This workshop will present a NLM/LHCNBC set of tools for inputting and displaying FHIR medical record data. We will introduce a thumbnail overview of FHIR, and also present a large medical record test set for use in experimenting with novel applications built on FHIR medical record. We learned many lessons about efficient ways to load medical record data into FHIR while loading the 54 million records of our test set, and will share those lessons.

The forms and flowsheet tools we will present in this workshop are bookends to a FHIR medical record. In the interactive component of the workshop, participants will learn to use these tools. One tool provides machinery for entering data into FHIR EMR via input forms, and the other tool provides machinery for displaying that content in variety of flowsheet styles. All of the LHC tools are open source and based on standards. Participants will have access to the tools after the workshop.

The input side (https://lhncbc.nlm.nih.gov/project/lhc-forms) of this pair of bookends includes tools for defining input forms, generating forms from these definitions, entering EMR data through them, validating and converting units of measure. These LHC-Forms include skip logic, calculated values, survey instrument scoring, repeating groups of questions, extensive error checks, responsive design and many other capabilities. The attendees will learn to use and modify such forms. All LOINC panels also serve as LHC-Forms. There are more than 2000 such LHC-Forms to play with.

The output side is a flowsheet. Users can choose sets (panels) of terms to include in the flowsheet, show each panel member in a timeline tailored to the panel, and alternatively, one can insert all results in one common timeline. Each variable shows a spark graph at the beginning of its timeline. Yet another display presents the flowsheet in a problem-oriented fashion, including tests, drugs, and imaging studies.

Learning Objective 1: Gain an understanding of the FHIR standard for creating a medical record
Know how to efficiently load medical record data into a FHIR server
Know about the structure and capabilities of FHIR forms using the LHC-Forms widget
Learn about the structure and function of LHC FHIR flowsheet and how to use it


Clement McDonald (Presenter)
National Library of Medicine

Joel Buchanan (Presenter)
University of Wisconsin School of Medicine and Public Health

Paul Lynch (Presenter)
National Library of Medicine

Ye Wang (Presenter)
National Library of Medicine

Shennon Lu, National Library of Medicine

Presentation Materials: