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Clinicians on FHIR - Sept 2017, San Diego

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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


Planning Calendar and Meeting Minutes

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.


Demo Videos

- Useful demo video
- ClinFHIR Demo 2017-09-05 for San Diego CoF
- Useful information on document building capabilities

Powerpoint Slides

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:
- []
- 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


  • 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


- 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


Report Out

Care Plan

worked on Plan Activity and Plan Definition
reported some gForge items
also looked at a CDA representation of Care Plan and made some progress on moving the CDA care plan to FHIR care plan.
would nice to have a tool that is a storyboard builder - not just a static point in time builder. Want to be able to build the story over time.