Join HL7 as we celebrate 30 years of standards development! HL7 is people, almost all volunteers, from organizations around the world. HL7 is solutions, innovative ideas and resources for interoperability. HL7 is results with the power to enhance human health and wellness on a global scale. HL7 HIMSS Exhibit Theater Presentation Schedule Booth # 943 See inside for sessions and more! Enter to win an Amazon Echo! Don t miss the chance to win raffle prizes after every educational session.
Join HL7 as we celebrate 30 years of standards development! HL7 FHIR The Argonaut Project C-CDA HL7 doesn t provide patient care. We make caring for patients safer. HL7 doesn t write software. We make writing software more intuitive. HL7 doesn t do clinical research. We make doing clinical research more effective. HL7 doesn t pay for healthcare. We make paying for healthcare less costly. HL7 is more than standards and messaging. HL7 is shaping the future of healthcare. Stop by BOOTH #943 at HIMSS for live presentations in the HL7 educational theater. Visit us online at HL7.org/HIMSS Follow us on Twitter for news and happenings at HIMSS17: @HL7 Enter to win an Amazon Echo! Pick up your own Ball of FHIR! Don t miss the chance to win raffle prizes after every educational session, including Sparky the FHIR dog. Health Level Seven, HL7, CDA, CCD, FHIR and the FHIR [FLAME DESIGN] are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office. 2
Stop by BOOTH #943 for live presentations in the HL7 educational theater. Theater Presentation Schedule MONDAY, FEBRUARY 20 10:10 10:40 am HL7 Fast Healthcare Interoperability Resources (FHIR ) 10:50 11:20 am Consolidated Clinical Document Architecture (C-CDA ) Alive and Growing! 11:30 12:00 pm A CIO s Perspective on Interoperability 12:10 12:50 pm HL7 Vision for 2017 and Beyond 1:00 1:30 pm All You Ever Wanted to Know About HL7 Standards for Quality Reporting 1:40 2:10 pm SMART on FHIR: Apps for Health 2:20 2:50 pm Getting the Most Out of Your Data Using HL7 Clinical Decision Support Standards 3:00 3:30 pm The Argonaut Project and HL7 FHIR 3:40 4:10 pm HL7 FHIR Solutions in the Real World: The FHIR Apps Roundtable and the Intermountain Experience 4:20 4:50 pm The HL7 CIMI Work Group: Creating Detailed Clinical Models to Support FHIR Interoperability 5:00 5:30 pm Mayo Clinic on FHIR: Interoperability and Innovation 5:40 6:00 pm HL7 FHIR Implementation Projects 1:30 2:30 pm Bonus Session! Setting Clinical Research on FHIR Room 304A TUESDAY, FEBRUARY 21 9:40 10:10 am The Argonaut Project and HL7 FHIR 10:30 11:30 am How FHIR Transforms the Business of Healthcare 11:40 12:10 pm HL7 FHIR Implementation Projects 12:20 12:50 pm Building Partnerships for Precision Medicine 1:00 1:30 pm Getting the Most Out of Your Data Using HL7 Clinical Decision Support Standards 1:40 2:10 pm Consolidated Clinical Document Architecture (C-CDA ) Alive and Growing! 2:20 2:50 pm MACRA and Standards-Based Interoperability: The Road Ahead 3:00 3:30 pm Moving Family Health History and Genetic Test Result Data into the Electronic Health Record for Clinical Decision Support 3:40 4:10 pm The HL7 CIMI Work Group: Creating Detailed Clinical Models to Support FHIR Interoperability 4:20 4:50 pm SMART on FHIR: Apps for Health 5:00 5:30 pm HL7 Fast Healthcare Interoperability Resources (FHIR ) WEDNESDAY, FEBRUARY 22 9:40 10:10 am Clinical Research Under FHIR 10:30 11:30 am Argonaut Project Panel Update: Where Now? 11:40 12:10 pm SMART on FHIR: Apps for Health 12:20 12:50 pm HL7 Fast Healthcare Interoperability Resources (FHIR ) 1:00 1:30 pm Retrieving Form Data from Epic Using IHE RFD Standard Enhancement 1:40 2:10 pm Consolidated Clinical Document Architecture (C-CDA ) Alive and Growing! 2:20 2:50 pm HL7 FHIR Implementation Projects 3:00 3:30 pm Mayo Clinic on FHIR: Interoperability and Innovation Sessions in RED are part of 3
