Article, FHIR, Health Information and HIE

Transitioning Federated HIE from XCA to FHIR Query

Healthcare Exchange Standards

MARCH 23, 2023

I already have one proposal for the transition from the current Federated Health Information Exchange to supporting FHIR, that is based on a transition from CDA to FHIR-Documents. Federated FHIR Resource Servers In this article I am going to add another step to the smooth transition.

FHIR

FHIR HIE Health Information

FHIR data in existing Nationwide Health Information Exchange

Healthcare Exchange Standards

AUGUST 10, 2021

In the USA and elsewhere, there are Document Sharing based Health Information Exchanges. The solution is to leverage this existing solution, and just add FHIR. The PUSH model is used to convey information to a specified recipient. Just add FHIR FHIR is a content format.

FHIR

FHIR Health Information HIE Interoperability

HHS STAR HIE Program Funds 5 Organizations To Improve Interoperability

Electronic Health Reporter

OCTOBER 1, 2020

This article is copyrighted strictly for Electronic Health Reporter. Department of Health and Human Services (HHS) announces that five cooperative agreements to health information exchange organizations (HIEs) to help support state and local public health agencies in their efforts to respond to […].

HIE

HIE Interoperability Health Information Public Health

Nationwide Health Information Exchange on #FHIR

Healthcare Exchange Standards

OCTOBER 24, 2019

Most use of FHIR today is as an API to an organizations health information (EHR). However what is being asked latey is how does one scale FHIR to a nation. I spoke of this scale problem in past articles. What is missing is a similar architecture for HL7 FHIR family of technology.

FHIR

FHIR Health Information HIE EHR

Bonus Features – February 25, 2024 – 73% of digital health vendors use FHIR APIs, 83% of clinicians think telemedicine is good for chronic condition management, plus 28 more stories

Healthcare IT Today

FEBRUARY 25, 2024

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. A survey published in JAMIA found 73% of digital health vendors are using standards-based FHIR APIs when integrating with EHR systems.

FHIR

FHIR Digital Health Telemedicine EHR

IHE releases IUA, HIE-Whitepaper, and html published Technical Framework

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. I will be writing more articles pointing out specific things of each of these publications. Each cover unique spaces with some overlap. see [link].

HIE

HIE FHIR Health Information

IHE IT-Infrastructure Fall 2023

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. This article is published before these are formally published, so I include a (will be at) link that likely won't be proper until later in November.

FHIR

FHIR HIE Health Information

Glad 2021 is now passed

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

FHIR Health Information HIE Healthcare IT

Bonus Features – December 17, 2023 – 97% of hospitals now capable of enabling electronic access to patient records, 70% of hospitals face hidden business continuity challenge, plus 31 more stories

Healthcare IT Today

DECEMBER 17, 2023

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. News In a blog post, ONC highlighted trends in patient access to electronic health information. Welcome to the weekly edition of Healthcare IT Today Bonus Features.

Leadership

Leadership HIE Nursing Life Science

HIE transition to Patient-Centered from Provider-Centered

Healthcare Exchange Standards

NOVEMBER 24, 2017

The whole concept of Health Information Exchanges , that I have been involved with, is there to improve Health outcomes for the Patient. So I often get frustrated when someone says that the HIE needs to become Patient Centered. There is no other purpose of an HIE besides the Patient. But that is the last article.

HIE

HIE FHIR Health Information HIPAA

CommonWell Marks its 10th Anniversary as TEFCA Gets Underway

Healthcare IT Today

MARCH 7, 2023

The following is a guest article by Paul L Wilder, Executive Director, CommonWell Health Alliance. 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. I was excited then and now I am the proud Executive Director of CommonWell.

Interoperability

Interoperability eHealth FHIR HIE

Bonus Features – March 5, 2023 – Two-thirds of patients connect with regular docs when they need medical care when traveling, half of clinical workflow automation users plan to expand their use, and more

Healthcare IT Today

MARCH 5, 2023

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. The Puerto Rico Health Information Exchange committed to joining Health Gorilla’s anticipated QHIN. Analytics company Reveleer updated its risk adjustment product.

HIE

HIE FHIR Healthcare IT Telemedicine

Granularity of FormatCode

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

HIE FHIR Health Information

2019 wrap

Healthcare Exchange Standards

JANUARY 2, 2020

Blog On my blog , I only posted 28 articles, which is average more than two a month. The IHE profiles from ITI are all now aligned on FHIR R4, and all have FHIR conformance resources published. It is working on fixing problems that gives a Systems Designer something to look forward to in the morning.

