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 67

FHIR HIE 67

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. I have written articles about each of these transitions and more. Note slide decks are now available.

HIE 40

HIE FHIR Meaningful Use Leadership 40

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 40

HIE FHIR Health Information 40

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 70

FHIR HIE Health Information 70

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. My main concern is that we are trying to apply http RESTful FHIR to the hardest problem (Treatment, Payment, and Operations) when we already have a solution there.

FHIR 116

FHIR HIE 116

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

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 45

FHIR Health Information HIE EHR 45

Healthcare Exchange Standards

NOVEMBER 24, 2017

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. There is nothing in existing HIE that is "Provider-Centered". But that is the last article. WISHIN has that priority covered through eHEX and direct HIE-to-HIE engagements.

HIE 40

HIE FHIR Health Information HIPAA 40

Healthcare IT Today

SEPTEMBER 30, 2023

Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. Read more… Making Healthcare App Development and FHIR Data Access Easy. That’s the value of platforms that connect to otherwise disparate EHRs and other FHIR data sources.

FHIR 99

FHIR Interoperability Healthcare IT HIE 99

Healthcare Exchange Standards

FEBRUARY 27, 2021

Something supported by IHE Document Sharing (XDS/XDR/XDM/XCA/MHD), something enabled and using #FHIR. Some background that is important can be found in the IHE HIE-Witepaper in the section on " Principles of IHE for Health Document Sharing ". Everything else in the Bundle is just FHIR Resources. When is a Document a Document?

FHIR 80

FHIR HIE 80

Healthcare IT Today

AUGUST 20, 2023

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Partnerships eHealth Exchange added C3HIE , a Texas-based HIE, to its network of partners under its anticipated QHIN.

Digital Health 88

Digital Health HIE eHealth Life Science 88

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. FHIR does not have an explicit analog for home community.

FHIR 72

FHIR HIE 72

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. Partnerships Darena Solutions, Leidos, and SLI Compliance unveiled a verification process for AI applications built using SMART on FHIR standards.

Leadership 90

Leadership HIE Nursing Life Science 90

Healthcare IT Today

AUGUST 27, 2022

Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. In a nutshell, real-time updates enabled by FHIR are the future. Read more… Education and Communication Can Catalyze HIE Adoption. Welcome to our Healthcare IT Today Weekly Roundup.

HIE 83

HIE Primary Care EHR Healthcare IT 83

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 95

Interoperability eHealth FHIR HIE 95

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. Cardiac remote monitoring company Implicity released a SMART on FHIR App that reports directly to Epic. Welcome to the weekly edition of Healthcare IT Today Bonus Features.

HIE 81

HIE FHIR Healthcare IT Telemedicine 81

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 64

HIE FHIR EHR Health Information 64

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 98

Health Information HIE EHR FHIR 98

Healthcare Exchange Standards

AUGUST 3, 2016

I will be writing a few articles about these efforts. 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. Table 10.2.3-1 38571.2.1.3.1

HIE 49

HIE FHIR Health Information Primary Care 49

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 40

FHIR HIE Leadership Health Information 40

Healthcare Exchange Standards

MAY 21, 2016

Out this week by Pew Research is this article that I find so amazing while at the same time there are so many instances where the public appears to be willfully giving away their Privacy. The Pew Research output says enough. Not much more I can say, except I am excited we might be turning the corner.

FHIR 40

FHIR HIE 40

Healthcare IT Today

AUGUST 13, 2023

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Accreditations NCQA expanded its Data Aggregator Validation program to include FHIR output files. Welcome to the weekly edition of Healthcare IT Today Bonus Features.

Pain management 82

Pain management HIE EHR Healthcare IT 82

Healthcare Exchange Standards

AUGUST 21, 2018

This is described in the Enabling Document Sharing through IHE Profiles white paper (HIE using IHE). A Community deploying an HIE this way needs to define some metadata constraints and practices, so that the documents are found when they are needed. Each document shared is described by metadata.

HIE 40

HIE FHIR 40

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'. So it is related to mime-type.

HIE 44

HIE FHIR Health Information 44

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 65

FHIR HIE Health Information Health Data 65

Healthcare IT Today

JUNE 17, 2023

Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. The main takeaway: Exchanging healthcare data is going to include multiple layers of policy and technology , not just TEFCA but also FHIR, HIEs, Direct Messages, APIs, and much more.

Interoperability 84

Interoperability FHIR Healthcare IT eHealth 84

Healthcare Exchange Standards

FEBRUARY 20, 2019

How data are tagged with specific kinds of sensitivity labels is the topic of my next article. It can also happen that a sensitive result may become less sensitive, although I expect this to be rare. Conclusion So, this is why the health database can't be simply treated as a "Permit all access." or "Deny all access."

FHIR 51

FHIR HIE Health Data 51

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. So today, if Consent is not already captured, and needed, then data access is blocked.

HIE 44

HIE FHIR Health Information 44

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

SEPTEMBER 23, 2016

There is some strong discussion going on at HL7 around privacy concerns, especially now that HL7 FHIR has enabled easy application writing. The discussion started with an article " Warning mHealth security fears are opening doors to app and device innovation " summarizing a study done by Ketchum.

Mobile Health 40

Mobile Health FHIR HIE mHealth 40

Healthcare Exchange Standards

NOVEMBER 12, 2021

PMIR model is about one master Patient instance ; PIXm model is about cross-references to identifiers ; This is further explained in the " HIE Whitepaper - Patient Identity Management " PMIR PMIR model is one where a community wants to cooperate on a master Patient identity for each patient, a "golden" patient. The elephant in the room is.

HIE 52

HIE FHIR 52

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 40

FHIR HIE Health Data Health Information 40

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 40

FHIR HIE Health Information 40