2022-12-14 HIV ePrompt CDS Connect-A-Thon Rehearsal

Dates

Connectathon Rehearsal: December 14th from 12 to 1:30pm

Connectathon: December 20th from 10 to 11:30am

Agenda

Welcome and Agenda Review
Introduction to SMART on FHIR
SMART on FHIR Application
SMART on FHIR and the NACHC HIV-CDS Project
Activity 1: Demo of the deployment of a SMART on FHIR application to a production environment
Activity 2: Launch of a SMART on FHIR application from an EMR
Activity 3: Launch an HIV-CDS Questionnaire from SMART on FHIR
Activity 4: Upload a FHIR Patient to the SmartHealthIt R4 Patient FHIR server
Activity 5: Launch a SMART on FHIR application that checks if a patient has had an HIV test
Conclusion, closing remarks, and round table

Materials

NACHC 2022 HIV CDS Connectathon: Information and Resources

Link to Recording

Attendees

NACHC Informatics Team	Alliance Chicago	OCHIN	HealthFlow	Other

NACHC Informatics Team

Alliance Chicago

OCHIN

HealthFlow

Other

Julia Skapik

Pedro Carneiro

Raymonde Uy

John Gresh

Andrea Price

Crystal Nwachuku

Andrew Hamilton

Shelly Sital

Seren Karasu

Dr. Michael Lieberman

Ken Allgood

Thai Lam

James Haines-Temons

Mario by phone.

Discussion items

Item	Who	Notes	Action Items
Welcome and Agenda Review
Introduction to SMART on FHIR
SMART on FHIR Application		Can you have SMART but not on FHIR? Yes, but…
SMART on FHIR and the NACHC HIV-CDS Project		Does the NACHC IG talk about CDS Hooks? Yes, the launch trigger event is usually a CDS Hook. CDS Hooks (cds-hooks.org) Was John able to apply this to any existing sandboxes to see if they have patients that match the criteria search? Yes, focused on SMART Health IT Also looked at Cerner - more fully featured Has not used the Epic sandbox yet FHIR standard looks like it will be around for a long time. Would you want to update Java Script regularly? James can be a resource. James ran into an issue with authentication for the Hello World message (SMART but not FHIR) link. John did not create a HTTPS server, and the link is looking for an HTTPS; this is HTTP. Click the lock, click settings, scroll to insecure content. Set it to allow for this site. Go to second link - You should get “Practitioner Login Screen” Select a patient - this means you are in. Jen: So, I found that fine, but mine actually opened and ran without that setting - when I check it, insecure content is set to Block (but I don't have the authentication error). Shelly was able to get into the first one but got an error re: authentication for the 2nd one. Can it be accessed using Linux OS? Yes, fixed it. John highly recommends HAPI for FHIR. He writes a layer on top of it for error-checking, but less complicated than FHIR. Shelly - Attempted, successful Jen - Attempted, successful Julia - Attempted, successful James - Attempted, successful
Activity 1: Demo of the deployment of a SMART on FHIR application to a production environment
Activity 2: Launch of a SMART on FHIR application from an EMR
Activity 3: Launch an HIV-CDS Questionnaire from SMART on FHIR
Activity 4: Upload a FHIR Patient to the SmartHealthIt R4 Patient FHIR server
Activity 5: Launch a SMART on FHIR application that checks if a patient has had an HIV test
Conclusion, closing remarks, and round table		SMART on FHIR is the minimal entry requirement for connecting to an EHR.