Healthcare Exchange Standards

OCTOBER 24, 2019

Most use of FHIR today is as an API to an organizations health information (EHR). However what is being asked latey is how does one scale FHIR to a nation. I have plenty of articles on how a Nationwide Health Information Exchange (HIE) could be built with the IHE XD* family of profiles. What is missing is a similar architecture for HL7 FHIR family of technology. This might use the HEART standard for authorization, and FHIR apps.

FHIR 43

FHIR Health Information HIE EHR 43

Healthcare Exchange Standards

FEBRUARY 5, 2021

One of the most significant applications of healthcare information technology is the exchange of health information among disparate clinical information systems and otherwise unaffiliated care providers. Across the world, various communities have developed or are developing methods for exchanging health information among healthcare providers, patients, and other authorized parties.

Health Information 50

Health Information FHIR HIE Interoperability 50

Electronic Health Reporter

OCTOBER 1, 2020

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. The U.S.

HIE 91

HIE Interoperability Public Health Health Information 91

Electronic Health Reporter

NOVEMBER 7, 2019

This article is copyrighted strictly for Electronic Health Reporter. The Keystone Health Information Exchange (KeyHIE), a network of more than 350 healthcare facilities, announced that it recently launched an innovative new tool that allows physicians to share medical images and associated reports to enable better care coordination, provide important clinical context for diagnostic interpretations, and improve outcomes.

FHIR 82

FHIR Health Information Interoperability 82

Healthcare Exchange Standards

OCTOBER 28, 2020

Webinar recording is available that covers the Document Sharing Health Information Exchange (HIE) on FHIR.

HIE 52

HIE FHIR Mobile Health Health Information 52

Electronic Health Reporter

AUGUST 22, 2019

This article is copyrighted strictly for Electronic Health Reporter. Health Level Seven International (HL7), the global authority for interoperability in health information technology, and the American Academy of Family Physicians (AAFP), the only medical society devoted solely to primary care, are pleased to announce that the Gravity Project is now part of the HL7 FHIR Accelerator Program. Illegal copying is prohibited.

FHIR 76

FHIR Interoperability Primary Care Health Information 76

Electronic Health Reporter

APRIL 11, 2019

This article is copyrighted strictly for Electronic Health Reporter. Editorial 2019 Partners HealthCare Disruptive Dozen AI Armor artificial intelligence FHIR health information exchange HITRUST Josh Bosquez Preston James Strateq HealthIllegal copying is prohibited.

FHIR 95

FHIR Health Information 95

Healthcare IT Today

APRIL 7, 2020

In order to make the best possible decision during a crisis, healthcare leaders need reliable, up-to-date information delivered quickly. Delays and inaccuracies in getting that information can mean lives lost.

HIE 74

HIE FHIR Health Information Interoperability 74

Healthcare IT Today

DECEMBER 21, 2020

Note: In case you missed the other 12 Days of #HITChristmas, you can start with the first day here along with the story behind #HITChristmas or read all 12 days here as they are published.

HIE 55

HIE Public Health FHIR Health Information 55

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.

FHIR 40

FHIR HIE Health Information 40

Healthcare Exchange Standards

JANUARY 10, 2017

How does one put a FHIR Document into XDS? How does one find a FHIR Document in XDS? To learn more on Document Sharing, start here: Eating an Elephant -- How to approach IHE documentation on Health Information Exchange (HIE) So the Document Sharing family is a Content Agnostic mechanism for sharing Patient specific Documents. Both of these might still be needed for FHIR Documents. FHIR is more popularly known for the access model using http REST.

FHIR 40

FHIR HIE Health Information Interoperability 40

Mobi Health News

MARCH 9, 2020

CMS-regulated payers will begin supporting HL7 FHIR APIs next year, allowing third-party developers to include claims data and other patient health information in their apps

FHIR 242

FHIR Interoperability Health Information Health Data 242

HIStalk Interviews

MARCH 25, 2019

Grahame Grieve is a principal with Health Intersections of Melbourne, Australia and was the architect-developer of HL7’s Fast Healthcare Interoperability Resources (FHIR, pronounced “fire”) specification that allows EHRs to exchange information. Was it weird to see FHIR as the only universal topic of HIMSS19? You and I talked about bad FHIR puns and expected to see them all over the place, but we didn’t actually see anything like that.

