INDUSTRY INSIGHTS YOUR PEERS ARE READING
The healthcare technology world is ablaze, on FHIR. Specifically, in large part through a structure known as FHIR. This “FHIR” the market is speaking […]. The article Hot Damn, Healthcare Is On FHIR! MORE
Here’s a contribution from a FHIR Implementer who says: I think this spreadsheet might be a useful HL7 training resource to understand this significant change from HL7v2 to HL7 FHIR timing.repeat message structure. FHIR ImplementationIndeed, I think it’s pretty useful – so I’m posting it here so implementers can found it by search engine. HL7-Medication-Request-Dose-Timing-Frequencies-with-table-structure-20180704. MORE
47 
Last week we held our first New Zealand ‘ Clinicians on FHIR ‘ seminar at the HINZ conference in Rotorua. This uses FHIR Logical Models – so an understanding of FHIR datatypes is desirable (though not mandatory). MORE
The subset of IHE profiles that leverage HL7®FHIR® Release 4. The remainder of the IHE profiles that leverage HL7® FHIR® are expected to be upgraded to FHIR® Release 4 later in 2019. Mobile Access to Health Documents (MHD) with XDS on FHIR® - Rev. MORE
On a forum for FHIR Foundation members, I raised the subject of where FHIR is on the Gartner Hype Cycle (see Gartner write up , or Wikipedia ). FHIR Foundation member Wes Rishel ( @wrishel ), who’s a FHIR user, and also was a Gartner Analyst before he retired, graciously made this contribution that I could post here. In the last few years I created and positioned a spot for FHIR. FHIR could be at the top of the slope while V2 messages still flow. MORE
A couple of FHIR community members asked me about what specific FHIR events are happening at HIMSS 2019. Here’s the list of things I know about: Monday: 10:00 – 11:00 Clinical Informatics In the Age of FHIR: How API-Based Technologies are Transforming Healthcare. 1:45 – 2:05 Lightning Session: FHIR: Delivering Real-World Value for Implementers – Hall D, Booth 7145. 5:00 – 5:30 HL7 FHIR Update – HL7 Booth 4849. Community FHIR MORE
60 Health Level Seven International (HL7), announces the launch of the HL7 FHIR Accelerator Program. The goal is to strengthen the FHIR (Fast Healthcare Interoperability Resources) standard and enhance market adoption through a programmatic approach […]. MORE
Matthew Holt is co-chair of Health 2.0. At the Dev4Health conference in Cleveland on Monday andTuesday, he and Health 2.0 cofounder Indu Subaiya presented their assessment of the drivers of the new interoperability in healthcare. MORE
The FHIR Standard doesn’t say much about security. There are, however, many different valid approaches to making a server secure, so the FHIR standard delegates making rules about security to other specifications such as the Smart App Launch Specification. MORE
There’s a thread running on chat.fhir.org about the FHIR JSON format. In FHIR, the base types are called ‘primitive types’ – things such as ‘string’, ‘integer’, ‘boolean’ etc. In FHIR, the primitive data types all specialize “Element” which means that they are actually objects with an ‘id’ and extensions. This thread needs some background, so here goes… Background. MORE
In part one of this series, we looked at using node-RED to manage notifications using the FHIR Subscription resource for a Use Case where relatives (or other care givers) could be notified when a person is admitted to hospital. This is a FHIR search query, so in our case a value of Encounter?patient={patientId} MORE
60 In discussions with implementers, one question that has come up quite a lot recently is whether you should store FHIR resources natively in your database or not. In principle, FHIR resources (like all HL7 specifications) are designed for exchange between systems, rather than as a database storage format. One practical consequence of this is that FHIR resources are highly denormalised, so that granular exchanges are fairly stand alone. FHIR Implementation MORE
50 
FHIR defines a Questionnaire resource that specifies a set of questions for a user, along with a QuestionnaireResponse resource to capture their response. This enables interoperability between the record server and the form filler, but it is not necessary that they are separate, or even that they use FHIR to communicate between them – the form filler can process the FHIR based questionnaire content for whatever form is desired. FHIR Implementation Standards MORE
Discussions at FHIR DevDays raised this question of a basic way to leverage FHIR API capability to enable the Patient beyond the limited Apps their provider has approved. If a healthcare provider offers a FHIR API (e.g. MORE
The article Apple’s New Healthcare Records App Beta Version — Following HL7’s FHIR Standards — Launched appeared first on electronichealthreporter.com. Editorial 21Twelve Interactive Apple EHR Apple Health App FHIR FHIR Standards Manan Ghadawala MORE
I am getting excited to give two IHE on FHIR tutorials at FHIR DevDays in Boston. The FHIR DevDays event is focused on educating IT professionals in the newest standard in healthcare, FHIR – Fast Healthcare Interoperability Resources. MORE
