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FHIR and HSPC

July 7-8, 2014

Auditorium A

Intermountain Healthcare

4646 Lake Park Blvd

Salt Lake City, Utah

Agenda

Monday, July 7th

 

Time

Subject

Facilitator

8:30am

Welcome and Introductions

  • Objective of the two days
  • Ground rules, assumptions, logistics

Stan Huff

9am

The Health Services Platform Consortium

  • Goals and Strategy
  • Relationship to SMART, Intermountain/Cerner, CIMI, and HL7
  • Assumptions

Stan Huff

9:30am

Strategy for representing DCM content in FHIR

  • How do DCMs fit within the FHIR strategy/objectives?
  • Which FHIR artifacts are appropriate for representing DCMs?
  • How should individual, very specific DCMs be represented?
  • How should collections/panels be represented?

Grahame Grieve

11am

Terminology infrastructure requirements imposed by representing DCMs in FHIR

Grahame Grieve

12pm

Lunch

(get food at the cafeteria, bring it back to the room)

Grahame Grieve

12:30pm

Other topics:

  • Profile inheritance/hierarchies
  • Complex extension definitions
  • Profile compliance
  • Defining the set of query capabilities

Grahame Grieve

4pm

Work through example – lab result

 

5:30pm

Adjourn

 

Tuesday, July 8th

 

Time

Subject

Facilitator

8:30am

Welcome

  • Review of Monday’s conclusions/action items
  • Set today’s agenda

Stan Huff

9am

Remaining discussion topics

Stan Huff

11am

Recap and Next steps

  • Staging/prioritization of FHIR profile development

Grahame Grieve

12pm

Lunch

(get food at the cafeteria, bring it back to the room)

Grahame Grieve

12:30pm

SMART topics

  • Demo of the platform as implemented today, including 

-       Web- and iOS-based apps

-       Apps that launch from inside an EHR vs. outside

  • Discussion of:

-       Use cases for app authorization

-       Use cases for clinical context passing

-       OAuth and OpenID connect as building blocks

-       SMART on FHIR authorization specification

 

Josh Mandel

3pm

Adjourn

 

Attendee List

Prioritized FHIR Profiles  

Resource

Use Cases for different Profiles

Patient

Patient

Practitioner

Staff

Clinician

General

Organization

Host

Department

General

Encounter

Inpatient

Ambulatory

General

Location

General

AllergyIntolerance

Medication (RxNorm)

Food (UNII/snomed) Environment?

Condition

Problem List

Patient Issue

Diagnosis/Billing Codes

MedicationStatement

Patient Statement

MedicationPrescription

Inpatient Instruction

Outpatient/Ambulatory Prescription

Infusion (Continuous/Int/PCA?)

Administration Scheduled

 

MedicationAdministration

Simple Administration

Infusion Management

Immunization

Medication

Formulary

Use

Procedure

??

Observation

Vital Signs

Clinical Assessments + variations

Labs + variations

Device Data (+ variations?)

Social History

 

Specimen

EHR

Lab

DiagnosticReport

Lab

Imaging

General Diagnostics

DiagnosticOrder

Lab

Imaging

Other?

?? Note

Patient Note

Clinician Authored Note

?? Order suggestion

? Care plan

DocumentReference

General

List

General (meds, med-allergy, allergies, immunizations)

Binary

n/a

Presentation Materials and Notes

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SMART on FHIR

Josh has prepared the following materials, which he asks attendees to try to read before the meetings in order to make the discussions as efficient as possible:

Action items

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