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  • Conformance testing/certification environment


Two Tiers of the Technical Specification, Two Tiers of Sandboxes

The team agreed that there will be two tiers of the technical specification.

Tier 1
  • Define a consistent way to read, write, and update data. Including:
    • Clinical datatype structural and terminology definition
    • Query language and supported criteria for filtering
  • Define how hosting EMRs will launch HSPC applications
    • Authorization
    • Authentication
    • Application Launch Context 
  • Clinical Event Manager
    • Pub/Sub model for application
    • Define set of required events
Tier 2 
  • Requires all specifications defined in tier 1 to be implemented
  • Define workflow and SOA features to enable advanced clinical application development

Since there are two tiers of the technical specification, a sandbox may either be a Tier 1 or a Tier 2 implementation of the specification. Note that being a Tier 2 implementation implies that the sandbox supports all the requirements of a Tier 1 implementation.


Existing Tier 1 sandboxes

  • ASU: FHIR services: conditions, obervations, medications, etc.
  • iSalus: Current on tech spec reference implementation (Authen, Author, FHIR Svc)

Next Steps