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Clinicians on FHIR

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Return to: Patient Care
Return to: FHIR Clinical Resources - PCWG

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Clinicians on FHIR listserv

Please email to request being added to the cliniciansfhir listserv.

Background, Objectives and Evolution

In 2013, a set of FHIR clinical resources were developed by the FHIR team with some inputs from the Patient Care WG members

At the time the FHIR team desired to create the resources without input relying only on an 80/20 rule - creating what was interpreted as needed to accomodate 80% of the needs.

Consequently, extensive debates had taken place during and after the first FHIR DSTU ballot. There are obvious harmonization issues between the technical and clinical view points/perspectives

In addition to the commitments by both the FHIR team and PCWG members to review and enhance/improve the FHIR DSTU1 Clinical Resources, it is agreed that better clinical engagements are highly desirable and beneficial to progressing the FHIR clinical resources toward DSTU2

At the May 2014 (Phoenix) WGM, the FHIR team approached PCWG leadership team to discuss the idea of a clinical connectathon. It was emphasized that this would be very different from the technical connectathon in which the participants focus solely on the technical aspect of interoperability. The clinical connectathon will be focused on validating the FHIR resources clinically.

Post May 2015 Paris WGM Decision
The use of the term Clinician Connectathon was revisited during the May 2015 WGM.
Based on the re-examination of the purposes, it was agreed that a more appropriate concept should replace the current clinician connectathon concept moving forward.
The consensus was that these events were not actually connectathon in the similar way to the technical FHIR connectathon events. Multiple other names were considered.
The consensus was that Clinicians on FHIR is best suited to the intended purposes. The name Clinicians on FHIR was adopted.

The set of key objectives established at the first event in May 2014 WGM were re-examined and updated October 3, 2017.

The Goals of the Clinicians on FHIR activities are to:
* Test FHIR Resources for:
-- Accuracy (clinical knowledge and clinical practices)
-- Validity (designed correctly for the purpose of clinical practice and clinical use)
-- Usability (useful and usable for the clinical story tested against)
* Identify any interoperability issues arising from clinical use of FHIR resources tested
* Provide recommendations to enhance/improve FHIR
* Improve FHIR development methodology and processes to involve clinicians from inception
* Facilitate education to clinicians regarding FHIR

Owning Committee/Workgroup

Patient Care


  • Clinical Leaders
Elaine Ayres
Stephen Chu
Laura Heermann-Langford
Emma Jones
Russ Leftwich
Viet Nguyen
James McClay
  • FHIR Liaisons
David Hay
Lloyd McKenzie




Useful Resources

Key links for Clinicians on FHIR

clinFHIR tool
Hay on FHIR blog

Clinnician-on-FHIR Overview and clinFHIR Tool Demo
Logical Model in FHIR

* Referral and Transition/Transfer of Care
* Clinical Assessment

Topics of Interest:
* Observation vs Condition
* Observation, Clinical Assessment and Clinical Annotation


Other References and Resources

  • Clinical Scenarios analysis:
- Chronic Care
- Acute Care
- Adverse Reaction
- summary of 3 chosen scenarios
- Nutrition Assessment

  • Care Plan for Immunization: