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® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.
FHIR Transforms the Business of Healthcare for Clinicians
Russell B. Leftwich, MD
2 | © 2016 InterSystems Corporation. All Rights Reserved.
FHIR Applications Roundtable Harvard, July 2016
3 | © 2016 InterSystems Corporation. All Rights Reserved.
Interoperability: The meaning of the data is
understood, and data is usable in the workflow of the receiver
4 | © 2016 InterSystems Corporation. All Rights Reserved.
All clinical domains have data that is important to them and
usually their workflow dictates how that information is best
presented
5 | © 2016 InterSystems Corporation. All Rights Reserved.
Usability: Data views that fit the workflow
6 | © 2016 InterSystems Corporation. All Rights Reserved.
Pediatric Growth Table
7 | © 2016 InterSystems Corporation. All Rights Reserved.
Pediatric Growth Chart
8 | © 2016 InterSystems Corporation. All Rights Reserved.
Context: The app knows about the patient
9 | © 2016 InterSystems Corporation. All Rights Reserved.
VisualDx uses the FHIR standard to obtain:
• patient’s age • gender • problem list (conditions encoded with SNOMED-
CT) • medication list (medications encoded with RxNorm)
Result: provides the user with VisualDx data and images matching their specific conditions or drug eruption/reaction differentials.
VisualDx and FHIR for Decision Support
Differential Builder Image Results in VisualDx
11 | © 2016 InterSystems Corporation. All Rights Reserved.
FHIR Genomics: Data from heterogeneous sources
API Resource oriented, everything a URL
Data Model Context (container, user, patient) Medical (problems, allergies, … )
Authentication Consistent delegation, web standards (OAuth)
UI Standards-based integration (HTML5)
SMART: Substitutable Medical Applications, Reusable Technology
SMART Architecture
SMART on FHIR Genomics Clinico-Genomic Apps
SMART on FHIR Clinico-Genomics Apps
SMART Precision Cancer Medicine App
(Warner & Alterovitz, JAMIA, 2016)
® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.
What next for FHIR apps?
The ability to access data for an individual across systems and
across organizations.
® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.
• Acknowledgements
• Dr. Scott Narus • Dr. Art Papier • Dr. Gil Alterovitz
® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.
THANK YOU!
[email protected] Twitter: @DocOnFHIR