This page is a continuation from the ONC Grant Project Page Wiki page to support projects within the following ONC Grant funded opportunity: Maturing C-CDA and FHIR Implementation (2019 - )
(The full title of the Funding Opportunity Announcement (FOA) is: Closing the Gap between Standards Development and Implementation-Maturing the Consolidated Clinical Document Architecture (C-CDA) and Fast Healthcare Interoperability Resources (FHIR) Standard)
The following are brief descriptions of each project created under the Maturing C-CDA and FHIR Implementation (2019 - ) ONC grant. Project deliverables are also linked with each project.
Ballot the FHIR Bulk Data Implementation Guide (IG) in HL7’s 2019 May ballot cycle; develop a test suite and utility to verify vendor compliance with the bulk data spec Flat FHIR format; design a Bulk Data import approach; maintain reference implementation by adding performance monitoring and User/Traffic management
Develop a working demonstration pilot for UTG-based terminology maintenance system; debug and test tool; provide Project Management
UTG Project Page
UTG Project Management Page
UTG Document Repository Page (including project plan)
The current rendered pages for UTG content can be viewed here: https://build.fhir.org/ig/HL7/UTG/
Engage industry players (vendors, healthcare providers, payers and health information exchanges) via a C-CDA Implementation-A-Thon track within the FHIR Connecathon. The objective of the 2-day event is to improve the quality and consistency of C-CDA implementers. The IAT involves hands-on exercises to reduce variability among C-CDA documents and the ability to share best practice experiences.
C-CDA IAT Project Page
C-CDA IAT: September 14-15, 2019 (Atlanta, Georgia)
Results from the C-CDA IAT in Atlanta are written up here:
C-CDA IAT: January 12-13, 2019 (San Antonio, Texas)
Results from the C-CDA IAT in San Antonio are written up here:
Determine how best to get information to participants without overwhelming them; Create dashboards that allow users to quickly see relevant information; Document the JIRA ballot process; Complete and test the MIF conversion process.
Monitor the FHIR IG publishing and balloting processes; facilitate review/ approval of the IGs that will be published in a given ballot cycle; provide educational materials on processes related to the publication and balloting of IGs.
FHIR IG List
Prepare a FHIR Connectathon communication plan, a pre-connectathon and post-connectathon survey; an orientation package for all track leads and an event report.
May 2020 FHIR Connectathon (CAT 24)
January 2020 FHIR Connectathon (CAT 23)
Communication Plan & Pre/Post Connectathon Surveys – January 2020 Connectathon 23
Orientation Package for all Track Leads
Wrap Up Slides - January 2020 Connectathon 23
Outcomes Track Report - January 2020 Connectathon 23
September 2019 FHIR Connectathon (CAT 22)
September 2019 Pre Connectathon 22 Survey.xlsx
FHIR Connectathon Info Session 9.10.19 - September 2019.pptx
CAT22 Wrap Up Slides - September 2019.pptx
CAT22 Feedback Survey - September 2019.pdf
HL7 FHIR Connectathon 22 Outcomes Report - September 2019.docx
May 2019 FHIR Connectathon (CAT 21)
Connectathon Communication Plan - CAT21 - May 2019.xlsx
Pre Connectathon Survey available upon request via pmo@HL7.org as it contains confidential information.
Orientation Package for all Track Leads
Post CAT21 Feedback Survey Response Data - 2019 May.pdf
Event Report - May 2019
January 2019 FHIR Connectation (CAT 20)
Connectathon Communication Plan - CAT20 - January 2019.xlsx
January 2019 Pre Connectathon 20 Survey.xlsx
Orientation Package for all Track Leads
HL7 FHIR Connectathon 20 FeedbackSurvey - January 2019.xlsx
Event Report - January 2019
Previous FHIR Connectathons
Perform a comparison between the International Patient Summary and the Argonaut / US Core implementation guides
White Paper: Argonaut vs. IPS: A Compare and Contrast between Two FHIR Implementation Guides
A list of the differences in terms of FHIR resources used, required elements, vocabularies, constrains and REST interactions and operations.
Provide increased administrative support for standards development, publication and maintenance to facilitate the release of each new version of the FHIR core specification work as well as with other key FHIR SMEs to implement specific improvements for long-term, sustainable FHIR processes and tools.
Provide support for reconciliation and publication of the US Core Implementation Guide, based on FHIR R4, which was balloted in the January 2019 ballot cycle. This new ballot added support for Clinical Notes, fixed errata logged since publication of R3, and upgraded all the Resources to support the FHIR R4 release and closed on January 7th, 2019. Rreview and reconcile comments; update the US Core FHIR Implementation Guide to submit it for final publication.
US Core R4 Implementation Guide
Create HHS branded webinars and other learning materials that provide guidance on selection of FHIR releases, Implementation Guides, profiles, etc. to be used within projects. The target audience will be federal government project/program managers leading HL7 related projects.
