Webinar on Document Sharing HIE on FHIR
Healthcare Exchange Standards
OCTOBER 28, 2020
Webinar recording is available that covers the Document Sharing Health Information Exchange (HIE) on FHIR.
Mobile Health Document Sharing (MHDS) Profile
Healthcare Exchange Standards
FEBRUARY 27, 2020
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
Mobile Health 
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Featured Health IT Job: Senior Solutions Architect – HIE
Healthcare IT Today
AUGUST 10, 2022
Today, we’re featuring the Senior Solutions Architect – HIE position that was recently posted on Healthcare IT Central. You’ll collaborate closely with others on the various technologies of our health information exchange platform to implement software solutions.
HIE 84
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Transitioning Federated HIE from XCA to FHIR Query
Healthcare Exchange Standards
MARCH 23, 2023
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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How Health Data Sharing Impacts How Clinicians Care for Patients
Healthcare IT Today
APRIL 22, 2024
Guillermo Diaz, Chief Medical Information Officer at Los Angeles Department of Health Services – Ambulatory Care Network , and Ali Modaressi, CEO at Los Angeles Network for Enhanced Services (LANES) When Alex was brought into L.A. He has been practicing in this field for over 15 years.
Health Data 92
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IHE whitepaper on Health Information Exchange models
Healthcare Exchange Standards
FEBRUARY 5, 2021
The Integrating the Healthcare Enterprise (IHE) standards profiling organization has developed a collection of profiles which can be leveraged for use by healthcare communities for the purposes of document sharing. The clinicians will find that this paper recognizes their interests in being properly recognized as authors of documentation.
FHIR data in existing Nationwide Health Information Exchange
Healthcare Exchange Standards
AUGUST 10, 2021
In the USA and elsewhere, there are Document Sharing based Health Information Exchanges. Ready for anything The IHE-XCA implementation guide is designed to be content agnostic, focusing on a set of metadata that describes the document. See the HIE-Whitepaper - section 2.7 These metadata are well talked about.
FHIR 104
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Sharing IPS (sIPS)
Healthcare Exchange Standards
APRIL 5, 2024
Formal Publication -- [link] The Sharing of IPS (sIPS) IHE Profile provides for methods of exchanging the HL7 International Patient Summary (IPS) , using IHE Document Sharing Health Information Exchange but does not modify the HL7 IPS specification, nor is there any need to change IHE Document Sharing Health Information Exchange.
FHIR 62
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IHE IT-Infrastructure Spring 2023
Healthcare Exchange Standards
MAY 4, 2023
The IHE IT-Infrastructure committee continues to produce new and improved specifications for HIE interoperability. The first is the ability to exchange a list of health data locations, which enables Record Locator Services to interoperate with consumers wishing to discover the location of patient records within a health information exchange.
FHIR 117
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IHE releases IUA, HIE-Whitepaper, and html published Technical Framework
Healthcare Exchange Standards
DECEMBER 3, 2020
An update to the HIE-Whitepaper , bringing in the newly build FHIR based profiles. IHE IT Infrastructure Technical Framework Documents Published. This document is available at [link]. This document is available at [link]. This is an alternative to SMART-on-FHIR, and not intended to be conflicting. View it in your browser.
HIE 40
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FHIR documents in XDS
Healthcare Exchange Standards
JANUARY 10, 2017
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". FHIR has a Document model.
FHIR 40
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Too Many QHINs Could Hinder Progress Toward Nationwide Health IT Interoperability
Healthcare IT Today
DECEMBER 15, 2022
This fall, The Sequoia Project began accepting applications for potential qualified health information networks (QHINs), the entities tasked with operationalizing the Trusted Exchange Framework and Common Agreement (TEFCA) established by the 21st Century Cures Act. Reducing the Inevitable Impacts of Interpretation and Assumptions.
Disaster use of HIE is a PurposeOfUse
Healthcare Exchange Standards
APRIL 8, 2020
It is an exemplar of functionality that can quickly enable healthcare treatment use-cases that are within the purpose of a Health Information Exchange, yet are also dynamically deployed as necessary. The video gives a good background that is important. I will let the video describe it.
HIE 65
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IHE IT-Infrastructure Fall 2023
Healthcare Exchange Standards
NOVEMBER 7, 2023
The Sharing of IPS (sIPS) IHE Profile provides for methods of exchanging the HL7 International Patient Summary (IPS) , using IHE Document Sharing Health Information Exchange but does not modify the HL7 IPS specification.
FHIR 70
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Glad 2021 is now passed
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. Set of documents that are very focused #FHIR When is a document not a Document but still a document?
FHIR 75
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Where do I get 'the' IPS?
