Add language to existing bullet.

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    • Type: Change Request
    • Resolution: Persuasive with Modification
    • Priority: Highest
    • US Da Vinci HRex (FHIR)
    • current
    • Clinical Interoperability Council
    • Approaches to Exchanging FHIR Data
    • 3.0.3.3 Human Intervention
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      Will add a new section between 3.0.1 and 3.0.2 titled "General considerations" saying something like:

      The guidance provided here focuses on specific architectural trade-offs between different FHIR exchange approaches and provides guidance on what approaches are best used in particular circumstances, all other things being equal.  However, the reality is that it is pretty rare for "all other things" to be equal.  Designers will also need to take into account other factors, including:

      • What approach(es) fall within the reasonable technical capabilities and development capacity of the systems that will be participating
      • What legacy solutions already exist and how easy will it be to migrate those solutions to the specified approach
      • Are there regulations that mandate or prohibit particular approaches
      • etc.
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      Will add a new section between 3.0.1 and 3.0.2 titled "General considerations" saying something like: The guidance provided here focuses on specific architectural trade-offs between different FHIR exchange approaches and provides guidance on what approaches are best used in particular circumstances, all other things being equal.  However, the reality is that it is pretty rare for "all other things" to be equal.  Designers will also need to take into account other factors, including: What approach(es) fall within the reasonable technical capabilities and development capacity of the systems that will be participating What legacy solutions already exist and how easy will it be to migrate those solutions to the specified approach Are there regulations that mandate or prohibit particular approaches etc.
    • Marti Velezis / Jimmy Tcheng : 6-0-1
    • Clarification
    • Non-substantive

      Considerations should also be made for the size, capability, and sophistication of data sources. For instance, many data consumer/source interactions will occur between large payer businesses and small or solo medical practices. These practices are often less resourced than larger health systems and therefore implementation decisions should be scaled to meet the uniqueness of end-users’ environments.

      Existing Wording:

      • There may be differences in regulatory expectations around data that is queried directly vs. information that is 'pushed' in response to a human-mediated request, such that the latter is more practical/cost-effective overall. (Though with this argument, care should be taken that the distribution of costs is equitable, rather than simply being offloaded from the data consumer to the data source.)

      Proposed Wording:

      • There may be differences in regulatory expectations around data that is queried directly vs. information that is 'pushed' in response to a human-mediated request, such that the latter is more practical/cost-effective overall. (Though with this argument, care should be taken that the distribution of costs is equitable, rather than simply being offloaded from the data consumer to the data source.) Considerations should also be made for the size, capability, and sophistication of data sources. For instance, many data consumer/source interactions will occur between large payer businesses and small or solo medical practices. These practices are often less resourced than larger health systems and therefore implementation decisions should be scaled to meet the uniqueness of end-users’ environments.

            Assignee:
            Unassigned
            Reporter:
            Celine Lefebvre
            Celine Lefebvre
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved: