Healthcare Exchange Standards

AUGUST 29, 2017

Integrating the Healthcare Enterprise (IHE) has been busy creating Profiles that leverage the new and exciting FHIR specification. IHE publishes their profiles on [link] IHE subset of Profile on FHIR can be found on the IHE wiki FHIR list An IHE Profile is equivalent to a FHIR Implementation Guide.

FHIR 66

FHIR Interoperability Public Health EHR 66

HAY on FHIR

NOVEMBER 6, 2017

Last week we held our first New Zealand ‘ Clinicians on FHIR ‘ seminar at the HINZ conference in Rotorua. Here’s a graphic that summarizes the process (The shaded arrows show the overall skill set required at the various steps): The steps are as follows: Start with a real clinical problem involving interoperability.

FHIR 45

FHIR Interoperability 45

GlobalMed

OCTOBER 5, 2020

But this kind of integration isn’t complete and it definitely doesn’t enable interoperability. And when it comes to running a robust and clinically responsible telemedicine program , interoperability is vital. Essentially, we’re enabling interoperability in telemedicine so you can deliver full-service virtual care.

Interoperability 52

Interoperability Telemedicine EHR Telehealth 52

HAY on FHIR

MAY 24, 2021

Before we start thinking of the specifics of coding in lab tests, a quick review of coded data in FHIR in general is probably a good idea. It can represent an external terminology such as LOINC or SNOMED, or can contain the actual definition of the concepts directly. We sometimes call this ‘semantic’ interoperability.

FHIR 58

FHIR Interoperability 58

Health Intersections

JULY 17, 2018

FHIR defines a Questionnaire resource that specifies a set of questions for a user, along with a QuestionnaireResponse resource to capture their response. A few of us have been working on proposals for how these problems could be solved in an interoperable way. Prepopulating a questionnaire. This extension defines a ‘variable’.

FHIR 46

FHIR Interoperability 46

Health Blawg

AUGUST 20, 2018

Following the announcement of implementation of the Carequality-CommonWell interoperability collaboration, I was fortunate enough to catch up with Micky Tripathi ( @mickytripathi1 ) to discuss this development and put it in context. Micky is bullish on interoperability, both over the near term (the next 12-18 months) and the long term.

Interoperability 60

Interoperability EHR FHIR eHealth 60

Health Blawg

AUGUST 20, 2018

Following the announcement of implementation of the Carequality-CommonWell interoperability collaboration, I was fortunate enough to catch up with Micky Tripathi ( @mickytripathi1 ) to discuss this development and put it in context. Micky is bullish on interoperability, both over the near term (the next 12-18 months) and the long term.

Interoperability 60

Interoperability EHR FHIR eHealth 60

Health Blawg

AUGUST 20, 2018

Following the announcement of implementation of the Carequality-CommonWell interoperability collaboration, I was fortunate enough to catch up with Micky Tripathi ( @mickytripathi1 ) to discuss this development and put it in context. Micky is bullish on interoperability, both over the near term (the next 12-18 months) and the long term.

Interoperability 60

Interoperability EHR FHIR HIE 60

Health Blawg

AUGUST 20, 2018

Following the announcement of implementation of the Carequality-CommonWell interoperability collaboration, I was fortunate enough to catch up with Micky Tripathi ( @mickytripathi1 ) to discuss this development and put it in context. Micky is bullish on interoperability, both over the near term (the next 12-18 months) and the long term.

Interoperability 60

Interoperability EHR FHIR HIE 60

Health Blawg

AUGUST 20, 2018

Following the announcement of implementation of the Carequality-CommonWell interoperability collaboration, I was fortunate enough to catch up with Micky Tripathi ( @mickytripathi1 ) to discuss this development and put it in context. Micky is bullish on interoperability, both over the near term (the next 12-18 months) and the long term.

Interoperability 60

Interoperability EHR FHIR HIE 60

Health Blawg

AUGUST 20, 2018

Following the announcement of implementation of the Carequality-CommonWell interoperability collaboration, I was fortunate enough to catch up with Micky Tripathi ( @mickytripathi1 ) to discuss this development and put it in context. Micky is bullish on interoperability, both over the near term (the next 12-18 months) and the long term.

Interoperability 60

Interoperability EHR FHIR HIE 60

Healthcare IT Today

OCTOBER 8, 2024

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? Healthcare is going to be rapidly advancing as patient data becomes more interoperable and effectively used across traditional organizational boundaries.

