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IHE IT-Infrastructure Spring 2023

Healthcare Exchange Standards

The IHE IT-Infrastructure committee continues to produce new and improved specifications for HIE interoperability. 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 117
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IHE IT-Infrastructure Fall 2023

Healthcare Exchange Standards

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 Non-Patient File Sharing (NPFS) Profile defines how to share non-patient files such as clinical workflow definitions, domain policies, and stylesheets.

FHIR 70
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FHIR documents in XDS

Healthcare Exchange Standards

How does one put a FHIR Document into XDS? How does one find a FHIR Document in XDS? To learn more on Document Sharing, start here: Eating an Elephant -- How to approach IHE documentation on Health Information Exchange (HIE) So the Document Sharing family is a Content Agnostic mechanism for sharing Patient specific Documents.

FHIR 40
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FHIR Security & Privacy activities

Healthcare Exchange Standards

This is an update of what is going on in Security and Privacy in, and around, the FHIR specification. This is an update of what is going on in Security and Privacy in, and around, the FHIR specification. GDPR driven activities: The Security WG has done an assessment of FHIR in the context of GDPR.

FHIR 40
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Patient Centered HIE

Healthcare Exchange Standards

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. When I 'used' I also mean the broadest definition. I want an Access Log, that is a log of every time my data was accessed (Direct or Exchange or FHIR).

HIE 40
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IHE Document Sharing (XDS) Metadata management Handbook

Healthcare Exchange Standards

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
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DirectTrust Directory Improvement Initiative

Healthcare IT Today

Great move for HISPS to use FHIR to update the directory versus batch file updates. My favorite piece of this is the move to FHIR updates versus the current batch file updates. Definitely a superior solution, but also is going to take some development work by vendors to switch to this new approach.

FHIR 86