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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
The MobileHealthDocument Sharing (MHDS) Profile is a 100% FHIRDocument Sharing infrastructure leveraging many IHE FHIR profiles including MHD. The big difference with MHDS is that one does not need to have an XDS or XCA backbone, as the backbone of MHD is purely a FHIR server. Good and bad.
So back in 2011 I wrote the first profile in IHE that was targeting ‘ease of use by lightweight application platforms such as MobileHealth Applications”. The MobileHealthDocuments (MHD) profile was born to provide a more simple API to an XDS environment. The MobileHealthDocuments (MHD) is the result.
SVCM - Sharing Valuesets Codes and Maps This profile addresses defining reusable Actors for managing and using terminology using FHIR. MHDS - MobileHealthDocuments Sharing This profile went through one public comment, so this will be an unusual second public comment.
Formal Publication -- [link] The Sharing of IPS (sIPS) IHE Profile provides for methods of exchanging the HL7 International Patient Summary (IPS) , using IHE Document Sharing Health Information Exchange but does not modify the HL7 IPS specification, nor is there any need to change IHE Document Sharing Health Information Exchange.
Document Sharing Metadata Handbook IHE Document Sharing depends on document metadata, folder metadata, and submission set metadata. This Implementation Guide assembles other IHE Implementation guides (Profiles) and defines a Document Registry Actor. So the text should be easier to understand, and easier to reference.
In addition to the conversion, the scope of the Access Control Decision and Enforcement is expanded beyond the Document Repository to the other services in a Health Information Exchange -- Community. Very focused on #FHIR, but also enabled by existing and successful XDS/XCA Health Information Exchange.
I am also a co-chair of the HL7 Security workgroup, a member of the FHIR Management Group (FMG), the lead in IHE-MobileHealthDocuments (MHD) , and active member and advocate of HEART. We have a limited use of FHIR being used at a few pilot sites, limited more due to the developing nature of FHIR right now.
Specifically all FHIR RESTful interactions, and and Accounting of Disclosures. MobileHealthDocuments - Improvements based on current feedback GitHub project - [link] Project Plan Kanban board - [link] CI Build - [link] MHD to a Federation likely will transition to a Whitepaper covering all forms of multiple-depth federation support.
Note that 40% of these are #FHIR based. Cross-Enterprise Document Sharing (XDS.b) I have included some fun graphics. No, I am not going to explain the graphics.
“Mobilehealth — the application of sensors, mobile apps, social media, and location-tracking technology to obtain data pertinent to wellness and disease diagnosis, prevention, and management — makes it theoretically possible to monitor and intervene whenever and wherever acute and chronic medical conditions occur.
APIs, Internet of (Healthy) Things, and AR/VR among the others are getting deployed in retail channels and at home to support peoples’ health in the real world, in real time outside of the clinical setting. For health care, the application of FHIR standards helps mobilize data for better health, turbocharging this trend.
FHIR , with its RESTful APIs, real-time capabilities, and granular data access, is better equipped to meet todays healthcare needs. GraphQL has gained significant traction as a flexible query language for APIs, while the FHIR standard has become nearly universal in healthcare data exchange.
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