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 Exchange Standards

MAY 4, 2023

The IHE IT-Infrastructure committee continues to produce new and improved specifications for HIE interoperability. The first is the ability to exchange a list of health data locations, which enables Record Locator Services to interoperate with consumers wishing to discover the location of patient records within a health information exchange.

FHIR 119

FHIR HIE Interoperability Health Data 119

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 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 117

FHIR RCM Healthcare IT Mental health 117

Redox

MAY 6, 2024

In the first two posts, I covered how Redox is overcoming current limitations with bulk FHIR and translating data between HL7 ® v2 and HL7 ® FHIR ®. The caveats: Any new clinical documentation must go into the member healthcare organization’s system for querying by other network participants. Let’s dive in.

Interoperability 59

Interoperability Digital Health EHR FHIR 59

Healthcare IT Today

MARCH 7, 2023

Nationwide Interoperability: It’s been a concept, a term bandied about for a while in various forms, but for those of us who have worked in health IT for more than a few years, we know that it has taken a long time for transformational change to be felt by the providers and the individuals they serve. billion documents to date.

Interoperability 106

Interoperability eHealth FHIR HIE 106

Healthcare IT Today

JUNE 16, 2023

They have advanced the current TEFCA implementation which is based on the 1990’s IHE document exchange protocols with a brokerage model (QHIN) overlay. Today TEFCA only supports document exchange and frankly largely within legacy EHR vendors who have familiarity with the IHE protocols.

FHIR 117

FHIR EHR Interoperability Health Information 117

Healthcare IT Today

AUGUST 30, 2024

High-quality, reliable data is crucial to getting most things done in healthcare, especially for healthcare interoperability. We’ve made some great strides in improving interoperability, in no small part due to the Trusted Exchange Framework and Common Agreement (TEFCA).

Interoperability 70

Interoperability eHealth FHIR EHR 70

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 7, 2021

The track itself defines a number of actors: The creator of an IPS document – for example an EHR (Electronic Health Record). This use case brings the additional ‘merge’ requirements – comparing the information in the IPS document with existing data – no simple task! This could be another EHR, or a mobile application.

FHIR 58

FHIR Interoperability EHR 58

Healthcare Exchange Standards

APRIL 4, 2018

Mostly they keep trying because the most basic query is just asking for all documents available for a given Patient. These are useful, just not very primary for a general purpose Document Consumer. Where these classifications are useful to a Document Consumer. Thus one can ask for documents covering treatment prior to 1998.

HIE 45

HIE FHIR Health Information Interoperability 45

Healthcare Exchange Standards

AUGUST 29, 2019

The topic is about a vision of how things could/should be at the point of care because of successful interoperability. Historically discussions in Health IT have been around very basic interoperability fundamentals. These things are accelerated by FHIR and US-Core. The whole purpose of Interoperability MUST be for some end goal.

Interoperability 45

Interoperability FHIR Health Information Health IT 45

Healthcare Exchange Standards

FEBRUARY 5, 2021

The Integrating the Healthcare Enterprise (IHE) standards profiling organization has developed a collection of profiles which can be leveraged for use by healthcare communities for the purposes of document sharing. There is also a model in MHDS for those that have no legacy environment that builds the full infrastructure using FHIR services.

Health Information 70

Health Information FHIR Interoperability HIE 70

Redox

FEBRUARY 1, 2024

Original prediction: We won’t see accelerated adoption of interoperability standards (e.g., HL7 ® , HL7 ® Fast Healthcare Interoperability Resources or FHIR ® ). Increasingly, machines are much less discriminating between a finely structured FHIR document and a poorly scanned PDF—and the latter may be richer than the former.

Interoperability 64

Interoperability FHIR Primary Care EHR 64

Healthcare Exchange Standards

FEBRUARY 21, 2018

Grahame, being the fantastic Product Manager for FHIR that he is, is asking the FHIR community for input on how FHIR Connectathon should evolve. I have also written about how nice it is to see FHIR Connectathon changing. I think IHE and FHIR need to be as distinct as possible, But clearly there will be overlap.

FHIR 56

FHIR Interoperability 56

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 IT Today

JUNE 23, 2024

News ONC announced the Health Resources and Services Administration (HRSA) Health Center Program went live with an implementation of the HL7 FHIR Bulk Data Access standard under USCDI+. AKASA released AKASA Medical Coding to review medical documents and recommend billing codes.

