- FHIR provides a standard way to represent clinical documents as bundles of FHIR resources bound together with a Composition resource similar to a CDA header and narrative.
- Document bundles can be generated from or decomposed into their component resources using FHIR APIs and operations.
- Validating, storing, and exchanging clinical documents as FHIR resources satisfies the same persistence, stewardship, and authentication requirements as CDA documents.
Pavel Smirnov. FHIR-first application development.HealthDev
Besides enabling interoperability FHIR can power the innovation and development of new healthcare solutions via providing a solid data model, modern API, a lot of open-source and commercial tooling, and an active community. Pavel will introduce FHIR-first application development, explain its benefits, and difference.
Pavel Smirnov. FHIR-first application development.HealthDev
Besides enabling interoperability FHIR can power the innovation and development of new healthcare solutions via providing a solid data model, modern API, a lot of open-source and commercial tooling, and an active community. Pavel will introduce FHIR-first application development, explain its benefits, and difference.
The presentation talks about the components of FHIR, its distribution and use. Scenarios for the introduction of FHIR in the country using HL7 V3 are also offered.
FHIR for Developers tutorial as given during the HL7 WGM meetings. Good introductory text for developers getting started with FHIR, HL7's new messaging standard for healthcare.
Building an Integrated Healthcare Platform with FHIR®WSO2
Healthcare records are increasingly becoming digitized. As patients move around the healthcare ecosystem, their electronic health records must be available, discoverable, and understandable. Further, to support automated clinical decisions and other machine-based processing, the data must also be structured and standardized. This is becoming a matter of interest for institutes such as government agencies and regional bodies, and we are already seeing rules and regulations come into action. For example, the Centers for Medicare and Medicaid Services (CMS), which is a part of the Department of Health and Human Services (HHS) of the United States, has published the “Interoperability and Patient Access final rule (CMS-9115-F)”. This aims to put patients first by giving them access to their health information when they need it most and in a way they can best use it.
Fast Healthcare Interoperability Resources (FHIR®) is a next-generation standard framework created by HL7 combining the best features of previous HL7 standards. FHIR® leverages the latest web standards and focuses on ease of implementability.
The slides showcase the primary components of FHIR, discover the architectural principles behind its design, and understand implementation considerations.
Integrating Healthcare Applications with EMR Systems and Databases and Transf...WSO2
Fast Healthcare Interoperability Resources (FHIR®) is a next-generation standard framework created by HL7 combining the best features of previous HL7 standards. FHIR® leverages the latest web standards and focuses on ease of implementability.
The WSO2 Healthcare Integration Platform gives you out-of-the-box support to seamlessly integrate with existing heterogeneous systems in an organization. It supports almost all standard integration protocols, making it possible to integrate with nearly any system. On top of all the integration capabilities, FHIR® accelerators have been introduced to implement APIs that adhere to FHIR® specifications with minimal development effort.
In this webinar, we will explore the key capabilities offered in WSO2 FHIR® accelerators and how to build a FHIR® compliant healthcare solution on top of existing systems/data-sources.
By attending, you will gain knowledge on how to use WSO2 FHIR® accelerators to implement a data transformation scenario.
During the webinar, we will:
Discuss existing healthcare-related systems and data transformation requirements.
Introduce the WSO2 Healthcare Integration Platform’s integration layer
Introduce WSO2 FHIR® accelerators
Look at how to implement FHIR® APIs using WSO2 FHIR® accelerators
Build a scenario that integrates with an existing healthcare system and expose as FHIR® APIs
Presentation given at HL7 Norway on april 1st, 2014. Subjects are: why a new standard? what are the basic building blocks of FHIR? What are profiles? How do we make documents out of resources? Also contains some example architectures.
