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FHIR data in existing Nationwide Health Information Exchange

Healthcare Exchange Standards

In the USA and elsewhere, there are Document Sharing based Health Information Exchanges. The solution is to leverage this existing solution, and just add FHIR. The PUSH model is used to convey information to a specified recipient. Just add FHIR FHIR is a content format. These metadata are well talked about.

FHIR 104
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Transitioning Federated HIE from XCA to FHIR Query

Healthcare Exchange Standards

I already have one proposal for the transition from the current Federated Health Information Exchange to supporting FHIR, that is based on a transition from CDA to FHIR-Documents. Federated FHIR Resource Servers In this article I am going to add another step to the smooth transition. I will get to those later.

FHIR 111
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VIP Patients in #FHIR

Healthcare Exchange Standards

The FHIR security tag `VIP` is used to indicate that a patient's health information is considered to be highly confidential and requires heightened security measures. To use the VIP security tag, simply add it to the security tag of any FHIR resource that contains the patient's health information.

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IHE whitepaper on Health Information Exchange models

Healthcare Exchange Standards

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. The Health Information Exchange model presented is an Infrastructure, it is not constraining the content.

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Nationwide Health Information Exchange on #FHIR

Healthcare Exchange Standards

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.

FHIR 45
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IHE IT-Infrastructure Spring 2023

Healthcare Exchange Standards

The first is the ability to exchange a list of health data locations, which enables Record Locator Services to interoperate with consumers wishing to discover the location of patient records within a health information exchange. Details on who IHE is and how to engage are available on their web site.

FHIR 117
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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. Added to this is a set of requirements and expectations around how Merging (Link and UnLink) are to be implemented. It is possible that a formal Merge will be supported, but in FHIR a Merge comes with some downsides.

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