Thank you for joining us for our first-ever in-person quarterly release, live at Smile’s Intelligent Health Data Symposium. Here is a quick overview of some of the great things included in Smile CDR 2023.05.R01 and HAPI FHIR 6.6.0 (Code Name: Xenon). If you couldn't join us, or just want to watch the webinar again, you're in luck. You can watch it below.
SMILE CDR 2023.05.R01
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FHIR® R5 is here! Both HAPI FHIR and Smile CDR now contain the final R5 resource definitions for the latest FHIR release. Support for the new R5 Subscription model is included, and a new R5 storage module type has been added in Smile CDR.
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Custom resource types (i.e. resources not defined in the base FHIR specification) are now supported.
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FHIR Gateway routes now support automatic retry on failures with several available automatic backoff modes.
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MegaScale-enabled repositories now support resource references that cross MegaScale database boundaries, and the $expunge operation has now been enabled on MegaScale repositories.
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CDS Hooks services now support CDS Hooks Extensions.
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The MDM Module now maintains a history of changes to MDM links over time. A new operation called $mdm-link-history has been added to view this history.
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A new user interface module named MDM UI has been added. This new experimental module provides a web based UI for administering links within the MDM module.
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All HAPI FHIR 6.6.0 changes listed below are included in Smile CDR 2023.05.R01.
HAPI FHIR 6.6.0
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The Batch2 Framework (used for jobs such as Resource Reindexing and Bulk Export/Import has been significantly streamlined in order to avoid potential duplicate records, orphaned jobs, and incomplete records when running under heavy load.
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Bulk Export/Import Operations have been enhanced to be fully partition aware.
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Two new instance-level operations for resource reindexing and reindex simulation have been added. These operations also provide a view of the generated database indexes, which can help with troubleshooting custom search parameters.
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Sorting on chained search expressions is now supported, and can optionally leverage Uplifted Refchains for better performance as well.
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Sorting on near-coordinate search parameters is now supported, in order to provide the closest matches first.
CLINICAL REASONING
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Upgraded to the latest CQL engine featuring enhanced compile-time function overload resolution, improving performance up to 10x for CQL with repeated function invocations. These improvements apply to all CR use cases (dQM, DTR, CDS).
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Added support for the $care-gaps operation defined by the DaVinci Data Exchange for Quality Measures (DEQM) IG
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Added support for the DaVinci Structured Data Capture (SDC) Questionnaire $extract operation
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MeasureReports can now be automatically converted to CMS QPP format for submission using a new operation called $qpp-build.
APPSPHERE
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Register and manage SMART apps for population health analytics that use bulk FHIR export server-to-server.
PAYER-TO-PAYER DATA EXCHANGE SOLUTION
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Smart on FHIR compliance: support for audience parameter added for OIDC flow with source payers.
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Insight into Data Transfer Requests: Refresh option added in transfer table for improved user experience, allowing members to get the up-to-date status of their data transfer requests.
PAYER MEMBER PORTAL
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Added MDM support within PMP. Queries for a given member will now include all records that have been linked through MDM.
For more information about the Smile Modules, features and enhancements, check out our world-class docs site.
We look forward to having you join us at Smile’s next release in August as we work towards our shared vision for #BetterGlobalHealth.