We’ve now published 3 FHIR milestone releases, and we’re working towards the 4th. We still haven’t clearly documented how you determine what version of FHIR is in use. Balloting the FHIR infrastructure as normative has forced us to finally come to resolution on this, after much long discussion. The semantics of the mime types, the RESTful URLs, the search parameters, and the overall interaction are bound to a particular FHIR version. FHIR R1 (DSTU 1). MORE
47 It’s a common thing for implementers to want to do with FHIR: connect to a FHIR server, and make a local copy of the information provided by the server, and then check back occasionally with the server for updates – that is, new resources, or changes to existing resources. (In In fact, it might be argued that this is the thing that FHIR is for, based on actual usage). FHIR Implementation Safety MORE
They had implemented a pilot project using FHIR. Their use-case was to instrument the DoD systems with a FHIR Server API, and similarly instrument a VA Vista system with a FHIR Client. They found that adding a FHIR Server API in the front of the DoD system to be quite achievable. MORE
I will be giving a face-to-face tutorial on the topic of "IHE on FHIR" at both HL7 Workgroup meeting in Cologne, May 12-18 FHIR Dev Days in Boston, June 19-21 So, if you are in Europe, sign up for the tutorial at HL7 workgroup meeting. Here are the IHE profiles that leverage FHIR today. MORE
This year at HIMSS18, InterSystems will be launching a new fast healthcare interoperability resource (FHIR) sandbox, which acts as a virtual testing environment. MORE
HL7 owns the “FHIR” ® trademark (along with the FHIR flame icon ). What that means is that anyone can use the term “FHIR” to refer the FHIR specification – that’s called nominative use – it’s naming the thing that FHIR identifies. Note that HL7 asks that people use (R) along with the FHIR mark, at least once). All these refer to the FHIR specification that HL7 publishes. MORE
40 My recent blog post from Wes Rishel (thanks) got Steve Posnack thinking, and he’s responded with some statistics around adoption of FHIR in USA: Heat Wave: The U.S. is Poised to Catch FHIR in 2019. FHIR StandardsI don’t think that this makes any real difference to Wes’s analysis, but it’s actually pretty exciting – though we still have many problems to resolve. MORE
40 Also, are there any plans to certify HL7 FHIR terminology services? Apelon DTS – open source, and a full blown terminology service that is filling out their FHIR API. Art-Decor – provides FHIR API to the content in art-decor. VSAC – provides some FHIR terminology services for the value sets already in VSAC. Of these, I believe that the most thoroughly tested (at least on the FHIR API side) are Ontoserver and my server. FHIR Question MORE
47 What is FHIR? FHIR (Fast Healthcare Interoperability Resources) Specification is a standard for exchanging healthcare information electronically. FHIR aims to simplify implementation without sacrificing information integrity. FHIR is suitable for use in a wide variety of contexts – mobile phone apps, cloud communications, EHR-based data sharing, server communication in large institutional healthcare providers, and much more. Why is FHIR Important? MORE
Health Wizz has updated and is piloting its unusual blockchain- and FHIR-enabled EHR aggregator mobile app, which uses blockchain to tokenize data, enabling patients to securely aggregate, organize, share, donate and/or trade their medical records MORE
It’s less than 2 months to FHIR DevDays USA. FHIR DevDays USA 2018, Boston, MA, 19-21 June. When we – that is, the FHIR Community and the people from Firely – used to be Furore – started FHIR DevDays in Amsterdam back in 2014 it was the prime educational event for FHIR in the world. FHIR is a piece of technology that makes people’s job easier and actually more fun. MORE
43 This is an update of what is going on in Security and Privacy in, and around, the FHIR specification. This spans the whole of the FHIR specification such that each Resource is assessed into one of four buckets of Security Considerations: Patient specific, Other Identified Individual specific, Business sensitive, and Anonymous Readable. The main goal of the classification is to raise awareness that the FHIR specification covers use-cases other than just sensitive patient data. MORE
IHE has created a FHIR based Patient identity management system for health information exchanges. It is possible that a formal Merge will be supported, but in FHIR a Merge comes with some downsides. When FHIR is a front-end to a non-FHIR system (e.g. MORE
Health Level Seven International (HL7), the global authority for interoperability in healthcare information technology with affiliates in 35 countries, announced that it has published release 4 of the HL7 Fast Healthcare Interoperability Resources (FHIR) standard. MORE
I’m very honoured to make a guest today from Mike Morris, who I met at the HL7 FHIR Applications Round Table in Washington DC a couple of weeks ago. Mike is a cancer patient who is using FHIR improve his own treatment. With FHIR, we can now integrate multiple vendor systems (e.g., MORE
FHIR Related Topics Health Intersections
MAY 12, 2019
The FHIR Standard doesn’t say much about security. There are, however, many different valid approaches to making a server secure, so the FHIR standard delegates making rules about security to other specifications such as the Smart App Launch Specification.
