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  The OpenMRS FHIR Squad works on OpenMRS solutions, including the FHIR Module, that support the ability to exchange healthcare data in a widely-used, standards-based format, easing integration with external systems and products. 

To Address Next Meeting

• Jose CBS/CBR IG + CBS Updates

• EMR-LIS QA and IG updates from Piotr

• Every week: FHIR Board Review https://om.rs/fhirboard

• Facility Registry updates

• IG Review

• CBS & COVID?

Grounding Priorities

Meeting Notes

2022-10-04

Attendees: Abert, Sherif, Christina, Jose, Joshua N., Joshua S

FHIR IG Updates

• Reviewed progress & feedback on the FHIR IG

• A number of PRs need to be reviewed & merged by Mozzy & Poitr.

• Raise visibility of the FHIR IG via Talk post, tag Frontend Squad, other key people

• Project deadline: October 31

• Case study due November 10

2022-08-09

FHIR IG Updates:

• Piotr having working sessions with Abert, Sharif. Made a lot of progress on resources (defining, adding example resources)

• Next steps: adding narrative based content, using resources in a simple way, testing

• Question for FHIR Squad: representing concepts & value sets in the IG

  • Restrict fields?

  • Possible need for input from OCL peeps

  • Talk post on terminology including an example with type of restrictions proposed for the IG, also share on Slack channels (FHIR, OCL) (Abert)

Client Registry Workflows

RwandaEMR & VLSMS Updates

2022-07-12

Epic: Integration of OpenMRS with a FHIR-based Client Registry

Client Registry work: Implementation agnostic - bringing work from Haiti into support in OMRS itself, in same way we supported LIS. Haiti, Botswana, C’DI

→ Nigeria → Gibril

→ Rwanda 

→ Cambodia → Mekom (have MPI service but want it integrateable with other clinics)

TODO: Piotr

Decision to be made: do we continue witht he current MPI module, or start fresh? 

Diagnostic report API for Bahmni

Bundle approach was done by Piotr’s team in their LIS approach, eg here: https://github.com/openmrs/openmrs-module-labonfhir 

https://github.com/I-TECH-UW/laboratory-workflows-ig 

IG work progress

FHIR-based HIE support Rwanda

Topic: Fhir Diagnostic Report: Implementation and some Recommendations https://talk.openmrs.org/t/fhir-diagnostic-report-implementation-and-some-recommendations/37032/3

• eg https://nrces.in/ndhm/fhir/r4/StructureDefinition-DiagnosticReportRecord.html 

FHIR IG Update from Abert & Sharif: WIP draft PR for FHIR IG Patient Resource: https://github.com/openmrs/openmrs-contrib-fhir2-ig/pull/6

Organizations: Agreement voiced btwn Ian and Angshu that representation of Organizations is a gap in the OMRS data model that should be addressed. 

2022-06-14

• LIS-EMR Workflows

  • Action item: Grace: Talk post about lab orders, Christina to share screenshot

  • Action item: Christina, Mozzy participation in the Rwanda Hackathon

  • Action item: Deep dive/working session with Eudson, Mozzy, Christina

• extension of DiagnosticReport FHIR resource and endpoints - LabLite

2022-05-17

• May Mini-Meeting

• GSoD

• FHIR Resources Gap Analysis (Ethiopia)

  • Ethiopia is not planning full data migration

    • Spreadsheet captures what is needed for critical calculations - not all of the needs

  • Some gaps are more about the OMRS data model (ie: care plans, medication statement, episodes of cre) - beyond scope of the FHIR Squad

  • Clear idea of the attributes & what Ethiopia wants to do with these things

  • Actions

    • Address the data model:

      • Take the data model gaps to the Platform Team (Daniel, Rafal, Ian, Piotr): what would it take to support x elements for care, from a) a data model perspective, b) what does it mean to translate this into something that's usable from the user interface, and c) are there phases to make this happen?

