GATEKEEPER Proof of Concept for AI operations
0.1.0 - CI Build 150

GATEKEEPER Proof of Concept for AI operations, published by GATEKEEPER project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/gatekeeper-project/poc-ai-gk/ and changes regularly. See the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Behavior: Operation Definitions

These are custom operations that can be supported by and/or invoked by systems conforming to this implementation guide.

Ada Adherence Score Calculation

This operation returns the Ada Adherence Score, including associated weeekly details and reccomandations.

Aragon RUC257: Prediction of exacerbations

This operation returns provides a prediction of exacerbations(risk levels or binary) for people with COPD, or heart failure, or polymedicated people

Basque RUC7: Risk of fall

This operation returns the risk of fall based on interaction of polymedication

Calculate Manto

This operation is intended to calculate the Manto risk score for late-life depression in two years. https://doi.org/10.1016/j.jagp.2022.05.017

EORTC QOL C30 index

This operation returns the index of a patient’s status and disease worsening based on the EORTC Quality of Life Questionnaire Core-30 (EORTC QOL C30)

Generic risk calculation operation

Example of OperationDefinition (generic risk calculation operation)

Greece RUC1: Prediction of metabolic syndrome

This operation returns an early prediction of metabolic syndrome.

Greece RUC3: Predicted Hypoglycaemia

This operation returns a short-term prediction of hypoglycaemia, defined considering the interstitial or capillary blood compartment of glucose measurement.

Pasykaf RUC 7: quality of life prediction

This operation returns a prediction of cancer patient’s quality of life (QoL), which will serve as a preventive measure utilized by clinicians to guide their interventions.

RUC1: Cluster Frailty Risk (Bundle)

This operation returns a data-driven classification to profile the risk of an aging population by providing with a Bundle the requested information.

RUC1: Cluster Frailty Risk (Patient/ID)

This operation returns a data-driven classification to profile the risk of an aging population knowing the Patient ID.

Risk Calculation

Example of OperationDefinition (risk calculation based on blood pressure values)

Who Adherence Score Calculation

This operation returns the Who Adherence Score, including associated weeekly details and reccomandations.

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

Who Adherence: Total Result

Who Adherence: Total Result

Structures: Abstract Profiles

These are profiles on resources or data types that describe patterns used by other profiles, but cannot be instantiated directly. I.e. instances can conform to profiles based on these abstract profiles, but do not declare conformance to the abstract profiles themselves.

Observation EORTC QOL C30 panel

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the EORTC QOL C30 panel

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Bundle Ada Adherence

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the Ada Adherence result

Bundle Who Adherence

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the Who Adherence result

Observation Ada Adherence Deatailed Score

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the Ada Adherence Score details

Observation Ada Adherence Subject Age

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the Ada Adherence Subect Age

Observation Ada Adherence Total Score

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the Ada Adherence total score

Observation Cluster Frailty Risk

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the Cluster Frailty Risk, as defined for the Aragon RUC 1

Observation EORTC QOL C30 index

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the EORTC QOL C30 index

Observation EORTC QOL C30 input panel

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the EORTC QOL C30 input panel

Observation Hypoglycaemia predictive modelling

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the Interstitial glucose concentration (mg/dL) over the next PH (prediction horizon) min. PH equals to 15 min, 30 min, or 60 min., as defined for the Greece RUC 3

Observation Prediction of metabolic syndrome

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the Prediction of metabolic syndrome (predicted Predict the waist circumference, Body Mass Index (BMI) and body fat measures), as defined for the Greece RUC 1

Observation Quality of Life Prediction

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the quality of life prediction, as defined for the Cyprus (PASYKAF) RUC 7

Observation Who Adherence Deatailed Score

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the Who Adherence Score details

Observation Who Adherence Subject Age

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the Who Adherence Subect Age

Observation Who Adherence Total Score

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the Who Adherence total score

Patient (GateKeeper)

This profile represents the constraints applied to the Patient resource by the GateKeeper (GK) FHIR Implementation Guide and describes the minimum expectations for the Patient resource when used in the GK composition or in one of the referred resources.

Recommendations List

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the List of Recommendations derived from the Ada Adherence Score

Recommendations List

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the List of Recommendations derived from the Who Adherence Score

RiskAssessment (Gatekeeper)

This profile defines how to represent a PREDICTION OF EXACERBATIONS FOR PEOPLE WITH COPD, HEART FAILURE OR POLYMEDICATED PEOPLE by using FHIR RiskAssessment for supporting the scope of the Gatekeeper project

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Assessed Conditions

Assessed Conditions

EORTC QOL C30 input parameters

EORTC Quality of Life Questionnaire Core-30 (EORTC QOL C30) Input parameters

Predicted Parameters

Predicted Parameters (e.g. BMI, Total fat,..)

Risk Assessed

Risk Assessed

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Gatekeeper internal Code System for AI POC

Gatekeeper internal Code System for AI POC

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Activities in the past 12 months

Activities in the past 12 months

Bundle Who Adherence Score

Bundle Who Adherence Score

CASP-12

CASP-12. Needs satisfaction measure of QoL in early old age. For more information see SHARE documentation and CASP-19 doi:10.1080/1360786031000101157

Difficulties with mobility tasks

Please tell me whether you have any difficulty doing each of the everyday activities on this card. Exclude any difficulties that you expect to last less than three months

EURO-D

EURO-D: geriatric scale for depressive symptoms. doi:10.1192/bjp.174.4.330

Limitations with activities of daily living

Please tell me if you have any difficulty with these activities because of a physical, mental, emotional or memory problem. Again exclude any difficulties you expect to last less than three months.

Observation-age
Observation-whoAdh-detail-0
Observation-whoAdh-detail-1
Observation-whoAdh-detail-4
Observation-whoAdh-total
Physical symptoms and perceptions

Physical symptoms and perceptions. Collection of questions asked during the SHARE survey

Recommendations List (0)

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the List of Recommendations derived from the Who Adherence Score

Recommendations List (1)

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the List of Recommendations derived from the Who Adherence Score

Recommendations List (2)

This profile defines how to represent with HL7 FHIR, for the scope of the Gatekeeper project, the List of Recommendations derived from the Who Adherence Score

bloodPressure
riskCalculationExample