Interoperability

• Extent to which systems and devices can
  • Exchange data
  • Interpret that shared data
• Essential for
• Continuity of care
• Monitoring & Evaluation
• Public Health Surveillance

Interoperability

🗣 Vocabularies

LOINC
66801-2: How well can you tell a funny event to a group of children

SNOMED CT
112630007: Funny looking kid (FLK)

ICD-10
V91.07: Burn due to water-skis on fire

Interoperability

Interoperability

          https://api.com/rest/v1/Resource/123
        

APIS

HL7 v2

🔧🎩 Pipehat (1987)

					MSH|^~\&|MegaReg|XYZHospC|SuperOE|XYZImgCtr|20060529090131-0500||ADT^A01^ADT_A01|01052901|P|2.5
					EVN||200605290901||||200605290900
					PID|||56782445^^^UAReg^PI||KLEINSAMPLE^BARRY^Q^JR||19620910|M||2028-9^^HL70005^RA99113^^XYZ|260 GOODWIN CREST DRIVE^^BIRMINGHAM^AL^35209^^M~NICKELL’S PICKLES^10000 W 100TH AVE^BIRMINGHAM^AL^35200^^O|||||||0105I30001^^^99DEF^AN
					PV1||I|W^389^1^UABH^^^^3||||12345^MORGAN^REX^J^^^MD^0010^UAMC^L||67890^GRAINGER^LUCY^X^^^MD^0010^UAMC^L|MED|||||A0||13579^POTTER^SHERMAN^T^^^MD^0010^UAMC^L|||||||||||||||||||||||||||200605290900
					OBX|1|NM|^Body Height||1.80|m^Meter^ISO+|||||F
					OBX|2|NM|^Body Weight||79|kg^Kilogram^ISO+|||||F
					AL1|1||^ASPIRIN
					DG1|1||786.50^CHEST PAIN, UNSPECIFIED^I9|||A
		    

HL7 v2

🔧🎩 Pipehat (1987)

HL7 v3

🌎 1995

HL7 v3

🌎 1995

FHIR

🔥 2013 DSTU1

• Fast
• Healthcare
• Interoperability
• Resources

FHIR

🔥 Advantages

• Modern technologies
• Common scenarios
• Human readable
• Lightweight
• Low 💰

FHIR

🔥 2013 DSTU1

{
  "resourceType": "Patient",
  "id": "9633",
  "text": {
    "status": "generated",
    "div": "
\n\t\t\t
\n\t\t\t\tGenerated Narrative with Details\n\t\t\t
\n\t\t\t
\n\t\t\t\tidentifier: HOSP-CD14D9 (USUAL)
\n\t\t\t
\n\t\t\t\tname: Todd G. Lerr (OFFICIAL)
\n\t\t\t
\n\t\t\t\tgender: male
\n\t\t\t
\n\t\t\t\tbirthDate: Jun 7, 2012
\n\t\t\t
\n\t\t\t\tdeceased: false
\n\t\t\t
\n\t\t\t\taddress: 123 North 102nd Street Apt 4d Harrisburg PA 17102 USA (HOME)
\n\t\t
"
  },
  "identifier": [
    {
      "use": "usual",
      "system": "http://happyvalley.com/patient",
      "value": "HOSP-CD14D9"
    }
  ],
  "gender": "male",
  "birthDate": "2012-06-07",
  "deceasedBoolean": false,
  "address": [
    {
      "use": "home",
      "line": [
        "123 North 102nd Street",
        "Apt 4d"
      ],
      "city": "Harrisburg",
      "state": "PA",
      "postalCode": "17102",
      "country": "USA"
    }
  ]
}
		    

FHIR

🔥 Paradigms

• Documents
• Messages
• Services (REST)

FHIR

🔥 Resources

• Logical Units (e.g. Patient)
• Indentifiable
• Relevant
• Sections
  • Human readable summary
  • Data
  • Extensions
  • Links

FHIR

🔥 Resources

• Coded Concepts
• Vocabularies (LOINC, SNOMED, etc)
• Bundles

FHIR

🔥 Operations

• Create
• Read
• Update
• Delete

SMART on FHIR

😎 👌🏼

• Authentication
• Common FHIR subset
• Shareable Code

HIMSS Use Case

Resources