Join HL7 as we celebrate 30 years of standards development! HL7 FHIR The Argonaut Project C-CDA A CIO s Perspective on Interoperability Monday, February 20 11:30 12:00 pm The rapid proliferation of electronic health records and digital technology has resulted in large sums of data that need to follow the patient as she moves from one care setting to another. CIOs are at the forefront of ensuring that clinicians and patients have the data that they need, when they need it and where they need it. In this candid discussion, a CHIME member will offer his perspectives on the current state of interoperability and opportunities to improve data sharing. He will shed light on some of the policy and technical barriers that must be considered for interoperability to become a reality. are being developed. This session will provide an overview of the current state of quality measurement and reporting, the HL7 framework for quality measurement and reporting standards. Core HL7 standards currently in use and under development will be reviewed, including Health Quality Measurement Format (HQMF, emeasures, eclinical Quality Measures), Quality Reporting Document Architecture (QRDA), Quality Improvement Logical Model, Metadata for Quality, and Quality on FHIR. Walter G. Suarez, MD, MPH: Co-Chair, HL7 Clinical Quality Information Work Group; Executive Director, Health IT Strategy and Policy, Kaiser Permanente Michael Martz: Vice President and Chief Information Officer, Ohio Valley Health Services & Education All You Ever Wanted to Know About HL7 Standards for Quality Measurement and Reporting Monday, February 20 1:00 1:30 pm Quality measurement, reporting and improvement are foundational components of health and healthcare. Most countries have developed national strategies to measure, monitor, and improve health and healthcare, and pay for healthcare services based on the quality of the service and the health outcomes achieved both at the individual and population level. The rapid adoption and implementation of electronic health records, clinical decision support systems and advanced data analytics have transformed the ability to collect, report and use quality measures. Quality measurement and improvement have become instrumental in achieving better health, better care, and better access at a lower cost. Since the 1990s, HL7 has led the development of electronic standards for capturing, calculating, and reporting quality measures. National initiatives have began to adopt and require the use of these standards in various public and private programs. With increased scrutiny on quality, more refined and mature standards 4
Stop by BOOTH #943 for live presentations in the HL7 educational theater. Building Partnerships for Precision Medicine Tuesday, February 21 12:20 12:50 pm Precision medicine seeks to improve disease treatment and prevention by taking into account information about factors such as genetics and environment. HL7 has several standards (e.g. SMART/FHIR Genomics, Version 2) and collaborative efforts (e.g. Sync for Science) that will enable this vision of building partnerships in precision medicine. In this talk, we will introduce these HL7 efforts and describe how various organizations have recommended using HL7 standards for precision medicine. This work was recognized and promoted by various governmental/other organizations for building precision medicine partnerships including: IOM DIGITizE (Pharmacogenomics), Sync for Science, NIH (PMI Cohort Program RFA-one of the largest grants ever), White House ONC recommendations (from Precision Medicine Task Force), and Global Alliance for Genomics and Health (GA4GH), and others. A number of international pilots are now under way, bridging clinical and genomic information across international boundaries for precision medicine. Gil Alterovitz, PhD: Co-Chair, HL7 Clinical Genomics Work Group; Assistant Professor, Biomedical Informatics, Harvard Medical School; Associate Scientific Researcher, Children s Hospital Informatics Program, Boston Children s Hospital; SMART/FHIR Genomics Lead; Member, Precision Medicine Task Force, White House, Office of the National Coordinator for Health IT Clinical Research Under FHIR Wednesday, February 22 9:40 10:10 am While healthcare is rapidly adapting to the digital era, the basic systems and processes for conducting clinical studies to assess new medical treatments are still based on the legacy of a separate, paper-based, parallel process. These legacy systems are mired in collecting data on CRFs and distilling them into datasets that bear little resemblance to primary healthcare data. Given the priorities of the FDA to incorporate real-world evidence from EHRs, coupled with the industry pressure to reduce cost and time to market while improving care, the methods and tools for collecting, representing and using clinical trial data and monitoring drug safety are stale and outdated, if not moribund. This presentation will examine the current state of research data and discuss a provocative set of critical trends, opportunities and challenges directing future change. Wayne Kubick: Chief Technology Officer, HL7 International Consolidated Clinical Document Architecture Alive and Growing! (C-CDA ) Mon., Feb. 20 Tues., Feb. 21 Wed., Feb. 22 10:50 11:20 am 1:40 2:10 pm 1:40 2:10 pm The C-CDA Implementation Guides have been around for over five years supporting interoperability between healthcare providers, payers and patients. It has progressed from Version 1 to Version 2.1 and is now implemented in every certified EHR in the United States. This presentation will highlight a number of projects and activities undertaken jointly between HL7 and ONC, to improve the semantic interoperability of this standard. 