Rough waters to smooth sailing: Records remodeling to FHIR
summary
Maccabi converts decades of EMR diagnosis data into FHIR Condition resources, handling 55 million diagnoses per year and ~1.5M financial claims by mapping local Y-codes to ICD and SNOMED CT, running automated QA during conversion. A lightweight internal representation called macfire remains convertible to FHIR on demand. Modifiers that don’t fit FHIR clinicalStatus map to coded fields and a custom secondary clinical status extension; the pipeline runs and surfaces mismatches for corrective action.
AI-written summary · about
chapters (8)
- 0:00Introduction and speakers
- 1:24About Maccabi Healthcare
- 3:13Strategic roadmap for FHIR
- 5:21Diagnosis data sources
- 9:37FHIRizing diagnosis data
- 14:08Terminology and quality changes
- 15:34Balancing efforts and cooperation
- 16:38Q&A session








