IHE en FHIROvereenkomsten en verschillen in 5 presidentiële tweets

#mic2017 #FHIRlovesIHE#IHElovesFHIR

Ewout Kramer

FHIR Core team

(and software developer)

Furore (Amsterdam, NL)

e.kramer@furore.com

http://thefhirplace.com

http://fhir.furore.com

HL7 en IHE

HL7: Maakt uitwisselstandaarden“(...) Health Level Seven International (HL7) is a (...) ANSI-accredited standards developing organization dedicated to providing a comprehensive framework and related standards for the exchange (...) of electronic health information (...)”

IHE: Past uitwisselstandaarden toe“IHE is an initiative by healthcare professionals and industry to improve the way computer systems in healthcare share information. IHE promotes the coordinated use of established standards such as DICOM and HL7 to address specific clinical needs in support of optimal patient care.”

VERSUS

Gegevens-standaarden

HL7 v2, DICOM, HL7 FHIR, SNOMED-CT, LOINC

IHE IntegratieProfielen

Point of Care Infusion Verification (PIV),

Emergency Department Referral (EDR), Basic Patient

Privacy Consents (BPPC)

Zorgprocessen

Beeldvorming, Medicatie, Lab, Administratie, ...

D

o Dynamic Care Planning

o Dynamic Care Team Management

I

o Internet User Authorization

M

o Mobile access to Health Documents (MHD)

o Mobile Alert Communication Management(mACM)

o Mobile Care Services Discovery (mCSD)

o Mobile Cross-Enterprise Document Data Element Extraction

o Mobile Medication Administration

o Mobile Retrieve Form for Data Capture

N

o Non-patient File Sharing (NPFSm)

P

o Patient Demographics Query for Mobile (PDQm)

o Patient Identifier Cross-Reference for Mobile (PIXm)

o Point-of-Care Medical Device Tracking

Q

o Query for Existing Data for Mobile

R

o Reconciliation of Clinical Content and Care Providers

o Remote Patient Monitoring

S

o Standardized Operational Log of Events

U

IHE

Inte

grat

ion

Pro

file

s u

sin

g H

L7 F

HIR

Inside a FHIR “Observation”

FHIR has the concept “data profiles” – but HL7 does not author them

IHE Integration Profiles.....

• “Describe specific solutions to integration problems. A profile documents how standards will be used by each system’s actors to cooperate to address the problem.”

Workflows

IHE IntegratieProfielen

FHIR Data Profielen

FHIR Specificatie

FHIR Implementation GuideWrite your own FHIRimplementation guide usingFHIR tooling

Tech Framework vol 1.

Tech Framework vol 2.

Verschillend, want...• Geen formele tests, geen certificeringen• Opleidingen en lezingen• Experts lastig vallen om de spec gewijzigd te

krijgen• Nieuwe delen uitproberen

Zelfde, want...• Mannen achter PCs• Energiebron: Pizza’s, cola, bier• Weinig sportieve activiteiten• Skypen met je buurman

VERSUS

XDS

“REST”

query/responseoverdrachtssituaties,bevindingen beeldvormend onderzoek

Documenten

VERSUS?

XDS

√

√

√CDA √ X

X

https://www.forcare.com/blog/a-future-direction-for-ihe

“A future direction for IHE”