    • Consider:

      • Ian (and Piotr) to update Talk thread with ideas for short term solution using 3.x widgets that talk with HAPI FHIR server to help Ethiopia meet July deadline (pseudo SMART on FHIR)

      • Work through a longer term solution with TAC

        • Jen to reach out to Ethiopia Team about attending a dedicated TAC call on this, share their use cases. Others to join: Piotr, Mwariri, Eudson

• FR - testing (Tendo)

  • Lab on FHIR

    • iSantePlus - 3.x

    • Cliff, Herman, Grace will meet when she is in Uganda next week

2022-05-03

• Dev Updates

  • FR → work on it to publish and integrate into CI, instructions to set up/read me

• May Mini-Meeting Showcase (May 18th-19th)

• Google Season of Docs - FHIR IG

• GSOC - Testable FHIR IG

2022-04-19

Attendees: Jan, Jen, Ian, Tendo, Christina

• Announcements

  • May Mini-Meeting Showcase (May 18th-19th)

  • Google Season of Docs - FHIR IG

  • GSOC - Testable FHIR IG

• CBS Follow Up with JEMBI?

  • After we have more information, have a meeting with Jembi, UCSF, Mekom on shared design concept

• Lab on FHIR

  • Lab on FHIR at UW - revision coming

  • IHE Profile Request

  • Need UI support for orders/results display (connect to 3.x lab project?)

• Roadmap

  • FR → work on it to publish and integrate into CI, instructions to set up/read me

    • Tendo to test it for us as the FHIR Squad and let us know if there are any challenges/gaps/etc

    • https://github.com/openmrs/openmrs-module-facilityregistry

    • https://github.com/I-TECH-UW/instant-laboratory/wiki/Facility-Registry-Workflows 

• Updates from external technical meetings & what we do with them

  • DISI standards meeting (JEMBI, UCSF, CDC, PATH [OpenMRS, RG, UW])

    • Still in early days of figuring out IGs & how they support the work they're doing

2022-04-05

Attendees: Ryan, Natasha, Abert, Christina, Daniel, Ian, Jan, Piotr, Richa, Tendo

• CBS FHIR IG

  • Ryan presented the CBS FHIR IG

  • Foundational work:

    • Can this be mapped in the FHIR2 module?

    • Foundational work to send bundles? Native FHIR API?

    • Ian: what we have is individual resource based, rather than patterns.

  • Possible next steps:

    • Understand what UCSF has done around this work

    • Jembi (Ryan, Natasha), UCSF (Eudson, Mwawiri), OpenMRS (Grace), Mekom (Dimitri?): Come up with a shared design concept of what needs to happen now to make this work

• FHIR Board - resources ticket

2022-03-08

• Call times

  • Move to 7am PT | 10am ET | 2pm UTC | 5pm EAT starting March 22

• GSoC + Season of Docs

• Facility + Lab integration

  • Migrate Lab on FHIR module to openmrs repo

  • OpenMRS-OpenELIS-GOPHR works

  • Go through the workflows at the next meeting

• Updates

  • Seen an uptick in PRs

  • Encounter serving

  • Localizing metadata

• Next release (before migrating the repo)

  • adding identifier type UUID

  • ability to save location tags

  • mapping between concept sets - Ian would like to get this over the finish line before the release

2022-03-01

Attendees:

Agenda:

• DST

• HIV FHIR IG for DISI

  • The built IG web site can be viewed here: https://openhie.github.io/hiv-ig/index.html

  • The source code for the IG can be found here: https://github.com/openhie/hiv-ig

• Communication with OpenELIS: updates & questions

• Metadata translation - Ian's going to work on a ticket for getting this implemented

2022-02-22

Attendees:

Agenda:

• GSoC Project

• HIV FHIR IG for DISI

  • The built IG web site can be viewed here: https://openhie.github.io/hiv-ig/index.html

  • The source code for the IG can be found here: https://github.com/openhie/hiv-ig

