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    Building Integrated Clinical Dashboards Using FHIR

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    Titus Schleyer
    FHIR is a rapidly evolving, dynamic standard for access to data in electronic health records (EHR). Beyond value-added functionality for EHRs, FHIR offers the opportunity to connect data for the same patient from different sources. Recently, we piloted FHIR to connect data from the Indiana Network for Patient Care (INPC) with those in an Epic installation. In one use case, we retrieved medication lists for patients from both information sources and designed a patient-centric medication reconciliation application. Importantly, a pre-existing, INPC-specific universal patient identifier obviated the need to perform patient matching. This use case highlights the potential for FHIR to aggregate information from different sources into a patient-centric electronic health record.

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    Building Integrated Clinical Dashboards Using FHIR

    Uploaded by

    Titus Schleyer
    50 views14 pages
    FHIR is a rapidly evolving, dynamic standard for access to data in electronic health records (EHR). Beyond value-added functionality for EHRs, FHIR offers the opportunity to connect data for the same patient from different sources. Recently, we piloted FHIR to connect data from the Indiana Network for Patient Care (INPC) with those in an Epic installation. In one use case, we retrieved medication lists for patients from both information sources and designed a patient-centric medication reconciliation application. Importantly, a pre-existing, INPC-specific universal patient identifier obviated the need to perform patient matching. This use case highlights the potential for FHIR to aggregate information from different sources into a patient-centric electronic health record.

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    Building integrated clinical dashboards using FHIR

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    FHIR is a rapidly evolving, dynamic standard for access to data in electronic health records (EHR). Beyond value-added functionality for EHRs, FHIR offers the opportunity to connect data for the same patient from different sources. Recently, we piloted FHIR to connect data from the Indiana Network for Patient Care (INPC) with those in an Epic installation. In one use case, we retrieved medication lists for patients from both information sources and designed a patient-centric medication reconciliation application. Importantly, a pre-existing, INPC-specific universal patient identifier obviated the need to perform patient matching. This use case highlights the potential for FHIR to aggregate information from different sources into a patient-centric electronic health record.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
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    Download as pptx, pdf, or txt
    50 views14 pages

    Building Integrated Clinical Dashboards Using FHIR

    Uploaded by

    Titus Schleyer
    FHIR is a rapidly evolving, dynamic standard for access to data in electronic health records (EHR). Beyond value-added functionality for EHRs, FHIR offers the opportunity to connect data for the same patient from different sources. Recently, we piloted FHIR to connect data from the Indiana Network for Patient Care (INPC) with those in an Epic installation. In one use case, we retrieved medication lists for patients from both information sources and designed a patient-centric medication reconciliation application. Importantly, a pre-existing, INPC-specific universal patient identifier obviated the need to perform patient matching. This use case highlights the potential for FHIR to aggregate information from different sources into a patient-centric electronic health record.

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    of 14

    Building integrated clinical

    dashboards using FHIR


    Titus Schleyer, DMD, PhD
    Doug Martin, MD
    Burke Mamlin, MD
    Cleveland Health IT Summit 3/24/2017
    The why
    Health information
    should flow like water
    fast, slow, around
    obstacles
    but, ultimately,
    unimpeded.

    Omni Homestead, VA, T. Schleyer, 2016


    Where does information not flow
    like water?
    between healthcare
    systems
    within healthcare
    systems
    between care settings
    (eg EDprimary care)
    pretty much
    everywhere
    Wade Tregaskis, Flickr, 2016
    Our use case

    help patients create a


    unified, current
    medication list from
    multiple lists spread
    across several health
    IT systems

    T. Schleyer, Regenstrief Institute, 2016


    Main data sources
    sandbox
    sandbox (Indiana Network for Patient Care)
    largest and oldest health information exchange in US
    12+ million patients
    6+ billion observations
    traditional modes of data exchange
    HL7 V2 messages
    CCDs
    PDFs
    granular data exchange challenging
    Demo time!

    https://github.com/bmamlin/org.regenstrief.fhirmedlistweb
    Technical details
    AngularJS application
    out of scope: login, patient search
    Data sources:
    medications: 2 instances
    medication images:
    indications:
    FHIR on the
    Indiana
    Network for
    Patient Care
    (INPC)

    Anderson Valley, California, T. Schleyer,


    2016
    FHIR on the INPC
    FHIR access layer on top of IHIE data
    repository
    permits
    standardized way to request and receive
    clinical data
    fine-grained data access (ask for only what
    you need)
    accessible to any FHIR-based application
    Challenges
    authentication (who you
    are)
    authorization (what you
    can do)
    FHIR a moving target
    content standardization
    (profiles will help)
    scalability (to be
    determined)
    Grand Tetons T. Schleyer, 2016
    Considerations
    What are your data sources and how
    FHIR-enabled are they?
    How do you connect various records
    about the same patient?
    What you do with the result (e.g. w/r/t
    limited write capacity in FHIR)?
    Thanks to

    all 17 Connectathon teams


    Regenstrief Institute/Indiana Health Information Exchange: Bryden
    Basaran, Chris Beesley, Josh Castagno, Jack Evans, Cindi Hart,
    Suranga Kasthurirathne, Brian Lawson, Meghan Mack, Jamee Malan,
    David Taylor, Ken Spry, Jeff Warvel
    Thank you! Questions, comments?
    Regenstrief Institute This talk:

    @titusschleyer, @RCBMI

    schleyer@regenstrief.org

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