Healthcare Exchange Standards

MAY 4, 2023

The IHE IT-Infrastructure committee continues to produce new and improved specifications for HIE interoperability. It is intended to be read by HIE and Healthcare IT Executives and Architects, Standards Development Architects, and health data exchange stakeholders in academia.

FHIR 117

FHIR HIE Interoperability Health Data 117

Healthcare Exchange Standards

APRIL 5, 2024

The International Patient Summary (IPS) content, as defined in the ISO 27269 data model specification, utilizes IHE’s document sharing infrastructure including cross-community, HIE, direct exchange models, and more. If you want a purely FHIR transport for this FHIR IPS, then look to the Mobile Health Document Sharing (MHDS) Profile

FHIR 62

FHIR HIE Mobile Health Health Information 62

Healthcare IT Today

MAY 23, 2023

Buckle also shares her experience at the Interop Showcase and details of the recent CommonWell FHIR Connectathon where CommonWell members leveraged FHIR to improve interoperability. FHIR, the API for automated data sharing, is mature and being adopted. This more recent standard makes trust automatable as well.

FHIR 119

FHIR HIE Interoperability Public Health 119

Healthcare Exchange Standards

NOVEMBER 22, 2019

Today on the FHIR Consent call we had a very useful discussion of how one would use FHIR Consent to do the same thing that BPPC does in XDS. Said another way, what is the degenerate form of FHIR Consent that is equal-to the functionality of BPPC, and what is the degenerate form of FHIR Consent that is compatible with BPPC.

FHIR 67

FHIR HIE 67

Healthcare Exchange Standards

NOVEMBER 21, 2017

The Wisconsin HIE (WISHIN) held a summit last week. The following diagram clearly shows Wisconsin leadership This is such an exciting perspective of what the Wisconsin HIE delivers today, and where they are targeting for future support. It seems to me that the statistics show a really strong and healthy HIE.

HIE 49

HIE FHIR Leadership 49

Healthcare IT Today

FEBRUARY 25, 2024

A survey published in JAMIA found 73% of digital health vendors are using standards-based FHIR APIs when integrating with EHR systems. California-based HIE entity Serving Communities Health Information Organization is using NextGen Healthcare ’s Mirth interoperability solutions.

FHIR 93

FHIR Digital Health Telemedicine EHR 93

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.

FHIR 40

FHIR HIE Health Information Interoperability 40

Healthcare Exchange Standards

DECEMBER 3, 2020

This is an alternative to SMART-on-FHIR, and not intended to be conflicting. An update to the HIE-Whitepaper , bringing in the newly build FHIR based profiles. Each cover unique spaces with some overlap. Profiles like MHD, MHDS, mXDE, QEDm, PMIR, SVCM, mCSD, ATNA, and IUA. This document is available at [link].

HIE 40

HIE FHIR Health Information 40

Healthcare Exchange Standards

NOVEMBER 7, 2023

This winter quarter will be a lighter load, recognizing the holidays: Patient Scheduling, prospective look at FHIR R5/6, and evaluating impact of Gender Harmony. This specification is based on FHIR Version 4.0.1 , and references the Schedule , Slot , and Appointment resources.

FHIR 70

FHIR HIE Health Information 70

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 is an update of what is going on in Security and Privacy in, and around, the FHIR specification. GDPR driven activities: The Security WG has done an assessment of FHIR in the context of GDPR.

FHIR 40

FHIR HIE Health Information 40

Healthcare Exchange Standards

FEBRUARY 27, 2020

This profile shows how to build a Document Sharing Exchange using IHE profiled FHIR® standard, rather than the legacy IHE profiles that is dominated by XDS and HL7® v2. The HIE also contains systems, illustrated in green, that submit and consume documents. This profile will assemble profiles and define a Document Registry.

Mobile Health 105

Mobile Health HIE FHIR Health Information 105

Healthcare Exchange Standards

MARCH 3, 2021

Does that mean we don't move to nationwide http RESTful FHIR? I expect, as I have said before, that the green-fields will/should use http RESTful FHIR. My main concern is that we are trying to apply http RESTful FHIR to the hardest problem (Treatment, Payment, and Operations) when we already have a solution there.

FHIR 116

FHIR HIE 116

Healthcare Exchange Standards

NOVEMBER 25, 2017

The next item on the HIE Future is Bright list is movement from "Multiple Point-to-Point Connections" to "Single Connection to Hub". In the case of most HIE traffic today it is for the PurposeOfUse of "Treatment". Very minor mention of FHIR. This change is purely administrative, but is still significant.