1. C-CDA implementation-a-thon(s) with vendors and the ONC 2. Clinical Guidance for Relevant and Pertinent 3. C-CDA R2.1 Companion Guide 4. HL7 CDA Example Search Facility 5. C-CDA Rendering Tool Challenge 6. C-CDA SITE Validator & Scorecard Come join us as we review where we ve been and where we re going with CDA! Calvin Beebe, FHL7: Chair-Elect, HL7 International Board of Directors; Co-Editor, CDA; Co-Chair, HL7 Structure & Semantic Design Steering Division HL7 Technical Steering Committee; Co-Chair, HL7 Structured Documents Work Group; Co-Chair, HL7 Standards Governance Board; Technical Specialist, Information Services, Mayo Clinic Rochester, MN 5
Join HL7 as we celebrate 30 years of standards development! HL7 FHIR The Argonaut Project C-CDA Getting the Most Out of Your Data Using HL7 Clinical Decision Support Standards Monday, February 20 Tuesday, February 21 2:20 2:50 pm 1:00 1:30 pm The use of health information technology (HIT) standards for encoding data, representing knowledge and delivering knowledge-based interventions can help facilitate implementation of clinical decision support (CDS). The presenters, who are co-chairs of the Health Level Seven CDS Work Group, will survey the standards developed by this group, including formalisms for accessing and representing clinical knowledge and data models to support these standards. The Arden Syntax is a standard language for representing medical knowledge in the form of medical logic modules (MLMs). Various patient data models will be reviewed, including the Virtual Medical Record (VMR), the Quality Improvement and Clinical Knowledge model (QUICK), and Fast Healthcare Interoperability Resources (FHIR) as they pertain to clinical decision support. The Clinical Quality Language (CQL), which is a standard expression language for CDS and clinical quality measurement (CQM), also will be discussed, as will its relationship with the Healthcare Quality Measure Format (HQMF). Infobuttons are context-sensitive links from EMRs to knowledge resources. The FHIR Clinical Reasoning module (part of STU3) provides resources and operations to enable the representation, distribution, and evaluation of clinical knowledge artifacts such as clinical decision support rules, quality measures, order sets, and protocols. The latest versions of these standards will be described at a high level, showing how they can be used to implement CDS. Robert A. Jenders, MD, MS, FACP, FACMI: Co-Chair, HL7 Clinical Decision Support Work Group; Professor of Medicine, Charles Drew University and University of California, Los Angeles Howard R. Strasberg, MD, MS, FACMI: Co-Chair, HL7 Clinical Decision Support Work Group; VP Medical Informatics, Wolters Kluwer Health HL7 Argonaut Project Panel Update: Where Now? Wednesday, February 22 10:30 11:30 am The Argonaut Project is a collaboration between HL7 and leading healthcare IT vendors and providers to define an open API for EHRs based on FHIR. This session will provide an update on the original FHIR goal for meaningful use attestation, and discuss the other work and future plans for the project. Grahame Grieve, FHL7: FHIR Product Director, Health Level Seven International; Co-Chair, HL7 Modeling and Methodology Work Group; Modeling and Methodology Facilitator-HL7 Infrastructure and Messaging Work Group; Principal, Health Intersections Pty Ltd. Charles Jaffe, MD, PhD: Chief Executive Officer, HL7 International Kevin Shekleton: Senior Director & Distinguished Engineer, Cerner Micky Tripathi, PhD: Project Manager, HL7 Argonaut Project; President and Chief Executive Officer, Massachusetts ehealth Collaborative HL7 Fast Healthcare Interoperability Resources (FHIR ) Mon., Feb. 20 Tues., Feb. 21 Wed., Feb. 22 10:10 10:40 am 5:00 5:30 pm 12:20 12:50 pm HL7 FHIR (pronounced Fire ) is a specification that describes a RESTful API that