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Transitioning Federated HIE from XCA to FHIR Query

Healthcare Exchange Standards

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. Note that just because the content being published is a "Document" does not mean that it must be consumed as a document.

FHIR 111
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Webinar on Document Sharing HIE on FHIR

Healthcare Exchange Standards

Webinar recording is available that covers the Document Sharing Health Information Exchange (HIE) on FHIR. This is available on the IHE YouTube channel The slide deck with embedded recording is in the IT-Infrastructure github repo The content for this presentation are baked into the IHE Mobile Health Documents Sharing (MHDS) profile.

HIE 52
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Set of documents that are very focused #FHIR

Healthcare Exchange Standards

I outline in the last article that a Document Sharing "document" does not need to be a "Document". I propose that there might be a set of documents that are very focused on specific concepts, or Document sections. This is a real Document, but it is made up of sections that are interesting on their own.

FHIR 78
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Security Vulnerabilities in FHIR implementations

Health Intersections

There’s a new report out that finds lots of security vulnerabilities in FHIR implementations, both client and server. Unforunately, the media write up isn’t entirely accurate: In fact, every tested FHIR app enabled API access to patient health data belonging to other individuals.

FHIR 137
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FHIR Documents (and other stuff)

HAY on FHIR

I had an email from a company which had a number of really good questions about exposing data through FHIR, so I thought I’d write a post about it rather than just replying directly as it may be of interest to others (and also gives others the opportunity to disagree with me ). One resource that is not in the diagram above is the Encounter.

FHIR 84
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Mobile Health Document Sharing (MHDS) Profile

Healthcare Exchange Standards

This profile shows how to build a Document Sharing Exchange using IHE profiled FHIR® standard, rather than the legacy IHE profiles that is dominated by XDS and HL7® v2. This profile will assemble profiles and define a Document Registry. The actor that is specific to this profile is a Document Registry. 3 - Section 4.0

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FHIR data in existing Nationwide Health Information Exchange

Healthcare Exchange Standards

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. My point in this article is that this does not need to be a restriction on those that do want to move on to FHIR. Just add FHIR FHIR is a content format.

FHIR 104