The Digital Health Corner

JUNE 14, 2017

According to most recent statistics from the Office of the National Coordinator, use of EHRs has increased from 20% in 2004 to 87% in 2015. EHRs were designed as documentation centers for billing and regulatory purposes. Increasing healthcare consolidation of hospitals has exacerbated the problem of lack of interoperability.

Digital Health 87

Digital Health EHR Interoperability Health Information 87

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”. Thus it targeted use of HTTP RESTful, using JSON encoding. The Mobile Health Documents (MHD) profile was born to provide a more simple API to an XDS environment.

FHIR 40

FHIR Mobile Health mHealth Meaningful Use 40

Healthcare Exchange Standards

DECEMBER 30, 2017

It happens that the framework for explaining why the future is bright for HIE comes from the Wisconsin HIE (WISHIN) fall summit. They used the following diagram to show what they viewed as the HIE future. These historic events need to have the full context of them, which is what a Document model provides.

HIE 40

HIE FHIR Meaningful Use Leadership 40

Docnotes

JANUARY 30, 2022

I’ve cut/pasted selected sentences from the DOH document to make it easy to follow here – but (of course) the full document has more detail/explanation. Exhibit 2: SDHN Structural and Funding Diagram. Social Care Data Interoperability Exchange.

Primary Care 52

Primary Care Telehealth HIE Public Health 52