July 24 FHIR WG Meeting: ACCESS Atlantic Discovery Phase B

Attendees

Mike Savage
Ken Sinn
Natalya Pogrebetsky
Janice Spence
Yaron Derman
Chris Nickerson
Chris Mota
Finnie Flores
Gary Yao
Michel Boivin
Sheridan Cook
Alex Goel
Andrea MacLean
Brent Daniel
Fariba Behzadi
Dean Matthews
Francis Lau
Ihtisham Qureshi
John Buckley
Lynne Zucker
Pat Kerry
Radhika Verma
Rita Pyle
Joel Francis
John Wills
Sisira De Silva
Kris Lewis
Alan L
Brian Drew
Sam Stewart
Aidan Scott
Attila Farkas
Greg Violette
Seema Nayani
Fang Cao
Cindy Jiang
David Kwan
Dorrell

Update: ACCESS Atlantic Discovery Phase B Presentation

• Attila provided overview of the ACCESS HEALTH program, which includes 3 components: Access Gateway, Alliance and e-Services
• The presentation focused on the ACCESS gateway. It was a gap/feasibility analysis of the ability to interface existing systems to the Gateway using FHIR. The scope was labs and medication history as well as mental health. The presentation focused on the first two.
• The analysis was performed on interfaces from the Altantic provinces, as well as published domain specific profiles i.e. US Core, CA Core, Ontario Lab HL7 v2 standard
• The Eastern provinces within project scope all used CeRX-based Query interfaces, except for New Brunswick. As a result, while most CeRX query responses could be mapped to FHIR, some fields for MedicationStatement could not be mapped for New Brunswick.
• The outcome is a FHIR specification published on Simplifier.net containing the comparison between the existing interfaces and FHIR resources, as well as the profiled resources that will be the basis of further analysis.
• The comparison was conducted from the lens of patients (what info would a patient require from these domains) as well as clinicians
• Most of the IGs inheried the MustSupport flags from US-Core and CA-Core, with additional MustSupport flags added for ACCESS use cases, while avoiding over-constraining these profiles.
• Infoway and Gevity encourage the Community to follow up with questions, ideally using the FHIR community forum so others can benefit. You also have the option of emailing Sheridan Cook (Cette adresse courriel est protégée contre les robots spammeurs. Vous devez activer le JavaScript pour la visualiser.) and Chris Nickerson (Cette adresse courriel est protégée contre les robots spammeurs. Vous devez activer le JavaScript pour la visualiser.) directly.
• Community should also consult the Project on simplifier: simplifier.net/accessgatewayehrspecification
• The Implementation Guide discussed on the call can be found on the "Guides" tab of the Simplifier Project or accessed directly from the following link: simplifier.net/guide/accessgatewayehrspecificationhl7fhirimplementationguide-v1.0.0/tableofcontents
• Presentation deck from the call has been uploaded to the FHIR Implementers documents on InfoCentral: infocentral.infoway-inforoute.ca/en/resources/docs/fhir

Updates from Stream Leads

• Not covered during the call; stream leads are welcome to reply in this thread with stream updates for July

Thanks for posting this Gavin. As this presentation will take the majority of the meeting, I think it's just safe to state the rest of the meeting agenda here as Updates from Stream Leads, in the remaining time following the presentation.

As always, the Zoom meeting details can be accessed from the events calendar: infocentral.infoway-inforoute.ca/en/monthly-calendar/month.calendar/2019/07/17/1268

Hi,

We just wanted to give the community a heads up that on the July 24th FHIR WG meeting there will be a presentation on the findings from the ACCESS Atlantic Discovery Phase B project that examined mapping between provincial interfaces and FHIR resources. The focus for the analysis was on citizen access to lab results, and citizen and clinician access to medication profile information. The presentation will include an overview of the methodology used, some of the key findings from the mapping work and the draft resource profiles and supporting implementation guidance.

Thanks,

Gavin