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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.

HIE 52
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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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HIE future bright -- FHIR API to Document Sharing

Healthcare Exchange Standards

I think the most useful value-add that an HIE can add is an API that is based on FHIR. This is true of an XDS based HIE, Regional Exchange (XCA), Vendor based EHR, nationwide Exchange, and Direct HISP. At an HIE level: Initially I would focus on enabling Apps to query for and read the data available in the HIE.

HIE 40
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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
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Agile improvements toward #FHIR

Healthcare Exchange Standards

This article is where I muse about getting to that beautiful future based on #FHIR. Break Everything One possibly that some advocate is turn off what we have today, and everyone and everything switch to using http RESTful FHIR. This pair of transports now has a third FHIR mode, so Karen's Cross is now three dimensional.

FHIR 72
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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? XDS, more broadly the whole Document Sharing family, including XDS , XCA , XDR , XDM , and MHD. Initially Document Sharing was about 'historic' documents. Thus the Document is "Shared". Let me explain.

FHIR 40