FHIR

Open Health IT Standard

by niquola

health samurai

Nikolay Ryzhikov

Patient Centric

HL7

HL7 v2

HL7 v3

Continuity of Care Document

FHIR

FHIR

• Fast
• Healthcare
• Interoperability
• Resources

Specification

http://www.hl7.org/implement/standards/fhir/

http://fhir-ru.github.io

Principles

• focus on implementers
• common scenarios
• web technology
• freely available
• community driven

Roadmap

• 2011 - concept
• Sep 2012 - first draft ballot
• Sep 2012 - first conectathon
• Aug/Sep 2013 - first DSTU
• Jan 2014 - finilize DSTU
• 2015 - second DSTU
• 2016 - normative

REST Service

Resources ~50 resources

Resource

JSON or XML Document

{
 "resourceType": "Patient",
 "identifier": [{
    "use": "usual",
    "label": "MRN",
    "system": "urn:oid:1.2.36.146.595.217.0.1",
    "value": "12345",
    "period": { "start": "2001-05-06" },
    "assigner": { "display": "Acme Healthcare"}
 }],
 "name": [{
    "use": "official",
    "family": [ "Chalmers" ],
    "given": [ "Peter", "James" ]
 }],
...
}

REST API

POST /Patient/_search HTTP/1.1
Host: fhirplace.io
name=ivan&name=ivanov

HTTP/1.1 200 OK
Content-Type: fhir/json;charset=utf-8
Content-Length: length

{
 "resourceType": "Patient",
 "name": [{
    "use": "official",
    "family": [ "Ivanov" ],
    "given": [ "Ivan"]
 }],
...
}

Value Sets

Extensions

{"resourceType": "Patient",
 "extension": [
    {
      "url": "http://hl7.org/fhir/Profile/us-core#race",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v3/Race",
            "code": "1096-7"
...

Development

• DiSQUS
• mail list
• skype chat

connectathon

Libs, Tools & Solutions

• Java, C#, JavaScript
• Clients
• Servers
• Tools

Fhirbase

Document/Relational storage for FHIR

Fhirbase

• Open Source MIT
• PostgreSQL: ACID, SQL
• jsquery & VODKA index
• most of API

Fhirplace

FHIR server implementation backed by fhirbase

fhir.js

Generic JavaScript client

jQuery, Node, AngularJs

FHIR

• mobile apps
• cloud communications
• EHR-based data sharing
• server communication
• ...

Thx