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Industry on FHIR Building a Community
Charles Jaffe, MD, PhD CEO, Health Level 7
HIMSS 18 Las Vegas
March 6-8, 2018
“The best way to predict the future is to invent it.”
Alan Kay Address to PARC, 1971
Thanks Apple Newton
Introduced: August 2, 1993 Discontinued: February 27, 1998
Just 15 years too early
I have hopes for tomorrow’s healthcare.
Clinicians will have all of the data they require
when and where it’s needed
Patients will receive care based upon
verifiable evidence.
“The difference between physicians and pilots is that pilots realize that they have to get into the airplane with the people they care for.”
Dr. Lawrence Weed
Clinical decision support will become a fundamental part
of care delivery.
Chris Chute, MD Mayo Clinic
“The plural of anecdote is not data.”
Regulated clinical research
will be based upon
real-world data.
Drugs in clinical use will be more than 50% effective.*
* Huskies, VJB, et al, BMC, 18:5, 2017
The social determinants of
health will be seamlessly
integrated into patient care
decisions.
Physicians will be compensated for outcomes
rather than for services.
“If the Federal Government were put in charge of the
Sahara Desert, in five years we would run out of sand.”
Milton Friedman Economist & Nobel Laureate
Value-based Care will be our legacy
Courtesy: The Prado
HL7 FHIR can help us get there…faster
A few starting points
If writing computer code is not one of your core competencies, I won’t pretend it is.
You don’t have to take notes. All of this
may change in the next few months, anyway.
Yes, you may have the slides.
Benjamin Disraeli
“How much easier it is to be critical than correct.”
Some problems with standards*
*Sung to the tune of “How do you solve a problem like Maria?”
Change Management is about taking well-informed chances
We probably shouldn’t
mess with it.
Three Laws of Interoperability
1. Policy supersedes technology
2. You can hide the complexity, or make it worse, but you can’t make it go away
3. Cheap, flexible, and interoperable: pick two
Some Federal Regulations May Change
Healthcare Delivery & Cognitive Complexity
Charles Kettering
“If you’re doing something the same way for ten years,
the chances are you are doing it wrong.”
Fresh Look asked, “What would interoperability look like
if only we could start over?”
And not throw out the good stuff we learned along the way.
Henry Ford
“If I had asked my customers what they wanted, they would have asked for a faster horse.”
Fast Healthcare Interoperability Resources
The principles underlying FHIR development
are meant to address the challenges learned in
30 years of standards development.
FHIR enables an evolutionary
development path with
other HL7 standards*
* Many are embedded in Federal regulation
FHIR focuses on implementation*
* and implementers
FHIR development is global*
FHIR development workshops in UK, Canada, Australia, Netherlands, Argentina, and Japan…as of Monday.
FHIR is Free
FHIR is licensed through Creative Commons without fees or royalties
“You can accomplish anything in life, if you don’t mind who gets
the credit.” Harry Truman
FHIR is both the technology and
the agreement on the meaning of the data.
FHIR in a nutshell
HL7 FHIR is more than technology.
HL7 FHIR is about
Community.
The HL7 FHIR Community of Implementers
Albert Einstein
“We can’t solve problems with the same kind of thinking when
we created them.”
HL7 FHIR Foundation is the home for implementers,
supporting an Implementation Registry, reference implementations & tools,
and a Community Forum.
www.FHIR.org
Partners in Interoperability is a diverse coalition of stakeholders
collaborating on a single platform reusing the data for many purposes
Oct.18-19 Johns Hopkins Mar. 21-22 Georgia Tech Dec. 6-7 LSU
The Argonaut Project is a private-sector initiative established
in 2014 to accelerate FHIR implementation.
It has released its 2018 Implementation Guide and Roadmap for this year.
Da Vinci Project
Advancing “Value-Based Care” by leveraging FHIR for the capture of
granular clinical data from patient records to improve quality, to reduce costs, and to enhance care management
The tech community, from Google to IBM Watson to Apple,
is working to integrate the FHIR platform
into their products and roadmap.
based upon the Argonaut Project Implementation Guide
Apple iOS 11.3 will support EHR data
International BioPharma is leveraging HL7 FHIR
for real-world clinical trials, post-marketing bio-
surveillance, and genomics integration.
Sync4Science, Sync4Genes, & DIGITizE
use FHIR to enable Genomic Data for
Precision Medicine, Translational Science,
& Clinical Decision Support
4th Annual HL7 Genomics Summit
February 20-21, 2018
Washington
A collaboration of device manufacturers &
technology vendors committed to seamless
exchange of data between clinical devices and health
information systems
Devices on FHIR
Digital Quality Summit
• Partnership: HL7 & NCQA leverage FHIR to enable digital quality measures
• Meeting & Connectathon, Washington Nov 1-2, 2017
• Future testing of digital measures during Connectathon, New Orleans,
Jan 27-28, 2018
Carequality & CommonWell Health have partnered on a common FHIR platform
to foster interoperability
Council of Medical Specialty Societies is developing FHIR platform solutions for
re-imagining the evolution of clinical registries
International BioPharma is leveraging HL7 FHIR
for real-world clinical trials, post-marketing bio-
surveillance, and genomics integration.
Thanks
The HL7 FHIR Community of
Government Agencies
US Federal agencies, including FDA, CDC, NIH, DoD, VAH, and
others have active FHIR integration programs
Thanks
VA Lighthouse
API Gateway
API gateway platform enabling developers to build mobile and web Apps for both providers and patients
CDC is developing initiatives to leverage FHIR for reporting &
analytics
The openFDA Initiative has developed a library of open APIs to allow fluid access of
research data to a broad community of investigators
Thanks
The HL7 FHIR Community of
Standards Developers
Thanks
IHE & DICOM™
Imaging & Image reporting
Thanks
World Wide Web Consortium®
Semantic Health: RDF on FHIR
Thanks
Regenstrief & SNOMED®
Coordinating Clinical Terminologies
Thanks
Healthcare Services Platform Consortium®
Open ecosystem of interoperable applications, content, and services
Thanks
Healthcare Services Platform Consortium®
Open ecosystem of interoperable applications, content, and services
Thanks
Boston Children’s Hospital
SMART on FHIR
Thanks
Office of the National Coordinator for HIT
Comprehensive Cooperative Agreement including
FHIR for Bulk Data Transfer
Becoming Community Learning more about HL7 FHIR
HL7 FHIR Developer Days
June 19-21, 2018, Boston
September 26-28, 2018 Washington, DC
FHIR Applications Roundtable is a showcase for FHIR Apps
& Development tools and provides a unique environment
for collaboration
HL7 FHIR Clinical Connectathon
October 5, 2018 Baltimore
What’s Next for HL7 FHIR?
• CDS Hooks Implementation Guide
• FHIR Certification • Inter-version Support • Bulk data Support • New content (New Resources) • FHIR Foundation services • R4 Normative Release
“Perhaps the time has come to abandon the notion of the FHIR Hype
Cycle. FHIR is not about hype. FHIR is about promise.”
Ed Hammond
Thanks