Fact Sheets - Work in Progress
Produce a sustainable, efficient means of publishing new versions of C-CDA (and potentially CDA in a later phase) as a Web Specification (similar to FHIR). The output of this project will be tooling together with necessary supporting documentation to support publication of C-CDA and CDA implementation guides through the FHIR IG Publisher
2020 January: Lantana's current version of IG is published here: https://hl7.github.io/cda-ccda-2.2/index.html
Sean McIlvenna recommended this link instead for the c-cda publication: https://build.fhir.org/ig/HL7/cda-ccda-2.2/ It’s using the CI build, which is generally better.
The prior version of the companion guide is specific to a rule, the 2015 ONC Certification rule. The ONC published a new proposed rule in 2019 which necessitates updates to the companion guide. This project consists of project management support and content development for the update of the companion guide to support C-CDA implementations in the US consistent with ONC timelines. Updates may include new C-CDA templates and other revisions to meet industry requirements, for example changes in government requirements. The set of updates for any release SHALL require approval by the Structured Documents Work Group and the US Realm Steering Committee.
Addionally, QA and editing of the C-CDA sample files that will be associated with the published C-CDA R2.1 Companion Guide Update. These files have already passed the ONC Validator and the ONC Scorecard. The QA is to encompass evaluating the rendered documents, including sensical header (administrative data) and comparing the entries with the rendered section text. Focus will include known problematic areas such as time and effectiveTime format and rendering and ensuring that the coded entry data makes clinical sense and accurately aligns with rendered information.
HL7 CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes Companion Guide, Release 2 STU - US Realm
Create Volume 1 for C-CDA R2.2 using existing C-CDA R2.1 plus updates being proposed for Companion Guide and using Trifolia on FHIR for this work, so as to keep both of these documents aligned during the C-CDA Companion Guide Ballot Reconciliation. The C-CDA Volume 1 content created will be aligned with balloted C-CDA R2.1 Companion Guide R2 and in conjunction with tooling revisions and ready for STU Update commenting.
To be held September 11-13, 2019 in Atlanta. The goal of this event is to build capacity within the HL7 community for creating and reviewing high quality FHIR IGs so as to be in a better position to handle the expected future increase in volume. The agenda for Wednesday and Thursday will focus on best practices in FHIR IG Development, including understanding the IG Publisher, preparing a good quality specification and review of Melva’s FHIR IG Publication Checklist. On Friday morning there will be a workshop focused on terminology considerations - both for creating IGs and for reviewing balloted IGs. Friday afternoon will conclude with a half-day workshop for best practices in reviewing FHIR IG ballots (IG consistency review).
Individuals Interested in FHIR IG Development (waitlist)
FHIR IG Workshop FAQs
Recordings from the workshop are now available by day:
To be held in November 6, 2019; Boston Children's Hospital to lead the event (similar to the event held in December 2017) which will focus on their Bulk Data work.
The final report for the FHIR Bulk Data Meeting held in Boston on November 6th is available at the SMART Health IT web site:
Modify the existing FHIR IG Publisher Templates Framework into a single new framework that uses the (newly developed and highly alpha) publisher template approach, as well as make other changes that were agreed upon at the Montreal WGM; complete all modifications by the September 2019 WGM,
Complete the remaining updates needed to the FHIR IPS Implementation Guide (IG) content so that it publishes correctly and is ready for the final submission and balloted in the September 2019 ballot cycle;
Provide support for the FHIR Terminology Server including, but not limited to, rebuilding the FHIRServer project when code updates are made; updating SNOMED CT to the latest versions; additional terminology server support as needed.
Perform updates to the US Core FHIR Implementation Guide to prepare it for STU publication as follows:
The IG was published on September 3, 2019 for STU Comment publication and a copy of it is located here: https://build.fhir.org/ig/HL7/US-Core-R4/ . The final address for this publication to be announced.
Regarding publishing the updates, the repository for all the material is at https://build.fhir.org/ig/HL7/US-Core-R4/ . The final address for this publication is to be http://hl7.org/fhir/us/core/
Apply eLTSS IG FHIR constraints to resources (eLTSS profiles)
Management of ballot comment reconciliation of comments placed against the HL7 Informative Document: C-CDA Rubric, Release 1. Including incorporation of resolution edits into the guide and managing the guide through publication on the HL7 website.
Support the HL7 FHIR Build and Implementation Guide Publishing tasks as directed by the HL7 FHIR Product Director and the HL7 CTO. Ultimately, the purpose is to take over responsibility for supporting FHIR Build and IG Publishing tasks, relieving Grahame Grieve of this work
Make improvements to the development, publication and build tools for the core FHIR specification and associated FHIR Implementation Guides to more efficiently accommodate new use cases and new features, reduce risk dependencies, improve quality and consistency and allow for generation of a substantially expanded volume of new implementation guides.
Streamline processes used to issue new releases of the FHIR Core Specification, layered products such as CDS Hooks and FHIRCast, and FHIR Implementation Guides by additional publication and build managers without depending upon the direct involvement of HL7’s FHIR Product Director.
The goals of the survey will be to inform the Office of the National Coordinator (ONC) about the current and envisioned uses of the HL7 FHIR standard, to assist the federal government in measuring standards uptake and in planning actions to improve, support, and regulate the use of I.T. in the healthcare industry.