PECB Webinar: Overview of the PECB ISO 55001 Training and Certification coursePECB
We will cover:
• Introduction to the ISO 55001 and initiation of the Asset Management System
• Planning the implementation of the AMS
• Deploying the AMS
• AMS measurement, continuous improvement and preparation for certification audit
Presenter:
This webinar will be presented by Rreze Halili, Course Development Manager for Security, Continuity, and Recovery at PECB.
Understanding Resources in FHIR - Session 3 of FHIR basics training seriesKumar Satyam
Session 3 of FHIR Basics series . This session focussed on understanding FHIR Resources.
This session would enable participants to have a introductory understanding of FHIR Resources and what to look for in the sepcification for given resource.
APIsecure 2023 - FHIR API Security, Grahame Grieve (Health Intersections)apidays
APIsecure 2023 - The world's first and only API security conference
March 14 & 15, 2023
FHIR API Security
Grahame Grieve, Principal at Health Intersections Pty Ltd
------
Check out our conferences at https://www.apidays.global/
Do you want to sponsor or talk at one of our conferences?
https://apidays.typeform.com/to/ILJeAaV8
Learn more on APIscene, the global media made by the community for the community:
https://www.apiscene.io
Explore the API ecosystem with the API Landscape:
https://apilandscape.apiscene.io/
The presentation talks about the components of FHIR, its distribution and use. Scenarios for the introduction of FHIR in the country using HL7 V3 are also offered.
FHIR for Developers tutorial as given during the HL7 WGM meetings. Good introductory text for developers getting started with FHIR, HL7's new messaging standard for healthcare.
Building an Integrated Healthcare Platform with FHIR®WSO2
Healthcare records are increasingly becoming digitized. As patients move around the healthcare ecosystem, their electronic health records must be available, discoverable, and understandable. Further, to support automated clinical decisions and other machine-based processing, the data must also be structured and standardized. This is becoming a matter of interest for institutes such as government agencies and regional bodies, and we are already seeing rules and regulations come into action. For example, the Centers for Medicare and Medicaid Services (CMS), which is a part of the Department of Health and Human Services (HHS) of the United States, has published the “Interoperability and Patient Access final rule (CMS-9115-F)”. This aims to put patients first by giving them access to their health information when they need it most and in a way they can best use it.
Fast Healthcare Interoperability Resources (FHIR®) is a next-generation standard framework created by HL7 combining the best features of previous HL7 standards. FHIR® leverages the latest web standards and focuses on ease of implementability.
The slides showcase the primary components of FHIR, discover the architectural principles behind its design, and understand implementation considerations.
Integrating Healthcare Applications with EMR Systems and Databases and Transf...WSO2
Fast Healthcare Interoperability Resources (FHIR®) is a next-generation standard framework created by HL7 combining the best features of previous HL7 standards. FHIR® leverages the latest web standards and focuses on ease of implementability.
The WSO2 Healthcare Integration Platform gives you out-of-the-box support to seamlessly integrate with existing heterogeneous systems in an organization. It supports almost all standard integration protocols, making it possible to integrate with nearly any system. On top of all the integration capabilities, FHIR® accelerators have been introduced to implement APIs that adhere to FHIR® specifications with minimal development effort.
In this webinar, we will explore the key capabilities offered in WSO2 FHIR® accelerators and how to build a FHIR® compliant healthcare solution on top of existing systems/data-sources.
By attending, you will gain knowledge on how to use WSO2 FHIR® accelerators to implement a data transformation scenario.
During the webinar, we will:
Discuss existing healthcare-related systems and data transformation requirements.
Introduce the WSO2 Healthcare Integration Platform’s integration layer
Introduce WSO2 FHIR® accelerators
Look at how to implement FHIR® APIs using WSO2 FHIR® accelerators
Build a scenario that integrates with an existing healthcare system and expose as FHIR® APIs
Presentation given at HL7 Norway on april 1st, 2014. Subjects are: why a new standard? what are the basic building blocks of FHIR? What are profiles? How do we make documents out of resources? Also contains some example architectures.