Health Intersections
MAY 20, 2019
It’s a common thing for implementers to want to do with FHIR: connect to a FHIR server, and make a local copy of the information provided by the server, and then check back occasionally with the server for updates – that is, new resources, or changes to existing resources. (In In fact, it might be argued that this is the thing that FHIR is for, based on actual usage). FHIR Implementation Safety
Health Intersections
FEBRUARY 7, 2019
A couple of FHIR community members asked me about what specific FHIR events are happening at HIMSS 2019. Here’s the list of things I know about: Monday: 10:00 – 11:00 Clinical Informatics In the Age of FHIR: How API-Based Technologies are Transforming Healthcare. 1:45 – 2:05 Lightning Session: FHIR: Delivering Real-World Value for Implementers – Hall D, Booth 7145. 5:00 – 5:30 HL7 FHIR Update – HL7 Booth 4849. Community FHIR
HAY on FHIR
MAY 8, 2019
At the recent Working Group Meeting in Montreal, I participated in the ‘v2 to FHIR’ stream – focused on how can the HL7 community give advice to implementers about converting v2 messages into FHIR bundles. So it’s the ‘send to FHIR Server’ type of conversion).
Electronic Health Reporter
MARCH 8, 2019
Health Level Seven International (HL7), announces the launch of the HL7 FHIR Accelerator Program. The goal is to strengthen the FHIR (Fast Healthcare Interoperability Resources) standard and enhance market adoption through a programmatic approach […].
Electronic Health Reporter
APRIL 2, 2019
The article Apple’s New Healthcare Records App Beta Version — Following HL7’s FHIR Standards — Launched appeared first on electronichealthreporter.com. Editorial 21Twelve Interactive Apple EHR Apple Health App FHIR FHIR Standards Manan Ghadawala
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HAY on FHIR
MAY 10, 2019
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 ).
Health Intersections
JANUARY 20, 2019
I’ve posted the Roadmap for FHIR R5 over on my FHIR Product Director’s blog
Electronic Health Reporter
MARCH 29, 2019
The healthcare technology world is ablaze, on FHIR. Specifically, in large part through a structure known as FHIR. This “FHIR” the market is speaking […]. The article Hot Damn, Healthcare Is On FHIR!
Perficient
DECEMBER 11, 2018
What is FHIR? FHIR (Fast Healthcare Interoperability Resources) Specification is a standard for exchanging healthcare information electronically. FHIR aims to simplify implementation without sacrificing information integrity. FHIR is suitable for use in a wide variety of contexts – mobile phone apps, cloud communications, EHR-based data sharing, server communication in large institutional healthcare providers, and much more. Why is FHIR Important?
Health Intersections
APRIL 13, 2018
The FHIR R4 ballot is out (see announcement), and I’d like to draw attention to one part of FHIR that we’ve been working hard on during the preparation of R4: Patterns. In FHIR, we made a specific decision to be as specific as we can get away with. FHIR Patterns.
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Health Intersections
SEPTEMBER 4, 2018
On a forum for FHIR Foundation members, I raised the subject of where FHIR is on the Gartner Hype Cycle (see Gartner write up , or Wikipedia ). FHIR Foundation member Wes Rishel ( @wrishel ), who’s a FHIR user, and also was a Gartner Analyst before he retired, graciously made this contribution that I could post here. In the last few years I created and positioned a spot for FHIR. FHIR could be at the top of the slope while V2 messages still flow.
Healthcare Exchange Standards
MAY 9, 2019
This is an update of what is going on in Security and Privacy in, and around, the FHIR specification. This spans the whole of the FHIR specification such that each Resource is assessed into one of four buckets of Security Considerations: Patient specific, Other Identified Individual specific, Business sensitive, and Anonymous Readable. The main goal of the classification is to raise awareness that the FHIR specification covers use-cases other than just sensitive patient data.
Electronic Health Reporter
JANUARY 3, 2019
Health Level Seven International (HL7), the global authority for interoperability in healthcare information technology with affiliates in 35 countries, announced that it has published release 4 of the HL7 Fast Healthcare Interoperability Resources (FHIR) standard.
Mobi Health News
FEBRUARY 12, 2019
The release builds on an open-source version originally announced in November
Health Intersections
APRIL 25, 2018
Also, are there any plans to certify HL7 FHIR terminology services? Apelon DTS – open source, and a full blown terminology service that is filling out their FHIR API. Art-Decor – provides FHIR API to the content in art-decor. VSAC – provides some FHIR terminology services for the value sets already in VSAC. Of these, I believe that the most thoroughly tested (at least on the FHIR API side) are Ontoserver and my server. FHIR Question
Health Intersections
JUNE 5, 2018
There’s a thread running on chat.fhir.org about the FHIR JSON format. In FHIR, the base types are called ‘primitive types’ – things such as ‘string’, ‘integer’, ‘boolean’ etc. In FHIR, the primitive data types all specialize “Element” which means that they are actually objects with an ‘id’ and extensions. This thread needs some background, so here goes… Background.
Healthcare Exchange Standards
JUNE 9, 2018
I am getting excited to give two IHE on FHIR tutorials at FHIR DevDays in Boston. The FHIR DevDays event is focused on educating IT professionals in the newest standard in healthcare, FHIR – Fast Healthcare Interoperability Resources.
Health Intersections
NOVEMBER 16, 2018
HL7 owns the “FHIR” ® trademark (along with the FHIR flame icon ). What that means is that anyone can use the term “FHIR” to refer the FHIR specification – that’s called nominative use – it’s naming the thing that FHIR identifies. Note that HL7 asks that people use (R) along with the FHIR mark, at least once). All these refer to the FHIR specification that HL7 publishes.
Healthcare Exchange Standards
MARCH 11, 2019
The subset of IHE profiles that leverage HL7®FHIR® Release 4. The remainder of the IHE profiles that leverage HL7® FHIR® are expected to be upgraded to FHIR® Release 4 later in 2019. Mobile Access to Health Documents (MHD) with XDS on FHIR® - Rev.
Mobi Health News
JULY 19, 2018
Health Wizz has updated and is piloting its unusual blockchain- and FHIR-enabled EHR aggregator mobile app, which uses blockchain to tokenize data, enabling patients to securely aggregate, organize, share, donate and/or trade their medical records
Health Intersections
JULY 17, 2018
FHIR defines a Questionnaire resource that specifies a set of questions for a user, along with a QuestionnaireResponse resource to capture their response. This enables interoperability between the record server and the form filler, but it is not necessary that they are separate, or even that they use FHIR to communicate between them – the form filler can process the FHIR based questionnaire content for whatever form is desired. FHIR Implementation Standards
Health Intersections
APRIL 24, 2018
It’s less than 2 months to FHIR DevDays USA. FHIR DevDays USA 2018, Boston, MA, 19-21 June. When we – that is, the FHIR Community and the people from Firely – used to be Furore – started FHIR DevDays in Amsterdam back in 2014 it was the prime educational event for FHIR in the world. FHIR is a piece of technology that makes people’s job easier and actually more fun.
Health Intersections
JULY 18, 2018
Here’s a contribution from a FHIR Implementer who says: I think this spreadsheet might be a useful HL7 training resource to understand this significant change from HL7v2 to HL7 FHIR timing.repeat message structure. FHIR ImplementationIndeed, I think it’s pretty useful – so I’m posting it here so implementers can found it by search engine. HL7-Medication-Request-Dose-Timing-Frequencies-with-table-structure-20180704.
Health Intersections
OCTOBER 5, 2018
See over on the official FHIR Product Director’s Blog
Mobi Health News
MAY 4, 2018
Matthew Holt is co-chair of Health 2.0. At the Dev4Health conference in Cleveland on Monday andTuesday, he and Health 2.0 cofounder Indu Subaiya presented their assessment of the drivers of the new interoperability in healthcare.
