OUR JOURNEY WITH A HEALTH RESEARCH EXCHANGE
Smile Digital Health CTO, James Agnew, was very excited about jointly presenting with HSSC CEO, Mr. Kenneth Deans, in what promised to be yet another demonstration of the breadth and depth of FHIR, as part of the HL7 FHIR Roundtable in New Orleans (Dec 5, 2017).
Health Sciences South Carolina (“HSSC”) was established in 2004 as the first statewide health data and research collaborative in the United States. Today, HSSC enables multi-institutional health research through its Clinical Data Warehouse and associated governance and research tools. Included in the HSSC network are over 6,300 beds, 519,216 in-patient admissions, and 4,681,306 outpatient visits in 2016. The member healthcare institutions are listed on the side followed by university partners.
HSSC and the Smile team developed a FHIR-based Clinical Data Repository infrastructure which spans several facilities. In this architecture, each facility is able to have a dedicated repository of clinical data which is populated in real-time based on feeds from various hospital EHR systems. Hospital data is normalized into FHIR Patient, Encounter, Condition, Observation, and other resources. The data infrastructure is then combined with an EMPI to provide standardized research data reporting, and to enable SMART on FHIR apps with a longitudinal view of data across institutions. This presentation won several awards including Presentation of the Day and Best In Show.