Healthcare Exchange Standards

JANUARY 10, 2017

How does one put a FHIR Document into XDS? How does one find a FHIR Document in XDS? XDS, more broadly the whole Document Sharing family, including XDS , XCA , XDR , XDM , and MHD. Initially Document Sharing was about 'historic' documents. Thus the Document is "Shared". Let me explain.

FHIR 40

FHIR HIE Health Information Interoperability 40

Healthcare Exchange Standards

MAY 4, 2023

The IHE IT-Infrastructure committee continues to produce new and improved specifications for HIE interoperability. Document Sharing Across Network Topologies- Rev. It is intended to be read by HIE and Healthcare IT Executives and Architects, Standards Development Architects, and health data exchange stakeholders in academia.

FHIR 118

FHIR HIE Interoperability Health Data 118

Healthcare Exchange Standards

APRIL 5, 2024

Formal Publication -- [link] The Sharing of IPS (sIPS) IHE Profile provides for methods of exchanging the HL7 International Patient Summary (IPS) , using IHE Document Sharing Health Information Exchange but does not modify the HL7 IPS specification, nor is there any need to change IHE Document Sharing Health Information Exchange.

FHIR 63

FHIR HIE Mobile Health Health Information 63

Healthcare Exchange Standards

NOVEMBER 7, 2023

This winter quarter will be a lighter load, recognizing the holidays: Patient Scheduling, prospective look at FHIR R5/6, and evaluating impact of Gender Harmony. The Document Subscription for Mobile (DSUBm) profile describes the use of document subscription and notification mechanisms for RESTful applications.

FHIR 71

FHIR HIE Health Information 71

Healthcare Exchange Standards

DECEMBER 3, 2020

This is an alternative to SMART-on-FHIR, and not intended to be conflicting. An update to the HIE-Whitepaper , bringing in the newly build FHIR based profiles. IHE IT Infrastructure Technical Framework Documents Published. This document is available at [link]. This document is available at [link].

HIE 40

HIE FHIR Health Information 40

Healthcare Exchange Standards

MARCH 3, 2021

Does that mean we don't move to nationwide http RESTful FHIR? I expect, as I have said before, that the green-fields will/should use http RESTful FHIR. I expect, as I have said before, that the green-fields will/should use http RESTful FHIR. The use of http RESTful FHIR at the edges or point-to-point make good sense.

FHIR 117

FHIR HIE 117

Healthcare Exchange Standards

NOVEMBER 22, 2019

Today on the FHIR Consent call we had a very useful discussion of how one would use FHIR Consent to do the same thing that BPPC does in XDS. Said another way, what is the degenerate form of FHIR Consent that is equal-to the functionality of BPPC, and what is the degenerate form of FHIR Consent that is compatible with BPPC.

FHIR 68

FHIR HIE 68

Healthcare Exchange Standards

MARCH 7, 2023

This is a new FHIR specification that expresses what a International Patient Summary (IPS) would look like. This is a FHIR-Document, much like a CDA Document, but using FHIR fundamentals rather than the HL7 v3 model that is the basis of CDA. I think this approach to the question is missing a key point.

FHIR 68

FHIR HIE Health Information 68

Healthcare Exchange Standards

AUGUST 21, 2018

The IHE IT Infrastructure Technical Committee has published a new Handbook as of August 20, 2018: Document Sharing Metadata The above document is available for download at [link] or at User Handbooks. This is described in the Enabling Document Sharing through IHE Profiles white paper (HIE using IHE).

HIE 40

HIE FHIR 40

Healthcare Exchange Standards

DECEMBER 30, 2021

The last time I did a year-end report was at the end of 2017 - HIE Future is Bright - stepping into 2018. 1.6k) Agile improvements toward #FHIR (1.5k) Security of #FHIR implementations concerns (1k) It is good to see that the Alisa Knight cybersecurity attacks on #FHIR were not a big reason for visitors to my blog.

FHIR 75

FHIR Health Information HIE Healthcare IT 75

Healthcare Exchange Standards

FEBRUARY 5, 2021

The Integrating the Healthcare Enterprise (IHE) standards profiling organization has developed a collection of profiles which can be leveraged for use by healthcare communities for the purposes of document sharing. There is also a model in MHDS for those that have no legacy environment that builds the full infrastructure using FHIR services.

