Healthcare Exchange Standards

FEBRUARY 27, 2021

Documents have a bad perception, they are big, unfocused, and hard to process or view. I'm going to propose something that is counter to the perception, driven by current healthcare use of CDA documents and the HL7 Principles of a Document. When is a Document a Document? When is a Document a Document?

FHIR 81

FHIR HIE 81

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

Healthcare Exchange Standards

MARCH 2, 2021

I outline in the last article that a Document Sharing "document" does not need to be a "Document". I propose that there might be a set of documents that are very focused on specific concepts, or Document sections. This is a real Document, but it is made up of sections that are interesting on their own.

FHIR 80

FHIR 80

Healthcare IT Today

OCTOBER 13, 2024

He detailed how API users are facing onerous fees, incomplete documentation, and general difficulty connecting with providers. Another ASTP/ONC post found only 20% of HIE organizations are using HL7 FHIR APIs to send and receive data. About 90% still use a mix of CDAs, HL7 v2 messages, and ADT transfers.

FHIR 94

FHIR HIE Nursing Healthcare IT 94

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

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

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 IT Today

JANUARY 9, 2025

In this video, President Jay Nakashima explains the role they play, particularly in public health, scaling FHIR and TEFCA. He is also looking forward to wider adoption of FHIR, which eHealth Exchange has been working with since 2017. It is still around and thriving as a non-profit.

eHealth 72

eHealth FHIR Public Health Health Information 72

Healthcare IT Today

JANUARY 30, 2025

Hyland is meeting providers where they are by using open standards like DICOM and FHIR, ensuring smooth integration without disrupting existing workflows. Examples from healthcare include X-rays, MRIs, CT scans, faxed documents, scanned paper forms, and clinical notes.

FHIR 82

FHIR Healthcare IT Health IT 82

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

OCTOBER 28, 2020

Webinar recording is available that covers the Document Sharing Health Information Exchange (HIE) on FHIR. This is available on the IHE YouTube channel The slide deck with embedded recording is in the IT-Infrastructure github repo The content for this presentation are baked into the IHE Mobile Health Documents Sharing (MHDS) profile.

HIE 52

HIE FHIR Mobile Health Health Information 52

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

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

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

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

HAY on FHIR

MAY 22, 2021

This will be the first post in a short series that considers a very useful interaction – accessing Laboratory data such as blood tests from a repository of data via (of course) a FHIR API. There are 2 core resources, and a number of supporting ones. This is often called a ‘panel’.

FHIR 110

FHIR EHR 110

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

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

Healthcare IT News - Telehealth

JANUARY 22, 2021

The FDA also provides necessary guidelines for operating a device and supporting documents highlighting the dos, don’ts, and pros and cons, thus helping make informed decisions. Adopting FHIR standards for integrating data with a physician's daily workflow. Remote patient monitoring uses three primary FHIR resources: Patient.

FHIR 190

FHIR EHR Telehealth EMR 190

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

Healthcare Exchange Standards

JULY 31, 2024

The IPS is a Document, and there is a definition for this document using CDA and using FHIR. The FHIR Document is the one most are interested in. But FHIR is the hot new standard, so everyone wants to use it. But FHIR is the hot new standard, so everyone wants to use it.

FHIR 59

FHIR 59

Healthcare Exchange Standards

JUNE 23, 2021

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

FHIR 66

FHIR 66

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

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

HAY on FHIR

JANUARY 6, 2019

As FHIR continues to mature, one of the things we’re seeing is a move away from ‘simple’ data representation Implementation Guides to more complex ones that describe a workflow of some sort. To test this out, I chose a simple use case that uses FHIR notifications to let relatives know when a person is admitted to hospital.

FHIR 73

FHIR 73

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

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

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 122

FHIR Interoperability Medicare Healthcare IT 122

Healthcare Exchange Standards

MARCH 3, 2021

Does that mean we don't move to nationwide http RESTful FHIR? I expect, as I have said before, that the green-fields will/should use http RESTful FHIR. I expect, as I have said before, that the green-fields will/should use http RESTful FHIR. The use of http RESTful FHIR at the edges or point-to-point make good sense.

FHIR 118

FHIR HIE 118

Healthcare IT Today

JANUARY 13, 2025

An EHR system needs to make a 360-degree view of patient data accessible in a secure manner that can be made available using standard interfaces like FHIR (Fast Healthcare Interoperability Resources) APIs for structured data exchange and DICOM for imaging.

EHR 118

EHR Interoperability Telehealth FHIR 118

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

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 128

FHIR Interoperability Healthcare IT Medicare 128

Healthcare Exchange Standards

AUGUST 12, 2024

There is a FHIR leadership desire to have the FHIR Data Type "Signature" normative in FHIR R6. The ballots leading to FHIR R6 will give us a chance to test with the community their interest in this Data Type being ready to be called Normative. The FHIR Signature Datatype is less concerning than all of Digital Signatures.

FHIR 49

FHIR Leadership 49

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

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

HAY on FHIR

MAY 31, 2019

So a little while back I wrote about an app I developed during the WGM Connectathon to send an HL7 v2 message to a converter app, and display the response (a FHIR Bundle ) in a number of visualizations after validating it using the community supplied validation tool (actually, exposed by the reference servers via the $validate operation).

FHIR 66

FHIR Primary Care 66

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 95

FHIR RCM Healthcare IT Mental health 95