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Submitting WG/Project/Implementer Group

  • Orders & Observations

Highlights

https://confluence.hl7.org/download/attachments/20022006/v2-to-FHIR%20Track%20Highlight.pptx?api=v2

Communication Tools for Track

ZULIP Track: https://chat.fhir.org/#narrow/stream/179188-v2-to.20FHIR

WHOVA (to get to ZOOM): https://whova.com/portal/webapp/hlfhi_202009/Agenda/1212544  This is NOT the same ZOOM as Monday/Tuesday meetings.

Wednesday 5-6 pm meeting logistics will be on Monday/Tuesday Zoom (


Webinar Prep

September 8, 11-12 ET

Slides: https://confluence.hl7.org/download/attachments/20022006/CAT%2025%20Connectathon%20Track%20Orientation%20-v2-to-FHIR.pptx?api=v2

Recording: https://confluence.hl7.org/download/attachments/20022006/2020-09-08%20Connecathon%2025%20-%20v2%20To%20FHIR%20Track%20Overview.mp4?api=v2


Meetings during Connectathon


  •  Wednesday
    • Overall Kickoff: 13-14PT/15-16CT/16-17ET/21-22BST /22-23CET/6-7AEST
    • Team: 14-15PT/15-16CT/17-18ET/22-23BST/23-24CET/1:30-2:30IST/7-8AEST
  • Thursday
    • Team: 7-8PT/9-10CT/10-11ET/15-16BST/16-17CET/19:30-20:30IST
    • Team - CWE Mapping:  10:30-11:30PT/12:30-13:30CT/13:30-14:30ET/18:00-19:00BST/19:00-20:00CET/22:30-21:30IST
    • Team: 14-15PT/16-17CT/17-18ET/22-23BST/23-24CET/7-8AEST
  • Friday
    • Team: 7-8PT/9-10CT/10-11ET/15-16BST/16-17CET/19:30-20:30IST
      • Google Mapping Demo
      • Microsoft Mapping Demo
    • Connectathon Highlights: 12:00 - 12:15 Tentative.
    • Team: 14-15PT/16-17CT/17-18ET/22-23BST/23-24CET/3:30-4:30IST/7-8AEST
    • Overall Closing: 15-16PT/17-18CT/18-19ET/23-24BST/4:30-5:30IST/8-9AEST

Justification and Objectives

  • Continue exploration of tools and methods to maintain and manage a v2-to-FHIR mapping that can be referenced by FHIR mapping tabs, v2+ mapping tabs, and direct query using the Google Spreadsheets created to date as input.
  • Explore APIs that enable basic v2 to FHIR mapping based on the mappings available to date.
  • Test the viability of the current mappings we have.
  • Optimize the format of the Confluence mapping pages and relate that format to another format that is machine readable (XML, ConceptMap resources, etc).
  • Discuss plans for creating and balloting an IG

This track will use what version of FHIR.

  • FHIR R4

Clinical input requested (if any)

  • None

Related tracks

  • None

Proposed Track Lead

Expected participants

Altarum: Craig Newman - confirmed

Allscripts: Danny Wise - TBD

Audicious Inquiry: Keith Boone - TBD

CDC: Jason Hall / Megan Light - TBD

Cerner: Hans Buitendijk - confirmed

Health Intersections: Grahame Grieve - TBD

MDIX: Ken Lord, Sean Muir, Gargie Gajjar - TBD

Northrop: Rishi / Marcelo Caldas / Shu McGarvey - TBD

Philips: Kumar Satyam/Team - TBD

Redox: Benjamin Flessner / Brendan Keeler - TBD

TBX: Robert Worden - Confirmed

Rob Hausam - TBD

Kaiser Permanente: Scott Robertson - TBD

Google Cloud: Sajjad Hussain - Confirmed

Microsoft Healthcare: Deepak Bansal/Jared Erwin/Moira Dillon/Ranvijay Kumar - TBD

Northwestern Medicine: Camila Altman - Confirmed

Rob Hausam - Confirmed

System Roles

  • Editor - HL7 volunteers/support staff to maintain the mappings
  • Publisher - v2+, FHIR, and other venues to publish the content
  • Integration Engines - consuming mappings to pre-populate their tools
  • Tooling developers writing software to automate the mapping process.

Scenarios

Primary scenario is to provide end-to-end mapping of an ADT^A01, ORM_O01, OML_O21, ORU_R01, and VXU_V04 messages according to the latest definitions here.

ADD Servers available

TestScript(s)

Sample v2 messages/segments/fields to use:

Steps:

  • Input v2 test message into mapper
    • Qualifications:
      • Test message with all FHIR mandatory attributes valued,
      • Test messages with v2 optional fields not valued where FHIR needs them
      • Test messages with v2 fields with cardinality greater than FHIR
      • Test messages with v2 fully loaded
      • Test messages with real-world content
  • Perform the mapping
  • Generate a FHIR Bundle for a FHIR message
  • Analyze the mapping errors  and FHIR message output.
    • Validator/Quality review
  • Validate the FHIR message per FHIR
    • E.g., on Logica
  • Sharing output
    • Next time to be discussed

Any FHIR Bundles that are considered sufficiently complete and clean per the mapping guidance will become part of the example library putting v2 and FHIR messages next to each other.

Consider that proposed extensions are not yet available (not a roadblock).

JIRA:

In the absence of JIRA, use this page to log issues requiring discussion: 2020-09-10/11 v2-FHIR Connectathon

Key Notes:

  • Decide on spreadsheet or Confluence page for collaboration
  • Review SIU mapping sheet - Following 10am ET review/ standup/highlight prep/SIU
  • Review CWE - 2pm onwards sometime  TBF during 10-11 session

Various Helpful Links:

Security and Privacy Considerations

We will not be requiring TLS to participate.

Report Out

The goal was to progress the v2-to-FHIR mappings on any of the steps of mapping definitions, map generation, map validation, and supporting documentation.

The main achievements were around:

  • Progress in defining mappings involving CWE data types.  An initial guidance document and spreadsheet were created and reviewed that will be discussed further during conference calls.
  • Validation errors identified by Robert Worden's validation tools were corrected in the mapping spreadsheets.  This is continuous work in progress.
  • Ranvijay Kumar (Microsoft)  and Sajjad Hussain (Google) reviewed their tooling progress.
  • Actual production use has been achieved by Google, Microsoft, and MDIX, while others are likely out in production as well.

The highlights session (slides: https://confluence.hl7.org/download/attachments/20022006/v2-to-FHIR%20Track%20Highlight.pptx?api=v2) provides a brief overview of the track and project.  The recording will be available as well.

Participants:

  • Hans Buitendijk - Cerner
  • Craig Newman - Altarum
  • Camila Altman - Northwestern Medicine
  • Sajjad Hussain - Google
  • Ranjivay Kumar - Microsoft
  • Nathan Bunker - Immunization Registries
  • Ken Lord - MDIX
  • Cheng Liu
  • Larry Shields



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