PECB Webinar: Overview of the PECB ISO 55001 Training and Certification coursePECB
We will cover:
• Introduction to the ISO 55001 and initiation of the Asset Management System
• Planning the implementation of the AMS
• Deploying the AMS
• AMS measurement, continuous improvement and preparation for certification audit
Presenter:
This webinar will be presented by Rreze Halili, Course Development Manager for Security, Continuity, and Recovery at PECB.
Understanding Resources in FHIR - Session 3 of FHIR basics training seriesKumar Satyam
Session 3 of FHIR Basics series . This session focussed on understanding FHIR Resources.
This session would enable participants to have a introductory understanding of FHIR Resources and what to look for in the sepcification for given resource.
APIsecure 2023 - FHIR API Security, Grahame Grieve (Health Intersections)apidays
APIsecure 2023 - The world's first and only API security conference
March 14 & 15, 2023
FHIR API Security
Grahame Grieve, Principal at Health Intersections Pty Ltd
------
Check out our conferences at https://www.apidays.global/
Do you want to sponsor or talk at one of our conferences?
https://apidays.typeform.com/to/ILJeAaV8
Learn more on APIscene, the global media made by the community for the community:
https://www.apiscene.io
Explore the API ecosystem with the API Landscape:
https://apilandscape.apiscene.io/
Electronic Document and Record Management (EDRMS) 6PM Solutions
EDRMS by 6PM has been developed to assist clinicians to put patients first by digitizing time-consuming paper-based records into accessible, easily updated Electronic Patient Records (EPR), which is integrated with information from other hospital IT systems.
Scanned documents on their own have limited benefits to clinicians but when we combine them with our Business Process Management module to control the execution of a business process such as an Oncology Referral, the benefits to both the clinician and the patient become much more significant. Other processes which provide significant benefit through the use of the BPM tool are GP Referrals, Scan on Demand Requests, Offsite Storage Requests, and Recruitment Processes such as Vacancy Approvals, CRB Checks and Conditional Offers.
Clireo eTMF Solution by Arivis
What is Clireo?
• Comprehensive Software and Service enabling the Trial Master File
• Compliant with the DIA Trial Master File Reference Model Version 3
• Assign access and maintain control of Sites, Vendors, and Auditors for content.
• Eliminate CRA need to reconcile the Investigator Site File against the Sponsor TMF.
• Part 21 CFR 11 Digital signatures allow for faster turn around time on documents.
• Ability to quickly disseminate new information to users that the information is relevant to.
• Vendors and Sites can upload documentation and data directly into Clireo.
• Unlimited storage capacity assures that all documentation can be held in one location.
• No additional hardware required to implement.
• Dashboard reports on the status of sites and documents to easily identify missing or lagging information.
• Protect documents against unauthorized modification.
• Supports single or multiple file uploads with single screen metadata tagging.
• Centralized Documentation-Access from Anywhere.
• Resolve document issues faster.
• Ability to search documents in many ways.
• Dramatic Reduction in the need to print, scan, and store multiple copies in several locations.
• Link documents together to create a complete document package.
We have been serving eTMF customers since 2007.
Email now to schedule a demonstration and see how Clireo and Arivis can help you with your eTMF needs.
Tricia McQuarrie
Clinical Operations Manager tricia.mcquarrie@arivis.com
Arivis, Inc.
2198 E. Camelback Road
Phoenix, AZ 85016
Tel. 602-957-2150
www.m3.arivis.com
Our speaker, Joshua Mandel, will provide a lightning tour of Fast Healthcare Interoperability Resources (FHIR), an emerging clinical data standard, with a focus on its resource-oriented approach, and a discussion of how FHIR intersects with the Semantic Web. We'll look at how FHIR represents links between entities; how FHIR represents concepts from standards-based vocabularies; and how a set of FHIR instance data can be represented in RDF.