can be used to exchange health, healthcare and related information between systems across a variety of contexts, from the classic in-hospital back-office system exchange to social media in a web 2.0 context. FHIR combines HL7 s existing health knowledge with a simple, scalable exchange protocol that is used in the latest web-based technologies. FHIR defines a set of resources to represent health and healthcare administration related information. These resources express granular clinical and administrative concepts that can be electronically exchanged in order to quickly and effectively solve system interoperability problems in healthcare and related processes. The resources cover the basic elements of healthcare patients, admissions, diagnostic reports, medications and problem lists with their typical data elements and also support a range of richer and 6
Stop by BOOTH #943 for live presentations in the HL7 educational theater. more complex clinical models. The simple direct definitions of the resources are based on thorough requirements gathering, formal analysis and extensive cross-mapping to other relevant standards. Grahame Grieve, FHL7: FHIR Product Director, Health Level Seven International; Co-Chair, HL7 Modeling and Methodology Work Group; Modeling and Methodology Facilitator-HL7 Infrastructure and Messaging Work Group; Principal, Health Intersections Pty Ltd. HL7 FHIR Implementation Projects Mon., Feb. 20 Tues., Feb. 21 Wed., Feb. 22 5:40-6:00 pm 11:40 12:10 pm 2:20 2:50 pm There are a number of open community projects using FHIR for all sorts of interesting healthcare data exchange applications. Some examples include the Argonaut Project, Healthcare Services Platform Consortium (HSPC), and a number of ONC-sponsored projects such as Data Access Framework (DAF) and Structured Data Capture (SDC). This presentation will describe these projects, and discuss the relationships between them, along with the possible ramifications for vendors and providers. Grahame Grieve, FHL7: FHIR Product Director, Health Level Seven International; Co-Chair, HL7 Modeling and Methodology Work Group; Modeling and Methodology Facilitator-HL7 Infrastructure and Messaging Work Group; Principal, Health Intersections Pty Ltd. HL7 FHIR Solutions in the Real World: The FHIR Apps Roundtable and the Intermountain Experience Monday, February 20 3:40 4:10 pm This session will discuss how HL7 FHIR applications are already making an impact in the real world to improve interoperability. It will cover app solutions already available with highlights from the 2016 FHIR Applications Roundtable at Harvard Medical School, plans for the 2017 Roundtable at Duke School of Medicine, and review one case study experience for taking a SMART app from download into production use at Intermountain Healthcare. Stanley Huff, MD, FHL7: Chief Medical Informatics Officer, Intermountain Healthcare Wayne Kubick: Chief Technology Officer, HL7 International HL7 Vision for 2017 and Beyond Monday, February 20 12:10 12:50 pm Join HL7 s CEO Dr. Jaffe and CTO Wayne Kubick as they discuss HL7 s path toward interoperability, including HL7 s roadmap as well as key programs like the Partners in Interoperability Conference, the FHIR Applications Roundtable and the launch of the FHIR Foundation. In support of HL7 s vision of a world in which everyone can securely access and use the right health data when and where they need it, these new initiatives are designed to further address the challenges healthcare faces in achieving true interoperability and helping develop realistic, cost-effective solutions. As the rapidly changing healthcare industry begins to focus more on making health data more available and usable to patients, clinicians, researchers and payers, to continue to make advances in precision medicine, value-based care, and progress toward a learning health system, HL7 standards will play an increasingly critical role in transforming the landscape of healthcare. Come join our executive leadership to learn more about some of the many steps HL7 is taking to help get us there. Charles Jaffe, MD, PhD: Chief Executive Officer, HL7 International Wayne Kubick: Chief Technology Officer, HL7 International 7
Join HL7 as we celebrate 30 years of standards development! HL7 FHIR The Argonaut Project C-CDA How HL7 FHIR Transforms the Business of Healthcare Tuesday, February 21 10:30 11:30 am As a platform standard designed for implementers, HL7 FHIR is commonly viewed from a technical perspective. But the true transformative power of FHIR can be best realized by examining it from a business perspective, by considering what it means to various constituencies toward finally realizing the promise of interoperability. This session will examine the business impact of FHIR on four communities of interest: payers, technology providers, biopharmaceutical research and development, and clinicians who provide patient care. Speakers will describe both the current reality and future promise of FHIR from each of these business perspectives. Moderator Charles Jaffe, MD, PhD: Chief Executive Officer, HL7 International Payer Community Shiv Gopalkrishnan: Vice President & General Manager, Healthcare IT, GE Healthcare Providers/Clinicians Russell Leftwich, MD: Board Treasurer, HL7 International; Co-Chair, HL7 Learning Health Systems Work Group; Senior Clincal Advisor for Interoperability, InterSystems Clinical Research Wayne Kubick: Chief Technology Officer, HL7 International The HIT Industry Viet Nguyen, MD: Chief Medical Officer, Leidos, Inc MACRA and Standards-Based Interoperability: The Road Ahead Tuesday, February 21 2:20 2:50 pm This session will provide an overview of the CMS Quality Payment Program (QPP) established under the 2015 MACRA legislation. Dr. Segal will cover the implications of MACRA and the QPP for standards-based interoperability, focusing on its two tracks, Advanced Alternative Payment Models (APMs) and Merit-based Incentive Payment System (MIPS). Mark Segal, PhD: Vice President, Government and Industry Affairs, GE Healthcare Digital; Member, HL7 Advisory Council; Member, HL7 Policy Advisory Commitee Mayo Clinic on FHIR: Interoperability and Innovation Monday, February 20 Wednesday, February 22 5:00-5:30 pm 3:00 3:30 pm Mayo Clinic is using FHIR and SMART as cornerstones of how we drive interoperability and innovation. As the Mayo Model of Care becomes increasingly dependent on digital platforms to connect with patients, referrers and non-mayo clinics and hospital systems, Mayo is actively implementing open standards including FHIR and SMART integrated with an enterprise Application Lifecycle Management toolset, and enterprise data, API and identity platforms to offer a standards based innovation toolkit to Mayo informaticians and clinical IT teams. Mayo is also working on app-store strategy for the distribution of interoperable, sharable clinical applications with patients, employees, referrers and hospital systems in the near future. This presentation will outline the challenges and promises in integrating this into a major academic medical center environment. Ram Deeduvanu: Section Head IT, Mayo Clinic Steve Demuth: Chief Enterprise Architect IT, Mayo Clinic 8
Stop by BOOTH #943 for live presentations in the HL7 educational theater. Moving Family Health History and Genetic Test Result Data into the Electronic Health Record for Clinical Decision Support Tuesday, February 21 3:00 3:30 pm In the last few years, we have seen a significant increase in the use of genetic/genomic testing in clinical care. The White House and NIH Precision Medicine initiative is rapidly moving forward. Several national and international groups have increased their activity in this area. Along with the emerge Network and IGNITE, the National Academies Action Collaborative, called DIGITizE, is focused on getting coded genetic data into the electronic health record. This year a pilot will begin to test a standardized data set with organizations representing laboratories, health systems, and EHR vendors. The Global Alliance for Genomics and Health is working to solve the issues of sharing data between researchers, biobanks, clinical trials, and healthcare providers thinking globally across geographic boundaries. Retrieving Form Data from Epic Using IHE RFD Standard Enhancement Wednesday, February 22 1:00 1:30 pm Duke University will share recent findings on the comparison of two processes for clinical research data collection using quantifiable key stroke logging models, time and quality of data to determine the impact that the IHE Retrieve Form for Data Capture (RFD) standard makes. Are the benefits limited to auto-population of the data from the EHR, or is there an additional value proposition of the IHE/CDISC standard? What is the quantifiable difference between the manual and esource process? Join us in discovering these answers and learning the next steps. Amy Nordo, MMCi, BSN, RN, CPHQ, LNC: Product Manager, Duke University