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California says goodbye to fax machines. Hello to DxF.

Redox

Is this just another HIE? The inclusion of social services organizations in the CA DxF is also unique as these entities are not recognized as healthcare providers under HIPAA and data sharing has been limited. Of note, the XCPD, XCA, and XDR profiles do not currently support FHIR natively.

HIE 59
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Weekly Roundup – September 30, 2023

Healthcare IT Today

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… Protecting Your Organization From a Hidden HIPAA Threat.

FHIR 103
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Patient Centered HIE

Healthcare Exchange Standards

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
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HIE transition to Patient-Centered from Provider-Centered

Healthcare Exchange Standards

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
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Basic Consent - a necessary first step

Healthcare Exchange Standards

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. One can't simply have a code "HIPAA" which is understood everywhere as meaning the same thing.

HIE 49
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Looking for career opportunity

Healthcare Exchange Standards

I am especially excited about the latest standard from HL7 - FHIR. The FHIR standard leverages modern platforms and interaction models. I currently hold a co-chair position in HL7 security workgroup, as well as a leadership position in HL7 FHIR Management Governance.

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Mobile Health Cloud vs Privacy Regulations

Healthcare Exchange Standards

There is some strong discussion going on at HL7 around privacy concerns, especially now that HL7 FHIR has enabled easy application writing. Although we do have HIPAA, GINA, 42-CFR Part 2, and many state augmentations. Healthcare does have some unique issues, like that the data can't be revoked or recalled.