FHIR Mappings and Transforms. Grahame Grieve Robert Worden

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1 FHIR Mappings and ransforms Grahame Grieve Robert Worden

2 Summary If FHIR is to succeed as a standard for healthcare data exchange: It must be a strong and usable standard in itself We need many transforms between FHIR and other data representations Data transforms are expensive to build his is a major blocker to the uptake of FHIR We describe two recent advances in building FHIR data transforms: FHIR Mapping Language ransforms By Example hese make it much easier to build data transforms

3 Interoperability with FHIR Application A Application B CDA Application C HL7 V2 Integration Engine OpenEHR Application D FHIR Standard Any application needs to work with FHIR Building transforms to FHIR is a big cost he cost holds interoperability back (e.g. INEROpen) here are now better ways to build FHIR ransforms: FHIR Mapping Language (FML) ransforms By Example (BE)

4 FHIR Mapping Language Mappings are text files (or StructureMap + ConceptMaps) Declarative and compact A Java mapping engine exists Early stages of adoption Learning curve for the language

5 ransforms by Example (BE) Definitions of Source and arget Structures (XSD, profile) ransform est Results & Summaries Source/arget Example Pairs (est cases) Mapping & ransform oolset FHIR Mapping Language Value Conversions (FHIR ConceptMaps) Java ransform Code,... You don t need to write transform code, or learn a new mapping language You do need to create test cases: Source/target XML pairs (1 or more) Conform to source and target structures Illustrate the data transforms needed Provide ConceptMaps for value conversions he tools generate and test the transform his is a big cost-saver

6 Shortening the ransform Development Lifecycle Analyse Requirements Deploy Prepare est Cases Automated ransform Generation and est ransform est Design ransform Unit test Code, or write Mappings

7 Demonstration of FML + ransforms by Example Demo case: HL7 V2 message (AD) to FHIR Bundle (with Patient resource) hree demonstration projects are available: HL7 V2 to FHIR Relational database to FHIR OpenEHR Composition to FHIR For current status, contact rpworden@me.com.

8 Benefits of FML/BE 1. Quickest way to develop transforms: he only manual steps are creating the test cases, and the value conversions You ll have to do that anyway 2. No new skills required: No need to understand a mapping language Can understand transforms in generated code Easy way to learn FML 3. Generated code is flexible: Can edit the generated code to do what you like Use standard Java and C# tools (logging, debugging,...) 4. est-driven development Automated testing process Rapid testing cycle Gives high-quality, reliable transforms 5. Can reverse-engineer existing transform code (using its test cases as examples)

9 Enhancing Support for FML- A FHIR Foundation project Delivering and evaluating: ransforms generated from examples (BE) Eclipse-based Mapping toolset Graphical Mapping Editor Choice of ways to view mappings ransform esting & Validation engines Choice of runtime transform engines Generated transform code (Java, C#) For further information see the paper: FHIR Mappings and ransforms Grahame Grieve and Robert Worden

10 Ways to Understand (Generated) Mappings FHIR Mapping Language: Java Code:

11 Next Steps We need to create Case Studies comparing FML/BE with hand coding of transforms You can help us create those case studies, using FML/BE tools e.g: reverse engineer your existing transforms to FML he Beta Mapping oolset is available now. FML/BE can give big cost savings For the FML/BE oolset and Demo projects, contact

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