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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.
Something supported by IHE Document Sharing (XDS/XDR/XDM/XCA/MHD), something enabled and using #FHIR. Some background that is important can be found in the IHE HIE-Witepaper in the section on " Principles of IHE for Health Document Sharing ". Everything else in the Bundle is just FHIR Resources. When is a Document a Document?
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.
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. The Non-Patient File Sharing (NPFS) Profile defines how to share non-patient files such as clinical workflow definitions, domain policies, and stylesheets.
There is renewed discussion, much like back in January, around the need to go beyond testing just the FHIR Resource 'interoperability'. A 'system' in the broadest of definitions. This reference system needs to pick a minimum-useful set of FHIR resource centric workflows. This is more than just a selection of FHIR Resources.
This is otherwise called Consent, but many people have a very constrained definition of Consent, so I am happy to indicate it is rules for how the data can be used. When I 'used' I also mean the broadest definition. I want an Access Log, that is a log of every time my data was accessed (Direct or Exchange or FHIR).
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.
Great move for HISPS to use FHIR to update the directory versus batch file updates. My favorite piece of this is the move to FHIR updates versus the current batch file updates. Definitely a superior solution, but also is going to take some development work by vendors to switch to this new approach.
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
IHE FormatCodes are mandatory In Wisconsin we have Interoperability What is MHD beyond XDS-on-FHIR? IHE FormatCodes are mandatory In Wisconsin we have Interoperability What is MHD beyond XDS-on-FHIR?
Some of my Privacy blog articles Healthcare Blockchain - Big-Data Pseudonyms on FHIR Start at Consent as a FHIR Resource FHIR Consent as a Resource or Profile Consent given to authorized representative Patient ID is critical to Enabling Privacy Consent to grant read access to a specific types of FHIR Resource electronic Privacy Consent -- Patient choice (..)
This is described in the Enabling Document Sharing through IHE Profiles white paper (HIE using IHE). A Community deploying an HIE this way needs to define some metadata constraints and practices, so that the documents are found when they are needed. Each document shared is described by metadata.
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.
Add an ITI-65 FHIR Documents Publish option with support in ITI-65 to include a FHIR Document Bundle as an alternative to Binary. Converted from PDF to a FHIR IG. Very focused on #FHIR, but also enabled by existing and successful XDS/XCA Health Information Exchange. Each of these new options may survive or may be removed.
Mobile Health Document Sharing The Mobile Health Document Sharing (MHDS) shows how to build a Document Sharing Exchange using IHE-profiled FHIR® standard, rather than the legacy IHE profiles that are dominated by XDS and HL7® v2. as the current HIE-Whitepaper contains MHD and MHDS now. Removed section 50.7
Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.
Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.
Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.
Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.
A clear definition of what is considered sensitive information subject to such rules and directives has not yet been established. TEFCA proposes that the adoption of FHIR access with OAuth2.0 will help in providing secure access through third-party entities/applications.
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. Essentially the common HIE policies from BPPC.
Etienne Boshoff, Managing Director at EHR Enhancify Healthcare interoperability is advancing through the adoption of Electronic Health Records (EHRs), standardized APIs like FHIR, and emerging technologies such as blockchain. Policies like the 21st Century Cures Act and ONC/CMS rules enhance data access and prevent information blocking.
Given XDS and XCA interactions that are often used in an Health Information Exchange (HIE), or a National Health Information Exchange (NHIE); there is no standards/profiled way to enable a point-of-care consent gathering workflow. So today, if Consent is not already captured, and needed, then data access is blocked.
Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.
Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.
There is some strong discussion going on at HL7 around privacy concerns, especially now that HL7 FHIR has enabled easy application writing. The discussion started with an article " Warning mHealth security fears are opening doors to app and device innovation " summarizing a study done by Ketchum.
Leslie noted that patient matching is a significant issue for her organization’s constituency – health care organizations’ CIOs – both for immediate patient care reasons and because it is difficult to have meaningful conversations about interoperability without the means to definitively identify patients. The Harlow Group LLC.
Leslie noted that patient matching is a significant issue for her organization’s constituency – health care organizations’ CIOs – both for immediate patient care reasons and because it is difficult to have meaningful conversations about interoperability without the means to definitively identify patients.
Leslie noted that patient matching is a significant issue for her organization’s constituency – health care organizations’ CIOs – both for immediate patient care reasons and because it is difficult to have meaningful conversations about interoperability without the means to definitively identify patients. The Harlow Group LLC.
Leslie noted that patient matching is a significant issue for her organization’s constituency – health care organizations’ CIOs – both for immediate patient care reasons and because it is difficult to have meaningful conversations about interoperability without the means to definitively identify patients.
Leslie noted that patient matching is a significant issue for her organization’s constituency – health care organizations’ CIOs – both for immediate patient care reasons and because it is difficult to have meaningful conversations about interoperability without the means to definitively identify patients.
Leslie noted that patient matching is a significant issue for her organization’s constituency – health care organizations’ CIOs – both for immediate patient care reasons and because it is difficult to have meaningful conversations about interoperability without the means to definitively identify patients.
authorized for wide distribution – like an emergency-data-set, or for dietary use-cases "L", because the content is not medical, or has been de-identified "U", because the content is not specific to an individual and is public This is right out of the definition of the vocabulary values 2.16.840.1.113883.5.25 See FHIR Demonstration of DS4P.
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