HIE 40

HIE eHealth FHIR Public Health 40

Healthcare Exchange Standards

APRIL 6, 2018

I want an Access Log, that is a log of every time my data was accessed (Direct or Exchange or FHIR). There no network that I know of that provides a view of how the HIE was used to expose the Patient data. But the fact the data is NOT accessible at all is a problem How about the Patient and their Devices author directly into FHIR.

HIE 40

HIE FHIR Health Information Patient Experience 40

Healthcare Exchange Standards

FEBRUARY 25, 2016

Two independent projects this week sent to the FHIR mailing list their diagrams of how they are using FHIR as an API to classic XDS environments. The power of using FHIR as a simplifying API to classic environments. Our project will use FHIR as an abstraction layer for the application. privacy consent). Well done!

FHIR 40

FHIR HIE EHR Interoperability 40

Healthcare Exchange Standards

NOVEMBER 24, 2017

So I often get frustrated when someone says that the HIE needs to become Patient Centered. There is no other purpose of an HIE besides the Patient. There is nothing in existing HIE that is "Provider-Centered". I truly feel sorry for Providers that are going out-of-their-way to use an HIE for the benefit of their Patient.

HIE 40

HIE FHIR Health Information HIPAA 40

Healthcare Exchange Standards

MARCH 7, 2023

This is a new FHIR specification that expresses what a International Patient Summary (IPS) would look like. This is a FHIR-Document, much like a CDA Document, but using FHIR fundamentals rather than the HL7 v3 model that is the basis of CDA. Note that the Document Sharing exchanges can handle very well this new FHIR-Document.

FHIR 67

FHIR HIE Health Information 67

Healthcare Exchange Standards

DECEMBER 30, 2021

The last time I did a year-end report was at the end of 2017 - HIE Future is Bright - stepping into 2018. 1.6k) Agile improvements toward #FHIR (1.5k) Security of #FHIR implementations concerns (1k) It is good to see that the Alisa Knight cybersecurity attacks on #FHIR were not a big reason for visitors to my blog.

FHIR 75

FHIR Health Information HIE Healthcare IT 75

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.

FHIR 45

FHIR Health Information HIE EHR 45

Healthcare IT Today

SEPTEMBER 30, 2023

Read more… Making Healthcare App Development and FHIR Data Access Easy. Digital health developers shouldn’t have to learn the hundreds of flavors of FHIR implementations and APIs to share data , Patrick Schiess at Darena Solutions told John. Read more… CIO Podcast : Digital Transformation.

FHIR 108

FHIR Interoperability Healthcare IT HIE 108

Healthcare IT Today

FEBRUARY 14, 2024

healthpolicyvalentines @ONC_HealthIT — Grace Vinton (@HITeaWithGrace) February 11, 2024 Roses are red, Violets are blue, I went to the CHPL, & found a FHIR endpoint for you! Telephone lines to HIEs, to @CarequalityNet & QHINs. What does that mean for patients? Less fragmented health data.

Health Policy 80

Health Policy Meaningful Use HIE EMR 80

Healthcare IT News - Telehealth

SEPTEMBER 5, 2023

September 04, 2023 Sponsored Healthcare reforms an opportunity to boost digital maturity and benefit providers Digital reforms like SATUSEHAT in Indonesia encourage healthcare providers to adopt the FHIR.

EMR 98

EMR HIE FHIR Mental health 98

Healthcare Exchange Standards

FEBRUARY 20, 2021

HIE-Whitepaper -- the whitepaper needed to be updated to include the FHIR based models that we have published in the MHD family. This also includes the use of QEDm and mXDE to make FHIR Resource level data available from the shared documents, making consumption more easy. FHIR does not have an explicit analog for home community.

FHIR 72

FHIR HIE 72

Healthcare Exchange Standards

FEBRUARY 5, 2021

Here is the HIE-Whitepaper Those looking to deploy a Health Information Exchange will find guidance on recognized principles and mechanisms. Where an exchange is based on legacy IHE profiles of XDS or XCA, there is guidance on how to enable a more easy on-ramp and off-ramp in the MHD profile that uses FHIR for the API.

Health Information 69

Health Information FHIR Interoperability HIE 69

Healthcare Exchange Standards

MARCH 16, 2015

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®. So now, I take those FHIR based Resources and re-write the profile. This simplified API is based on the HL7 FHIR RESTful API. The basics are shown here.

