HM Note: This contract role is remote, and candidates work remotely. Candidates must reside in Ontario, Canada. Candidates' resumes must include first and last name.

Description

Background Information

The purpose of this request is to acquire HL7 FHIR (Fast Healthcare Interoperability Resources) resources with expertise in FHIR standards and awareness of applicable Terminology standards who will work with others in support of the Digital Health Standards (DHS) Program to deliver standards components related to specifications on the Digital Health Standards Program Workplan.

Must haves:

• Extensive knowledge and understanding of digital health standards include, but not limited to HL7 FHIR, clinical terminologies (e.g., Systematized Nomenclature of Medicine (SNOMED-CT), Logical Observation Identifiers Names and Codes (LOINC)) and their application.
• Healthcare experience within Canada in acute care, primary care and/or community care settings.
• Extensive knowledge and understanding of pan-Canadian digital health standards and tooling.
• Hands-on experience with HL7 FHIR tooling including but not limited to Simplifier, HL7 Validator, Forge or FHIR Shorthand.
• Hands-on experience with JSON and XML.
• Hands-on experience with interoperability standards gap analysis, environmental scan and developing HL7 FHIR implementation guides.
• Hands-on experience implementing HL7 FHIR standards and solutions.
• Excellent communication skills both verbal and written, and strong partner engagement skills.
• Time management skills, with the ability to manage tight deadlines and prioritize multiple projects.

Responsibilities:

• Conduct requirements gathering, develops documentation, including presentations and briefing notes and conducts partner engagement.
• Work with different partners and subject matter experts from different backgrounds (clinical, business, and technical).
• Interact with the business partners and subject matter experts in order to understand their requirements through gathering, documenting, and analyzing business needs and requirements.
• Develop and document HL7 FHIR artifacts and supporting documentation.
• Validate, troubleshoot, and problem solve the HL7 FHIR artifacts.

Desired Skills:

• Knowledge and experience with structured clinical documents.
• Knowledge and experience with HL7 FHIR, Canadian and International Terminology Standards and FHIR Structure Data Capture (SDC).
• Experience working with GitHub is desired.
• Familiarity with Microsoft Products, with a preference for candidates that have experience with Microsoft based cloud tools (e.g., Microsoft Office 365).
• Knowledge of Healthcare Information Systems used throughout the province of Ontario.
• Ability to readily identify, assess and mitigate implementation and adoption issues.
• Excellent analytical, problem-solving and decision-making skills; verbal and written communication skills; interpersonal and negotiation skills.
• A team player with a track record for meeting deadlines.

Required Skills:

• FHIR standards assessment, selection, development, and maintenance processes
• Research and analysis
• Communication and collaboration
• Partner engagement and management

Required Experience / Evaluation Criteria:

• Knowledge and experience designing and implementing HL7 Fast Healthcare Interoperability Resources (FHIR) standard by demonstrating experience and processes for conducting detailed standards research, gap analysis and recommendations. : 15 Points
• Knowledge and experience developing and maintaining HL7 FHIR implementation guides including publication, versioning, ongoing maintenance and deprecation, including work with standards development organizations or standards maintenance organizations to advance the quality and usability of standards.: 15 Points
• Knowledge and experience of the development and implementation of HL7 FHIR standards including use in clinical documents (clinical notes and diagnostic reports), eNotifications and subscriptions. : 20 Points
• Knowledge and experience of HL7 FHIR tooling including but not limited to Simplifier, HL7 Validator, Forge or FHIR Shorthand.: 20 Points
• Experience in implementing interoperable digital health solutions, including assessing readiness of existing clinical information systems for collection/submission of standards-based clinical information to the Electronic Health Record (EHR) with consideration of effective workflow.: 10 Points
• Knowledge and experience of the development and implementation of terminology standards (LOINC, and SNOMED CT/SNOMED CT-CA), including use in electronic forms, referrals and other solutions that reduce the use of paper faxing. Experience with forms design, development, maintenance and harmonization including electronic.: 10 Points
• Knowledge and understanding of the standards lifecycle and the Digital Health standards landscape (Canadian/pan-Canadian, and international standards), and Digital Health initiatives in other jurisdictions (local, regional, provincial).: 5 Points
• Knowledge and strong understanding of jurisdictional Electronic Health Record (EHR) projects, interoperability services and integration with healthcare initiatives within regional healthcare organizations for clinical data repositories, and other associated healthcare information systems in use within a jurisdiction.: 5 Points

Total evaluation criteria: 100 Points

Deliverables

Deliverables Include:

• Perform requirement elicitation, validation, and documentation, including reviewing and analyzing existing relevant specifications to inform the requirements for the new FHIR implementation guide.
• Perform environmental scans, Data Standards research and presentation of results
• Data Standards assessments and analysis for harmonization and interoperability
• Consult and collaborate with partners to develop and/or update Standards Implementation Guide contents using Simplifier and Forge:

o Business narratives (e.g., Use Cases, Business Models and Rules, etc.)

o Technical and FHIR artifacts

o Terminology artifacts

• Validate Standards Implementation Guide:

o Validate FHIR Artifacts using HL7 Validator or other validator as designated by OH DHS

o Validate technical and FHIR artifacts with partners (e.g., Architecture, Clinical, Privacy, Analytics, DHS, etc.)

o Collaborate with partners to troubleshoot validation issues

• Provide data standards orientation
• Complete walkthrough of specifications
• Provide testing support from a data standards perspective
• Apply iterative approach to conduct regular review sessions to demonstrate the work in progress with DHS and other teams as appropriate, receive feedback and make timely updates to the deliverables accordingly.
• Develop digital health standards assessments (i.e., Conceptual, Logical, Physical) to support Project Delivery Committee and other governance structures.
• Present digital health standards assessments to DHS and other internal and external Ontario Health partners.
• Participate in collaboration with DHS team at partners meetings and workshops.
• Develop and present weekly reports on deliverables, time, and status updates.
• Provide knowledge transfer documents and conduct knowledge transfer sessions for all project deliverables with assigned Ontario Health subject matter experts.
• Follow Ontario Health and DHS guidelines for documentation, templates, and data storage and organization.
• Complete deliverables in adherence to Ontario Health guidelines for all communication, email, messaging, etc.

Knowledge Transfer Details:

• The resource will ensure full knowledge transfer is provided to the Ontario Health team before end of engagement. Some of this might occur at the end of the engagement but will also be shared as information is obtained/consolidated. Key deliverables will be shared with team.
• The resource must provide all related documentation as part of Knowledge transfer protocol. Documents will be reviewed by the appropriate leads and signed off by manager/director.
• The resource will work collaboratively with the Ontario Health team throughout the assignment and ensure key deliverables, milestones, and documentation are shared.
• A walkthrough of any demos, development, etc. will be required before the end of the engagement.

Must Haves:

10+ years experience Extensive knowledge and understanding of digital health standards include, but not limited to HL7 FHIR, clinical terminologies (e.g., Systematized Nomenclature of Medicine (SNOMED-CT), Logical Observation Identifiers Names and Codes (LOINC)) and their application.

10+ years Healthcare experience within Canada in acute care, primary care and/or community care settings.

10+ years experience and understanding of pan-Canadian digital health standards and tooling.

10+ years Hands-on experience with HL7 FHIR tooling including but not limited to Simplifier, HL7 Validator, Forge or FHIR Shorthand.

Public Sector Experience.