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Argonaut Assessments project offers clear guidance for SDOH

  • P0-BP: (0.2 -- validated some upstream content in Gravity IG, and early content in "SDC By Example" repo.) Example content covering
    • External form to be "ingested" into an EHR for ...
    • "PRAPARE Prime" (i.e., locally modified PRAPARE hide fields, add some extras) --> FHIR Questionnaire
      • Not technically required by US Core, but we have to write it somehow
    • "PRAPARE Prime Response" --> QR
      • Not technically required by US Core, but we have to write it somehow
    • "PRAPARE Prime Response" --> Observation tree (the current "SHALL")
      • Required by US Core, so we need to make sure it works
      • Include examples of local codes for the "invented" questions
    • Conditions derived from this assessment (e.g., food insecurity)
      • Following current US Core spec's requirements / Must-Supports
  • P1-BP: (0.2 as above) Project includes the Assessment recipient perspective, by use case
    • Clinical reporting / measurement tools
    • Jurisdictional health departments
    • Clinical research?
  • P1-BP: (0.0) US Core provides clear guidance and a diagram distinguishing
    • data collection (e.g., recorded as Observations)
    • problems actively tracked (e.g., Conditions)
  • P2-BP: (0.0) Short video on SDC Data Extraction (Argonaut Assessments)

SMART on FHIR v2.1 is available for implementation

  • P0-JM: (1.0) Resolve remaining open issues from Ballot
  • P1-JM: (1.0) Request for publication
  • P1-JM: (1.0) Published

Consumers can access imaging data via SMART on FHIR

Imaging Access Spec

Define and document the scopes and endpoints for imaging access in SMART on FHIR authorization flow by Q1 2023

  • P0-JM: (1.0) Publish a draft spec on GitHub
  • P1-JM: (1.0) Present the spec and use cases and refine over >=3 3 project calls
  • P2-JM: (0.6) Collect feedback from at least 2 EHR vendors
  • P2-JM: (0.5) Collect feedback from at least least 2 PACS or imaging network vendors
  • (After May) Incorporate feedback and finalize the spec

Demo Environment

Develop and deploy a demo environment with a facade over PACS that supports imaging access

  • P0-JM: (1.0) Design and implement a facade over PACS that supports imaging access
  • P0-JM: (1.0) Develop a sample data set for demo environment
    • including at least 3 patients
    • including at least 3 imaging modalities
  • P1-JM: (1.0) Deploy the facade over PACS on a cloud platform that is world-accessible
  • P1-JM: (1.0) Integrate deployed facade with SMART App Launcher
  • P1-JM: (1.0) Develop a "basic mechanics" demonstration app that can run against SMART App Launcher
  • P4-JM: (0.2 sceeenshots only) Develop a more playful and open-ended demonstration app like "make a 3D print of my brain"
  • (After May) Collect feedback from at least five end users who use the demo environment

Community, Education and Dissemination

Educate and disseminate the imaging specs and best practices to potential users and developers through libraries, tools, or examples

  • P0-JM: (0.75 DevDays recording) Quick blurb outlining imaging project, inviting participation, including telecon details 5min video recording of the Argonaut pitch to go along with it
  • P1-JM: (0.8 -- needs more PACS participation) Argonaut call participation includes diverse perspectives
    • EHR
    • PACS / VNA
    • Imaging Network
    • HL7 Imaging WG
    • Application developers
  • P2-JM: (0.2 inline in demo app only) Create a reusable client-side library that supports imaging access
  • P2-JM: (0.8 -- content in DevDays video) Publish a video showing how to use the openly-hosted demo environment
  • P2-JM: (0.0 -- no reusable library) Publish a video showing how to use the library in a demo app
  • (After May) Host a Birds of a Feather session at DevDays for June

Evaluation

Evaluate the spec with components running in a provider’s staging environment

  • P2-JM: (0.4 -- in talks) Identify and recruit at least one provider organization that is willing to participate in the evaluation
  • (After May) Integrate the demo environment with the provider’s EHR’s SMART API and verify interoperability
  • (After May) Collect feedback from at least five end users who use the staging environment

SMART Health Insurance Cards

Note: May UCDS Demo came together (see https://today.ucsd.edu/story/uc-san-diego-health-spotlights-smart-health-insurance-cards)