Health Information 70

Health Information FHIR Interoperability HIE 70

Healthcare Exchange Standards

FEBRUARY 25, 2016

Two independent projects this week sent to the FHIR mailing list their diagrams of how they are using FHIR as an API to classic XDS environments. The power of using FHIR as a simplifying API to classic environments. Our project will use FHIR as an abstraction layer for the application. privacy consent). Well done!

FHIR 40

FHIR HIE EHR Interoperability 40

Healthcare IT Today

MARCH 7, 2023

I still remember being with a New York State HIE at the time, on the HIMSS13 floor, and being asked by a reporter to speculate about what it meant. billion documents to date. Today, we facilitate the exchange of 30-40 million documents each week across the nation.

Interoperability 98

Interoperability eHealth FHIR HIE 98

Healthcare Exchange Standards

MARCH 16, 2015

The Mobile Health Documents (MHD) profile was born to provide a more simple API to an XDS environment. This happened to be the same timeframe that Grahame was fanning the FHIR flames. So we joined forces and brought the concepts needed for XDS into FHIR®. So now, I take those FHIR based Resources and re-write the profile.

FHIR 40

FHIR Mobile Health mHealth Meaningful Use 40

Healthcare Exchange Standards

FEBRUARY 20, 2021

HIE-Whitepaper -- the whitepaper needed to be updated to include the FHIR based models that we have published in the MHD family. This also includes the use of QEDm and mXDE to make FHIR Resource level data available from the shared documents, making consumption more easy. StructureDefinition) and inclusion of examples.

FHIR 72

FHIR HIE 72

Healthcare IT Today

AUGUST 20, 2023

Partnerships eHealth Exchange added C3HIE , a Texas-based HIE, to its network of partners under its anticipated QHIN. Products Consensus Cloud Solutions launched Clarity Clinical Documentation , which routes unstructured data into patient records. AVIA added RUSH, MUSC Health, and United Regional Health Care System to its network.

Digital Health 91

Digital Health HIE eHealth Life Science 91

Healthcare Exchange Standards

JANUARY 11, 2022

Document Sharing Metadata Handbook IHE Document Sharing depends on document metadata, folder metadata, and submission set metadata. This Implementation Guide assembles other IHE Implementation guides (Profiles) and defines a Document Registry Actor. as the current HIE-Whitepaper contains MHD and MHDS now.

eHealth 97

eHealth Mobile Health HIE FHIR 97

Healthcare Exchange Standards

AUGUST 3, 2016

Some examples where BPPC are used: Connecticut HIE: For release of Privileged Care information, a consent document SHALL be registered with HITE-CT in the form of a BPPC conformant document using the Opt-in for Legally Protected Data (ALL) policy. All Opt-in documents SHALL include an expiration date. Table 10.2.3-1

HIE 49

HIE FHIR Health Information Primary Care 49

Healthcare Exchange Standards

OCTOBER 10, 2017

Where the combined list is available in FHIR as a ValueSet of FormatCodes (updated in current build ) Important background :: Eating an Elephant -- How to approach IHE documentation on Health Information Exchange (HIE) and Healthcare Metadata The FormatCode is there to differentiate 'technical format'. is one FormatCode.

HIE 45

HIE FHIR Health Information 45

Healthcare IT Today

MARCH 5, 2023

Cardiac remote monitoring company Implicity released a SMART on FHIR App that reports directly to Epic. Sales The University of Kansas Health System chose Abridge for AI-powered medical documentation. HIE framework Carequality Executive Director Alan Swenson made the Utah Business list of 40 Under 40 award winners.

HIE 85

HIE FHIR Healthcare IT Telemedicine 85

Healthcare Exchange Standards

FEBRUARY 20, 2019

The recommendation I give here is restricted to the gross level: for Document Sharing at the XDS/XCA/DocumentReference metadata level; for FHIR REST at the returned Bundle.meta.security level, but not on each Resource in the Bundle; and for CDA at the CDA header, but not on each element. for "_confidentiality".

FHIR 65

FHIR HIE Health Information Health Data 65

Healthcare Exchange Standards

FEBRUARY 27, 2021

Documents have a bad perception, they are big, unfocused, and hard to process or view. I'm going to propose something that is counter to the perception, driven by current healthcare use of CDA documents and the HL7 Principles of a Document. When is a Document a Document? When is a Document a Document?

