Introduction to use of FHIR Documents in ABDM

This Slide deck talk about how FHIR is being used in Ayushman Bharat Digital Mission (ABDM). It introduces the readers to ABDM and also to FHIR Documents paradigm.
This is part of FHIR India community Basics learning initiative.

1. ABDM & FHIR Kumar Satyam 02 nd May 2024 1

2. House Keeping Be on mute while the session is in progress Use your full name in zoom participant's profile. Ask questions on zoom chat . Follow up & discussions on zulip . Ensure that you are on zulip *. 2 Join FHIRIndia

3. Session Expectation 3

4. FHIR India Community Open community of HL7 FHIR & Interoperability enthusiasts. #fhirIndia https://fhirindia.zulipchat.com/ https://www.linkedin.com/groups/13932672/ https://www.linkedin.com/pulse/fhir-india-community-kumar-satyam-7t1ac/ 4 Join the LinkedIn Group

5. ABDM Vision 5

6. ABDM Objectives 6

7. ABDM Key Components 7

8. ABDM common terms 8 ABHA Address, ABHA Number, ABHA App Health Facility Registry (HFR) Health Professional Registry (HPR) Federated Health Records (FHR) HL7 FHIR Health Record linking HIU & HIP DSC Consent Manager

9. Hospital/Lab registers itself on Health Facility registry 1 3 The Hospital/lab instantly gets accurate info about the patient including Name, Age, Gender, Mobile Facility sends a consent request to the patient requesting access to their medical history 4 1 Patient chooses what data to share with the hospital/lab & for how long the facility can have access 5 Consulting doctor/lab has medical history of patient available when they walk into chamber 6 7 1 1 Notification Post treatment & before leaving the premises, patient gets a notification that their medical reports are ready Medical Report The doctor’s treatment plan and prescription show up on any PHR app & medical history is never lost 8 Patient walks up to a facility. They scan their Health ID at the registration desk 2 Illustrative ABDM Enabled Workflow

10. Federated Health Record Exchange 10

11. ABDM Milestones 11 Health Information Provider (HIP) which can link and share digital records on ABDM network to Health information users and to the citizens via any Personal Health Records (PHR) certified app. Health Information User (HIU) which can request and  provide view of patient’s medical history to authorized healthcare workers with citizen consent. M1 Request & Display Link and Share ABHA ABHA number creation and capture & verification for seamless patient registration and issuance of token number.  M3 M2 https://sandbox.abdm.gov.in/abdm-docs/ABDMCompliant

12. ABDM Integration journey 12

13. FHIR 13 Standard from HL7. Web standards. Free and Open. Resources are the basic building blocks Interoperability paradigms supported by FHIR Restful API, Messaging, Documents Services Specification:- https://www.hl7.org/fhir F-Fast H-Healthcare I-Interoperability  R-Resources

14. FHIR Resources 14 Small logically discrete units of exchange Defined behavior and meaning Known identity / location Smallest unit of transaction “of interest” to healthcare

15. FHIR Documents 15

16. FHIR Document Structure 16

17. ABDM FHIR Documents 17 FHIR Version : R4 Document definition maintained at nrces.in/ ndhm Additional encryption requirement for end to end security

18. ABDM Data posting guidelines 18

19. Unstructured to Structured Data 19 Currently Indian HIMS / LIMS players have very limited adoption of digital health standards like LOINC, SNOMED CT, ICD 11, etc. Currently Integrators can attach existing formats as PDFs as part of the ABDM report formats ABDM will provide a limited time certification for such solutions Patients can get access to existing reports and share it with health facilities Integrators need to share reports in structured data formats – e.g., Diagnostic line items coded with LOINC codes This will enable better use of data especially for trends, aggregated data reporting, research, etc. Trend Analysis Aggregated Data Sets ND HM Diagnostic Report Profile ND HM Diagnostic Report Profile <…> <..>

20. Resources ABDM Sandbox https://sandbox.abdm.gov.in/ NRCES FHIR IG https://nrces.in/ndhm/fhir/r4/index.html Devforum https://devforum.abdm.gov.in/ 20

21. Thank You 21