AID 201510 Meeting in Atlanta

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These are the minutes of the AID HL7 'user group' for the WGM in Atlanta (October 2015)

Workgroup	Date/Time	Location	Chair/Scribe
AID HL7 User Group (hosting FHIR)	2015-10-04, 13:45-17:00	Orlando, US	Chair/Scribe: Rene Spronk

Attendance

• Rene Spronk, and 40 others (40 in Q3, 24 in Q4)

Minutes

1. Administrative
   • Rene: as per our DMP I'm asking for your permission to record and publish video of the various presentations. No objections were raised.
2. Simple JSON Parser Mobile App (Jeff Ting, Systems Made Simple, US, see http://www.hl7.org/documentcenter/public/wg/java/20151004_Jeff_Ting_Simple-Android-JSON-Parser.pdf for a copy of his presentation, and https://vimeo.com/141638771 for a video recording of the presentation)
   • I wrote a mobile app for the first time, and one that can parse JSON to any level of depth to reach FHIR elements of interest. I will discuss the parsing design, as well as lessons learned on user interface layouts for mobile.
   • Comment by James Agnew: could also use HAPI, it has an Android library.
3. General FHIR Server Design Review (Brian Postlethwaite, Healthconnex, AU, see http://www.hl7.org/documentcenter/public/wg/java/20151004_Brian_FHIR%20Server%20Design%20Review.pptx for a copy of the slides)
   • Covers different types and approaches for implementing a FHIR server (Generic FHIR Server, Publish/Sync, Façade, Cache)
   • Aims to raise discussion about these various approaches
   • Comment by Ewout: may lead to situation whereby primary key (as used internal to the persistence layer) is publicly exposed as the resource.id.
   • Question by Rene: excellent overview, IMHO should be used as a starter version for one of our whitepapers. does this room also feel that to be the case? Yes. Also a whitepaper on the v2-FHIR mapping issues.
4. clinFHIR implementation experiences (David Hay, Orion Health, NZ)
   • See http://clinfhir.com/ for the clinFHIR site.
   • David presented the main features of clinFHIR without using slides. See David's Blog for additional details about clinFHIR, as well as this blogpost by Grahame.
5. FHIR Enable Epic EHR using Cloverleaf (Ron Archambault­, Infor, US, see http://www.hl7.org/documentcenter/public/wg/java/20151004_Ron_Archambault_humc_usecase_20151002.pdf for a copy of his presentation, and https://vimeo.com/141638772 for a video recording)
   • Infor developed FHIR DSTU-2 Message bundles with patient and questionnaire resources using the Epic InterConnect API
6. Development of "FHIR cell for i2b2" (Kavi Wagholikar MD, MGH, US, see http://www.hl7.org/documentcenter/public/wg/java/20151004_Kavi_i2b2-fhir-smart-hl7-10-15.pdf for a copy of his presentation, and https://vimeo.com/141638775 for a video recoding)
   • This presentation will describe the technical details and learnings in the development of the fhir interface for i2b2.
   • Over 100 institutions in the US have i2b2 installations for identifying research cohorts. The fhir api is aimed at providing a readonly interface to the data hosted in the i2b2 instances, allowing the institutions to run SMART apps over i2b2.
   • Executes a query agains an in-memory bundle of resources.
7. HL7 ORM v2.3 into FHIR REST-API (Joerg-Uwe Meyer, MT2IT, DE, see http://www.hl7.org/documentcenter/public/wg/java/20151004%20Uwe%20Meyer%20HL7%20ORM%20v1.2%20to%20FHIR%20HL7%20WGM%20Atlanta.pdf for slides, and https://vimeo.com/141638774 for a video recording of his presentation)
   • Migration/translation issue v2-FHIR
8. Creating the FHIR interface for the NHS FGM Risk Identification System (Richard Kavanagh, HSCIC, England, see http://www.hl7.org/documentcenter/public/wg/java/20151004_Richard_Kavanagh_FHIR%20for%20WGM.pptx for a copy of the presentation, and https://vimeo.com/141638773 for a video recording.)
   • An overview of the journey of implementing FHIR into the English NHS national architecture (see http://data.developer.nhs.uk/fhir/fgm/ ). The challenges of moving away from HL7v3, dealing with a DSTU standard and the absence of tooling infrastructure. Lessons learned and the roadmap for the future.
   • Challenge will be 'using FHIR at scale'.
9. Adjournement at 17:00