Healthcare Exchange Standards
MAY 18, 2019
IHE has created a FHIR based Patient identity management system for health information exchanges. It is possible that a formal Merge will be supported, but in FHIR a Merge comes with some downsides. When FHIR is a front-end to a non-FHIR system (e.g.
Health Intersections
OCTOBER 1, 2018
My recent blog post from Wes Rishel (thanks) got Steve Posnack thinking, and he’s responded with some statistics around adoption of FHIR in USA: Heat Wave: The U.S. is Poised to Catch FHIR in 2019. FHIR StandardsI don’t think that this makes any real difference to Wes’s analysis, but it’s actually pretty exciting – though we still have many problems to resolve.
Health Intersections
OCTOBER 10, 2018
I’m very honoured to make a guest today from Mike Morris, who I met at the HL7 FHIR Applications Round Table in Washington DC a couple of weeks ago. Mike is a cancer patient who is using FHIR improve his own treatment. With FHIR, we can now integrate multiple vendor systems (e.g.,
HAY on FHIR
JANUARY 6, 2019
As FHIR continues to mature, one of the things we’re seeing is a move away from ‘simple’ data representation Implementation Guides to more complex ones that describe a workflow of some sort. The first is an HTTP node that accepts a GET request to the endpoint ‘/fhir/’.
HAY on FHIR
NOVEMBER 6, 2017
Last week we held our first New Zealand ‘ Clinicians on FHIR ‘ seminar at the HINZ conference in Rotorua. This uses FHIR Logical Models – so an understanding of FHIR datatypes is desirable (though not mandatory).
Healthcare Exchange Standards
JUNE 25, 2018
Discussions at FHIR DevDays raised this question of a basic way to leverage FHIR API capability to enable the Patient beyond the limited Apps their provider has approved. If a healthcare provider offers a FHIR API (e.g.
Healthcare Exchange Standards
APRIL 10, 2018
I will be giving a face-to-face tutorial on the topic of "IHE on FHIR" at both HL7 Workgroup meeting in Cologne, May 12-18 FHIR Dev Days in Boston, June 19-21 So, if you are in Europe, sign up for the tutorial at HL7 workgroup meeting. Here are the IHE profiles that leverage FHIR today.
Health Intersections
JUNE 3, 2018
We’ve now published 3 FHIR milestone releases, and we’re working towards the 4th. We still haven’t clearly documented how you determine what version of FHIR is in use. Balloting the FHIR infrastructure as normative has forced us to finally come to resolution on this, after much long discussion. The semantics of the mime types, the RESTful URLs, the search parameters, and the overall interaction are bound to a particular FHIR version. FHIR R1 (DSTU 1).
HAY on FHIR
MARCH 24, 2019
Suppose you have a csv file of data, and you want to load that into a FHIR server. There are a number of ways that you could do that – depending on the nature of the csv file and the capabilities of the FHIR server that you want to update.
HAY on FHIR
JANUARY 6, 2019
In part one of this series, we looked at using node-RED to manage notifications using the FHIR Subscription resource for a Use Case where relatives (or other care givers) could be notified when a person is admitted to hospital. This is a FHIR search query, so in our case a value of Encounter?patient={patientId}
HAY on FHIR
MARCH 14, 2019
So in a comment to the previous post on using Node-RED to create Tasks from Assessments, Michael suggested that I talk about some of the security considerations that you might have. There are a few ways you could make this more secure that I can think of.
Healthcare Exchange Standards
MARCH 19, 2018
They had implemented a pilot project using FHIR. Their use-case was to instrument the DoD systems with a FHIR Server API, and similarly instrument a VA Vista system with a FHIR Client. They found that adding a FHIR Server API in the front of the DoD system to be quite achievable.
Mobi Health News
FEBRUARY 27, 2018
This year at HIMSS18, InterSystems will be launching a new fast healthcare interoperability resource (FHIR) sandbox, which acts as a virtual testing environment.
Health Intersections
MARCH 4, 2018
In discussions with implementers, one question that has come up quite a lot recently is whether you should store FHIR resources natively in your database or not. In principle, FHIR resources (like all HL7 specifications) are designed for exchange between systems, rather than as a database storage format. One practical consequence of this is that FHIR resources are highly denormalised, so that granular exchanges are fairly stand alone. FHIR Implementation
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