FHIR 98

FHIR Interoperability Nursing Accountable Care 98

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

MAY 28, 2020

From that analog origin to enterprise-scale cloud fax, we have seen the evolution of fax from simple point to point document exchange to something extremely powerful and capable. The origin of the modern fax machine dates back to the 1960’s. Some pundits see fax […].

Interoperability 104

Interoperability FHIR HIPAA Healthcare IT 104

Healthcare IT Today

JULY 21, 2022

Code, test and maintain electronic clinical quality measures using Clinical Quality Language (CQL) and Fast Healthcare Interoperable Resources (FHIR). Applies health data standards and interoperability such as HL7 FHIR Accelerator activities and the Office of National Coordinator certification regulations and policies.

Health IT 85

Health IT FHIR Interoperability Healthcare IT 85

Healthcare Exchange Standards

NOVEMBER 10, 2021

link] Mobile Access to Health Documents (MHD) - Rev. IHE Connectathon These updated Implementation Guides will be available for formal product Interoperability testing at the upcoming IHE Connectathons [link]. This is an update of PDQm that was previously published in PDF form. No new features were added.

FHIR 52

FHIR Interoperability Healthcare IT 52

Healthcare Exchange Standards

FEBRUARY 25, 2016

Two independent projects this week sent to the FHIR mailing list their diagrams of how they are using FHIR as an API to classic XDS environments. The power of using FHIR as a simplifying API to classic environments. Our project will use FHIR as an abstraction layer for the application. privacy consent). Well done!

FHIR 40

FHIR HIE EHR Interoperability 40

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 122

Health Information HIPAA Interoperability eHealth 122

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. This is more than just a selection of FHIR Resources. A complete system.

FHIR 40

FHIR Interoperability HIE Leadership 40

Healthcare Exchange Standards

MARCH 3, 2017

I propose that “The most technically advanced” document format be considered the Prime, with all of the other formats considered Transforms (XFRM) from that prime document. Thus if the Document Source can create a C-CDA 2.1; Yet if a Document Source only can create a C32 and PDF, then the C32 would be the prime.

FHIR 40

FHIR Health Information Interoperability EHR 40

Healthcare Exchange Standards

MARCH 16, 2015

The Mobile Health Documents (MHD) profile was born to provide a more simple API to an XDS environment. This happened to be the same timeframe that Grahame was fanning the FHIR flames. So we joined forces and brought the concepts needed for XDS into FHIR®. So now, I take those FHIR based Resources and re-write the profile.

FHIR 40

FHIR Mobile Health mHealth Meaningful Use 40

Redox

JULY 6, 2023

These products, such as Google Cloud’s Healthcare API and Healthcare Data Engine, require data to be based in the FHIR (Fast Healthcare Interoperability Resources) standard to enable interoperability at scale. Healthcare API and HDE are primarily based in the FHIR standard, and first require data to be transformed into FHIR.

FHIR 52

FHIR Interoperability Leadership EHR 52

Healthcare IT Today

FEBRUARY 23, 2024

We won’t see accelerated adoption of interoperability standards (e.g., FHIR, HL7). While those are the right macro buckets, the clinical operational improvements are focused almost solely on physician/provider workflow optimizations (patient documentation, AI to improve diagnosis and treatment pathways, etc.).

Health IT 131

Health IT Interoperability Mental health FHIR 131

Redox

NOVEMBER 21, 2023

Of note, the XCPD, XCA, and XDR profiles do not currently support FHIR natively. Any DSA signatory who wants to work in FHIR will likely need an intermediary to assist in translation to ensure outgoing data can be received by the requesting organization and incoming data can be harmonized and normalized alongside existing data.

HIE 59

HIE FHIR Health Information Nursing 59

Redox

APRIL 27, 2023

April 4, 2023 – Redox, the leader in healthcare interoperability – connecting healthcare’s products, providers, and payers, today unveiled its reimagined product portfolio. Redox FHIR and RESTful APIs allow health tech builders to delight their users, modernize their tech stack, and scale with confidence. MADISON, Wis.,

Digital Health 52

Digital Health FHIR Life Science Interoperability 52

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. It’s a difference that matters.

FHIR 102

FHIR Medicare Digital Health Health Information 102

Healthcare Exchange Standards

DECEMBER 16, 2020

Interoperable Consent Standards My main focus is on enabling Health Information to flow given proper Security and Privacy. I have been involved (sometimes lead) the efforts to define an Interoperable Standard for these use-cases in IHE for Document Sharing Exchanges (BPPC, APPC, XUA), and in CDA (CDA Consent), and in FHIR (FHIR Consent).

Interoperability 94

Interoperability FHIR EHR Health Information 94