Healthcare Exchange Standards

OCTOBER 15, 2015

I am asked how someone can get engaged with developments in Privacy/Security around FHIR. I am especially encouraging to anyone that has either coding experience, or deployment experience; as I find that too many people engaged in Privacy/Security around FHIR are coming from the theoretical perspective. This includes DICOM and FHIR.

FHIR 40

FHIR 40

Healthcare Exchange Standards

MAY 10, 2017

In FHIR STU3 there are now some common query parameters. Propose using common "patient" query parameter for patient scope With the new FHIR STU3 common shared query parameters , we could identify the specific patient within the Scope. For SMART this is handled by the 'launch context'. I think this more powerful.

FHIR 40

FHIR 40

Healthcare Exchange Standards

APRIL 13, 2017

FHIR has no security model. FHIR is designed first and most important as a data model with a few expected interaction models (REST, Messaging, Document). There are many workgroups working on specifications for how to apply OAuth to FHIR REST, but these are not fundamental to FHIR, they are alternatives.

FHIR 40

FHIR 40

Healthcare Exchange Standards

MARCH 4, 2016

Rene asked for an outline of Security topics for FHIR for an upcoming tutorial he is giving. The easy answer is go read all my blog articles under the #FHIR topic The second easy answer is to point at the FHIR security pages. These tags are used in an "Attribute Based Access Control" scheme.

FHIR 40

FHIR mHealth 40

Healthcare Exchange Standards

JUNE 14, 2022

See Security Topics , Consent/Privacy , and FHIR for index to these articles. Notes and references that I posted after last years presentation

FHIR 52

FHIR 52

Healthcare Exchange Standards

AUGUST 9, 2022

FHIR OperationOutcome. All responses to requests in FHIR can carry a OperationOutcome. But would require that there be some yet-to-be-defined code to indicate that Break-Glass may be useful The FHIR Bundle that is returned might have a Bundle.meta.security tag that indicates that some data were redacted ( REDACTED ).

FHIR 98

FHIR EHR Interoperability 98

Healthcare Exchange Standards

JANUARY 4, 2016

As FHIR matures, the security topic becomes more and more important. In fact the specification they have " FHIR OAuth 2 " is not open for review, yet. It is made up of a set of strings that represent a few FHIR resources. It is not a complete list of FHIR resource types.

FHIR 40

FHIR mHealth Public Health Healthcare IT 40

Healthcare Exchange Standards

MARCH 14, 2023

As FHIR systems get bigger and bigger, and support more and more clients. There is a security tag available in the HL7 ValueSets for Security tagging. I use this tag in the Implementation Guides that I write to distinguish the examples I provide. Thus creating new resources for the test patient, with the HTEST tag.

FHIR 40

FHIR Health Data 40

Healthcare Exchange Standards

DECEMBER 27, 2015

I explain the use-case and environment behind Break-Glass on FHIR. This diagram and definitions from the FHIR specification Where: The consumer that is using a healthcare related system The client application the user is using (application, mobile app, website, etc.) This does require that suppressed is not used for any other purpose.

FHIR 40

FHIR 40

Healthcare Exchange Standards

APRIL 20, 2016

Updated: Vadim Peretokin advises on the FHIR chat : You're better off in the world if you know about this stuff though. After that we updated the FHIR specification with a section on being robust to narrative sections. Much of it is already done by FHIR specification, but further 'profiling' is often needed.

FHIR 40

FHIR Interoperability 40

Healthcare Exchange Standards

MAY 18, 2022

Many think this is an easy problem to solve, just slap a security tag on the data, but it is a much bigger systems-engineering problem. I understand from a discussion on FHIR chat that there are countries that have regulations. So, at this point we have a tag that says the data is either subject-to-embargo , or not-subject-to-embargo.