FHIR 67

FHIR Interoperability EHR Health Information 67

E-CareManagement

NOVEMBER 8, 2020

This is the opening presentation of the AIN virtual conference: Health Data Unbound — Innovations in Health Data Sharing. Information & Communication Technologies (ICT) API data sharing FHIR health information technology healthcare data HIT interoperabililty

Health Data 52

Health Data FHIR Health Information 52

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. Where as a native FHIR Server is used, a link is more friendly to the integrity of the data persisted in FHIR Resource form. Especially if those FHIR Resources have digital signatures on them.

FHIR 43

FHIR EHR Health Information 43

Healthcare IT News - Telehealth

MARCH 20, 2019

With increasing buzz around population health and social determinants of health, those two forces are poised to change philosophies around care delivery and how a hospital or health system works to keep the surrounding community healthy. Until we think about what you could do maliciously with that information, I’m afraid we will not catch up with them,” he said. FHIR and APIs.

FHIR 120

FHIR Interoperability Health Information EHR 120

Healthcare Exchange Standards

MAY 18, 2016

Meaning we can't put sensitive information there. Thus putting healthcare information onto the blockchain is just not going to happen. I might suggest that a potential solution is as a journal of public pseudonyms linked to data access points (FHIR API) and authorization servers. The patient would initiate this, get their pseudonym, scrub their data as much as they want while still adhering to structure (FHIR profile) and integrity (hard to enforce) rules.

FHIR 53

FHIR Health Information 53

Healthcare Exchange Standards

OCTOBER 24, 2019

over that communication - Like using Health Exchange between Provider organizations (See the previous article for Mediated, Directed, and Negotiated ) Controlled Exchange can scale for both those patients that are active participants and for those that simply want the system to work without them doing anything. The Controlled Exchange is the dominant model preference by Clinicians, Payers, Population Health, and Data Analytics organizations.

FHIR 40

FHIR Health Information 40

Mobi Health News

JULY 31, 2019

CARIN, a nonprofit dedicated to consumer-directed exchange of health information, has unveiled its Blue Button HL7 FHIR API model and draft guidance implementation guides.

FHIR 148

FHIR Health Information 148

Electronic Health Reporter

MARCH 19, 2019

This content is copyrighted strictly for Electronic Health Reporter. The event will bring health care industry leaders together to share ideas and best practices around improving health information exchange and interoperability. Editorial DirectTrust Summit Scott Stuewe To FHIR and BeyondDirectTrust is pleased to announce the inaugural DirectTrust Summit to be held at the Marriott Suites Midtown in Atlanta, GA, June 10-11.

Interoperability 95

Interoperability Health Information FHIR 95

Healthcare Exchange Standards

MAY 16, 2016

This Agile methodology is a bit more than is required by the FHIR Principles, but is very much a good methodology to assure the focus on implementations and the 80% rule is adhered to. Last week I posted about the stalemate on Consent , Grahame challenged me to complete it by the end of the week. This week I put a proposal forward. I have taken the examples that have been presented to the HL7 CBCC committee, and created a Consent resource.

FHIR 40

FHIR Health Information 40

Healthcare Exchange Standards

MAY 11, 2016

The topic is Patient Privacy Consent; the discussion is if this should be modeled as a core FHIR Resource, or as a core FHIR Profile upon the Contract Resource. When we first started to model Privacy Consent Directive in FHIR, we had just finished (mostly finished) the CDA Privacy Consent Directive. Most of that we get free with the FHIR RESTful model; and simple data elements. For the past year there has been a stalemate that I have tried to control.

FHIR 40

FHIR Health Information 40

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. This happened to be the same timeframe that Grahame was fanning the FHIR flames. So we joined forces and brought the concepts needed for XDS into FHIR®. The Mobile Health Documents (MHD) is the result.

FHIR 40

FHIR HIE mHealth Mobile Health 40

GlobalMed

MARCH 10, 2020

GlobalMed recently announced that it is delivering FHIR-enabled integration to address interoperability limits between virtual care delivery solutions and other systems such as EHRs and practice management software. Introducing DIMS.

FHIR 52

FHIR Interoperability EHR Health Data 52

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. He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation. Health Care Law and Consulting.

EHR 60

EHR FHIR Interoperability HIE 60

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. He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation.

EHR 60

EHR FHIR Interoperability HIE 60

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. He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation. Health Care Law and Consulting.

EHR 60

EHR FHIR HIE Interoperability 60

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. He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation.

EHR 60

EHR FHIR HIE Interoperability 60

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. He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation.

EHR 60

EHR FHIR HIE Interoperability 60

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. He sees progress since then as being pretty good, particularly given the late start on technology in the health care delivery sector and given the sector’s high level of fragmentation. Health Care Law and Consulting.

