Health Intersections

OCTOBER 13, 2021

There’s a new report out that finds lots of security vulnerabilities in FHIR implementations, both client and server. Unforunately, the media write up isn’t entirely accurate: In fact, every tested FHIR app enabled API access to patient health data belonging to other individuals.

FHIR 141

FHIR HIPAA EHR Health Data 141

HAY on FHIR

MAY 10, 2019

I had an email from a company which had a number of really good questions about exposing data through FHIR, so I thought I’d write a post about it rather than just replying directly as it may be of interest to others (and also gives others the opportunity to disagree with me ). One resource that is not in the diagram above is the Encounter.

FHIR 84

FHIR 84

Healthcare Exchange Standards

MAY 26, 2024

To some extent it applies to normal use of FHIR R4 DocumentReference The IHE Document Sharing model is focused on document lifecycle, and thus supports Create, Append, Transform, Replace, and Signs of a document. When an existing document is replaced with a new document, the Replace action is used.

FHIR 40

FHIR 40

Healthcare Exchange Standards

MAY 2, 2024

The IHE-MHDS does not define a Document Repository Actor but does include architecture support for distributed FHIR Servers and thus the concept of a Document Repository is included in MHDS. For example: XCA also does not make a distinction between a Document Registry or Document Repository, having a Responding Gateway Actor.

HIE 45

HIE FHIR Health Information 45

Redox

NOVEMBER 2, 2023

Healthcare software vendors prioritize projects that use HL7 ® Fast Healthcare Interoperability Resources (FHIR ® ) over those built on other standards for many reasons. Because FHIR resources have a defined structure, they can be accessed, manipulated, and exchanged in ways that other standards aren’t today.

FHIR 69

FHIR Digital Health EHR Interoperability 69

Healthcare Exchange Standards

FEBRUARY 27, 2020

This profile shows how to build a Document Sharing Exchange using IHE profiled FHIR® standard, rather than the legacy IHE profiles that is dominated by XDS and HL7® v2. This profile will assemble profiles and define a Document Registry. The actor that is specific to this profile is a Document Registry. 3 - Section 4.0

Mobile Health 105

Mobile Health HIE FHIR Health Information 105

Healthcare Exchange Standards

AUGUST 10, 2021

In the USA and elsewhere, there are Document Sharing based Health Information Exchanges. 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. Just add FHIR FHIR is a content format.

FHIR 105

FHIR Health Information HIE Interoperability 105

Health Intersections

JULY 29, 2020

A couple of weekends ago, HL7 India held the inaugural FHIR Connectathon for India. India, btw, has a massive base of engineers who understand FHIR, since there’s so much outsourcing to India – India has always loomed large in the geo-resolution of hits on the FHIR test servers. Thanks Kumar and team!

FHIR 135

FHIR Telehealth Health IT 135

Healthcare Exchange Standards

JANUARY 21, 2020

The Mobile Health Document Sharing (MHDS) Profile is a 100% FHIR Document Sharing infrastructure leveraging many IHE FHIR profiles including MHD. This Document Sharing includes support for sharing FHIR-Documents, but is content format agnostic, thus equally capable of sharing CDA documents, PDF documents, or imaging.

Mobile Health 90

Mobile Health FHIR 90

HAY on FHIR

MARCH 25, 2021

It’s currently fed by HL7 version 2 messages and there’s a User Interface for authorized users, but there was always a plan to introduce a FHIR interface to some point – something that has been accelerated by the current COVID pandemic of course. So what would a FHIR API look like? This does seem a bit of a stretch though….

FHIR 124

FHIR 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? XDS, more broadly the whole Document Sharing family, including XDS , XCA , XDR , XDM , and MHD. Initially Document Sharing was about 'historic' documents. Thus the Document is "Shared". Let me explain.

FHIR 40

FHIR HIE Health Information Interoperability 40

HAY on FHIR

JANUARY 30, 2022

In this set of posts we’re going to dig into how FHIR supports the use of forms in collecting information. . Forms are ubiquitous in healthcare (and other domains for that matter) so it makes sense that there is some specific support in FHIR for them. StructureMap is based on the FHIR Mapping language to perform the extraction.