Office of Research Informatics Combining this with the near-future of healthcare consumers owning and controlling their data, the development demands of HL7 Clinical Genomics solutions will increase. Implementation guides are available for both Version 2 and CDA-based genetic data transmission, and the Version 3 Pedigree model for family health history. However, with HL7 FHIR resources having been created for family history and genetic data, FHIR Genomics is generating an explosion of interest in developing new data transmission, data storage, and CDS solutions, for both clinical and consumer based apps. Grant Wood: Facilitator, HL7 Clinical Genomics Work Group; Chair, HL7 Finance and Membership & Strategic Resources Committees; Senior IT Strategist, Intermountain Healthcare Clinical Genetics Institute 9
Join HL7 as we celebrate 30 years of standards development! HL7 FHIR The Argonaut Project C-CDA SMART on FHIR: Apps for Health Mon., Feb. 20 Tues., Feb. 21 Wed., Feb. 22 1:40 2:10 pm 4:20 4:50 pm 11:40 12:10 pm Learn how SMART Health IT s open, standards-based technology platform enables innovators to create apps that run seamlessly and securely across the healthcare ecosystem. We ll describe how FHIR, OAuth, and OpenID Connect, allow healthcare providers and patients to plug SMART apps into EHRs, portals, and data warehouses. And we ll illustrate the platform through a set of apps in SMART s open App Gallery (https://gallery.smarthealthit.org/). Dan Gottlieb: Project Lead, SMART Health IT The Argonaut Project and HL7 FHIR Monday, February 20 Tuesday, February 21 3:00 3:30 pm 9:40 10:10 am The Argonauts are a group of highly motivated health information technology vendors and health care organizations that have come together to sponsor a focused effort to accelerate development of a FHIR API and Core Data Services specification under the auspices of HL7. This session will discuss who is participating, the scope of work that is planned, and the timeline for completion of the work, and how this work relates to some other ongoing initiatives. We will also discuss the Argonaut Project Implementation Partners Program. The HL7 CIMI Work Group: Creating Detailed Clinical Models to Support FHIR Interoperability Monday, February 20 Tuesday, February 21 4:20 4:50 pm 3:40 4:10 pm The HL7 FHIR standard is widely regarded as the best approach for creating truly interoperable healthcare services. The structure of data within the payload of a FHIR service is defined by Resource definitions. To get to very explicit definitions that support truly interoperable services, implementers are allowed to create FHIR profiles. It is important that developers have the freedom to create FHIR profiles so they can guarantee that their use cases can be satisfied. At the same time, this freedom poses a potential threat to interoperability. If everyone exercises their right to make profiles, and the profiles they create are different, then there is no guarantee of interoperability. Cardiologists, gastroenterologists, pediatricians, and obstetricians could all make different profiles for the same clinical findings, which could in turn be different from profiles produced for sharing public health data, which could be different still from profiles created for clinical quality reporting. The goal of the HL7 CIMI group is to create computable logical models that can be used to algorithmically produce FHIR profiles to support true interoperability of FHIR services. Stanley Huff, MD, FHL7: Chief Medical Informatics Officer, Intermountain Healthcare Micky Tripathi, PhD: Project Manager, HL7 Argonaut Project; President and Chief Executive Officer, Massachusetts ehealth Collaborative 10
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No one knows more about FHIR than HL7 HL7 FHIR is real today. In use by major players across healthcare, HL7 FHIR is the game-changing standard that makes developing interoperable solutions dramatically faster and easier. HL7 International delivers the very latest and best on FHIR through our educational programs, conferences, implementation guides, and other resources...straight from the source. www.hl7.org See the latest FHIR apps HL7 FHIR Applications Roundtable March 7 8, 2017 Duke University School of Medicine Durham, NC Register Today! bit.ly/2017fhirapps Tackle tough problems with peers Partners in Interoperability March 21 22, 2017 Georgia Institute of Technology Atlanta, GA Register Today! bit.ly/2017hl7partners