IHE/HL7 positions Expectations and prospects on FHIR and ...€¦ · • Area 2: Publication of...
Transcript of IHE/HL7 positions Expectations and prospects on FHIR and ...€¦ · • Area 2: Publication of...
IHE/HL7 positions
Expectations and prospects on FHIR and
Interoperability
(Gemini collaboration)
Jürgen BrandstätterGemini Steering Committee
Co-chair, IHE Europe
Member, IHE International Board
Grahame GrieveGemini Steering Committee
FHIR Product Director
First
Interoperability is
essential for
digital transformation
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Second
Creation of an HIE
is not „the“
problem anymore
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HIE
How IHE works
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Base standards
Complex use-cases:
Standards combined!
Simple use-cases:
Only one standard!
Globally different
solutions for the same
How IHE works
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Globally different
solutions for the same
5
Base standards „Profiled“ base standards
Compose what‘s
globally common
Interoperability use-cases
Interoperability use-cases
Non-for-profit SDO
Complex use-cases:
Standards combined!
How IHE works
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Globally different
solutions for the same
6
Base standards „Profiled“ base standards
Compose what‘s
globally common
Tested products!
Competition!
Cost-savings!
Sustainable!
You only have to
deal with your
country-specific
extensions!
Interoperability use-cases
Non-for-profit SDO
Globally similar
solutions for the same
Market
How FHIR Works
• 3 legs: − Platform standards
− Profiling Communities (HL7 Affiliates, IHE)
− Market Impact (Regulation, etc.)
• Many parties involved (HL7, IHE, 100s)
• Seamless experience in the community− Orgs have to interoperate!
• Everybody needs to work together more closely
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How FHIR Works
• FHIR invested deeply in computability:
− Terminology use (and services)
− Profiling Use of FHIR + more
− Documenting Use Cases
− Testing Frameworks
• Our intention:
− Empower publication, implementation, testing (Text + Narrative)
− Build consistent toolchain with bi-directional feedback
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Third
Standards and
Blueprints
are available
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What is a „global“ blueprint?
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Blueprint
eHealth Landscape
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Use-case
Use-case
Use-case
Use-case
Use-case
Use-case
Use-case
Use-case
Use-case
Use-case
Use-case
Use-case
Use-case
Use-case
Use-case
Use-case
Use-case
Blueprint Blueprint
Blueprint
Blueprint
Blueprint
Blueprint Blueprint
Blueprint Blueprint
Patient
Identification
Audit and
Logging
Document-
sharing
Governance needs blueprints
• EC Recommendation on EHRxformat− eHDSI cross-border of …
• Patient Summary
• ePrescription / eDispense
• Medical Imaging and Reports
• Laboratory Results
• Hospital Discharge Reports
− Based on • Established IHE Profiles
• HL7 CDA content
− Future developments: FHIR• -> Blueprints need yet to crystallize first!
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ITI PCC QRPH
PHARM
FHIR-based IHE profiles
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MHD
PIXmPDQm
mACM mXDE
QEDm
MMAUPB
QORE
13
FHIR ATNA
mCSD
SOLE NPFSm
PMDTPCS
RIPTACDC
RECON
GAO
CMAPDCTM
DCP
BFDE-EmRFD
mADXPRQ
VRDR
Overview on IHE Profiles: https://wiki.ihe.net/index.php/Profiles (marked with )
FHIR IG Overview on fhir.org: http://www.fhir.org/guides/registry
ITI PCC QRPH
PHARM
FHIR-based IHE profiles
07.10.2019 IHE AsiaPac Summit 2019
MHD
PIXmPDQm
mACM mXDE
QEDm
MMAUPB
QORE
14
FHIR ATNA
mCSD
SOLE NPFSm
PMDTPCS
RIPTACDC
RECON
GAO
CMAPDCTM
DCP
BFDE-EmRFD
mADXPRQ
VRDR
Overview on IHE Profiles: https://wiki.ihe.net/index.php/Profiles (marked with )
FHIR IG Overview on fhir.org: http://www.fhir.org/guides/registry
Significant FHIR Projects
• USA− Argonaut (Patient Access, EHR extensibility)
− Da Vinci (Fix payer/provider interface issues)
− Quality Measures (CMS payment rules)
− Cancer initiatives
−
• International− National Record Aggregation/exchange
− Patient based Access / Exchange
− Regional / Disease Specific Repositories
• + Data Analytics everywhere
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International collaborations …
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• Governmental bodies start engaging
• Gemini - A Joint Initiative of IHE and HL7 to
Advance Use of FHIR for Interoperability
• GDHP
• Other
initiatives
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Gemini
A Joint Initiative of IHE and HL7
to Advance Use of FHIR for
Interoperability
In the special case of FHIR
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Projectathon
Standards
Profiles
Interoperability
Specifications
IHE Conformity
Assessment
eHealth Projects
Product
Test ReportISO17025
Product
Transactions
Actors
Workflow
Use-case
Content
Re
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Re
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Pro
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HIR
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Path from Standard to Tested Interoperable Product
Mandate, Mission, Parity
• Mandate− Project GEMINI operates under the Statement of
Understanding between IHE and HL7
• Mission− Tighten collaboration between IHE and HL7 in the
context of FHIR
• Parity− GEMINI is a „Joint“ IHE / HL7 project
− Joint ownership and steering under equal parity
• Main work− Coordinate! Establish connections!
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About Gemini
• Area 1: Development and Tooling of „FHIR-based IHE profiles“− FHIR-based IHE profiles remain under IHE governance, but participation and
contribution of HL7 shall be encouraged (as well as participation of IHE in HL7)
− This includes collaborative work, alignment of tooling, mutual notification of new work-items, etc.
• Area 2: Publication of „FHIR-based IHE profiles“− Align publication of FHIR Implementation Guides and FHIR-based IHE profiles by
referencing FHIR-based IHE profiles on fhir.org
• Area 3: Testing− Positioning of the current testing initiatives, such as HL7 FHIR Connectathons, IHE
Connectathons, IHE Conformity Assessment and coordination of the test tooling ecosystem across both organizations
• Area 4: Pilot projects− Identify, agree and execute joint IHE/HL7 pilot projects and demonstrations
• Area 5: Joint Messaging and Marketing− Maintain joint messaging/marketing/education on HL7 FHIR and FHIR-based IHE
profiles on fhir.org
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Gemini Projects
• Medical Imaging for Cancer Care
− Gemini shall coordinate …• Specification development
• Progressively more rigorous interoperability testing
• Implementation activities
• Appropriately timed communications and public demonstrations
− Partners• SMART on FHIR/Sync for Science
• HL7 Imaging Integration WG/DICOM WG20
• FHIRcast
• Clinical Interoperability Council/Clinical Information Modeling Initiative
• ACR-RSNA Common Data Elements Steering Committee
• IHE Radiology
• IHE-USA and IHE-Europe
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Gemini Projects
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Source: QRPH Presentation on CCG Profile, Derek Ritz
Gemini Projects
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Source: QRPH Presentation on CCG Profile, Derek Ritz
Gemini Projects
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Source: QRPH Presentation on CCG Profile, Derek Ritz
Gemini Projects
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Source: QRPH Presentation on CCG Profile, Derek Ritz
See detailed explanation video at
https://vimeo.com/356829962
Changing the Way Healthcare CONNECTS
http://www.ihe.net
Jürgen Brandstätter
LinkedIn: https://www.linkedin.com/in/jbrandstaetter
Twitter: JuBrandstaetter
Grahame Grieve
LinkedIn: https://www.linkedin.com/in/grahamegrieve
Twitter: @GrahameGrieve