Security Appliances and FHIR Servers

Health Intersections

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.

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Hard #FHIR Safety Problem: Synchronization

Health Intersections

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

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#FHIR Events at HIMSS

Health Intersections

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

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Converting v2 to FHIR

HAY on FHIR

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).

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HL7 Launches FHIR Accelerator Program

Electronic Health Reporter

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 […].

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Apple’s New Healthcare Records App Beta Version — Following HL7’s FHIR Standards — Launched

Electronic Health Reporter

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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FHIR Documents (and other stuff)

HAY on FHIR

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 ).

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#FHIR R5 Roadmap

Health Intersections

I’ve posted the Roadmap for FHIR R5 over on my FHIR Product Director’s blog

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Hot Damn, Healthcare Is On FHIR!

Electronic Health Reporter

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!

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Fast Healthcare Interoperability Resources (FHIR) Explained

Perficient

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?

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Understanding #FHIR Patterns

Health Intersections

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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#FHIR and the Gartner Hype Cycle

Health Intersections

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.

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FHIR Security & Privacy activities

Healthcare Exchange Standards

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.

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Health Level Seven International Publishes FHIR Release 4

Electronic Health Reporter

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.

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Microsoft launches Azure API for FHIR to promote cloud, interoperability

Mobi Health News

The release builds on an open-source version originally announced in November

Question: #FHIR Terminology services

Health Intersections

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

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#FHIR JSON format questions

Health Intersections

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.

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Presenting IHE on FHIR at FHIR-DevDays

Healthcare Exchange Standards

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.

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Clarifications about the FHIR Trademark

Health Intersections

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.

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IHE produces Profiles using FHIR R4 for core functionality

Healthcare Exchange Standards

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.

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Health Wizz pilots blockchain and FHIR mobile app for EHRs

Mobi Health News

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

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Active Questionnaires in #FHIR

Health Intersections

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

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#FHIR DevDays comes to Boston

Health Intersections

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.

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#FHIR Medication.Request message data structure analysis

Health Intersections

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.

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#FHIR Baltimore Report

Health Intersections

See over on the official FHIR Product Director’s Blog

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How FHIR is driving the new interoperability

Mobi Health News

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.

Record Location on FHIR - aka Patient Identity Correlation

Healthcare Exchange Standards

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.

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#FHIR on the Hype curve: Follow up

Health Intersections

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.

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#FHIR and Cancer Patient Empowerment – Mike’s story

Health Intersections

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.,

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FHIR Prototyping with Node-RED – part 1

HAY on FHIR

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/’.

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Clinicians on FHIR

HAY on FHIR

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).

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FHIR patient extensible data portability

Healthcare Exchange Standards

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.

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IHE on FHIR tutorial

Healthcare Exchange Standards

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.

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Determining the #FHIR version

Health Intersections

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).

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Importing CSV data into a FHIR server

HAY on FHIR

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.

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FHIR Prototyping with Node-RED – part 2

HAY on FHIR

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}

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Securing a FHIR endpoint in Node-RED

HAY on FHIR

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.

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FHIR really was positively different

Healthcare Exchange Standards

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.

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InterSystems to debut FHIR interoperability sandbox at HIMSS18

Mobi Health News

This year at HIMSS18, InterSystems will be launching a new fast healthcare interoperability resource (FHIR) sandbox, which acts as a virtual testing environment.

Should you use #FHIR resources as your storage format?

Health Intersections

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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