argonautproject / subscriptions

Clinical Data Subscriptions: Develop FHIR Subscriptions resource to push updates of medical record information to authorized recipients to support the event notification use cases.

Argonaut Subscriptions

Timeline

• 2019: Jan - April
  • Project selection (selected as a proejct in 2019)
• 2019: April - May
  • Project launch!
  • Develop use cases (cast a wide net)
  • Review work on Subscriptions to-date
  • Define scope (and out-of-scope)
  • Client outreach
  • Birds of feather at HL7 May Working Group Meeting
• 2019: June - Aug
  • Draft spec (Argonaut Encounters IG)
  • Publicly deployed reference implementation(s) that meet the draft spec
    • Hosted: subscriptions.argo.run
    • Client UI: GitHub
    • Client REST Bridge: GitHub
    • Proxy Server: GitHub
• 2019: Sep - Dec
  • Connectathon 22 - September
• 2020: Jan - Feb
  • Project selection (not a selected project in 2020)
  • CMS Connectathon 1 - January
  • Connectathon 23 - February
  • Publish Argonaut Encounters IG 1.0
  • Begin work on Backport to R4 IG 1.0
  • Attempt to finalize for ballot
• 2020: Feb - Dec
  • Continue work on R4 Backport IG
  • Connectathon 24 - May
  • Focused efforts on R4 Backport IG
  • Connectathon 25 - September
• 2021: Jan - Feb
  • Ballot Subscriptions Backport IG version 0.1.0
  • Connectathon 26 - January
  • Project selection (selected as project in 2021)
• 2021: March - April
  • Project launch: Project Home!
  • Define scope of project for 2021
  • Lobby to add SubscriptionTopic and SubscriptionStatus to R4B (successful)
  • Connectathon 27 - May
  • Resolve/apply Backport IG ballot feedback
  • Add event triggers
  • Add notification shapes (notifications can include related resources)
  • Continue focused work on Backport IG in lead up to publication
  • Connectathon 28 - September
• 2022
  • SubscriptionTopic and SubscriptionStatus included in FHIR R4B (https://hl7.org/FHIR/R4B)
  • "Backport" IG supports topic-based subscriptions in FHIR R4B (http://build.fhir.org/ig/HL7/fhir-subscription-backport-ig)

Overview

Specifications and Prior work

• Current R5 Specifications

  • Subscriptions Framework
  • Subscription
  • SubscriptionTopic
  • SubscriptionStatus

• Upcoming Connectathon Tracks

  • Connectathon 28 (2021-09) - HL7 Connectathon Track focusing on the R4 Backport IG and additional resources in R4B.

Use Cases

• Clinical information has changed
• Scheduling: ( e.g., Argonuat Scheduling Prefetch ) Update provider availability to 3rd parties
• Provider Directory: Updates to Directory when provider information has changed (such as credentials or qualifications).

Limitations

Open Questions

Resources

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argo-subscription-docs

Home for controlled versions of documents related to Argonaut Subscriptions

Notes on Workflows:

• Intended for use with: SequenceDiagram.
• Text files with workflow diagram contents.
• SVG renders of the workflows.

Notes on Graphs:

• Intended for use with: Mermaid.
• Text files with graph contents.
• SVG renders of the graphs.

Client Workflows

• Workflows with client behaviors during Subscription notifications (event processing).

Error State Workflows

• Workflows with various error states to show handling considerations.

Intermediary Workflows

• Workflows with registration and event notification when an independent third party is included.

Missed Event Workflows

• Workflows showing missed events.
• More basic than Error State Workflows, but may handle similar situations.

Registration Workflows

• Workflows showing the process of creating a Subscription.

Backporting Changes to R4

• Proposal on how to backport the changes to Subscription slated for R5 to R4: Backport to R4