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Section 1c: FHIR®
Section 3: Implementation Guides

HL7 FHIR® Implementation Guide: FHIRcast, Release 1, STU2

DESCRIPTION

The FHIRcast specification describes the APIs used to synchronize disparate healthcare applications' user interfaces in real time, allowing them to show the same clinical content to a user (or group of users).

ALTERNATIVE NAMES

HL7 FHIR® Implementation Guide: FHIRcast, Release 1, STU2 may also go by the following names or acronyms:

"HL7 FHIR® Implementation Guide: FHIRCast, R1", FHIRcast

BENEFITS

  • Enables standards-based support for modern, simple application context synchronization
  • Supports patient safety in multi-application workflows such as imaging integration with EMR and dictation systems
  • Reduces provider burden in multi-application workflows
  • Improves security over current application integration mechanisms

IMPLEMENTATIONS/CASE STUDIES

  • Epic
  • Nuance
  • Philips
  • Sectra
  • Siemens
  • Multiple open source projects

DEVELOPMENT BACKGROUND

Once the subscribing app knows about the session, the app may subscribe to specific workflow-related events for the given session. The subscription is verified and the app is notified when those workflow-related events occur; for example, by the clinician opening a patient's chart. The subscribing app may initiate context changes by accessing APIs exposed by the Hub; for example, closing the patient's chart. The app deletes its subscription to no longer receive notifications. The notification message describing the workflow event is a simple json wrapper around one or more FHIR resources.

FHIRcast enables a subscriber to receive notifications either through a webhook or over a WebSocket connection. FHIRcast recommends the HL7 SMART on FHIR launch protocol for both session discovery and API authentication.

RELATED DOCUMENTS

HL7 FHIR® Implementation Guide: FHIRcast, Release 1, STU2

STU DOCUMENTS

HL7 FHIR® Implementation Guide: FHIRCast, Release 1 STU2 See the standard at http://fhircast.hl7.org/specification/STU2. Expiration Feb 2023

TOPICS

  • CCOW
  • Decision Support
  • Security and Privacy

BALLOT TYPE

  • STU

STATUS DATE

2019-12-13

RESPONSIBLE WORK GROUP

Infrastructure and Messaging

PRODUCT TYPE

  • Implementation Guide

STAKEHOLDERS

  • Clinical Decision Support Systems Vendors
  • EHR, PHR Vendors
  • Health Care IT Vendors
  • HIS Vendors
  • Lab Vendors
  • Standards Development Organizations (SDOs)

FAMILY

  • FHIR

CURRENT STATE

  • Active

REALM

  • Universal