Clinicians on FHIR - Sept 2017, San Diego

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Introduction

The September 2017 Clinician-on-FHIR event will be hosted on Friday September 15, 2017.

Conference calls

Weekly preparatory conference calls are being hosted on Tuesdays at 5:00 - 6:00 pm US Eastern.

First Clinician-on-FHIR call starts: Tuesday May 23, 2017

Conference call details: please see HL7 email broadcast Phone Number: +1 770-657-9270 Participant Passcode: 943377

https://intermountainmeetings.webex.com/intermountainmeetings/j.php?MTID=m285042c1dfaad164ef45fcf2b7aa8619

Planning

Planning Calendar and Meeting Minutes

• May 23 - Brainstorm ideas for improving Clin on FHIR output
• May 30 - Debrief on Madrid Clin on FHIR, Review the ideas for improving ClinonFHIR output
• June 6 - Clinical Mautirty Discussions
• June 13 - Work on the Clinical Maturity Model
• June 20 - Work on the Clinical Maturity Model
• June 27 - Clinical-Maturity and others
• July 4 - Not meeting. US Holiday
• July 11 - Clinical Maturity - options
• July 18 - Not meeting - inadequate quorum
• July 25 - Clinical Maturity Model
• August 1 - Not meeting - testing draft clinical maturity model for August 8 meeting
• August 8 - Clinical Maturity Model - test review
• August 15 - Not meeting
• August 22 - SanDiego and Maturity Model
• August 29 - Maturity Model
• September 5 - ClinFHIR tutorial

Goal = create at least one (or more if possible) meaningful example(s) (actual JSON resource instance) for each FHIR resource otherwise the limitation of the FHIR resource is identified.

Resources

Demo Videos

- Useful demo video

- ClinFHIR Demo 2017-09-05 for San Diego CoF

- Useful information on document building capabilities

Powerpoint Slides

• ClinFHIR Introduction Slides 2017-09-05

Tooling and Supporting Information

• Tool

- Participants registered for the Clinician-on-FHIR event are strongly recommended to familiarise themselves with the clinFHIR tool

- A new user interface has been created to support creation of clinical story built from a set of FHIR resources based on the clinical scenario described in the Tracks section below

- Logon to the clinFHIR site:

- [clinFHIR.com/]

- Connect to the FHIR servers by selecting the appropriate Data Server (e.g. Public HAPI DSTU3), Conformance Server and Terminology Server

- click on the "Tool" icon on the top right hand corner of the clinFHIR page and select "simple builder" option

(Note - "simple builder" will soon be changed to "scenario builder")

• Supporting Information

- To be included

Clinician-on-FHIR Tracks

Track 1

Introductory

• Track lead: Viet Nguyen and Russ Leftwich

• Details - TBA on the day
• Preparations: - view the demo videos

Track 2

Track 2a: Diagnostic

• Track lead: Rob Hausam
• Clinical Scenario

- Type 2 Diabetes patient

- PCS instructs patient to perform the following at home as per CarePlan

- BSL x 3/day; BP x 1/day; Body weigh x1/week

- At follow-up consultation in 4 weeks, PCP reassess patient and requested:

- Fasting blood glucose, Fasting lipids

- At follow-up consultation, patient also complains of productive cough (greenish sputum) and fever

- PCP requested: sputum for microbiology test

- PCP makes a diagnosis

• FHIR Resources used:

Observation, DiagnosticRequest, Condition

Track 2b: Medication

• Track leads: Melva/John Hatem
• Clinical Scenario

- Type 2 DM patient

- PCP reviews patient's medication history, performs medication reconciliation where necessary, requests diabetic medications (and other relevant medications, e.g. antibiotics for respiratory infection), updates medication list, medications dispensed by pharmacist, and administered by patient

• FHIR Resources used:

Medication, MedicationRequest, MedicationDispense, MedicationAdministration, MedicationStatement, MedicationList (List resource)

• Questions: what about new instructions to patient? recommendation to prescriber?

Plan medication management in CarePlan resource: medication order through to administration

Track 3

CarePlan

• Track lead: Emma Jones/Laura
• Clinical Secenario

- Patient with Type 2 Diabetes managed by multi-disciplinary care team with PCP as care coordinator

- Multi-disciplinary care plan created by PCP after discussions with patient to coordinate care management

• FHIR resources used in this track:

- CarePlan which references the following resources:

CareTeam, Goal, Condition, Observation, DiagnosticRequest, ReferralRequest, MedicationRequest

+/- Vaccination

Issue to be resolved - what to use for Patient Instruction?

* Diabetic Care Plan Test Data

* Clinical Workflow needs and the use of planDefinition to drive care planning

.....