HSPC Profiles: Conformance and Interoperability. Definitions.

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HSPC Profiles: Conformance and Interoperability
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Transcript of HSPC Profiles: Conformance and Interoperability. Definitions.

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HSPC Profiles:Conformance and InteroperabilityDefinitionsDefinitionsResource-level Profiles:Profiles at the level at which FHIR defines resources (Patient, Observation, Procedure, Practitioner, Condition, etc.)Detail-level Profiles:Profiles at a more detailed level, e.g., profiles for Hematocrit, Glucose, Heart Rate, Body Weight, Diabetes, Pain, Ulcerative Colitis, Nausea, Rash, etc.DefinitionsResource-level Profiles:Profiles at the level at which FHIR defines resources (Patient, Observation, Procedure, Practitioner, Condition, etc.)Detail-level Profiles:Profiles at a more detailed level, e.g., profiles for Hematocrit, Glucose, Heart Rate, Body Weight, Diabetes, Pain, Ulcerative Colitis, Nausea, Rash, etc.HSPC intends to produce both levels of profiles.Definitions (continued)Narrow a profile:Create a new profile that performs the following relative to an existing profile:Constrains value setsConstrains data type choicesSpecifies terminology bindings (where none was originally specified)Constrains cardinalitySets codesDeclares must supportDefinitions (continued)Broaden a profile:Create a new profile that performs the following relative to an existing profile:Adds extensionsExpands value sets (where allowed)Definitions (continued)Broaden a profile:Create a new profile that performs the following relative to an existing profile:Adds extensionsExpands value sets (where allowed)

Narrowing and Broadening may be done:Physically (new profile uses the original profile as the base)Logically (new profile is a sibling to the original profile and is only different from the original in narrowing ways)

Resource-Level ProfilesNotes of explanationThe Data Access Framework (DAF) group, the Clinical Quality Framework (CQF) group, and other ONC-sponsored groups are creating profiles.For the most part, these are resource-level profiles.We strongly advocate that these groups work together to co-develop a single set of profiles (or at least a single set + constraints).Where possible, HSPC will use/endorse this set.Where necessary, HSPC will create derivatives of these.The common ONC profiles we hope will result are referred to in these slides as DAF profiles.The following slides discuss the relationship of HSPC resource-level profiles to these common ONC profiles.Resource-Level Profiles: DAF and HSPCWhere necessary, HSPC will create derivatives of the DAF profiles with the intent of providing more generally-usable profiles to the community.Resource-Level Profiles: NarrowingWhere HSPC profiles narrow DAF profiles:Data that conform to the HSPC profiles will also conform to the DAF profiles.Not all DAF-conformant data will be HSPC-conformant.Resource-Level Profiles: BroadeningWhere HSPC profiles broaden DAF profiles:Data that conform to the DAF profiles will also conform to the HSPC profiles.Not all HSPC-conformant data will be DAF-conformant.Resource-Level Profiles:Broadening and NarrowingHSPC resource-level profiles will likely need to both narrow and broaden DAF profiles.Narrow: specify bindingsconstrain value sets and cardinalitiesBroaden:add extensionsResource-Level Profiles:Broadening and NarrowingHSPC resource-level profiles will likely need to both narrow and broaden DAF profiles.Narrow: specify bindingsconstrain value sets and cardinalitiesBroaden:add extensionsConsequently:Not all DAF-conformant data will be HSPC-conformant.Not all HSPC-conformant data will be DAF-conformant.Resource-Level Profiles:Two SetsHSPC will support two sets of resource-level profiles:Set 1: The DAF profilesSet 2: The HSPC profiles that narrow and broaden DAF

Resource-Level Profiles:Two SetsHSPC will support two sets of resource-level profiles:Set 1: The DAF profilesSet 2: The HSPC profiles that narrow and broaden DAFUsers of the two sets may not be interoperable.DAF profile instances wont be conformant with HSPC profiles where HSPC profiles have made value set/code constraints.HSPC profile instances wont be conformant with DAF profiles where HSPC profiles have added extensions.

Detail-Level ProfilesDetail-Level ProfilesTrueInteroperability is delivered by detail-level HSPC profilesSpecific Lab profilesOther observation profiles (heart rate, respiratory rate, pain, height, head circumference, etc.)Condition profiles (cancer, diabetes, Crohns disease, etc.)Procedure profiles (hysterectomy, colonoscopy, gastric bypass, etc.)

Detail-Level ProfilesTrueInteroperability is delivered by detail-level HSPC profilesSpecific Lab profilesOther observation profiles (heart rate, respiratory rate, pain, height, head circumference, etc.)Condition profiles (cancer, diabetes, Crohns disease, etc.)Procedure profiles (hysterectomy, colonoscopy, gastric bypass, etc.)Detail-level profiles constrain Resource-level profilesconsequently, instances will not be conformant with Resource-level profiles.

SummaryDAF resource-level profilesHSPC detail-level profiles +HSPC resource-level profilesHSPC resource-level profilesHSPC Members may use any one of three sets of profiles:SummaryDAF resource-level profilesHSPC detail-level profiles +HSPC resource-level profilesHSPC resource-level profilesHSPC Members may use any one of three sets of profiles:Detail-level profiles are necessary for true, plug-and-play interoperability.SummaryDAF resource-level profilesHSPC detail-level profiles +HSPC resource-level profilesHSPC resource-level profilesHSPC Members may use any one of three sets of profiles:Detail-level profiles are necessary for true, plug-and-play interoperability.NOT INTEROPERABLENOT INTEROPERABLERisksGetting ONC-sponsored groups collaboratingCarving the pertinent part out of their work and harmonizing (or not harmonizing) with itMapping CIMI models and FHIR profilesScalability of detail-level profile creation processGetting detail-level profiles reviewedA moving FHIR spec