Healthcare Exchange Standards
MARCH 7, 2023
This is a FHIR-Document, much like a CDA Document, but using FHIR fundamentals rather than the HL7 v3 model that is the basis of CDA. The IPS is further designed to support modern informatics and health use-cases, so it is really closer to the C-CDA A question was asked of the panel. Where do I get the IPS for a patient?"
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ECRI, EHR Association put forth safety practices for behavioral health IT
Healthcare IT News - Telehealth
FEBRUARY 15, 2021
The two groups outline some recommendations to help support and improve such IT integrations in their recent white paper, Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. Ensure integration and easy accessibility of validated and clinically accepted behavioral health screening tools in the EHR.
EHR 149
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Rochester Regional Health is Achieving Interoperability One Practical Byte at a Time
Healthcare IT Today
AUGUST 10, 2023
“We needed to bring in external lab data from the many health information exchanges in New York state to augment our charts. Our clinicians needed that information so it was our job to get it to them.” When the work was done, the lab data seamlessly appeared within Epic. I wouldn’t turn it all on,” stated Jacob. “We
Featured Health IT Job: Data Scientist
Healthcare IT Today
NOVEMBER 3, 2022
Here’s a description of the position: New York eHealth Collaborative (NYeC) is a not-for-profit organization working in partnership with the New York State Department of Health to improve healthcare by collaboratively leading, connecting, and integrating health information exchange across the State.
Health IT 66
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CommonWell Marks its 10th Anniversary as TEFCA Gets Underway
Healthcare IT Today
MARCH 7, 2023
Just a few weeks ago, CommonWell was announced as one of six applicants—along with eHealth Exchange, Epic TEFCA Interoperability Systems, Health Gorilla, Kno2 and Konza— accepted to continue in the onboarding process to become a Qualified Health Information Network (QHIN) under TEFCA. billion documents to date.
Granularity of FormatCode
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'. is one FormatCode.
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Reveleer Announces Acquisition of MDPortals to Enhance its Comprehensive Risk Adjustment Technology with Real-Time Access to Clinical and Claims Data
Healthcare IT Today
JUNE 1, 2023
Providing functionality designed by physicians with actionable data embedded in the EHR workflow: Providers embrace behavior changes with an efficient, streamlined clinician experience that makes it easy to validate and document diagnoses. “I
HIE 66
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Basic Consent - a necessary first step
Healthcare Exchange Standards
AUGUST 3, 2016
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. All Opt-in documents SHALL include an expiration date. Table 10.2.3-1
HIE 49
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In Wisconsin we have Interoperability
Healthcare Exchange Standards
MAY 27, 2015
There is much talk on the blogs about the USA government trepidation around Health Information Exchange interoperability. See below an interesting monthly report I get from the Wisconsin HIE. It shows the health of this system. A very healthy and Quality producing HIE: 2.6 Fully federated. per patient per year.
Bonus Features – March 5, 2023 – Two-thirds of patients connect with regular docs when they need medical care when traveling, half of clinical workflow automation users plan to expand their use, and more
Healthcare IT Today
MARCH 5, 2023
Becker’s Healthcare and OmniLife Health reported that 30% of health systems and transplant centers use clinical workflow automation , and 48% of those organizations plan to expand its use. The Puerto Rico Health Information Exchange committed to joining Health Gorilla’s anticipated QHIN.
HIE 78
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BPPC is not just for XDS/XCA
Healthcare Exchange Standards
FEBRUARY 29, 2016
There is a general misunderstanding that the BPPC (profile of CDA for capturing patient privacy consent) profile is only useful for XDS (document based Health Information Exchange) and XCA (Federation of document based Health Information Exchanges of various types) environments.
HIE 40
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Beyond Basic Privacy – The IHE APPC Profile
Healthcare Exchange Standards
JULY 5, 2017
Some of the drivers of this growth are the increased utilization of EMR systems, scanning of paper records, and improved access to health information exchanges. Privacy preferences are commonly documented in a patient privacy consent document. APPC’s focus is to enable automatic enforcement of consent documents.
HIE 49
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Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare
Health Blawg
AUGUST 20, 2018
Micky is the president and CEO of the Massachusetts eHealth Collaborative , a non-profit health IT advisory and clinical data analytics company ( @MAeHC_org ), and is a nationally recognized leader in health information technology. Health Care Law and Consulting. Join the conversation on Twitter at #HarlowOnHC.
Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare
Health Blawg
AUGUST 20, 2018
Micky is the president and CEO of the Massachusetts eHealth Collaborative , a non-profit health IT advisory and clinical data analytics company ( @MAeHC_org ), and is a nationally recognized leader in health information technology. Join the conversation on Twitter at #HarlowOnHC. Join the conversation on Twitter at #HarlowOnHC.
Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare
Health Blawg
AUGUST 20, 2018
Micky is the president and CEO of the Massachusetts eHealth Collaborative , a non-profit health IT advisory and clinical data analytics company ( @MAeHC_org ), and is a nationally recognized leader in health information technology. Join the conversation on Twitter at #HarlowOnHC. Join the conversation on Twitter at #HarlowOnHC.
Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare
Health Blawg
AUGUST 20, 2018
Micky is the president and CEO of the Massachusetts eHealth Collaborative , a non-profit health IT advisory and clinical data analytics company ( @MAeHC_org ), and is a nationally recognized leader in health information technology. Health Care Law and Consulting. Join the conversation on Twitter at #HarlowOnHC.
IHE FormatCodes are mandatory
Healthcare Exchange Standards
OCTOBER 16, 2015
The expectation that the IHE ITI Technical Committee had on formatCodes was that the Affinity Domain would not want random and unspecified documents registered. As documents that can't be understood by Document Consumers are not helpful to the Affinity Domain. Even the IHE defined Document Content profiles are not pre-approved.
HIE 40
40 
Basic DS4P - How to set the confidentialityCode
Healthcare Exchange Standards
FEBRUARY 20, 2019
The recommendation I give here is restricted to the gross level: for Document Sharing at the XDS/XCA/DocumentReference metadata level; for FHIR REST at the returned Bundle.meta.security level, but not on each Resource in the Bundle; and for CDA at the CDA header, but not on each element. Which does not help for Data Segmentation nor Privacy.
FHIR 65
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Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare
Health Blawg
AUGUST 20, 2018
Micky is the president and CEO of the Massachusetts eHealth Collaborative , a non-profit health IT advisory and clinical data analytics company ( @MAeHC_org ), and is a nationally recognized leader in health information technology.
Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare
Health Blawg
AUGUST 20, 2018
Micky is the president and CEO of the Massachusetts eHealth Collaborative , a non-profit health IT advisory and clinical data analytics company ( @MAeHC_org ), and is a nationally recognized leader in health information technology.
What is MHD beyond XDS-on-FHIR?
Healthcare Exchange Standards
MARCH 16, 2015
So back in 2011 I wrote the first profile in IHE that was targeting ‘ease of use by lightweight application platforms such as Mobile Health Applications”. The Mobile Health Documents (MHD) profile was born to provide a more simple API to an XDS environment. The Mobile Health Documents (MHD) is the result.
FHIR 40
40 Enabling Point-Of-Care Consent
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. It also easy to Query for consent documents.
HIE 44
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Basics of doing Document Sharing Query right
Healthcare Exchange Standards
APRIL 4, 2018
Mostly they keep trying because the most basic query is just asking for all documents available for a given Patient. These are useful, just not very primary for a general purpose Document Consumer. Where these classifications are useful to a Document Consumer. Thus one can ask for documents covering treatment prior to 1998.
HIE 45
45 The The Five Biggest Areas of Opportunity for Digital Health
The Digital Health Corner
JUNE 14, 2017
EHRs were designed as documentation centers for billing and regulatory purposes. There are hospitals within the same healthcare system in many places with disparate EHRs which do not talk to each other or exchange information. Health Information Exchanges (HIEs) have been woefully underfunded and have fallen short of their vision.
Why we’re launching a Consumer Directed Exchange (CDEx) project
Docnotes
JULY 30, 2018
As health care has evolved from paper, there is now an extraordinary quantity of our health information that is stored digitally in hospitals, medical offices, and (yes – see above) Apple, Google, etc. We usually give permission for care providers to exchange our information. A short overview is here.
HIE Future is bright - Automated not Manual
Healthcare Exchange Standards
NOVEMBER 22, 2017
I think it is important to celebrate what we have today in Health Information Exchanges. However there is a bright future for the Health Information Exchange too. Manual HIE Today we have Health Information Exchanges that enable Providers to send Directed Secure E-Mail messages to other Providers.
HIE 40
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How to set the ConfidentialityCode
Healthcare Exchange Standards
JULY 15, 2015
I have been discussing the confidentialityCode, especially within the context of IHE-XD* ( Document Sharing ). I would continue to recommend that anyone or any-system publishing a CDA document should use "N", unless they have evidence to say that is the wrong value. Clearly de-identification is a specific workflow.
FHIR 40
40 
HHS, DOD and vendors partner for critical care via telehealth
Healthcare IT News - Telehealth
JANUARY 18, 2022
As part of the NETCCN project, Avel eCARE worked collaboratively to develop a cloud-based, low-resource, standalone health information management system to create and coordinate flexible and extendable "virtual critical care wards." Capability for basic documentation in real time as well as data collection and reporting.
eCare 165
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California says goodbye to fax machines. Hello to DxF.
Redox
NOVEMBER 21, 2023
Consequences for non-participation are currently unclear, although providers may be cited for non-compliance with federal information blocking regulations which, according to the recent HHS proposed rule could be up to $1 million per violation. Is this just another HIE? Required data format requirements are also notable.
HIE 59
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