Stream: social
Topic: History & intent of FHIR
Dave deBronkart (Mar 28 2019 at 13:29):
I hope this is a reasonable stream for this question.
I'm at Health Datapalooza in DC. Don Rucker, National Coordinator for Health IT, just made a passing remark that FHIR was basically designed for an individual's data, not population-level queries. True? (I'm not sure that it matters, but curious.)
Lloyd McKenzie (Mar 28 2019 at 14:13):
Not true. FHIR was designed from the outset to support the full range of healthcare - including research, public health, inpatient, outpatient, ancillary care, claims & reimbursement.
Lloyd McKenzie (Mar 28 2019 at 14:15):
The initial highest priority resources tended to be patient-centric ones because everyone needs those. Secondary uses came later, both due to lower priority as well as because those tend to be slower-moving areas. (In fact, a few public health-related resources are still needed and we're waiting on the community to push for their development.)
Craig Newman (Mar 28 2019 at 15:27):
@Lloyd McKenzie - what sort of public heath related resources are still needed?
Dave deBronkart (Mar 28 2019 at 15:35):
I wondered about his reliability, because in mentioning standards he noted "and then that healthcare FHIR thing."
John Moehrke (Mar 28 2019 at 16:22):
That is a good tag line... "then that healthcare FHIR thing"...
Lloyd McKenzie (Mar 28 2019 at 18:33):
@Craig Newman I'm still expecting a resource for PublicHealthCase and/or Outbreak. Maybe it'll turn out we don't need them, but I'd be a bit surprised.
Craig Newman (Mar 28 2019 at 18:34):
I'll ask around in the PH work group
Grahame Grieve (Mar 28 2019 at 18:35):
also we have a deficit of solutions / use cases in practice. So while we might have the resources, we don't have any basis for confidence that they meet requirements yet
Jose Costa Teixeira (Mar 28 2019 at 18:53):
Coincidence, still today I presented Measure to a group of people doing and designing studies across different populations and conditions.
It was definitely beyond their current models. If they pick it up i will be glad to inform (will take a while though)
Eric Haas (Mar 28 2019 at 20:14):
I drafted PublicHealthCase and we wound up using a Composition instead.
Lloyd McKenzie (Mar 28 2019 at 20:16):
Composition has no semantics. That seems wrong to me.
Lloyd McKenzie (Mar 28 2019 at 20:16):
The PublicHealthCase will have someone who decided to create one, it'll have a status reflecting the progress of the investigation, etc. That's totally distinct from the status of a document that might be created for it.
Grahame Grieve (Mar 28 2019 at 20:18):
related subject: is AdverseEvent.subject = group how public health events are handled? I'm not sure what to make of that
Eric Haas (Mar 28 2019 at 20:18):
not my choice either
John Moehrke (Mar 28 2019 at 20:20):
There is a Implementation Guide from IHE on "Quality Outcome Reporting for EMS". Not exactly broadly applicable. Based on EMS standads of practice requirements https://wiki.ihe.net/index.php/Quality_Outcome_Reporting_for_EMS
Lloyd McKenzie (Mar 28 2019 at 20:21):
I'd expect group to be used in a few cases - if the event happened to a group of animals or possibly humans, though typically outcomes would need to be tracked at the individual level, which would mean that one occurrence could result in multiple events. Worth some discussion certainly.
Craig Newman (Mar 29 2019 at 12:25):
@Lloyd McKenzie @Eric Haas @Grahame Grieve @John Moehrke @Jose Costa Teixeira I've tentatively added this topic to the Public Health WG call on Thursday April 11th (4-5 PM US Eastern time). We usually have a pretty good group of public health folks, but our practical FHIR knowledge is often a bit lacking, so it would be nice to have a few of you there if possible to help the discussion along. Thanks.
Lloyd McKenzie (Mar 29 2019 at 14:52):
I don't see any call details in the HL7 call schedule?
Craig Newman (Mar 29 2019 at 16:05):
http://www.hl7.org/concalls/CallDetails.aspx?concall=42363
Dial-in Number (United States): (515) 604-9520
Access Code: 132783
Online Meeting Link: https://join.freeconferencecall.com/pher
John Moehrke (Mar 29 2019 at 17:44):
IHE QRPH co-chairs are @Derek Ritz @lori fourquet and John Stamm (Epic) and Laura Bright.
Dave deBronkart (Mar 31 2019 at 00:28):
@John Moehrke I now recall his whole phrase:
“RESTful, JSON, and that healthcare FHIR thing.”
He paused to spell RESTful.
Last updated: Apr 12 2022 at 19:14 UTC
