HL7. Standaard Mobiel. Ringholm. Learn * Share * Connect

HL7

Standaard Mobiel

Ringholm

Learn * Share * Connect

Agenda 1. Rise of the API 2. HL7 FHIR – a healthcare API 3. IHE profiles for mobile 4. Demo

Ringholm


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HL7

Rise of the API

Ringholm


Your “Mobile” device becomes the Big Aggregator of data and functionality

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Personal Health Record Patient Portal

Ringholm


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So what about HL7 & FHIR? • With FHIR, HL7 joins the ranks of the API troopers. • But other than Twitter, Facebook etc. HL7 has no “services” or “functionality” to offer • FHIR is just a set of flexible standardized models and best-practices that others can use to create healthcare API’s Ringholm


HL7

A healthcare API

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What does FHIR stand for? (well, that’s relative)

(that’s what we need)

(the web technology bit)

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Ringholm


The rise of the API

2012

Ringholm

2015


REST:“Repository” model of healthcare Hospital System

Create Record

Create Encounter

Patient

Lab System

Query Lab orders

Post Lab result

Patient Patient Order

Update Patient data

Diagnostic Report

Observation Observation Observation

FHIR server

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Notify new Lab results


Example – Patient Resource

Yes, but where are:

• • •

citizenship mothersmaidenname, us-core-race

Don’t worry, you can add extensions: your own elements – FHIR even defines a few favorite ones! References to other Resources

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Resources in FHIR DSTU2 (sept 2015) •

DSTU2.1 (aug 2016)

Administrative

• Workflow & Ordering

– Patient, Location, Encounter, Organization, Episode

•

Clinical Concepts – AllergyIntolerance, Questionnaire, Observation

•

Devices – Metric, DeviceComponent

•

Scheduling -

•

Appointment, Availability, Slot

Financial -

– Order, OrderResponse – ReferralRequest, DiagnosticOrder, AppointmentResponse

• Messaging • Subscription • Condition, Concern

Claim, Account, Coverage

Full support for C-CDA Ringholm


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Clinical Scenario 5 YEAR OLD BOY

•

Patient

First consultation –

Complaining of pain in the r) ear for 3 days with an

Encounter

elevated temperature. On examination, temperature 38.5 C and an inflamed r) ear drum with no perforation. Diagnosis Otitis Media, and prescribed Amoxil 250mg TDS for 5 days

•

5 days later returned with an itchy skin rash. No breathing difficulties. On examination, urticarial rash on both arms. No evidence of meningitis. Diagnosis of penicillin allergy. Antibiotics changed to erythromycin and advised not to take penicillin in the future.

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Observation Med

Follow up consultation –

Condition


Allergy

Resource view

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Ecosystem: SMART

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HL7 IHE profiles for mobile

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IHE • Integrating the Healthcare Enterprise • Focus op standaardisering van workflows – Radiologie, Demografische gegevens, Uitwisseling beelden/documenten tussen organisaties, Verwijzing, etc.

• Onderbouwt de beschreven workflows door te beschrijven hoe standaarden als HL7 ingezet dienen te worden.

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‘Mobiele’ workflows • Tablet / app gebruik door zorgverleners (bijv. toegang tot EPD gegevens, bekijken radiologie beelden) • Web browser varianten van EPD toepassingen • Patient portaal die beveiligde toegang biedt tot gegevens • Mobiele (zelfmeet) apparatuur Ringholm


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Workflow voorbeeld: PDQ

PDQ = Patient Demographics Query

FHIR, OAuth Protocol Vertaler ZIS

Patient Demographics Supplier

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FHIR, OAuth

Patient Demographics Consumer


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PDQm antwoord FHIR Profiel

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XDS / XCA metadata LSP

EPD

Registry ‘Verwijsindex’

Andere XDS Regio

PACS

Affinity Domain: deelnemers aan XDS regio zijn het eens over zaken als privacy, access control, Authenticatie, codering van gegevens, gegevensformaten, etc.

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IHE XDS/MHD Profiles Mobile access to Health Docs. Document Registry

Metadata vraag

XDS Document Consumer

Metadata Ophalen document

Document Creator

Document & Metadata

Document Repository

Document Recepient

FHIR

FHIR

MHD Document Consumer

Document Source

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Document Responder


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HL7 Demo

Ringholm


Samengevat “Standaard Mobile” • Je “mobile” als centrum in de open API economie • FHIR in deze context als “standaard” voor het maken van Healthcare API’s • IHE gebruikt deze standaard om mobiele workflows te implementeren en uitwisselbaar te maken

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International HL7 FHIR Developer Days November 18-20, 2015 in Amsterdam



Education 

34 tutorials/presentations 



pick & choose

Connectathon  



®

Meet fellow developers Put FHIR to the test

Networking 

FHIR experts and authors on hand

http://fhir.furore.com/devdays 27 © 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.

HL7. Standaard Mobiel. Ringholm. Learn * Share * Connect

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