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Weekly Roundup – September 30, 2023

Healthcare IT Today

Read more… Making Healthcare App Development and FHIR Data Access Easy. Digital health developers shouldn’t have to learn the hundreds of flavors of FHIR implementations and APIs to share data , Patrick Schiess at Darena Solutions told John. Data activation vendor IOMED raised €10 million in Series A funding.

FHIR 101
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Patient Centered HIE

Healthcare Exchange Standards

Patients controlling use of their data Provide the ability of the Patient to set rules for how their data can be used. This is otherwise called Consent, but many people have a very constrained definition of Consent, so I am happy to indicate it is rules for how the data can be used. Controlling the data use is fundamental.

HIE 40
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HIE transition to Patient-Centered from Provider-Centered

Healthcare Exchange Standards

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. In Wisconsin we do have Consent, specifically there is a state wide system for a Patient to choose to NOT allow their data to be shared over the exchange. But it is more than some.

HIE 40
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Basic Consent - a necessary first step

Healthcare Exchange Standards

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

HIE 49
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Mobile Health Cloud vs Privacy Regulations

Healthcare Exchange Standards

There is some strong discussion going on at HL7 around privacy concerns, especially now that HL7 FHIR has enabled easy application writing. Healthcare does have some unique issues, like that the data can't be revoked or recalled. Although we do have HIPAA, GINA, 42-CFR Part 2, and many state augmentations.

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Looking for career opportunity

Healthcare Exchange Standards

I am especially excited about the latest standard from HL7 - FHIR. The FHIR standard leverages modern platforms and interaction models. It models the healthcare data-model using XML or JSON; and interaction-model using http REST. I love the security architects, they do a hugely important service for Privacy. now 7 years old.

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Leslie Krigstein of CHIME on Health IT Challenges and Opportunities – Harlow on Healthcare

Health Blawg

Leslie sees development of open APIs, of FHIR, to be positive, but not yet the dominant reality, in terms of widespread adoption and use. Some CHIME members are leveraging FHIR today, but not all are doing it as robustly as possible. She notes that “The CIO’s battle cry is ‘Standards!’” The Harlow Group LLC.