FHIR 52

FHIR Primary Care 52

Healthcare IT News - Telehealth

SEPTEMBER 5, 2023

September 04, 2023 Sponsored Healthcare reforms an opportunity to boost digital maturity and benefit providers Digital reforms like SATUSEHAT in Indonesia encourage healthcare providers to adopt the FHIR. Region Tag: ASIA Hide Collection: 0 Primary topic: Analytics Node settings: Exclude from Accelerate RSS feed

EMR 98

EMR HIE FHIR Mental health 98

Healthcare Exchange Standards

MARCH 4, 2020

The purpose of the agreement is to help accelerate the development of new and updated IHE profiles and associated real world testing that support advancing FHIR. Learning Objectives Understand how FHIR can be used to continually synchronize information with the Veterans Health Administration (VHA) bi-directionally.

FHIR 54

FHIR Interoperability Health Information Health Data 54

Healthcare Exchange Standards

DECEMBER 21, 2015

Thus lacking this permission, the FHIR Server would silently blind the user to any data that is restricted by Consent. No clear solution, although I could follow up in a smaller audience with some potential solutions using tags, parameters, oauth scope, UMA, alternate transactions, redirection workflow, etc.

FHIR 40

FHIR 40

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. Available from the FHIR specification for easy reading.

FHIR 65

FHIR HIE Health Information Health Data 65

Healthcare Exchange Standards

JUNE 5, 2023

Tagging all of the data in an EHR is non trivial, and there is not good advice on how to do that well, say nothing of how to do it without fail. I have been working on a new Implementation Guide from IHE on this topic - Patient Consent on FHIR (PCF). Why do I express this?

HIPAA 70

HIPAA Interoperability FHIR Health Information 70

Healthcare IT News - Telehealth

MARCH 22, 2022

Meditech will use Google Health's technologies to build a longitudinal health data output that combines data from multiple sources using standard FHIR format. Region Tag: Global Edition. Google Health will embed its search and summarization capabilities within the Meditech Expanse EHR.

Life Science 132

Life Science FHIR Telehealth Health Information 132

Healthcare IT News - Telehealth

DECEMBER 15, 2020

With EMRs offering healthcare-standard APIs (such as FHIR) for integration, patients need to select devices with integration capabilities using healthcare standards. Region Tag: Global Edition Disable Auto Tagging: Short Headline: Technology brings care to home for chronically ill patients Featured Decision Content:

EMR 148

EMR FHIR Telehealth Leadership 148

Healthcare IT Today

JUNE 15, 2023

Medical record requests are digitized, and specific data requirements are tagged. Automated chart retrieval is performed at scale, leveraging modern HL7 FHIR APIs. For example, MRO already engages with a broad network of payers for data exchange and is easily able to contract with new payers and other requestors.

Life Science 82

Life Science Health Information EHR Leadership 82

Aging in Place Technology Watch

OCTOBER 19, 2018

At the heart of our system is a cross-platform, personal health records app that uses SMART on FHIR to provide users with seamless access to all of their health records. category tags: mHealth-Digital Health-Telehealth-Voice Health , healthcare. Learn more at Medisanté.

Connected Health 88

Connected Health mHealth FHIR Digital Health 88

Healthcare Exchange Standards

MARCH 2, 2016

HL7 FHIR – they are focused on the FHIR, where the atom being controlled are the FHIR Resources, the metadata that can be leveraged to do that control is the Resource header and related resources such as Provenance, the metadata describing the requester is less defined but is likely an OAuth token.

FHIR 40

FHIR 40

Healthcare Exchange Standards

DECEMBER 16, 2020

I have been involved (sometimes lead) the efforts to define an Interoperable Standard for these use-cases in IHE for Document Sharing Exchanges (BPPC, APPC, XUA), and in CDA (CDA Consent), and in FHIR (FHIR Consent). The vocabulary and evidence could use simple (BPPC), or comprehensive (APPC), or FHIR Consents.

Interoperability 92

Interoperability FHIR EHR Health Information 92

Healthcare Exchange Standards

JULY 29, 2018

Example is Apple adopting FHIR. Such as the many FHIR open source projects ; Standard Interpretation of Regulation -- like HHS/ONC has done with for example the use of email with patients ; and Laws and Regulations -- we all hope for as few regulations as possible, but sometimes they are needed. Data-Tagging? This does happen.

