HL7 FHIR Update. Bob Milius, PhD Principal Research Scientist, CIBMTR IT Co-chair, HL7 Clinical Genomics Work Group

Transcription

1 HL7 FHIR Update Bob Milius, PhD Principal Research Scientist, CIBMTR IT Co-chair, HL7 Clinical Genomics Work Group There are no conflicts of interest to disclose.

2 Health Level 7 International Non-profit, ANSI-accredited healthcare Standards Developing Organization (SDO) HL7 provides standards for interoperability that improve care delivery, optimize workflow, reduce ambiguity and enhance knowledge transfer among all of our stakeholders, including healthcare providers, government agencies, the vendor community, fellow SDOs and patients 2

3 HL7 asked a question... What would healthcare exchange look like if we started from scratch using modern approaches? 3

4 HL7 FHIR 4

5 Newest standard FREE! History 2011 Proposed 2012 First version 2017 Standard for Trial Use Next release Normative Aligns with REST services XML, JSON Active Testing Three Connectathons a year 17 th in Jan 2018 (over 5 yrs) Immense interest Argonaut Vendor initiated project Epic, Cerner, Intermountain, Mayo, MEDITECH, Athena, McKesson, Partners, etc ONC Sync For Science Sync For Genes ASCO workshops 5

6 Resources Resources are: The "R" in "FHIR" Small logically discrete units of exchange Defined behaviour and meaning Known identity / location Smallest unit of transaction of interest to healthcare 2015 HL7 Int l. Licensed under Creative Commons. HL7, Health Level Seven, FHIR & flame logo are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. 6

7 Profiles Constraints and extensions on one or more resources for a use case May also define new extensions search terms, new messaging events, etc HL7 Int l. Licensed under Creative Commons. HL7, Health Level Seven, FHIR & flame logo are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. 7

8 Resources + Profiles = Solution 80% 20% 100% 8

9 CIBMTR work in progress...

10 Work in progress... HLA FHIR resources and profiles representing HLA genotyping report with allele assignment and the sequence data supporting the interpretation Reporting to CIBMTR: AGNIS Adopt, adapt, validate and implement a HL7 FHIR-based electronic exchange infrastructure as a foundation of AGNIS Develop, validate and implement HL7 FHIR based electronic reporting of Patient data by a Transplant Center EMR to the CIBMTR New FHIR Resource BiologicallyDerivedProduct 10

11 Work in progress... HLA FHIR resources and profiles representing HLA genotyping report with allele assignment and the sequence data supporting the interpretation Reporting to CIBMTR: future of AGNIS Adopt, adapt, validate and implement a HL7 FHIR-based electronic exchange infrastructure as a future foundation of AGNIS Develop, validate and implement HL7 FHIR based electronic reporting of Patient data by a Transplant Center EMR to the CIBMTR New FHIR Resource BiologicallyDerivedProduct 11

12 Reporting to CIBMTR Physician Transplant Center UI(s) Transplant Center DB CTMS Admin Internal Labs Etc. EMR External Labs 1. Build infrastructure 2. Patient demographic data Data Manager FormsNet UI Transplant Center AGNIS Client 2 AGNIS On FHIR Client Collaborative Research Groups e.g., BMT CTN FormsNet DB AGNIS Translator AGNIS Service 1 Research ETL 2 Current systems AGNIS Research Database AGNIS On FHIR Service New Research Extracts CIBMTR 12

13 OpenEpic & FHIR Founding member of Argonaut Project Integral FHIR Server in all current installations 13

14 OpenEpic & FHIR Resources available: Patient Provider AllergyIntolerance Medication MedicationList MedicationStatement Condition Observation FamilyMemberHistory DiagnosticReport Immunization CarePlan Goal Procedure Device DocumentReference Binary 14

15 Epic App Orchard Identify mappings of CIBMTR patient data to FHIR resource Using these mappings, develop a free Epic App for transplant centers to collect Patient demographic data to report to CIBMTR Mappings are public, and may be applied to other EMRs 15

16 HL7 FHIR is used by... Project Argonaut The purpose of the Argonaut Project is to rapidly develop a first generation FHIR-based API and Core Data Services specification to enable expanded information sharing for electronic health records and other health information technology based on Internet standards and architectural patterns and styles. 16

17 Argonaut Implementation Guide Implementation Guides set of rules to solve a particular problem composed of a set of Profiles, each describing a different aspect of the problem 17

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19 Developing the FHIR infrastructure Client Java, AngularJS Server Java open source, HAPI FHIR Security SMART on FHIR Mapping FHIR Mapping Language CRID assignment Data flow integration into CIBMTR research ecosystem Implementation Guide Set of profiles for reporting to CIBMTR 19

20 Work in progress... HLA FHIR resources and profiles representing HLA genotyping report with allele assignment and the sequence data supporting the interpretation Reporting to CIBMTR: AGNIS Adopt, adapt, validate and implement a HL7 FHIR-based electronic exchange infrastructure as a foundation of AGNIS Develop, validate and implement HL7 FHIR based electronic reporting of Patient data by a Transplant Center EMR to the CIBMTR New FHIR Resource BiologicallyDerivedProduct 20

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22 Work to do...

23 Labs HLA EMR GVHD BMT CTN - Emmes Physician Transplant Center UI(s) Transplant Center DB CTMS Admin Internal Labs Etc. EMR External Labs Data Manager FormsNet UI Transplant Center AGNIS Client AGNIS On FHIR Client Collaborative Research Groups e.g., BMT CTN FormsNet DB AGNIS Translator AGNIS Service Research ETL Current systems AGNIS Research Database AGNIS On FHIR Service New Research Extracts CIBMTR 23

24 Links to information and tools HL7 FHIR Home Current Build Chat Wiki 24

25 Tutorials/Webinar slides found in... Introduction to FHIR FHIR for Executives 1 FHIR for Executives 2 FHIR for Architects FHIR for Developers 25

26 People Leadership Doug Rizzo Dennis Confer Martin Maiers Matt Prestegaard Erik Bergman Project Management Tom Wiegand Architects/Analysts/Developers Bob Milius Jane Pollack Robinette Renner Kirt Schaper Bridget Wakaruk Joel Schneider Andrew Brown Jason Brelsford Pradeep Bashyal Enoch Kan others... 26

27 Thank you! Questions? Contact Bob Milius, PhD