2202-02-15

Attendees: Piotr, Christina, Jen, Richa

Agenda

• GSoC project

  • Mozzy drafted the project description with input from Piotr & Ian

  • Project page focus right now on the GSoC part of the project

• DISI Use Cases

• IPS Talk post

2202-02-08

Attendees: Piotr, Daniel, Christina, Ian, Namanya, Jen, Jose, Irene, Joshua

Agenda

• GSoC project

  • Piotr has a draft going, will share with Ian & Jen for feedback

  • Bring project draft to next squad meeting for feedback

• 3.x REST API Mapping

  • Focus of call: creating issues based on previous working session

• Facility Registry Updates

  • No major updates

2202-02-01

Attendees: Piotr, Jose, Reuben, Mozzy, Christina, Daud, Juliet, Grace N., Sharif

Agenda

• Facility Registry Updates

  • New PR submitted by Mozzy, implementing the organization model

  • Available for testing

• 3.x REST API Mapping

  • Need to create issues on the 3.x & FHIR side

  • Piotr: Need to identify someone on the 3.x side to work with (Grace & JJ?)

  • Ian: FHIR side could be done during a FHIR Squad call or separately

• GSoC 2022 FHIR IG project

  • Piotr & Mozzy will work on the project proposal for the FHIR IG

  • Check in with Ian about API mapping project

• Documentation

  • Still need to improve the main FHIR project page

  • Jose is working on FHIR onboarding materials with DS (Vrunda)

2022-01-25

Attendees: Piotr, Ian, Christina, Jonathan, Jan, Jose, Tshomarelo Kgakge, Milton, Mozzy, Tendo, Daniel, Daud

Agenda:

• 3.x REST API Mapping

• Facility Registry Update

  • Working on Selenium testing environment

  • Set this up as a part of InstantHIE

• GSoC 2022 FHIR IG project

  • Piotr is working on the project proposal

2022-01-18

Attendees: Ian, Piotr, Samuel, David, Jose, Jen

• FR updates?

  • Set up test environment (Mozzy + InstantHIE project to add OE to it, fix some OMRS aspects)

• FHIR Module IG

  • Possible GSoC 2022 project: Piotr to start fleshing out the project idea using the template

  • Integrate with current testing underway

  • Documentation

    • How would the IG work with the Wiki page, github repo?

    • Could include the link to the IG on the Wiki

• 3.x REST API Mapping

  • Use next meeting as a working session on Gaps => issues:

    • Ideal to have Grace, JJ, Mozzy

• GSoC 2022 Project Ideas

2022-01-11

Attendees: Christina, Ian, Jen, Piotr, Jonathan, Jan, Jose

• Plan to revisit FHIR Module IG Without IG, hard to apply FHIR work already done

• System Identification Issue and OpenCR

• GSoC project: explore a FHIR IG project for GSoC, most likely a longer project.

2022-01-04

• FR Update

  • Piotr still working on PR with Mozzy.

  • Mozzy might be able to give an update next week

• 3.x RefApp API Mapping

  • Reviewed results of Cliff's gap analysis.

  • Next steps (January)

    • Translating gaps to issues to work on, where we want to use FHIR calls instead of REST call

    • Prioritize in coordination with the 3.x Squad - working session with 3.x product owners

• Potential priorities for the next version

  • Mapping obs for immunizations

  • Facility registry work - Piotr will connect with Mozzy, share update next week

  • Adding a cacheing layer to improve performance (Ian has a draft)

  • Mapping attributes

  • Next steps: mobilize people to join next week

• Core changes to data model - take to Platform Team

  • Review OpenHIE workflows

• Jennifer will also review the 3.x API mapping, the FR Interoperability concept note, lab ordering, identity to see if these are covered in the OpenHIE workflows/documentation

2021-12-14

Attendees: Jan, Piotr, Jose, Ian, Jennifer, Jen

FHIR Squad meetings in 2021: No meeting the last two weeks of December, reconvene on January 4

• Jose: Changes to Implementation Guides for Testing

  • test scripts, minimum acceptance criteria to be compliant, value sets, defs

  • example template: https://costateixeira.github.io/gendocs/transactions/transaction1

• Data Exchange Showcase

  • Nirupa - CBS, UgandaEMR exchange, FR workflows, LIS-EMR workflows

  • ACTION: Pick up topic in New Year

• OpenMRS FHIR IG review

  • Needs to be built out based on our actual work