FHIR Chat · Chat between professionals

Stream: implementers

Topic: Chat between professionals

Jose Costa Teixeira (Apr 04 2019 at 19:50):

Anyone implementing some sort of chat between care professionals? Anything in the FHIR scope for that?

James Agnew (Apr 04 2019 at 20:10):

Just tell them to create a stream on Zulip ;)

Jose Costa Teixeira (Apr 04 2019 at 20:13):

Would be nice though:) stream Patient 1, Stream Patient 2... Stream "best practices for diabetes", Stream "what is wrong with this hospital's maternity"... :D

Jose Costa Teixeira (Apr 04 2019 at 20:14):

I am looking for similar stuff and wondering if any Implementation had to do chat besides their fhir implementation

Grahame Grieve (Apr 04 2019 at 20:28):

you need HIPAA compliance or GDPR compliance, you can't use Zulip.

Grahame Grieve (Apr 04 2019 at 20:28):

I'm sure that I saw some chat somewhere (Slack?) advertising HIPAA compliance, but I've seen nothing for Europe. Seems like a good market to me

Jose Costa Teixeira (Apr 04 2019 at 20:34):

I know I can't use zulip. Perhaps a off-the-shelf solution is the way to go, but for now i am looking for the interaction between that and FHIR resources e.g. when to send observations Vs when to send a chat message. Or deriving one from the other...

Jose Costa Teixeira (Apr 04 2019 at 20:35):

Still beginning the project but would be nice to see if any experience out there from people doing care coordination

Grahame Grieve (Apr 04 2019 at 20:36):

doing chat is a huge amount of work. I've had discussions before with people who want to merge chat into a healthcare application based on FHIR. My take is: Zulip is open source, build on it. But there's some deep challenges there. @Tim Abbott might want to comment further

Abbie Watson (Apr 04 2019 at 20:36):

Anyone implementing some sort of chat between care professionals? Anything in the FHIR scope for that?

We have, in a few different prototype contexts. Our underlying tech stacks runs RocketChat, Stitch.health, and maybe a couple other HIPAA compliant messaging apps. Most recent project was a full-blown FHIR chatbot and robocaller. Regardless, Communication is 95% likely the resource you want. You can implement a messaging service, email, or real-time chat with that resource. Just depends on your query patterns and whether it's push/pull.

Tim Abbott (Apr 04 2019 at 20:44):

There's several companies that have built HIPAA compliant products/workflows on top of Zulip; the work is more about making sure your integration workflow is compliant than significant changes to the technology.