FHIR 81

FHIR HIE 81

Healthcare Exchange Standards

MAY 2, 2024

The IHE-MHDS does not define a Document Repository Actor but does include architecture support for distributed FHIR Servers and thus the concept of a Document Repository is included in MHDS. For example: XCA also does not make a distinction between a Document Registry or Document Repository, having a Responding Gateway Actor.

HIE 45

HIE FHIR Health Information 45

Health Blawg

AUGUST 20, 2018

Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.

Interoperability 60

Interoperability EHR FHIR HIE 60

Health Blawg

AUGUST 20, 2018

Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.

Interoperability 60

Interoperability EHR FHIR HIE 60

Health Blawg

AUGUST 20, 2018

Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.

Interoperability 60

Interoperability EHR FHIR HIE 60

Health Blawg

AUGUST 20, 2018

Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.

Interoperability 60

Interoperability EHR FHIR HIE 60

Health Blawg

AUGUST 20, 2018

Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.

Interoperability 60

Interoperability EHR FHIR eHealth 60

Health Blawg

AUGUST 20, 2018

Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.

Interoperability 60

Interoperability EHR FHIR eHealth 60

Healthcare Exchange Standards

MAY 2, 2022

Specifically all FHIR RESTful interactions, and and Accounting of Disclosures. Mobile Health Documents - Improvements based on current feedback GitHub project - [link] Project Plan Kanban board - [link] CI Build - [link] MHD to a Federation likely will transition to a Whitepaper covering all forms of multiple-depth federation support.

HIE 40

HIE FHIR Mobile Health 40

Healthcare Exchange Standards

JANUARY 25, 2017

Given XDS and XCA interactions that are often used in an Health Information Exchange (HIE), or a National Health Information Exchange (NHIE); there is no standards/profiled way to enable a point-of-care consent gathering workflow. It also easy to Query for consent documents.

HIE 45

HIE FHIR Health Information 45

Healthcare Exchange Standards

FEBRUARY 20, 2019

An example might be a document specifically assembled as an "Emergency Data set", a critical set of data with minimal facts useful in an emergency. But you can understand how a medical diagnosis could limit what you are allowed to do. Some data might be marked as less sensitive so that it can be made more widely available.

FHIR 52

FHIR HIE Health Data 52

Healthcare Exchange Standards

JULY 15, 2015

I have been discussing the confidentialityCode, especially within the context of IHE-XD* ( Document Sharing ). I would continue to recommend that anyone or any-system publishing a CDA document should use "N", unless they have evidence to say that is the wrong value. Available from the FHIR specification for easy reading.

FHIR 40

FHIR HIE Health Information 40

Healthcare Exchange Standards

APRIL 4, 2018

Mostly they keep trying because the most basic query is just asking for all documents available for a given Patient. These are useful, just not very primary for a general purpose Document Consumer. Where these classifications are useful to a Document Consumer. Thus one can ask for documents covering treatment prior to 1998.

HIE 45

HIE FHIR Health Information Interoperability 45

Healthcare Exchange Standards

DECEMBER 30, 2017

It happens that the framework for explaining why the future is bright for HIE comes from the Wisconsin HIE (WISHIN) fall summit. They used the following diagram to show what they viewed as the HIE future. These historic events need to have the full context of them, which is what a Document model provides.

HIE 40

HIE FHIR Meaningful Use Leadership 40

Redox

NOVEMBER 21, 2023

Is this just another HIE? Of note, the XCPD, XCA, and XDR profiles do not currently support FHIR natively. A few features of the CA DxF set it apart from traditional health information exchanges (HIEs) and networks (HINs). Required data format requirements are also notable.

HIE 59

HIE FHIR Health Information Nursing 59

Healthcare Exchange Standards

OCTOBER 24, 2022

Releases Four publications released from IHE IT-Infrastructure, one in Public Comment Release for Public-Comment -- Mobile access to Health Document (MHD) - Improvements changed to AuditEvent profiling leveraging Basic Audit Log Patterns (BALP) Release 1.1 Converted from PDF to a FHIR IG. was released.

FHIR 52

FHIR HIE Health Information Health Data 52