Workgroup	Date/Time	Location	Chair/Scribe
AID HL7 User Group	2015-10-5, 13:45-15:00	Atlanta, US	Chair/Scribe: Rene Spronk

Attendees

• Peter Hendler, KP
• Dmytro Rud, Roche Diagnostics
• Jason Walonski, Mitre
• Marc Hadley, Mitre
• Brian pech, KP
• Justin Fyfe, Mohawk College
• Rene Spronk, Ringholm
• Michael van der Zel, UMCG
• Dale Nelson,
• Nancy Orvis,

Minutes

1. Administrative
   • Rene: as per our DMP I'd like to request permission to record the presentation. No objections were raised.
   • Approval of the minutes of the May WGM in Paris, available at AID 201505 Meeting in Paris
     • MOTION to approve the minutes of the May WGM in Paris, available at AID 201505 Meeting in Paris (Peter/Michael, 2-0-5 (Y/N/Abst)).
2. Use of a RIM-lite OWL triple store to calculate quality measures (Peter Hendler, KP, see http://www.hl7.org/documentcenter/public/wg/java/20151005_Peter_Hendler_SNOMED-RDFox.ppt for a copy of his slides, and https://vimeo.com/141875367 for a video recording.)
   • Peter has been working with Oxford University UK dept of Computer Science and KP National Quality. They have an OWL ontology based on Entities in Roles Participating in Acts (ERPA; it is not the full RIM by any means, it is their own RIM lite OWL). They have successfully calculated some Diabetes quality measures (HEDIS, Healthcare Effectiveness Data and Information Set) using OWL, RDF and SNOMED.
   • Peter will discuss some of the core design considerations, as well as other experiences.
   • See http://www.cs.ox.ac.uk/isg/tools/RDFox/ for details of RDFox, a highly scalable in-memory RDF triple store.
   • Peter: we're using static data, reporting is based on the 'last year'. Could be done 'live' if so desired.
   • Marc H: can't we do this with SPARQL ? Peter: No. SPARQL is for queries, this creates new knowledge, new triples of truth. But someone from Oxford would probably be able to explain this is a better way.
3. Adjournement

Workgroup	Date/Time	Location	Chair/Scribe
AID HL7 User Group	2015-10-07, 15:30-17:00	Atlanta, US	Chair/Scribe: Rene Spronk

Attendance

• Rene Spronk, Ringholm
• Simone Heckmann, HealthComm
• Peter Hendler, KP

Minutes

1. Administrative
   • Determine quarters for meeting in Orlando (René won't be there)
   • Same as this time. ACTION Andy: to schedule rooms
2. Project and issue review
   1. Project #550 - Whitepaper review: project details, List of AID Whitepapers
      • Those present agree with the current list of whitepapers, inclusive of the two new ones (v2-FHIR mapping, FHIR server design). We'll discintinue the development of Persisting FHIR Resources and include its contents in the FHIR Server design whitepaper.
   2. Project #1178 - Implementation Packages
      • Upon review of the functional requirement those present agree that they reflect what a newbie implementer would find useful. Next step: find appropriate tools etc. to create the v2 implementation package.
   3. Issue List Category:AID_Issue
      • Removed old v3 issues, only open issue right now is Resource Equivalence.
   4. Update AID three year plan
      • Reviewed, added new project.
   5. Update/review AID Mission and Charter
      • MOTION To re-approve the AID mission and charter, without change. (Peter/Simone, 2-0-0).
3. Adjourned