Brian S. Alper, MD, MSPH, FAAFP, FAMIA

CEO, Computable Publishing LLC; President, Scientific Knowledge Accelerator Foundation;

Project Lead, EBMonFHIR; Project Lead, COVID-19 Knowledge Accelerator

Twitter: @BrianAlperMD balper@computablepublishing.com

#AMIA2021 HL7^®, and FHIR^® are the registered trademarks of Health Level Seven International and their use of these trademarks does not constitute an endorsement by HL7.

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Fighting COVID-19 with FHIR^®

Latest Developments from the COVID-19 Knowledge Accelerator (COKA)

Session LB09

Disclosure

I disclose the following relevant relationship with commercial interests:

• Owner of Computable Publishing LLC

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I disclose the following relevant relationships with non-commercial interests:

• President of Scientific Knowledge Accelerator Foundation
• Project Lead for COVID-19 Knowledge Accelerator
• Project Lead for EBMonFHIR (an HL7^® project to extend HL7^® FHIR^® to support computable evidence and guidance)

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HL7^® and FHIR^® are the registered trademarks of Health Level Seven International and their use of these trademarks does not constitute an endorsement by HL7.

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AMIA 2021 Annual Symposium | amia.org

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Learning Objectives

After participating in this session, the learner should be better able to:

• Understanding how the FHIR standard for health data exchange is being extended to data exchange for scientific evidence and guidance.
• Know how to participate in efforts to accelerate the knowledge transfer of scientific evidence and guidance through computerization.

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AMIA 2021 Annual Symposium | amia.org

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Location Knowledge – Societal Evolution

Guidelines and Scientific Knowledge

Familiar, conceptually organizing much of our workflow

Sharable Value Unit

Physical object, a relatively large unit for sharing many knowledge bits in one container

Current PLATFORM for dissemination

Sharable Value Unit

Digital object (like a PDF), a relatively large unit for sharing many knowledge bits in one container

Many specific software tools, but each tool limited to local execution

Sharable Value Unit

Small digital object (micro-content), but within the constraints of the executable environment

Widely interactive, interoperable, integrated possibilities – PLATFORM of the near future

Sharable Value Unit

Small digital object, enabling contextualized selection, customizable presentation, and reusable dissemination

HL7® FHIR® MAKES HEALTH DATA FAIR

• Fast Healthcare Interoperability Resources (FHIR)® is an HL7® standard for electronic data exchange
• HL7 FHIR solves long-intractable problems of sharing health data
• Resources (the R in FHIR) is the technical HOW – small digital object as shareable value unit
• HL7 standards development process is the human HOW
• HL7 FHIR enables data to be Findable, Accessible, Interoperable and Reusable (FAIR)

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AMIA 2021 Annual Symposium | amia.org

Healthcare Knowledge Ecosystem Today

AMIA 2021 Annual Symposium | amia.org

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Data

Evidence

Guidance

Action

Healthcare Knowledge Ecosystem Desired

Data Analysis, Synthesis, and Interpretation.

EVIDENCE

Guidelines, Recommendations, Decision Aids, Decision Support

GUIDANCE

Observations and Measurements.

DATA

Healthcare (testing and intervention) decision-making and implementation

ACTION

AMIA 2021 Annual Symposium | amia.org

EBMonFHIR extends HL7 FHIR to EBM data

• FHIR Resources for Evidence-Based Medicine (EBM) Knowledge Assets project (EBMonFHIR) was approved on May 16, 2018 as an HL7 project.
• EBMonFHIR sponsored by 3 HL7 Work Groups
• Clinical Decision Support (CDS)
• Clinical Quality Information (CQI)
• Biomedical Research and Regulation (BRR)
• Goal: provide interoperability for clinical research (evidence) and recommendations for clinical care

AMIA 2021 Annual Symposium | amia.org

COVID-19 Knowledge �Accelerator (COKA)

• Multiple global collaborative groups seeking to advance COVID-19 knowledge discovery sought to use FHIR Evidence Resources
• COVID-19 Knowledge Accelerator is
• A virtual organization – no cost, no contracts
• Open, transparent – all meetings
• A way for any to volunteer to accelerate development and implementation of standards for evidence exchange, especially with attention to COVID-19

AMIA 2021 Annual Symposium | amia.org

COKA How to Participate

For all of these meetings: Join Microsoft Teams Meeting

If you wish to learn more about COKA please go to Tinyurl.com/coka2020

Questions: balper@computablepublishing.com

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Thank you!

Email me at: balper@computablepublishing.com