up…still about 60 to go
• Scheduling- Appointment, Availability, Slot
• Financial- Claim, Account, Coverage
• Consent• Devices
– Metric, DeviceComponent
• Care TransferFull support for C-CDA
Generic Specific
Flexibility vs. useability
Re-useable Single purpose
HL7v3 RIMHL7 CDA
C-CCD
openEHR RM
HL7v2
IHE PDQFHIR
openEHR Archetypes
openEHR Templates
HL7v3 CMETS
+ =
Cover the 80% out of the box…
Race
Middle name
Lunar Hijri birthdate
FHIR RepositoryStandardFHIR REST
CustomOperations
Read
Update
Search
Check Drug Interaction
MergePatient
Standardize with your partners…not the world
Conformance & Profile
Compliance
Publication
Guidance
Implementation
Find & maintain
Retrieve & use
Repository
Message
Document
REST
Packaging & transport
Yes, v2 style messagingis also supported! √Yes, v3 CDA style documentsare also supported!
√
Document from the resource to the wireHTTP/1.1 200 OKContent-Type: application/json;charset=utf-8Content-Length: 627Content-Location: /fhir/person/@1/history/@1Last-Modified: Tue, 29 May 2012 23:45:32 GMTETag: "1“
"Person":{"id":{"value":"1"},"identifier":[{"type":{"code":"ssn","system":"http://hl7.org/fhir/sid
What’s Next?
• Februari 2014 First Draft Standard for Trial Use (DSTU)– Semi-stable platform for implementers Additional DSTU versions
roughly annually to make fixes, introduce new resources
• June 2015 Second Draft Standard for Trial Use (DSTU2)• Normative – 2016?
– We want *lots* of implementation experience before committing to backward compatibility
17
pagina 18
International HL7 FHIR Developer Days
November 24-26, 2014 in Amsterdam
Education– 14 tutorials
Connectathon– Meet fellow developers– Put FHIR to the test
Networking– FHIR experts and authors on hand
http://fhir.furore.com/devdays
Questions?
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