Data Management

Simple Sandbox Patient Data Manager #tool

User can see all the data associated with the patient visually (including revision history)
User can add, modify, or delete data associated with a patient
User can create a patient
User searches for resources by code, date, profile(?)
Terminology Server plugged in to validate and assist in selecting values (see clinFHIR as an example)
User can create resources based on a profile

Simple Data Security

User can only see their data
User can only modify their data

Advanced Data Security

Role level access to data
Group level access to data
Location based access to data

Bulk Data Loader and Generator

User can load and build sharable data sets

Enterprise Quality Data Set #content #data

Data set representative of one or more actual enterprise EHRs

Reference Applications

Bilirubin Chart Application

App provides advice based on current threshold
App gets live updates when new values arrive in the underlying EHR
OpenCDS Uses (U of U)
- Application makes a call to Decision Support and gets immediate feedback
CDS Hooks Use Cases
- When user opens app, if one of the following conditions is met, a CDS Hooks Card is shown:
  - Patient doesn't have TcB or a TSB observation for patient after a certain time limit
  - Bili Count Values exceed a certain threshold

Bilirubin Monitor

Monitor sends alerts based on decision support rules
Uses rules published in a Knowledge Management system

Care Coordination Scheduler

Allows a Care Coordinator (FHIR - Practitioner) to manage schedules for a Patient
- Phase 1: HRI-452 - Getting issue details... STATUS

Clinical Data Models and Definitions

Logical Models

Tools to help developers create applications that are based on logical clinical models and accepted medical terminology concepts.

Structural Models (Profiles)

Validation of data based on profiles
- Need to engage Graham, James, and Tom on finalizing specification for validation rules and error handling.
- Validation can potentially happen client side, server side or by third party.
- Validation constraints (e.g. profiles) can be provided by client, server or third party
Visual Tools to create data based on a profile

FHIR Subscription (aka "Trigger") Support #feature

Pattern Matching
- Supporting the FHIR "search" framework / query language in a reactive sense
(Re)action
- Websocket
- REST hook - posting an event payload to a specific endpoint
- External communication - email, sms
- FHIR message - publishing an event (or invoking an operation?)

CDS Hooks Support

Build in support for CDS Hooks into FHIR Starter (or whatever Mock-EHR HSPC ends up using in the sandbox).

EHR Event Models #content

Support for a common set of logical Clinical and Administrative events generated by the EHR. E.g. ADT

Communication

Alerts & Notifications

Common way to raise alerts and notifications from an app/svc external of the EHR

Terminology Management

Terminology Support

Coding resolution to retrieve concepts and their descriptions
Resolve relationships between concepts
Resolve valuesets

Terminology Server

Exposing the terminology capabilities as a service

Terminology Authoring Tool

Enable the creation, maintenance and versioning of coded concepts, terms, valuesets and mappings

Conformance Testing Tools & Framework

Tools to test the conformance of applications, knowledge, and services against the HSPC specification. It still needs to be determined what it means to be an HSPC compliant application.

Integration Libraries

Client Integration

Java - integration library for the rapid development of Java applications
Android -
C# -
Python -

EHR Platform Integration Libraries

Epic, Cerner, Athena, etc..

HSPC Marketplace

Marketplace for Application, Platform, and Knowledge Asset Developers to showcase and sell their HSPC compliant items.

Knowledge Management Frameworks & Tools

Tools for the versioning, storage, and runtime retrieval of:

Profiles
CDS Rules
Workflows
etc.

March 2016 Brainstorming Session

Sandbox Manager

Sandbox Manager Supports mulit-institution use cases
User can configure sandbox to connect to external FHIR server
Sandbox multi-tenancy
Support launch scenarios for 'Related To' personas (e.g. parent launches app to look at child's data).
Sandbox user populates their sandbox w/starter data set
A sandbox user resets their data set
The default/demo sandbox "cleans/resets" to base dataset
User's of the sandbox can do bulk imports of data
Clinical Timeline Data Simulator
- A user can create a time based clinical scenario to play so that data flows into their sandbox on their defined timeline to simulate clinical data scenarios.
A user of the sandbox can use JSFiddle to realtime query and build apps from within the sandbox manager.
A user of the Sandbox manager can self register their application and make it visible in the HSPC App Gallery.
Multiple users can be associated with a single sandbox
- An admin can assign sandbox management permission to their users (e.g. can create data? delete? add users?...)
A single user can be associated to multiple sandboxes.
Sandbox user can create, modify, delete, and configure these resources:
- Locations
- Organizations
- Healthcare Services
- Provider Roles
- Encounter
Need marketing and visually appealing front page with simple explanation of sandbox and encourages people to sign up.

Reference Implementation

Terminology Services
A user of the reference impl uses either docker or a simple command line command to instantiate a full and working version of the reference implementation.

Documentation

More user friendly 'For Developers' section
- linear, tutorials, pictures/infographs

FHIR Profile Support

Profile Browser
- A dev searches for a profile and uses simplified information to determine which one would be appropriate for their use case and then uses the profile details view to explore and learn about how to appropriately and programmatically interact with the profile.
- A user of the profile browser would live query the sandbox using the profile and JSFiddle.
HSPC FHIR Profile Repository
HSPC Profile Review & Feedback tooling

Patient Data Manger

Support all the Common Clinical Data Set (MU3): https://www.healthit.gov/sites/default/files/commonclinicaldataset_ml_11-4-15.pdf

Appointments and Workflow

Schedule Appointments (Support in the app and the refrence impl)
True multi-organization query of apps (like HiMSS demo, but with security and patient reconciliation)

HSPC App Gallery & Marketplace

Need to flesh this out... consider competing on the ONC challenge grant: https://www.healthit.gov/techlab/innovation/connecting-accelerating-fhir-app-ecosystem

Priorities

Profile Browser/Discorvery
Clinical Data Scenario Builder
Documentation
Data Cloning, export, import, reset, management
Eventing
Docker/easy download run, and config

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