FHIRcast: Application Context Synchronization in FHIR (PSS in Confluence)

Project Name
FHIRcast: Application Context Synchronization in FHIR (PSS in Confluence)

Project Number
1392

Project Type

Product Family

Products
FHIR Profile

Project Intent
Revise Current Standard

Ballot Type

Project Need

Context synchronization' between clinical information systems, such as radiology information systems, PACS, EHRs, reporting systems, etc. is both highly valued and widely implemented in health systems. Lack of application context synchronization is commonly regarded as a risk to patient safety. HL7's CCOW standard lacks commercial server implementations and instead, a large number of proprietary mechanisms are used in health systems’ production settings.

These proprietary specifications not only present a barrier to adoption, but also discourage innovation by any given vendor who supports a significant number of these specifications.

As systems look to tighten the integration by exchanging new and additional types of data, a new, simple, and most importantly standard method of simple context integration is necessary.

Objectives and Deliverables
2022 May: T. Julian: The next milestone is Reconcile STU3 Ballot Jan 2023 WGM. Several target dates precede the date of this PSS. This is an update to an existing PSS that was never formally approved. Most sponsoring WGs approved the earlier PSS in 2017, but it was never brought forward for SD and TSC approval. The earlier PSS was also submitted to the HL7 project office, which is why this is listed as an unapproved project in the database. The earlier PSS was investigative, however sufficient work has now been done to move forward as standard. Deliver draft specification for connectathon testing - Target: December, 2017 Connectathon testing - Target: WGM: Jan, 2018 Submit for STU Ballot (First Ballot Cycle) - Target: May 2019 Ballot Reconcile STU ballot - Target: May 2019 WGM Publish STU - Target: June 2019 STU Period - 12 months - Target: Jun 2019 – Jun 2020 Submit for STU Ballot (First Ballot Cycle) - Target: May 2020 Ballot Reconcile STU ballot - Target: May 2020 WGM Publish STU - Target: Jun 2020 STU Period - 12 months - Target: Jun 2020 – Jun 2021 Submit for Normative Ballot - Target: Sep 2021 Ballot Reconcile Normative Ballot - Target: Sep 2021 WGM Publish Normative specification - Target: Oct 2021 Project End Date (all objectives have been met) - Target: Jan 2022 WGM

Project Document Repository
https://confluence.hl7.org/display/ASD/FHIRcast%3A+Application+Context+Synchronization+in+FHIR Note: The FHIRcast specification is currently hosted at http://fhirc

Collaboration Efforts
Collaborative development with DICOM WG-20 under existing MOU.

Dependencies

Stakeholders
Standards Development Organizations (SDOs),Medical Imaging Service,EHR, PHR; Health Care IT; Clinical Decision Support Systems; Lab; HIS

Implementers
1) Isaac Vetter, Epic 2) Niklas Svenzén, Sectra 3) Grahame Grieve, FHIR 4) Martin Bellehumeur, Siemens Healthineers

External Drivers
None

Common Names
Application Context synchronization

Lineage

External Vocabularies
Don't Know

Backwards Compatibility
N/A

Joint Copyright
No