My presentation to the recent IHIC conference in Sydney, Australia with some personal thoughts on how FHIR could be valuable in the New Zealand context
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
1. FHIR® is the registered trademark of HL7 and is used with the permission of HL7. The Flame Design mark is the registered trademark of HL7 and is used with the permission of HL7.
Amsterdam, 15-17 November | @fhir_furore | #fhirdevdays17 | www.fhirdevdays.com
FHIR Documents
Rick Geimer, Chief Innovation Officer, Lantana Consulting Group
2. Instructor
• Rick Geimer
• Co-Chair Structured Documents Working Group
• HL7 CDA R2 Certified Specialist
• Co-Editor, CDA Consolidation and many other implementation guides
• Lead: C-CDA on FHIR project
• Day job: Chief Innovation Officer, Lantana Consulting Group
• rick.geimer@lantanagroup.com
3. Lantana Consulting Group
• Our Mission
• Improve healthcare through health information technology (IT)
• Lead the industry through consulting and volunteer practice
• Our Services
• Software and standard development and implementation
• Terminology, data governance, and education
• Strategic advice for health IT planning, design, and purchasing
4. Outline
• Overview of Clinical Documents
• FHIR Documents
• The Composition Resource
• Document Bundles
• Document Operations and APIs
6. Clinical Documents
• Persistence – A clinical document continues to exist in an unaltered state, for a
time period defined by local and regulatory requirements. Note: documents
outlive the servers (and often the syntax) on which they are created.
• Stewardship – A clinical document is maintained by an organization entrusted
with its care.
• Potential for authentication – A clinical document is an assemblage of
information that is intended to be legally authenticated.
• Context – A clinical document establishes the default context for its contents.
• Wholeness – Authentication of a clinical document applies to the whole and does
not apply to portions of the document without the full context of the document.
• Human readability – A clinical document is human-readable.
7. Why are documents important?
• The clinical record has a dual nature
• Data
• Narrative
• Documents support that duality
• Essential for disparate teams—different disciplines, contexts, or clinical
systems
• Developers need coded data to drive applications
• Clinicians often say that the most important part of the clinical record is the
narrative written by their colleagues
9. FHIR Documents
• Position: FHIR is the document future
• Call to action:
• Define, document, and promote a future
where clinical documents and
Application Programming Interfaces
(APIs) share a common syntax and set of
resources
• Establish, in technical and regulatory
policy, a smooth roadmap to the future
of clinical document exchange
10. FHIR Documents
• Address CDA use case for clinical documents
• Collection of resources bound together
• Root is a Composition resource
• Much like the CDA header + narrative
• Sent as a Bundle resource
• Can be signed, authenticated, etc.
• Has the same basic obligations as a CDA document
• Full rules: http://build.fhir.org/documents.html
11. Why FHIR Developers Might be Interested in Documents
• Load FHIR servers with massive amounts of existing data
• Most electronic health record (EHR) systems export CDA
• Their CDA export capabilities are more stable than many of their FHIR APIs (if any)
• Converting CDA to FHIR is one of the quickest standardized path to Big Data in healthcare
today
• Comply with existing requirements
• FHIR is simpler than CDA
• Teach developers to create FHIR documents, then convert to CDA for compliance with
existing regulations
• FHIR as an API for creating CDA documents
• Prepare for when FHIR documents are the norm
13. Composition Resource
• Contains
• Patient
• Author
• Custodian
• Type of document (e.g., Discharge Summary)
• Attested narrative of the document
• Sufficient for
• Medical records management
• Document management
• Enabling clinical document exchange across and within institutions
• Human readable documents
Chart
Clinical
Documents
14. Composition in Detail
• Key fields
• Identifier
• Date
• Type
• Subject
• Author
• Attester
• Custodian
• Sections and narrative
• References to other resources
15. Sections and Narrative
• Composition resources contain sections (which may be nested)
• Section narrative markup is XHTML
• Narrative contains the attested text of the document
• OK for sections to consist of only human readable text (i.e., no
machine processable resources)
18. A Bit of Bundle
• Type = document
• Bundle.identifier
• Version dependent
• Must be globally unique to satisfy
the persistence requirement
• First resource is Composition
• Documents must be standalone, so…
• The Bundle should (some would say
must) contain all resources
referenced from the Composition
19. <?xml version="1.0" encoding="UTF-8"?>
<Bundle xmlns="http://hl7.org/fhir">
<id value="ee5590ab-72c0-4c07-9dc0-cc574729cd0a"/>
<type value="document"/>
<entry>
<fullUrl value="urn:uuid:511b05b3-8c3d-4cbe-b9d8-fe5f8666f994"/>
<resource>
<Composition>
<subject>
<reference value="urn:uuid:9f334dba-57b1-47bf-a2ba-a60d9583c8bb"/>
</subject>
...
