Welcome to the May 2016 SOA-CDS FHIR Connectathon Landing Page

Introduction

The May 2016 SOA-CDS FHIR Connectathon tracks have been selected to be part of a first pilot in a series of pilots whose intent is to validate the adequacy of proposed standards for the orchestration of sophisticated Clinical Quality Scenarios within a FHIR-based ecosystem. A core aim of this initial pilot is to demonstrate the evaluation of a clinical quality measure and a supporting clinical decision support rule in a SOA-enabled and FHIR-based environment.

This initial pilot aims to assess the following:

The use of SOA services to orchestrate a realistic clinical quality scenario in the neonatal space and how these services can be enabled within a FHIR-based ecosystem. This pilot shall focus primarily on communication and event publish and subscribe services. The order service shall be introduced in a later pilot.
The use of CIMI-derived FHIR profiles that address the fundamental authoring requirements of measure and CDS-artifact developers.
The adequacy and implementability of CQIF FHIR resources and of the $evaluate operation for the invocation of CDS and measure evaluation services.
The orchestration of such services in a realistic FHIR-complient EHR environment and clinician workflow.

The Proposed Tracks

Please visit the following links to learn more about the relevant FHIR Connectathon tracks for this pilot:

Proposed Scenario

In order to provide a more realistic context for this pilot, the CDS-SOA tracks will be implemented within the context of a selected clinical quality measure in the neonatal care domain. For this pilot, the community has selected the CMS 9 v4 "Exclusive Breastfeeding Measure". All other HeD/CQIF artifacts will be articulated within that context. Furthermore, we will focus on a specific and limited set of QI Core profiles and CIMI archetypes to support this use case and to demonstrate the aims of the pilot described above given resource and time constraints.

To learn more about the measure used for this pilot, please visit the link below:

Exclusive Breastfeeding Measure (CMS9v4)

To learn more about the proposed CDS rule to support this measure, please visit the link below:

Exclusive Breastfeeding Rule

Please follow the links below for the CQIF representation of the proposed artifacts:

Corresponding CQIF/CQL Artifacts

Modeling Notes

Scenario modeling notes

Pilot Collaborators

A number of organizations are contributing resources and time to support this effort. They include:

Cognitive Medical System
Database Solutions
Health Samurai
Intermountain HealthCare
OSIA Medical
Partners Healthcare
Regenstrief
University of Utah

Teams

In order to support pilot activities, tooling shall be provided in addition to access to relevant services. A number of teams have been formed to support connectathon activities. If you wish to join a team, please contact the team lead listed next the header.

CareWeb Team (Lead: Doug Martin. Participant: David Shields, Claude Nanjo)
CIMI/CQF Modeling Team CIMI/QI Core (Lead: Claude Nanjo. Participants: Patrick Langford, Joshua Clingo, Bryn Rhodes)
CQIF Knowledge Artifact/Service Team (Lead: Bryn Rhodes. Participants: Esteban Aliverti (DRL), Salvador Rodrigues-Loya (OpenCDS))
FHIR Server Team: (Lead: TBD)
Services Team (Lead: Esteban Aliverti. Participants: Jerry Goodnough, Claude Nanjo )

Our JIRA project can be found below:

JIRA Project Page

Connectathon Tooling Environment

CareWeb
- An EHR front-end interface that shall support SMART-on-FHIR and a number of helpful modules aligned with the proposed scenario
FHIR Server(s)
- At least one FHIR server that supports the CQIF $evaluate operation for both a measure evaluation and the invocation of a CDS rule
One or more CDS backend for CQIF module evaluation
- OpenCDS
- SocraticGrid
SOA Services
- Unified Communication Service
- Event Publish and Subscribe Service
- Order Service (A mock interface will be provided. The full service will be introduced for the September FHIR Connectathon.)
Tooling
- A limited CIMI artifact authoring prototype that supports ADL serialization, FHIR profile generation, and the generation of Java interfaces and adapters

Servers

EPS
UCS
FHIR/CQIF

Connectathon Report

Please refer to this document for a final report our achievements during the May 2016 Connectathon and to this document for the presentation that was given at the conclusion of the connectathon.

Additional Resources