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![REST API
GET /Patient/_search?name=malle&name=maasikas
HTTP/1.1 200 OK
Content-Type: fhir/json;charset=utf-8
Content-Length: length
{
"resourceType": "Patient",
"name": [{
"use": "official",
"family": [ "Maasikas" ],
"given": [ “Malle"]
}],
...
}](https://image.slidesharecdn.com/whatisfhir-181220161639/75/What-is-FHIR-10-2048.jpg)
![SELECT DISTINCT(p.id), p.resource#>'{name,0}'
FROM patient p
JOIN observation o ON o.resource#>>'{subject,id}' = p.id
WHERE (o.resource @>
-- LOINC: Smoking status
'{"code": {"coding": [{"code": "72166-2"}]}}'::jsonb)
AND ((o.resource @>
-- SNOMED: Current every day smoker
'{"value": {"CodeableConcept": { "coding": [{"code": "449868002"}]}}}')
-- SNOMED: Former smoker
OR (o.resource @> '{"value": {"CodeableConcept": { "coding": [{"code": "8517006"}]}}}'))
-- patient's age > 45
AND (extract(year from age(now(), (p.resource->>'birthDate')::date)) > 45)
-- patient gender is male
AND (p.resource->>'gender' = 'male');
FHIR ANALYTICS & BULK API
https://fbdemo.aidbox.app](https://image.slidesharecdn.com/whatisfhir-181220161639/75/What-is-FHIR-23-2048.jpg)
Uploaded byIgor Bossenko
What is FHIR
The document discusses the evolution and implementation of FHIR (Fast Healthcare Interoperability Resources) standards in various countries, highlighting significant contributors and projects in Estonia, Lithuania, and the UAE. It emphasizes the challenges of interoperability and the community's role in FHIR's development and adoption. Additionally, it outlines current use cases, misconceptions, and future plans for FHIR integration and improvement.
More Related Content
What is FHIR
- 1.
- 2. Igor Bossenko @Healthcare ➤ Estonian Blood System “father”, architect & the only developer -1995/2005 ➤ HIS ESTER3 “father”, architect & developer - 1999/2005 ➤ HIS eHL “father” & architect - 2005/2013 ➤ HL7 V3 standard visioner & implementor in Estonian NHS - 2006 ➤ Labscala Quality Laboratory (Finland) - 2011 ➤ Lithuanian NHS visioner & FHIR standard implementor - 2014/2016 ➤ FHIR community member and contributor - 2014/.. ➤ Abu-Dhabi Emirate CNM (e-Prescription) - 2017/2018 ➤ HIS HEDA architect - 2018/..
- 3.
- 4. INTEROP PROBLEM Data belongsto patient So your system has to export and import INTEROP IS PAIN
- 5. • Technical interop •Semantic interop
- 6. QUICK HX • HL7v2 •DICOM • HL7v3 & CDA • OpenEHR • FHIR (future)
- 7. WHAT IS FHIR •standard • community • eco-system
- 8. WHAT IS FHIRSTANDARD? REST service specification (aka swagger) • Search • CRUD • History
- 9. PARADIGMS • REST* • messaging •documents
- 10. REST API GET /Patient/_search?name=malle&name=maasikas HTTP/1.1200 OK Content-Type: fhir/json;charset=utf-8 Content-Length: length { "resourceType": "Patient", "name": [{ "use": "official", "family": [ "Maasikas" ], "given": [ “Malle"] }], ... }
- 11.
- 12.
- 13. WORKING GROUPS • chat.fhir.org •calls • connectath on tracks • wg meetings • ballots
- 14.
- 15.
- 16.
- 17. FHIR PROFILE REGISTRY- SIMPLIFIER.NET
- 18. FHIR COMMUNITY • chat.fhir.org •wiki.hl7.org • Connectathons • github
- 19. EVENTS •☑ FHIR AppRoundtable: Washington •☑ Annual Plenary: Baltimore •☑ FHIR DevDays: Amsterdam 14 Nov •☑ FHIR Meetup Kiev 1 Dec •☐ WGM: San Antonio 12 Jan •☐ FHIR Meetup SPb 26 Jan •☐ HIMSS: Orlando 11 Feb •☐ FHIR Meetup @ Tallinn: XX 2019?
- 20. ECO-SYSTEM • servers • libraries •tooling • open-source • …
- 21.
- 22.
