Healthcare Exchange Standards

SEPTEMBER 8, 2017

I have been working with some of the teams wanting to do something with Privacy Consent and are coming to the FHIR Connectathon in San Diego. For example: Role Based Access Control (RBAC), or Attribute Based Access Control (ABAC). An example of this is -- SMART-on-FHIR. Another example has been shown as "Cascading OAuth".

FHIR 40

FHIR 40

HAY on FHIR

MARCH 14, 2019

If we need to we can extract other data from the token – we might want to check the scope of access for example, to determine if this user is allowed to perform the functionality we are providing. There’s a lot more information on SMART – including a number of posts on this blog. So that’s how we can make our app more secure.

FHIR 59

FHIR 59

Healthcare Exchange Standards

JANUARY 18, 2015

I have been asked quite often to explain how to secure FHIR. The basics of Security for FHIR are written up on the FHIR Specification. Don’t worry about security The first answer is the one I give to those in HL7 that are working on developing FHIR, or just getting their feet wet learning FHIR. Not too big.

FHIR 40

FHIR mHealth 40

Lloyd Price

JUNE 14, 2018

App Orchard, for its part, lets developers use a FHIR-based API to access an Epic development sandbox. Source : Bots in healthcare: interview with Thomas Schulz, Organiser of Botscamp [link] ) 2018 Digital Health Prediction 4 : Mobile phone manufacturers will follow Apple's lead on connecting to hospital EHRs using FHIR.

Digital Health 92

Digital Health FHIR Life Science EMR 92

Healthcare Exchange Standards

DECEMBER 21, 2015

Thus lacking this permission, the FHIR Server would silently blind the user to any data that is restricted by Consent. I don't have example handy, but this is related to the reasons why break-glass is not universally accepted as necessary or even useful. I might blog further on these potential solutions.

FHIR 40

FHIR 40

HAY on FHIR

MARCH 11, 2020

As you’ll likely be aware, FHIR uses Implementation Guides (IG) to describe how to use FHIR for specific scenarios or use cases. He’s published it on his blog , but kindly allowed me to reproduce it here. In this example we want to make an implementation guide for a national project.

FHIR 58

FHIR 58

Healthcare Exchange Standards

JUNE 17, 2022

This article summarizes a concept that came from my blog reader. This kind of double pointers is discouraged in REST and in FHIR. Examples There is a basic example of a Patient delegating their father as their RelatedPerson. The resource objects are clickable to their examples.

FHIR 40

FHIR 40

HAY on FHIR

NOVEMBER 7, 2021

The track itself defines a number of actors: The creator of an IPS document – for example an EHR (Electronic Health Record). This should be of value to servers implementing an IPS endpoint as well as useful to FHIR beginners as it has a number of useful visualizations. IG’s are the ‘next big thing’ for FHIR.

FHIR 58

FHIR Interoperability EHR 58

Healthcare Exchange Standards

SEPTEMBER 7, 2018

In the last article I show how PDQm can be made Asynchronous by using the FHIR Subscription. In the example from 200 partners, only 10 of them know of the patient of interest. I guess I really need to blog that mXDE environment. This improvement can also be done using FHIR Subscription and orchestration of each notification.

FHIR 40

FHIR eHealth 40

Healthcare Exchange Standards

FEBRUARY 20, 2019

The recommendation I give here is restricted to the gross level: for Document Sharing at the XDS/XCA/DocumentReference metadata level; for FHIR REST at the returned Bundle.meta.security level, but not on each Resource in the Bundle; and for CDA at the CDA header, but not on each element. Available from the FHIR specification for easy reading.

FHIR 66

FHIR HIE Health Information Health Data 66

Healthcare Exchange Standards

NOVEMBER 30, 2016

The same question came to me regarding FHIR and http REST. There are two trading partners that have an agreement (Trust Framework) that one will be asking questions using FHIR http REST interfaces of the other party. There are many solutions, in my example it was F5 based load balancing hardware based TLS support.

FHIR 40

FHIR 40

Healthcare Exchange Standards

FEBRUARY 4, 2021

I am a fan of using IHE-Connectathon for more comprehensive and formal testing, vs using the FHIR-Connectathon more for specification validation and experimentation. See my past articles on " What is a Connectathon ", " Maturing FHIR Connectathon without confusing the marketplace ". So I am not exactly sure if it is a good example.

