FHIR to empower patient-centered CPM
summary
CDS4CPM is a SMART on FHIR two‑app system (MyPain patient app + PainManager provider app) that pilots AHRQ’s shared decision‑making workflow by posting QuestionnaireResponse objects which a FHIR facade converts into Observations and writes back to the EHR because the site’s Epic FHIR server lacks a QuestionnaireResponse endpoint. An eCarePlan variant tackles multi‑condition care coordination by suppressing unsupported R4 calls in middleware. Implementation proves functional in pilot sites (OHSU), but needs better UI, accessibility, and more robust SMART on FHIR facade and QuestionnaireResponse→Observation conversion handling.
AI-written summary · about
chapters (9)
- 0:00Introduction to patient-centered CPM
- 1:05Architecture with FHIR facade
- 3:13FHIR facade for CPM system
- 5:39FHIR facade for care coordination
- 7:46Design iterations and user feedback
- 9:54Patient and provider app walkthrough
- 10:15MyPain app demonstration
- 12:46Pain Manager app overview
- 14:32Q&A session