FHIR 40

FHIR Mobile Health mHealth Meaningful Use 40

Healthcare IT Today

AUGUST 27, 2022

In a nutshell, real-time updates enabled by FHIR are the future. Read more… Education and Communication Can Catalyze HIE Adoption. In another dispatch from the Civitas Networks / DirectTrust event, John learned that many HIE projects suffer from a marketing problem. Medical conversation AI vendor Abridge received $12.5

HIE 91

HIE Primary Care EHR Healthcare IT 91

Healthcare IT Today

SEPTEMBER 11, 2023

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. Patients, regulators, and payers are insisting on data exchange in health care.

Interoperability 66

Interoperability HIE EMR Health Data 66

Healthcare IT Today

AUGUST 20, 2023

Partnerships eHealth Exchange added C3HIE , a Texas-based HIE, to its network of partners under its anticipated QHIN. That said, 66% trust their health plan more that the government or non-traditional entities such as Amazon or Walmart to their health insurance.

Digital Health 95

Digital Health HIE eHealth Life Science 95

Healthcare IT Today

MARCH 7, 2023

I still remember being with a New York State HIE at the time, on the HIMSS13 floor, and being asked by a reporter to speculate about what it meant. We’re building the next generation of FHIR into our services—and looking ahead to create new use cases for care settings that are still untapped. billion documents to date.

Interoperability 101

Interoperability eHealth FHIR HIE 101

Healthcare IT Today

DECEMBER 17, 2023

Partnerships Darena Solutions, Leidos, and SLI Compliance unveiled a verification process for AI applications built using SMART on FHIR standards. New York City HIE entity Healthix chose CLEAR identity verification technology for its My Health Record NY portal. Home care EMR software maker Smartcare Software rebranded as Aaniie.

Leadership 100

Leadership HIE Nursing Life Science 100

Healthcare Exchange Standards

MAY 18, 2017

I have been made aware of Utah HIE that has a checkbox on their Consent to forbid break-glass. This is a consent only for HIE, not for within a hospital environment; but it is relevant to our FHIR consent (and CDA consent) work. It is a general form that the Patient has some check boxes they can choose.

HIE 40

HIE FHIR 40

Healthcare Exchange Standards

AUGUST 26, 2017

I cover quite a bit of ground on Privacy and Security related to EHR and HIE. I cover this topic as an exercise in a local EHR, but also how this model needs to be extended across an HIE to continue to protect the sensitive healthcare information. I expect an update in a year to add chapters on FHIR.

FHIR 45

FHIR HIE EHR Interoperability 45

Healthcare IT Today

MARCH 5, 2023

Cardiac remote monitoring company Implicity released a SMART on FHIR App that reports directly to Epic. HIE framework Carequality Executive Director Alan Swenson made the Utah Business list of 40 Under 40 award winners. Personalized care company Surgo Health launched as a Public Benefit Corporation.

HIE 90

HIE FHIR Healthcare IT Telemedicine 90

Healthcare IT Today

JUNE 14, 2023

HIMSS23 #HITsm #healthit @CommonWell pic.twitter.com/yLIq8NBs9m — Healthcare IT Today (@hcittoday) April 18, 2023 FHIR APIs are wonderful, but they’re not sufficient on their own. It will include TEFCA, FHIR, HIEs, Direct Messages, APIs and much more. ✅FHIR APIs alone are not a silver bullet.

Interoperability 123

Interoperability FHIR Healthcare IT Health Data 123

Healthcare Exchange Standards

JANUARY 2, 2020

Segmentation and Security Labeling: 1 , 2 , 3 , and 4 Blockchain: 1 Provenance: 1 , 2 , and 3 HIE on FHIR: 1 , 2 , 3 , 4 , 5 , 6 , 7 , and 8 IHE: 1 , 2 , 3 , 4 , and 5 Patient Empowerment: 1 , 2 , and 3 Speaking Engagements: 1 , and 2 IHE and FHIR My engagements with standards have been the most productive part of my work life.

FHIR 40

FHIR HIE Leadership Health Information 40

Healthcare Exchange Standards

JUNE 18, 2020

HIE-Whitepaper IHE publications in html * kanban has not been started as too much is in flux * publications github where we are doing our work [link] publications * meeting minutes [link] IHE/publications/wiki * html rendering of current work for committee review (not proper external publication) [link] github.io/publications/

HIE 40

HIE FHIR 40

Healthcare Exchange Standards

AUGUST 3, 2016

Some examples where BPPC are used: Connecticut HIE: For release of Privileged Care information, a consent document SHALL be registered with HITE-CT in the form of a BPPC conformant document using the Opt-in for Legally Protected Data (ALL) policy. This article is all about IHE Document Sharing, and not about FHIR. Table 10.2.3-1

HIE 49

HIE FHIR Health Information Primary Care 49