Health Information 124

Health Information HIPAA Interoperability eHealth 124

Healthcare Exchange Standards

JANUARY 10, 2017

How does one put a FHIR Document into XDS? How does one find a FHIR Document in XDS? Both of these might still be needed for FHIR Documents. FHIR is more popularly known for the access model using http REST. FHIR has a Document model. There is also a workgroup creating transforms from/to CDA -- CDA on FHIR.

FHIR 40

FHIR HIE Health Information Interoperability 40

Healthcare Exchange Standards

MAY 29, 2016

Much discussion around consent (Privacy) in HL7 FHIR. HL7 can only produce Interoperability standards. FHIR should focus on only what systems do today, not what we want them to do. FHIR should put into common extensions those things that we want them to do (e.g. It can't define Policy, Architecture, or Implementations.

FHIR 40

FHIR Interoperability Nursing 40

Healthcare Exchange Standards

MAY 13, 2016

There is renewed discussion, much like back in January, around the need to go beyond testing just the FHIR Resource 'interoperability'. Testing Interoperability is not easy, and there are struggles with getting this first level testing done right. A 'system' in the broadest of definitions.

FHIR 40

FHIR Interoperability HIE Leadership 40

Healthcare Exchange Standards

DECEMBER 18, 2017

I have been pushing IHE to add FHIR conformance resources to their publication mechanism. I now have published the full set of FHIR conformance resources for PDQm and MHD profiles. FHIR conformance resources are available to carry programatically the constraints that historically IHE has written narratively into an IHE Profile.

FHIR 40

FHIR Interoperability 40

Healthcare Exchange Standards

APRIL 20, 2016

Updated: Vadim Peretokin advises on the FHIR chat : You're better off in the world if you know about this stuff though. Specifically, with regard to the java reference implementation, it has always ignored DTD definitions, so is immune. Any newly released versions will change to stop ignored DTD definitions, and report an error.

FHIR 40

FHIR Interoperability 40

Healthcare IT Today

JULY 19, 2024

Kristen Valdes, Founder and CEO at b.well I think we’re going to see a rush towards people moving into platforming on FHIR using open standards. We’re seeing that the new prior auth rule that just dropped in January that there’s people already running pilots on DaVinci implementation guides which run on FHIR and CQL.

FHIR 78

FHIR EMR Interoperability Patient Experience 78

Healthcare IT Today

AUGUST 24, 2022

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.

FHIR 91

FHIR HIE Interoperability Healthcare IT 91

Healthcare IT Today

JANUARY 2, 2023

2022 Predictions for Healthcare Interoperability – A third predictions post doing so well. Does this mean people cared about RPM and Healthcare Interoperability the most in 2022? Where Are We At With FHIR? The State of Interoperability – COVID and Beyond. Big Bet on FHIR Pays Off.

Healthcare IT 98

Healthcare IT Interoperability FHIR EHR 98

Healthcare IT Today

JUNE 15, 2023

The healthcare industry’s steady progress toward interoperability and health information exchange promises to improve data exchange to address these challenges. Automated chart retrieval is performed at scale, leveraging modern HL7 FHIR APIs. The definition of quality here includes four specific pillars. Therein lies the rub.

Life Science 98

Life Science Health Information EHR FHIR 98

Health Blawg

SEPTEMBER 3, 2018

These perspectives reinforce each other as she works to improve the regulatory landscape shaping security and interoperability in her role at CHIME overseeing congressional engagement efforts focused on effective use of health IT. Some CHIME members are leveraging FHIR today, but not all are doing it as robustly as possible.

Health IT 60

Health IT Interoperability FHIR HIPAA 60

Health Blawg

SEPTEMBER 3, 2018

These perspectives reinforce each other as she works to improve the regulatory landscape shaping security and interoperability in her role at CHIME overseeing congressional engagement efforts focused on effective use of health IT. Some CHIME members are leveraging FHIR today, but not all are doing it as robustly as possible.

Health IT 60

Health IT Interoperability FHIR HIPAA 60

Health Blawg

SEPTEMBER 3, 2018

These perspectives reinforce each other as she works to improve the regulatory landscape shaping security and interoperability in her role at CHIME overseeing congressional engagement efforts focused on effective use of health IT. Some CHIME members are leveraging FHIR today, but not all are doing it as robustly as possible.

Health IT 60

Health IT Interoperability FHIR HIPAA 60

Health Blawg

SEPTEMBER 3, 2018

These perspectives reinforce each other as she works to improve the regulatory landscape shaping security and interoperability in her role at CHIME overseeing congressional engagement efforts focused on effective use of health IT. Some CHIME members are leveraging FHIR today, but not all are doing it as robustly as possible.

