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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 112
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FHIR data in existing Nationwide Health Information Exchange

Healthcare Exchange Standards

They have security models, privacy models, patient identification models, record location models, and data format models. The solution is to leverage this existing solution, and just add FHIR. My point in this article is that this does not need to be a restriction on those that do want to move on to FHIR.

FHIR 105
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Scaling #FHIR authorization in a multiple organization HIE

Healthcare Exchange Standards

In my last article on Controlled Exchange Architecture Models for Scale on #FHIR. One issue I ran into is the question of how OAuth at healthcare scale works when an HIE is made up of multiple organizations in a federation. This is an important part of how HIE scale. We don't address how an HIE might switch to user level.,

HIE 40
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HIE future bright -- FHIR API to Document Sharing

Healthcare Exchange Standards

I think the most useful value-add that an HIE can add is an API that is based on FHIR. This is true of an XDS based HIE, Regional Exchange (XCA), Vendor based EHR, nationwide Exchange, and Direct HISP. At an HIE level: Initially I would focus on enabling Apps to query for and read the data available in the HIE.

HIE 40
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TEFCA Is Live – Clarifying Common Misperceptions

Healthcare IT Today

The First Step Is To Decide Access to data via TEFCA is not always automatic. Most of these QHINs operated as health information networks (HINs) prior to the launch of TEFCA last year, and they continue to share data among and between their participants through their existing frameworks and legal structures.

eHealth 80
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Just Get Connected Already

Healthcare IT Today

The optometrist printed his report that I would bring to my next PCP exam, because otherwise my optometrist had no reliable way to transfer the data. The alliance was a bold gesture made ten years ago by leading EHR vendors to demonstrate their commitment to data sharing. This is the burden still faced by three quarters of U.S.

FHIR 130
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The Balance Between Promoting Data Sharing and Ensuring the Privacy and Security of Sensitive Health Information

Healthcare IT Today

We talk a lot about sharing data and how it will improve patient outcomes and interoperability, but do we talk enough about how to do it safely? Most of the data that we are looking to share is highly sensitive health information, the kind of information that cybercriminals love to hold for ransom.