FHIR

FHIR HIE Leadership Health Information

Basic Consent - a necessary first step

Healthcare Exchange Standards

AUGUST 3, 2016

There are many standards efforts to develop support for Patient directed Authorization to their health data. I will be writing a few articles about these efforts. All policies are global within the HIE such that an Opt-Out or Opt-In captured at one location covers all HIE member organizations. Table 10.2.3-1 38571.2.1.3.1

HIE

HIE FHIR Health Information Primary Care

Basic DS4P - How to set the confidentialityCode

Healthcare Exchange Standards

FEBRUARY 20, 2019

However, there are stepping stones: The following is a slightly update on an article I wrote in July 2015 on how to set the confidentialityCode. Available from the FHIR specification for easy reading. See FHIR Demonstration of DS4P (sorry the video is lost). for "_confidentiality".

FHIR

FHIR HIE Health Information Health Data

Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

AUGUST 20, 2018

Micky is the president and CEO of the Massachusetts eHealth Collaborative , a non-profit health IT advisory and clinical data analytics company ( @MAeHC_org ), and is a nationally recognized leader in health information technology. Health Care Law and Consulting. Your comments are welcome here. David Harlow.

Interoperability

Interoperability EHR FHIR eHealth

Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

AUGUST 20, 2018

Micky is the president and CEO of the Massachusetts eHealth Collaborative , a non-profit health IT advisory and clinical data analytics company ( @MAeHC_org ), and is a nationally recognized leader in health information technology. Organizations that have a trust relationship can exchange data on a bulk basis (e.g.

Interoperability

Interoperability EHR FHIR eHealth

Enabling Point-Of-Care Consent

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. This is a developing system, so it is not fully defined.

HIE

HIE FHIR Health Information

Apple should have a HEART

Healthcare Exchange Standards

FEBRUARY 4, 2018

These Argonaut defined APIs would qualify as a 'standard', they are based on #FHIR at an older version - DSTU2. The bad news is that this is DSTU2, and that brings a risk that these APIs will be frozen at a non-Normative version of FHIR. I hope that they evolve as FHIR evolves to Normative. I hope this doesn't actually happen.

FHIR

FHIR HIE Health Data Health Information

How to set the ConfidentialityCode

Healthcare Exchange Standards

JULY 15, 2015

Some background articles: Healthcare Privacy and Security Classification System (HCS) Data Classification - a key vector enabling rich Security and Privacy controls and other articles on my topics page Recommendation for setting confidentiatlityCode So. Available from the FHIR specification for easy reading.

FHIR

FHIR HIE Health Information

Aspects of Social Determinants of Health: Defining and Sharing

Healthcare IT Today

OCTOBER 17, 2023

The previous article in this series gave some history of social determinants of health (SDoH) and the importance of addressing them in medicine. This article delves deeper into various aspects of data handling, and who is working in these fields.

Health Information

Health Information HIE EHR FHIR

Custodian access control decision differences between Clinical and Individual

Healthcare Exchange Standards

MARCH 16, 2020

That is that the HIE is designed for ONE purpose. For example a Health Information Exchange (HIE) that is designed for supporting Treatment. It is being considered to be added to SMART-on-FHIR , but is not fundamental there. Today a custodian trusting SMART-on-FHIR must presume Purpose from the indirect means.

HIE

HIE FHIR EHR Health Information

Connected Health Pulse

Transitioning Federated HIE from XCA to FHIR Query

FHIR data in existing Nationwide Health Information Exchange

Trending Sources

HHS STAR HIE Program Funds 5 Organizations To Improve Interoperability

Nationwide Health Information Exchange on #FHIR

Bonus Features – February 25, 2024 – 73% of digital health vendors use FHIR APIs, 83% of clinicians think telemedicine is good for chronic condition management, plus 28 more stories

IHE releases IUA, HIE-Whitepaper, and html published Technical Framework

IHE IT-Infrastructure Fall 2023

Glad 2021 is now passed

Bonus Features – December 17, 2023 – 97% of hospitals now capable of enabling electronic access to patient records, 70% of hospitals face hidden business continuity challenge, plus 31 more stories

HIE transition to Patient-Centered from Provider-Centered

CommonWell Marks its 10th Anniversary as TEFCA Gets Underway

Bonus Features – March 5, 2023 – Two-thirds of patients connect with regular docs when they need medical care when traveling, half of clinical workflow automation users plan to expand their use, and more

Granularity of FormatCode

2019 wrap

Basic Consent - a necessary first step

Basic DS4P - How to set the confidentialityCode

Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Enabling Point-Of-Care Consent

Apple should have a HEART

How to set the ConfidentialityCode

Aspects of Social Determinants of Health: Defining and Sharing

Custodian access control decision differences between Clinical and Individual

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