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9f334dba-57b1-47bf-a2ba-a60d9583c8bb"/>
<resource>
<Patient>...</Patient>
</resource>
</entry>
</Bundle>
References in Bundles
This example shows UUID URIs, but can
be a FHIR server URL such as
http://example.org/fhir/Patient/1
20. Rendering FHIR Documents
• When the document is presented for human consumption,
applications SHOULD present the collated narrative portions
in order:
• Subject resource Narrative
• Composition resource Narrative
• section.text Narratives
• Reference stylesheet (XSLT)
• Document2HTML.xslt in the XML Tools download
• http://hl7.org/fhir/downloads.html
22. FHIR APIs
• REST = “Representational state transfer”
(an architecture for how to connect systems)
• Based on HTTP, the protocol that powers the Web
• Outcomes
• Simple stable interfaces
• High performance / scalability
• Visible process (e.g., can debug)
• Portability
• Reliability (resistance to failure)
• REST in FHIR
• The FHIR API is composed of RESTful web services
23. FHIR RESTful URLs
• CRUD(E) operations mapped to HTTP
• Create new resource: POST to the resource type endpoint
• Read existing resource: GET
• Update existing resource: PUT
• Delete existing resource: DELETE
• Execute: Use $operations in the URL
https://server.org/fhir/Patient/1
endpoint
resource type
id
24. Documents and FHIR APIs
• Generating documents
• Call $document on a Composition resource
• Stores at the /Bundle endpoint if persist=true
• Moving documents or storing externally created documents
• Send to /Bundle or /Binary depending on use case
• Use PUT to preserve IDs when sending to /Bundle
(First, make sure globally unique)
• Decomposing documents
• POST to the transaction endpoint
(May need to be converted to a transaction bundle first)
25. Managing FHIR Documents
• To satisfy the persistence and stewardship requirements, documents
must be stored somewhere (or reproduced on demand)
• The easiest way is on a FHIR server directly, either at the Bundle or
Binary endpoint
• Other options include document management systems, clinical data
repositories, etc.
• Important: documents (especially attested ones) should not be
generated, transmitted, then disposed of like a transient message
26. Validating FHIR Documents
• FHIR validation pack
• Includes XML Schema and Schematron files
• http://build.fhir.org/fhir-all-xsd.zip
• The FHIR Validator
• A Java JAR file that runs full FHIR validation
• http://build.fhir.org/validator.zip
• FHIR server validation
• Most servers to basic resource validation
• Use the $validate operation
• Can validate profiles like C-CDA on FHIR
• http://build.fhir.org/operation-resource-validate.html
27. Resources
• The FHIR specification
• Updated continuously
• Latest balloted version: http://hl7.org/fhir
• Continuous build: http://build.fhir.org/
• “FHIR CDA Position Statement and Roadmap”
Lantana white paper co-authored with Grahame Grieve; Updated April, 2015
• http://www.lantanagroup.com/resources/publications/
• Rick Geimer
• Updated continuously, rebooted occasionally
• rick.geimer@lantanagroup.com
