HL7 FHIR:
An update for CHIMA
Dr. David Hay, MBChB , June 2015
chinc.org.cn
About Me 个人简介
• Name: Dr. David Hay
• Role: Product Strategist at Orion Health 现任Orion Health医
疗产品战略专家
• Background
– Clinician 临床医师
– Clinical Applications Vendor 临床应用供应商
– Involved in FHIR almost from beginning 从一开始就参与FHIR
– Co-Chair FHIR Management Group FHIR管理协会联合主席
– Chair HL7 New Zealand 新西兰HL7主席
– Blog: FHIRBlog.com 博客
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FHIR (Fast Healthcare Interoperability Resources)
快速医疗资源互通
• Drivers for FHIR 动机
• The main parts of FHIR 主要部件
– Resources 资源
– Exchanging FHIR 交换
– API 应用程序接口
– Profiling 分析
Implementing FHIR 实施
•
核心特征
Desired outcome is that you want to learn
more about FHIR !
理想的结果是,你想更深入的了解FHIR!
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Why FHIR
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Drivers 动机
•
Interoperability requirement increasing 互操作性要求的提高
– Increasing collaborative care – need for co-ordination 提高合作医疗–需要协调
– Changing Payment models 改变支付模式
– Clinical Care delivery to an aging population 人口老龄化的临床护理
– Decision support 决策支持
– Involving the patient – raising the bar 涉及病人 - 提高标准
• Need for real time access 实时访问需要
– Mobile 手机
– Connected world 与世界接轨
• Vast increase in the amount & type of data 数据的数量与类型大量增加
– Devices, Mobile 移动设备
– Genomics 基因组学
• Analytics, population health 分析,人口健康
•
Implementer expectations 实施者的期望
– Expect a modern standard 期待一个现代标准
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Current standards don’t cut it - these led to
FHIR…
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Issues with other standards 与其他标准的问题
• HL7 version 2
– Great for messaging between systems 系统间的消息传递
– But:
• Old technology 过时的技术
• Hard to customize and extend 不容易定制和不容易扩展
• HL7 version 3
– Defined common model for interoperability 定义了通用模型的互操作性
– But:
• Very large instances 实例庞大
• Extremely complex to implement 实施非常复杂
• CDA (version 3)
– Very successful 非常成功
– But:
• Documents only 仅限于文档
• Difficult to communicate coded data 难以沟通的编码数据
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Business Case for FHIR – I 商业案例
• Mobile friendly 支持移动设备
– Concise, REST API & JSON
• Developer friendly 易于开发
– Familiar tooling & familiar technologies – XML/JSON, HTTP, SSL, Oauth 通
晓的工具和技术
– Libraries available – HAPI, reference implementation 方便的标准库
• Simple to understand and access with examples! 简单的理解和使
用的例子
• Predefined Resources 预定义的资源
– Analysis already done 已提前分析
• All paradigms, All Architectures, All Clients 所有的模式,所有的
架构,所有客户
– Thick client, browser, mobile, devices 胖客户端,浏览器,移动设备
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Business Case for FHIR – II商业案例
• Solves the common problems – can concentrate on the tricky stuff
解决常见问题–可以专注于棘手的东西
– Eg API / formats are defined
• Don’t need to understand HealthCare domain to implement 不需
要了解医疗保健领域的实施
– Developers or Analysts 开发者或分析师
Large community for support 支持大型社区
•
• Already in use Internationally 已经在国际上使用
– 70 Organizations, 20 Countries, all Continents (except Antarctica) 70组织,
20个国家(地区),所有大洲(除了南极洲)
– Interest from Providers, Vendors, Payers, Governments 医疗供应者,供
应商,保险公司,政府都很有兴趣
核心特征
Results in faster, cheaper deployments that are more re-usable
结果是更快,更低成本的部署,更可重复使用
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