Topic-based subscriptions are testable

  • P0-GC: (1.0) Sandbox is deployed that supports at least one of R4, R4B, R5
  • P0-GC: (0.8 -- no button wired to UI) Sandbox supports arbitrary fhirpath-based topics
    • UI supports SubscriptionTopic.eventTrigger via a "trigger this event" button
    • Anyone can POST a SubscriptionTopic and subscribe to it
    • Any fhirpath expression over current/previous works
    • Any query expression will work
  • P1-GC: (1.0) Sandbox supports basic filtering of subscription events
    • Any equality filter works
  • P1-GC: (1.0) Sandbox is deployed that supports all of R4, R4B, R5
    • Review of Firely's v5 SDK and multiversion/base versionless support?
  • P2-GC: (0.75 -- still need filtering on some modifiers including group membership tests) Sandbox supports advanced filtering of subscription events
    • Any filter for any search parameter (with simple fhirpath expression) works
    • remove dependency on external fhir-server
  • P2-GC/BP: (0.0) Subscriptions sandbox integrates with FhirPathLab
    • for subscription topic editing
    • subscription topic debugging
  • P5-GC: (0.8 -- server supports; not exposed in demo UI) Sandbox supports multi-tenancy to isolate users
  • P5-GC: (0.5 -- can manually POST SearchParams, but no auto-loading at startup) Sandbox supports IG loading for search parameters
    • new SearchParameters can be installed via POST
  • P5-BP: (0.0) Partial Subscriptions support POC inside Facade project (including write-up how this fits into the facade model for others to build on)

FHIR R5 is published and available for community use

  • P1-BP/GC/JM: (1.0) FHIR QA issues are applied and publication is out
  • P2-GC: (0.0) Host an 'R5 Changes' session with internal folks

FHIR Community has access to high quality open source libraries

  • P0-BP/GC: (1.0) Support Firely in v5 SDK publication
  • P1-BP: (1.0) Dotnet FHIR Facade Project supports Firely v5 SDK (FHIR R4B)
  • P0-BP: (1.0) Dotnet FHIR Facade Project supporting FHIR R5
  • P0-GC: (1.0) @types/fhir is updated with R5 models
  • P0-BP: (1.0) fhirpath.js supports R5 models
  • P0-BP: (1.0) Fhirpath Lab support R5
  • P2-BP: (1.0) Review/refine Firely SDK Serialization hooks to better handle invalid content and reporting
    • invalid value for enumeration to be handled by ExceptionHandler (when not permissive parsing)
    • Decimal value parsing: Value was either too large or too small for a Decimal
    • FhirXmlNode and FhirJsonNode use the ExceptionHandler settings object for fine grained control
    • location should be able to read from a property, not embedded in the message to ease construction of custom error outcome messages
  • P5-BP: (0.1) Research Fhirpath Lab support Kotlin based android fhirpath engine

FHIR community continually improves our processes

  • P1-BP/JM: (0.2 -- discussed and no appetite) Propose a short time span and narrow quality focus for FHIR R6 (socialize this with FMG)
  • P1-BP/JM: (0.2 -- hard without a commitment to shorter cycles) Start a conversation about preventing accumulation of backlog between publications
  • P4-GC/JM: (0.6 -- evaluated github registry) Evaluate suitability of an existing open-source NPM registry server for FHIR's needs
    • Understand where/how FHIR uses NPM
    • Document current capabilities and any custom behaviors of FHIR's NPM registry sever
      • Firely's packages.fhir.org
      • Grahame's packages-2.fhir.org

Patient Request for Corrections IG is on a path toward real-world EHR implementation

  • P4-GC: (0.8 -- drafts, not merged) Finalize "project scope" section of IG
  • P4-GC: (0.4) Clean up diagrams and section references
  • P4-GC: (0.5 -- WIP, believe there is agreement but not fully documented) Clarify what implementation choices are required vs allowed

FHIR SMART Launch and SDC is adopted worldwide

  • P0-BP: (1.0 -- also organized presentation of MS Server new capabilities) Participate in the HL7 Australia FHIR Connectathon on localizing SMART App Launch and disseminate the recent updates and future changes coming to SMART, and also how SDC can be leveraged in this environment - retrieving context parameters