- 23. SELECT DISTINCT(p.id), p.resource#>'{name,0}' FROMpatient p JOIN observation o ON o.resource#>>'{subject,id}' = p.id WHERE (o.resource @> -- LOINC: Smoking status '{"code": {"coding": [{"code": "72166-2"}]}}'::jsonb) AND ((o.resource @> -- SNOMED: Current every day smoker '{"value": {"CodeableConcept": { "coding": [{"code": "449868002"}]}}}') -- SNOMED: Former smoker OR (o.resource @> '{"value": {"CodeableConcept": { "coding": [{"code": "8517006"}]}}}')) -- patient's age > 45 AND (extract(year from age(now(), (p.resource->>'birthDate')::date)) > 45) -- patient gender is male AND (p.resource->>'gender' = 'male'); FHIR ANALYTICS & BULK API https://fbdemo.aidbox.app
- 24. ONC OPEN API& APPLE HEALTH KIT
- 25. FHIR WORLD-WIDE ➤ USHospital Argonaut project http:// argonautwiki.hl7.org ➤ Smart App Galery https:// apps.smarthealthit.org ➤ Possible direct access in Apple Health App https://www.apple.com/newsroom/ 2018/01/apple-announces-effortless- solution-bringing-health-records-to- iPhone/ ➤ Google Big Data project https:// ai.googleblog.com/2018/03/making- healthcare-data-work-better-with.html
- 26. FHIR IMPLEMENTORS &PILOTS • Lithuania (NHS) • Finland (Kanta) • UK (NHS) • Russia (MIAZ SPb, N3) • Australia • Abu-Dhabi Emirate (e-Prescription) • ...
- 27. Lithuanian NHS Lithuanian eHealth Information ecosystem NHS Integration layer eHealth portal Reports& statistics Medical Image Bank ePrescription 176 Healthcare providers National register Authentification Health insurance fund Social insurance fund Disability assessment organization Internet patient registration • #1 FHIR NHS in the world
- 28. Lithuanian NHS architecture •Oracle DB • Jboss Fuse (OSGI, Karaf) • Apache CXF • OAuth • Angular 1.x
- 29. Abu-Dhabi CNM • UnitedArab Emirates consists from 7 emirates • Abu Dhabi Emirate contributes ~60 per cent of the GDP • Population of Abu-Dhabi Emirate ~2,120,700 people • CNM - Control Narcotic Medication • #1 FHIR implementation in the Gulf
- 30.
- 31. Blaze - FHIRserver
- 32. projectcrucible.org • Passed ~1700tests • Problems with external libraries …
- 33. Extensions usage • ~90% of the HL7 V3 templates in Estonia have extensions • ~ 60% of the resources HL7 FHIR v0.5 in Lithuania have extensions • 0% of HL7 FHIR resources v3.0.1 in the UAE have extensions
- 34. SMART on FHIRScopes and Launch Context • The rights to the organization only prescribe the prescriptions: • user/Patient.*; user/MedicationRequest.*; user/Organization.read; user/ Practitioner.read; user/Medication.read; user/MedicationDispense.read; • Rights for the organization of only dispensing medication: • user/Patient.*; user/MedicationRequest.read; user/Organization.read; user/ Practitioner.read; user/Medication.read; user/Provenance.*; user/ MedicationDispense.*; • The information about the scopes is stored in в Jasig CAS token attribute
- 35. FHIR MISCONCEPTIONS • silverbullet • FHIR is simple • modeling is hard • interop is hard • => go to community
- 36. FHIR KNOWN PROBLEMS •version hell • profiling is hard • extensibility
- 37. HOW TO USEFHIR? 1. inspiration 2. community 3. integration 4. internal
- 38.
- 39. Estonia 2006-2010 Estonia is thefirst country which has implemented a nationwide electronic health record system and gives full access to its citizens. This provides new opportunities to citizens, healthcare providers and e-health developers Тhe international council on medical & care compunetics (http://recordaccess.icmcc.org/tag/portal/) “Patient Opportunities in the Estonian Electronic Health Record System” 2019 ???? Estonia is behind of Lithuania, Uzbekistan, Belarus, etc.
- 40. Action plan • FHIRpilot • FHIR read-only(?) interface to (some) current V3 services • Make new standard in FHIR • Take FHIR for terminology • FHIR meet up @ Tallinn • We will found external speakers
- 41. THANK YOU! Credits toNikolay Ryzhkov