HiNZ Conference 2017

"Logical FHIR" resources are now permitted by the HL7 FHIR Standards. This implies that a mapping is needed from these Logical Models to FHIR Implementation Models which reuse (or profile) the standard resources. Revision 3 of FHIR introduces a draft FHIR Mapping Language specification to provide a mechanism to facilitate such mappings. It also allows models expressed in other type systems to be mapped to FHIR Implementation Profiles. The authors have been transforming logical and implementation clinical records models using an implementation of the declarative dialect of OMG’s standard for the MOF Query/View/Transformation (QVT) transformation language. This paper outlines these approaches and their relationships. We then introduce an approach to traceability inspired by OMG-based model transformation tools which could assist in the separation of concerns between clinically-focussed modellers and technology-focussed implementers, thereby improving clinical safety. Finally, we show how traceability is used in an open-source health informatics modelling tool.

Whilst exponential improvements in communication have transformed our economy, they have also put into sharp focus the limits of the ability of organisational cultures to adapt to new contexts. Our cognitive limits prevent us from better understanding the full implications of all our actions. This makes it increasingly important to design technologies for people and machines to improve filtering of information streams, trust building, critical thinking, and knowledge sharing. Over the last two years workshops at the unConference for Interdisciplinary Innovation and Collaboration have highlighted that a lack of trust is a major obstacle to collaboration in the healthcare sector, and that entrenched group identities can be a significant obstacle to establishing trust.