Health IT 60

Health IT Interoperability FHIR HIPAA 60

Health Blawg

SEPTEMBER 3, 2018

These perspectives reinforce each other as she works to improve the regulatory landscape shaping security and interoperability in her role at CHIME overseeing congressional engagement efforts focused on effective use of health IT. Some CHIME members are leveraging FHIR today, but not all are doing it as robustly as possible.

Health IT 60

Health IT Interoperability FHIR HIPAA 60

Health Blawg

SEPTEMBER 3, 2018

These perspectives reinforce each other as she works to improve the regulatory landscape shaping security and interoperability in her role at CHIME overseeing congressional engagement efforts focused on effective use of health IT. Some CHIME members are leveraging FHIR today, but not all are doing it as robustly as possible.

Health IT 60

Health IT Interoperability FHIR HIPAA 60

Health Intersections

MARCH 5, 2019

Example Standards: FHIR + v2 (from HL7 ) Snomed CT LOINC DICOM (from NEMA ) etc (there’s 100+ organizations creating platform standards). Thing is, that’s what FHIR does too, and it’s very definitely a platform standard. They define how things can work. There’s lots of organizations working in this space.

FHIR 92

FHIR EHR Healthcare IT Interoperability 92

Healthcare Exchange Standards

NOVEMBER 20, 2015

XDS Profile found in the FHIR specification: I would caution against the use of the xds profile in FHIR. So the only thing you will find there is minimal fixes to cause the FHIR specification to build. This means that the xds profile in FHIR might be right, but it might not. These mappings are pretty direct.

FHIR 40

FHIR Interoperability EHR 40

Health Intersections

FEBRUARY 14, 2023

On Friday last week, an article by Wendy John was published by Wild Health , in which I’m quoted as saying, regarding the My Health Record and the Strengthening Medicare Taskforce report : FHIR guru Grahame Grieve has advocated for interoperability standards in healthcare for over two decades.

FHIR 102

FHIR Medicare Digital Health Health Information 102

Healthcare Exchange Standards

JUNE 5, 2023

As part of my advisory position on SHIFT Shift (formerly Protecting Privacy to Promote Interoperability PP2PI) was founded in 2018 and formalized in 2020 with a mission to advance safe, equitable, and patient-empowered sharing of health information. I used to do this top to bottom, but don't really have a work driver to base my comments upon.

HIPAA 72

HIPAA Interoperability FHIR Health Information 72

Redox

JANUARY 12, 2021

Read further to explore how Redox and Amazon Web Services (AWS) combine to deliver the Redox data interoperability platform on top of AWS’s scalable infrastructure. The Redox data interoperability platform enables data liquidity with a better, faster, and more effective method of data exchange than traditional integration approaches.

Interoperability 52

Interoperability Digital Health HIPAA FHIR 52

Healthcare Exchange Standards

JULY 29, 2018

I have the great honor to be hosting a panel discussion in Washington DC as part of the Office of the National Coordinator's 2nd Interoperability Forum. Example is Apple adopting FHIR. I have not seen these formally defined, so here is my informal definition. This event is, next week, August 6-8. This does happen. Provenance?

FHIR 49

FHIR Interoperability 49

HIStalk Interviews

MARCH 25, 2019

Grahame Grieve is a principal with Health Intersections of Melbourne, Australia and was the architect-developer of HL7’s Fast Healthcare Interoperability Resources (FHIR, pronounced “fire”) specification that allows EHRs to exchange information. Was it weird to see FHIR as the only universal topic of HIMSS19? Not so much weird.

FHIR 76

FHIR Interoperability EHR Health Information 76

Healthcare Exchange Standards

JANUARY 30, 2015

IHE Connectathon did informal testing of Mobile access to Health Documents (aka #MHD - #XDS on #FHIR. MHD has a wide variety of deployment models, leveraging the simplicity of HTTP REST and the data model and interaction model defined in FHIR. We had 9 different implementations testing at the Connectathon. For more on mHealth

FHIR 40

FHIR mHealth Interoperability EHR 40

Health Populi

NOVEMBER 16, 2023

The definition of “digital health” has not been set in stone (don’t we know it!) Among the many aspects we could explore in Health Populi , I’ve chosen two that are most top-of-mind for my work these days: interoperability and AI, comparing US to the peer OECD nations. and Germany ranking in the bottom three.

Interoperability 227

Interoperability Digital Health FHIR EHR 227

Lloyd Price

JANUARY 12, 2019

HL7 FHIR V4 - HL7 International published the long-anticipated FHIR Release 4 (R4), allowing healthcare organizations to make new leaps forward in health data interoperability. Subjective evidence is defined as a symptom, as only patients can discover them.

Digital Health 75

Digital Health FHIR Interoperability Telehealth 75