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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. Cross-Community Patient Discovery (XCPD) Health Data Locator and Revoke Option - Rev. This Provenance definition is now in mXDE along with examples and requirements CapabilityStatement.

FHIR 118
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Innovar Healthcare Knows How to Make Last Mile Interoperability a Reality

Healthcare IT Today

Patients, regulators, and payers are insisting on data exchange in health care. But despite the availability of FHIR and of APIs from many vendors, interoperability is often described as “difficult and “not frictionless” according to Loyd Bittle, CEO and Founder at Innovar Healthcare.

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Basic Consent - a necessary first step

Healthcare Exchange Standards

There are many standards efforts to develop support for Patient directed Authorization to their health data. All policies are global within the HIE such that an Opt-Out or Opt-In captured at one location covers all HIE member organizations. I will be writing a few articles about these efforts. Table 10.2.3-1 38571.2.1.3.1

HIE 49
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What is DS4P?

Healthcare Exchange Standards

Some episodes of care indicate sensitive topics even when there is no data recorded: Patient received psychotherapy treatment, patient was treated for substance abuse. Some data are only sensitive in specific context. Best example is that Sickle Cell diagnosis has historically been used to exclude people from serving in the military.

FHIR 52
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Basic DS4P - How to set the confidentialityCode

Healthcare Exchange Standards

Which does not help for Data Segmentation nor Privacy. 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.

FHIR 65
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Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.

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Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare

Health Blawg

Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.