Health Informatics Projects
FHIR Community of Practice (CoP)
HL7 FHIR® is an international industry data standard for the exchange of healthcare data. The development of FHIR was highly beneficial because it supports the seamless integration of separate electronic health systems. However, seamless integration is not an “out-of-the-box” feature inherent to FHIR. Significant effort must still be expended to solve clinical, logical, and organizational riddles. FHIR’s lightweight REST paradigm contributed to an impression that implementation of the data exchange standard would be easy. This led to a “very high peak of expectations” of results followed by a broad “trough of disillusionment.”
Here is the updated document from Jay as well: For the Lighthouse—VHA API Developer Platform (VADP)—we supported API developers in standardizing data access using HL7 FHIR. VADP, called Lighthouse, extracts data from a variety of data sources and delivers it via two APIs: the Patient Health API for patient consumption and the Clinical Health API for clinical use. We engaged in terminology mapping to align CDW extracts with HL7 FHIR standards. To support interoperability, we guided developers toward consensus on converting legacy VA healthcare data into HL7 FHIR format. J P Systems analyzed Clinical Data Warehouse (CDW), Virtual Patient Record (VPR), and other datasets, applying our HL7 FHIR knowledge to support this transformation. As a result, we provided detailed mappings and guidance to align VA data with relevant FHIR data elements.
Furthermore, both Lighthouse and VA.gov represent key components of the VA’s digital modernization strategy. In addition to data element and terminology maps, the team has crafted a set of design specifications that support repeatable processes for specifying critical infrastructure and metadata to support seamless data transfer. Drawing from private-sector and agency experience, including CMS’s Blue Button 2.0, we fostered a top-tier developer experience.
Currently, JP Systems personnel lead the FHIR Community of Practice and support the VA FHIR API developers and the Platform and Patient Health API documentation. Explore more here: VA Lighthouse API Program
https://news.va.gov/58726/lighthouse-veteran-centered-api-program-va/
Vermont Oxford Network Data Ingestion Automation
We're standardizing VON's global NICU databases to improve data collection on vulnerable infant populations worldwide. Currently, clinicians manually enter detailed clinical data using a questionnaire. Our goal is to enable faster, automated, internationally standardized data entry. Standardized data will support FHIR™ apps that pull information directly from vendor EHR systems like Oracle Health and Epic. Our efforts help the neonatal community use standardized data for quality improvement and better outcomes.
Study ON VHA DATA MANAGEMENT AND DATA GOVERNANCE
JPSys analyzed the VHA data acquisition process from Cerner (now Oracle Health). We made recommendations on the use of existing tools (CDW, VistA, Rockys) to improve the transfer of data. Additionally, the team wrote a substantial white paper on Data Management and Data Governance. The paper explained how the principles and framework of data governance are essential to developing a data management approach.
Furthermore, we analyzed the architecture of the legacy VA data governance framework and gave guidance and recommendations. This presented a more scalable solution for an enterprise asset that is accurate, usable and functional. Practical use cases and examples of applying the framework in a real-world setting were researched and provided. Also, we made recommendations specifically applicable to VA. We analyzed the landscape and interviewing top-level VA Subject Matter Experts to gain firsthand knowledge of current issues. The JPSys experts weighed the input received and delivered a solution on how to achieve operational access to the data.
Health Informatics Projects
FHIR Community of Practice (CoP)
HL7 FHIR® is an international industry data standard for the exchange of healthcare data. The development of FHIR was highly beneficial because it supports the seamless integration of separate electronic health systems. However, seamless integration is not an “out-of-the-box” feature inherent to FHIR. Significant effort must still be expended to solve clinical, logical, and organizational riddles. FHIR’s lightweight REST paradigm contributed to an impression that implementation of the data exchange standard would be easy. This led to a “very high peak of expectations” of results followed by a broad “trough of disillusionment.”
Here is the updated document from Jay as well: For the Lighthouse—VHA API Developer Platform (VADP)—we supported API developers in standardizing data access using HL7 FHIR. VADP, called Lighthouse, extracts data from a variety of data sources and delivers it via two APIs: the Patient Health API for patient consumption and the Clinical Health API for clinical use. We engaged in terminology mapping to align CDW extracts with HL7 FHIR standards. To support interoperability, we guided developers toward consensus on converting legacy VA healthcare data into HL7 FHIR format. J P Systems analyzed Clinical Data Warehouse (CDW), Virtual Patient Record (VPR), and other datasets, applying our HL7 FHIR knowledge to support this transformation. As a result, we provided detailed mappings and guidance to align VA data with relevant FHIR data elements.
Furthermore, both Lighthouse and VA.gov represent key components of the VA’s digital modernization strategy. In addition to data element and terminology maps, the team has crafted a set of design specifications that support repeatable processes for specifying critical infrastructure and metadata to support seamless data transfer. Drawing from private-sector and agency experience, including CMS’s Blue Button 2.0, we fostered a top-tier developer experience.
Currently, JP Systems personnel lead the FHIR Community of Practice and support the VA FHIR API developers and the Platform and Patient Health API documentation. Explore more here: VA Lighthouse API Program
https://news.va.gov/58726/lighthouse-veteran-centered-api-program-va/
Vermont Oxford Network Data Ingestion Automation
We're standardizing VON's global NICU databases to improve data collection on vulnerable infant populations worldwide. Currently, clinicians manually enter detailed clinical data using a questionnaire. Our goal is to enable faster, automated, internationally standardized data entry. Standardized data will support FHIR™ apps that pull information directly from vendor EHR systems like Oracle Health and Epic. Our efforts help the neonatal community use standardized data for quality improvement and better outcomes.
Study ON VHA DATA MANAGEMENT AND DATA GOVERNANCE
JPSys analyzed the VHA data acquisition process from Cerner (now Oracle Health). We made recommendations on the use of existing tools (CDW, VistA, Rockys) to improve the transfer of data. Additionally, the team wrote a substantial white paper on Data Management and Data Governance. The paper explained how the principles and framework of data governance are essential to developing a data management approach.
Furthermore, we analyzed the architecture of the legacy VA data governance framework and gave guidance and recommendations. This presented a more scalable solution for an enterprise asset that is accurate, usable and functional. Practical use cases and examples of applying the framework in a real-world setting were researched and provided. Also, we made recommendations specifically applicable to VA. We analyzed the landscape and interviewing top-level VA Subject Matter Experts to gain firsthand knowledge of current issues. The JPSys experts weighed the input received and delivered a solution on how to achieve operational access to the data.