FHIR 68

FHIR 68

Healthcare Exchange Standards

JULY 29, 2018

Example is Apple adopting FHIR. For example Sequoia DURSA or DirectTrust ; Reference Implementation -- software provided in open-source by a consensus body as an implementation of a standard. Ideal Patient Centered Privacy Here are my notes extracted from my blog on Privacy Principles. This does happen. What's a Standard?

FHIR 49

FHIR Interoperability 49

Lloyd Price

APRIL 26, 2021

If there was more evidence needed that the company is seeking to have a "king-maker" effect in the healthcare world rather than play a provider role, its partnership with Best Buy Health is a clear example. Source: [link].

FHIR 70

FHIR Telehealth Telemedicine Leadership 70

Society for Participatory Medicine

APRIL 10, 2019

In one view, in the decade since then not much has changed, but in another view, an enormous amount of infrastructure has changed, and I think we’re on the verge of an eruption due to the success of the new FHIR data interface. Cross-posted from my own blog a week ago. And the data from my hospital blew up in my face.

Health Data 70

Health Data FHIR Nursing 70

Healthcare Exchange Standards

MAY 3, 2015

We can't change Healthcare by writing very complex standards like the current FHIR ConsentDirective , which is fundamentally a " Contract " resource. First I recommend that FHIR make ConsentDirective a resource rather than just profiles of Contract. For example we an then add exceptions, which can be computable rules.

HIE 40

HIE FHIR Health Information 40

Healthcare Exchange Standards

JULY 15, 2015

Available from the FHIR specification for easy reading. See FHIR Demonstration of DS4P. One specific example is 42CFR Part 2 – SAMSA covered treatment- that must be explicitly marked with a 'do not disclose without explicit authorization by the patient'. "M", because the content is less sensitive than normal, but still medical.

FHIR 40

FHIR HIE Health Information 40

Healthcare Exchange Standards

NOVEMBER 12, 2021

For example a weight scale wanting to record a new body-weight observation, where the scale knows the PMIR Registry and knows that the weight scale GUID is recorded as a Patient.identifier. WHY did PIXm and PMIR feed choose totally different technical approaches at the FHIR interaction? so that it can record that value.

HIE 52

HIE FHIR 52

Lloyd Price

JUNE 16, 2018

While the underlying FHIR (aka, fast healthcare interoperability resource) deployed by DeepMind for Streams uses an open API, the contract between the company and the Royal Free Trust funnels connections via DeepMind’s own servers, and prohibits connections to other FHIR servers.

FHIR 45

FHIR Interoperability Health Data Digital Health 45

American Well

APRIL 13, 2020

For example, if you wanted to engage with a telehealth visit, you could do so with the same set of credentials you use to see your past clinic notes and lab results, or to pay your bill. For example, we leverage a lot of FHIR APIs to pull information from Cerner and communicate that with DFD.

Patient Experience 62

Patient Experience Interoperability Telehealth Connected Care 62

Healthcare Innovation Consortium

JANUARY 8, 2024

On the other hand, enhancing an existing system can be cost-effective and less disruptive but may limit the scope of innovation. Weighing the benefits and risks of each option is crucial in making a decision that aligns with your hospital’s vision and resources.

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FHIR Interoperability Healthcare Innovation Nursing 75

Xealth

JUNE 13, 2024

Duke Health, for example, saw a reduction in appointment cancellations and no-shows by using Xealth’s automated engagement tools. Understanding Xealth’s Digital Health Platform Xealth offers a comprehensive suite of digital health tools integrated with Electronic Health Records (EHR) to provide seamless access to patient data.

Digital Health 40

Digital Health EHR FHIR Telemedicine 40

mHealth Insight

FEBRUARY 5, 2018

This blog post by Dr Joe Kvedar reflecting on Apple’s Health Record announcement makes for interesting reading ( I’m very optimistic about what this means for Patients and Carers ). mHealth Insight. “To quote Yogi Berra, “It’s déjà vu all over again.” Or so it seems.

Health Data 31

Health Data Mental health Interoperability mHealth 31