EHR 60

EHR FHIR HIE Interoperability 60

GlobalMed

OCTOBER 5, 2020

This scenario has become the standard in today’s virtual health programs. Her story is vague, and I need more diagnostic and treatment information to proceed. Even PDFs going into your system won’t offer portable health data that can flow into the patient record.

Interoperability 52

Interoperability Telemedicine EHR FHIR 52

GlobalMed

FEBRUARY 18, 2020

This scenario has become the standard in today’s virtual health programs. Her story is vague, and I need more diagnostic and treatment information to proceed. Even PDFs going into your system won’t offer portable health data that can flow into the patient record.

Interoperability 63

Interoperability Telemedicine EHR FHIR 63

Health Blawg

SEPTEMBER 3, 2018

Leslie Krigstein comes to the health IT policy arena both as the VP of CHIME for congressional affairs and as a family member of a cancer patient. These perspectives reinforce each other as she works to improve the regulatory landscape shaping security and interoperability in her role at CHIME overseeing congressional engagement efforts focused on effective use of health IT. Some CHIME members are leveraging FHIR today, but not all are doing it as robustly as possible.

Interoperability 60

Interoperability FHIR HIPAA HIE 60

Health Blawg

SEPTEMBER 3, 2018

Leslie Krigstein comes to the health IT policy arena both as the VP of CHIME for congressional affairs and as a family member of a cancer patient. These perspectives reinforce each other as she works to improve the regulatory landscape shaping security and interoperability in her role at CHIME overseeing congressional engagement efforts focused on effective use of health IT. Some CHIME members are leveraging FHIR today, but not all are doing it as robustly as possible.

Interoperability 60

Interoperability FHIR HIPAA HIE 60

Health Blawg

SEPTEMBER 3, 2018

Leslie Krigstein comes to the health IT policy arena both as the VP of CHIME for congressional affairs and as a family member of a cancer patient. These perspectives reinforce each other as she works to improve the regulatory landscape shaping security and interoperability in her role at CHIME overseeing congressional engagement efforts focused on effective use of health IT. Some CHIME members are leveraging FHIR today, but not all are doing it as robustly as possible.

Interoperability 60

Interoperability FHIR HIPAA HIE 60

Health Blawg

SEPTEMBER 3, 2018

Leslie Krigstein comes to the health IT policy arena both as the VP of CHIME for congressional affairs and as a family member of a cancer patient. These perspectives reinforce each other as she works to improve the regulatory landscape shaping security and interoperability in her role at CHIME overseeing congressional engagement efforts focused on effective use of health IT. After that, you can listen on demand (See podcast information below.)

Interoperability 60

Interoperability FHIR HIPAA HIE 60

Health Blawg

SEPTEMBER 3, 2018

Leslie Krigstein comes to the health IT policy arena both as the VP of CHIME for congressional affairs and as a family member of a cancer patient. These perspectives reinforce each other as she works to improve the regulatory landscape shaping security and interoperability in her role at CHIME overseeing congressional engagement efforts focused on effective use of health IT. After that, you can listen on demand (See podcast information below.) Health Care Law and Consulting.

Interoperability 60

Interoperability FHIR HIPAA HIE 60

Health Blawg

SEPTEMBER 3, 2018

Leslie Krigstein comes to the health IT policy arena both as the VP of CHIME for congressional affairs and as a family member of a cancer patient. These perspectives reinforce each other as she works to improve the regulatory landscape shaping security and interoperability in her role at CHIME overseeing congressional engagement efforts focused on effective use of health IT. After that, you can listen on demand (See podcast information below.)

Interoperability 60

Interoperability FHIR HIPAA HIE 60

Medicine and Technology

JANUARY 30, 2018

Apple recently announced that its mobile Health app will link to electronic health record (EHR) systems. This will allow patients/consumers access to their personal health record (PHR). Tethered PHRs became available when patient portals were launched by hospitals, health systems, and clinics to meet the CMS Meaningful Use requirements. FHIR is finally allowing true interoperability to become a reality.

Interoperability 32

Interoperability Meaningful Use EHR Health Information 32

Redox

MAY 10, 2018

HL7 was created in 1987 to provide a framework and standards for the exchange and retrieval of electronic health information. Various health systems have adopted different versions and types of standards, and even within the same version, there is significant variation in implementation. These realities present numerous challenges for software companies and health systems trying to stay in sync with one another.

EHR 40

EHR FHIR healthcare technology Health Information 40