Finnish Data Hackathon: Latest Trends in Care Plans and Clinical Reasoning
Care Plans and Clinical Reasoning track of the Finnish Health Data Hackathon - FHIR Finland
Summary
The Finnish Health Data Hackathon focused on standardizing FHIR-based care plans and computable guidelines (CPG). Key discussions covered international challenges and technical approaches, such as utilizing CRMI for knowledge sharing and modeling ValueSets for concept definition.
Details
This hackathon dedicated the 'Care Plans and Clinical Reasoning' track to discussing the standardization of FHIR’s Clinical Reasoning module and the Canonical Resource Management Infrastructure (CMRI) implementation guide. Participants explored methods for authoring, publishing, and integrating various types of knowledge, including care plans, clinical guidelines, and decision support. A technical focus was placed on modeling ValueSets for concept definition. The importance of computable definitions (Intensional), using tools like SNOMED CT Expression Constraint Language or FHIR ValueSet Compose Language, was highlighted over simple enumerated lists (Extensional). For standard sharing of care plans and CPGs, existing initiatives like IHE CCG and HL7 CPG were referenced, alongside discussions about the need for new HIDs in the EHDS. Furthermore, international best practices—such as using LLMs with SMART guidelines or Germany's EBM IG success—were shared. The overall goal is to foster collaborative development and interfacing of FHIR-based knowledge artifacts while addressing how to robustly define and share clinical concepts across diverse systems.
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