FHIR 49

FHIR Interoperability 49

Healthcare IT News - Telehealth

NOVEMBER 27, 2019

The National Coordinator talks 21st Century Cures, information blocking, Apple, consumerism, FHIR, open APIs and new business models he sees emerging amid the "overarching theme of human choice and freedom and dignity." How FHIR 4 will drive interoperability progress in healthcare. by Mike Miliard April 03, 2019. " News.

Healthcare IT 82

Healthcare IT EHR Meaningful Use Interoperability 82

Healthcare Exchange Standards

JULY 15, 2015

Available from the FHIR specification for easy reading. See [link] The VHA has shown some success in demonstration projects with passing the data through a CDS (Clinical Decision Support) to tag sensitive clinical concepts. See FHIR Demonstration of DS4P. All the other security-tags are not likely to be set upon publication.

FHIR 40

FHIR HIE Health Information 40

Healthcare Exchange Standards

FEBRUARY 20, 2019

How data are tagged with specific kinds of sensitivity labels is the topic of my next article. Thus what was originally a normal lab result, should now be treated as a sensitive health condition. It can also happen that a sensitive result may become less sensitive, although I expect this to be rare. or "Deny all access."

FHIR 51

FHIR HIE Health Data 51

Healthcare IT News - Telehealth

JANUARY 22, 2021

Adopting FHIR standards for integrating data with a physician's daily workflow. FHIR resources or data packets define the essential resources required to convey data from the devices to FHIR servers and eventually to the receiving systems like an EHR in a standard format.

FHIR 175

FHIR EHR Telehealth EMR 175

Healthcare Exchange Standards

JANUARY 16, 2013

I am however happy to use IHE-ATNA as the marketing tag. Security Audit Log on FHIR The coolest thing to happen lately is that the HL7 FHIR project has take the same standards as above and created a RESTful resource out of them. These risks are identified in the FHIR specification. So far there has been little interest.

FHIR 40

FHIR EHR Meaningful Use 40

Healthcare Exchange Standards

FEBRUARY 20, 2019

Back 20 years ago, there seemed to be an expectation that when a clinician recorded some fact, they would also tag that fact with a sensitivity tag. Thus when an access request was made these tags could be inspected by the access control engine to determine if the data could be accessed by the individual requesting access.

FHIR 51

FHIR Health Data 51

Healthcare Exchange Standards

SEPTEMBER 21, 2022

The various clinical Resources in FHIR are very complex and highly variable. meta.security, the Access Control does not need to be aware of the kind of FHIR Resource, it can just process the data as a DomainResource and simply look at the.meta.security element. This solution also requires that the EHR database support data tags.

FHIR 40

FHIR EHR 40

Digital Health Global

OCTOBER 5, 2023

Because CharmHealth leverages Fast Healthcare Interoperability Resources (FHIR), Chart Note Assist also can pull in data from other providers, even if they don’t use CharmHealth. This shifts the physician’s job beyond that of notetaker so that he or she can focus on listening to and examining the patient rather than typing on a laptop.

FHIR 88

FHIR EHR Interoperability mHealth 88

HAY on FHIR

JANUARY 13, 2019

The approach I’m taking is to use a ‘vanilla’ FHIR server ( HAPI ) as the actual data repository, with a layer in front of it to manage any specific business functionality I need. After returning the data as a FHIR Bundle, we need to think about how to save that in the local server. So that’s enough for the moment.

FHIR 64

FHIR 64

Healthcare Exchange Standards

OCTOBER 5, 2023

But, what if a fhir-based app they use has server/architecture outside of ca? This could be the code used to tag data that is sensitive to GENDER, although this is actually a policy code. Whichever of these codes you use to tag data, would then be used in the Consent resource to indicate how those tagged data are to be protected.

HIE 48

HIE FHIR 48

Healthcare IT Today

NOVEMBER 30, 2022

I’ll be honest, it was refreshing to hear a President & Co-Founder of a healthcare IT company celebrating the dropping of the word “interoperability” from their tag line. Where that term has created buzz (and groans) for decades now, the focus has shifted toward real, meaningful exchanges of data…regardless of what you call it.

Interoperability 58

Interoperability FHIR EHR Healthcare IT 58