FHIR 104

FHIR 104

Healthcare Exchange Standards

OCTOBER 14, 2021

Security Report: " The New Healthcare Ecosystem will depend on FHIR APis, but Are They Secure? The point we should take from this research is that EHRs are doing a good job of securing their FHIR implementations FHIR is good and worthy There is room for improvement in some implementations There are included recommended improvements.

FHIR 92

FHIR EHR Public Health Health Data 92

Healthcare Exchange Standards

FEBRUARY 26, 2021

This article is where I muse about getting to that beautiful future based on #FHIR. Break Everything One possibly that some advocate is turn off what we have today, and everyone and everything switch to using http RESTful FHIR. This pair of transports now has a third FHIR mode, so Karen's Cross is now three dimensional.

FHIR 72

FHIR HIE Healthcare IT 72

Healthcare Exchange Standards

NOVEMBER 14, 2022

See Security Topics , Consent/Privacy , and FHIR for index to these articles. Notes and references that I posted after last years presentation Note this is NOT a SMART-on-FHIR tutorial - See that one on Monday Afternoon

FHIR 52

FHIR 52

Healthcare Exchange Standards

MARCH 11, 2019

The subset of IHE profiles that leverage HL7®FHIR® Release 4. The remainder of the IHE profiles that leverage HL7® FHIR® are expected to be upgraded to FHIR® Release 4 later in 2019. IHE published the following updated supplements for trial implementation as of March 6, 2019 IHE Appendix Z on HL7® FHIR® - Rev.

FHIR 88

FHIR Health Data 88

Healthcare Exchange Standards

OCTOBER 25, 2022

IHE IT-Infrastructure has agreed to start a new work item on the topic of Privacy Consent, using FHIR. This minimally would be a re-evaluation of the use-cases in BPPC for use with FHIR Consent, but likely will go beyond that scope simply because of modern needs, modern toolings, and ease at which the FHIR Consent can support them.

FHIR 52

FHIR 52

Healthcare Exchange Standards

SEPTEMBER 13, 2022

This is a quick article on a requirement of the MHD Document Responder that may be less obvious to some. The requirement is hinted at being special with a mention of FHIR Chaining Parameters: This use of patient.identifier follows the FHIR Chaining Parameters search methodology. These search parameters have a `.`

FHIR 52

FHIR 52

Healthcare Exchange Standards

NOVEMBER 28, 2017

I think the most useful value-add that an HIE can add is an API that is based on FHIR. Initially I would focus on Document sized objects, Later moving to more element level. Documents There has been much focus lately on the publication side of Document Sharing. Why Documents? Especially if the data is historic.

HIE 40

HIE FHIR EHR Interoperability 40

Healthcare Exchange Standards

DECEMBER 10, 2021

This morning I presented to the India FHIR-Connectathon on the topic: Mantras for Secure FHIR Development The slides are available in google slide desk. Summarized below Alissa Knight -- White Hat Hacker The New Healthcare Ecosystem will depend on FHIR APIs, but are They Secure? Nevertheless, lots of vulnerabilities were found.

FHIR 52

FHIR EHR 52

Healthcare Exchange Standards

AUGUST 22, 2019

Most discussions about FHIR are simple interaction diagrams like this: Many Sources (n != We could imagine that EACH of these Sources will publish a FHIR endpoint and publish US-Core based Common Clinical Data Set (CCDS). But may be a set of discharge summary, or episode documents.

FHIR 66

FHIR 66

Healthcare Exchange Standards

SEPTEMBER 7, 2018

In the last article I show how PDQm can be made Asynchronous by using the FHIR Subscription. This is just one step in the overall interaction that one does with a Cross-Community Document Exchange (XCA). Thus this Patient Discovery can take minutes before the second step of Query for Documents can happen.

FHIR 40

FHIR eHealth 40

Healthcare Exchange Standards

JUNE 23, 2021

See Security Topics , Consent/Privacy , and FHIR for index to these articles.

FHIR 66

FHIR 66

Healthcare Exchange Standards

APRIL 10, 2018

I will be giving a face-to-face tutorial on the topic of "IHE on FHIR" at both HL7 Workgroup meeting in Cologne, May 12-18 FHIR Dev Days in Boston, June 19-21 So, if you are in Europe, sign up for the tutorial at HL7 workgroup meeting. If you are in the USA, sign up for the tutorial at FHIR Dev Days.

FHIR 67

FHIR EHR 67

Healthcare Exchange Standards

NOVEMBER 22, 2019

Today on the FHIR Consent call we had a very useful discussion of how one would use FHIR Consent to do the same thing that BPPC does in XDS. Said another way, what is the degenerate form of FHIR Consent that is equal-to the functionality of BPPC, and what is the degenerate form of FHIR Consent that is compatible with BPPC.

FHIR 68

FHIR HIE 68

Healthcare Exchange Standards

AUGUST 21, 2019

This position is that for Treatment and Payment the best format for clinical data is Document based. Although publication should be Document based, these documents must be decomposed and analyzed relative to the current Treatment situation. The document must be Authentic and Authenticatible. A FHIR document is 100% FHIR.

FHIR 40

FHIR 40

Health Intersections

MAY 12, 2019

The FHIR Standard doesn’t say much about security. There are, however, many different valid approaches to making a server secure, so the FHIR standard delegates making rules about security to other specifications such as the Smart App Launch Specification. A security appliance is not enough. openId Connect.

FHIR 85

FHIR Mental health 85

Healthcare Exchange Standards

JUNE 25, 2018

Discussions at FHIR DevDays raised this question of a basic way to leverage FHIR API capability to enable the Patient beyond the limited Apps their provider has approved. If a healthcare provider offers a FHIR API (e.g. Concern would come up when this export of $everything includes other data such as documents and images.

FHIR 55

FHIR Meaningful Use 55

Healthcare IT Today

OCTOBER 12, 2023

The release of FHIR in the mid-2010 decade changed everything. The workflow is illustrated in a diagram in an article on the FHIR web site. The standardization of documentation for prior authorization also enables physicians to submit requests within their familiar electronic medical record systems, reducing the burden on providers.

FHIR 113

FHIR Interoperability Medicare Healthcare IT 113

Healthcare IT Today

APRIL 28, 2024

Updates that require support for FHIR-based APIs should allow TEFCA participants to more easily exchange information directly, and enable individuals to more easily access their own information. Products Augmedix launched Augmedix Go , ambient AI medical documentation for the ED, and announced HCA Healthcare as a pilot user.

FHIR 116

FHIR RCM Healthcare IT Mental health 116

Healthcare Exchange Standards

MAY 4, 2023

Document Sharing Across Network Topologies- Rev. The Document Sharing Across Network Topologies White Paper expands upon the concepts in the Health Information Exchange White Paper by providing additional guidance on how existing document sharing communities can be interconnected to form a unified federated exchange ecosystem.

FHIR 119

FHIR HIE Interoperability Health Data 119

HAY on FHIR

MAY 8, 2019

At the recent Working Group Meeting in Montreal, I participated in the ‘v2 to FHIR’ stream – focused on how can the HL7 community give advice to implementers about converting v2 messages into FHIR bundles. To actually process (convert to FHIR) a message, click the ‘Convert’ button to the upper right.

FHIR 69

FHIR 69

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

Health Intersections

MAY 20, 2019

It’s a common thing for implementers to want to do with FHIR: connect to a FHIR server, and make a local copy of the information provided by the server, and then check back occasionally with the server for updates – that is, new resources, or changes to existing resources. (In

FHIR 99

FHIR EHR 99

Healthcare Exchange Standards

NOVEMBER 7, 2023

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 Document Subscription for Mobile (DSUBm) profile describes the use of document subscription and notification mechanisms for RESTful applications.

FHIR 72

FHIR HIE Health Information 72

Healthcare IT Today

MARCH 5, 2024

Don Rucker, MD, chief strategy officer at 1upHealth , shows us in this video how current regulations and FHIR standards will actually make that happen. Watch the video for more details about pressures on Medicare Advantage plans, rules about prior authorization, FHIR APIs, and more.

FHIR 121

FHIR Interoperability Healthcare IT Medicare 121

HAY on FHIR

SEPTEMBER 7, 2017

I did a demo of clinFHIR for the Clinicians on FHIR group that will be meeting at the Working Group Meeting next week, and completely forgot to talk about creating/viewing documents in clinFHIR using the scenario builder. Note the Document tab in the middle pane (next to the Graph). More on that to come.

FHIR 49

FHIR 49