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 IT Today

APRIL 22, 2024

Guillermo Diaz, Chief Medical Information Officer at Los Angeles Department of Health Services – Ambulatory Care Network , and Ali Modaressi, CEO at Los Angeles Network for Enhanced Services (LANES) When Alex was brought into L.A. He has been practicing in this field for over 15 years.

Health Data 128

Health Data HIE Health Information Mental health 128

Healthcare IT News - Telehealth

FEBRUARY 15, 2021

The two groups outline some recommendations to help support and improve such IT integrations in their recent white paper, Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. Ensure integration and easy accessibility of validated and clinically accepted behavioral health screening tools in the EHR.

EHR 172

EHR Health IT Primary Care HIE 172

Healthcare IT Today

DECEMBER 15, 2022

This fall, The Sequoia Project began accepting applications for potential qualified health information networks (QHINs), the entities tasked with operationalizing the Trusted Exchange Framework and Common Agreement (TEFCA) established by the 21st Century Cures Act. Reducing the Inevitable Impacts of Interpretation and Assumptions.

Interoperability 111

Interoperability Health IT HIE Health Information 111

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

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

APRIL 8, 2020

It is an exemplar of functionality that can quickly enable healthcare treatment use-cases that are within the purpose of a Health Information Exchange, yet are also dynamically deployed as necessary. The video gives a good background that is important. I will let the video describe it.

HIE 66

HIE Health Information Interoperability 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". FHIR has a Document model.

FHIR 40

FHIR HIE Health Information Interoperability 40

Healthcare Exchange Standards

NOVEMBER 22, 2017

I think it is important to celebrate what we have today in Health Information Exchanges. However there is a bright future for the Health Information Exchange too. Manual HIE Today we have Health Information Exchanges that enable Providers to send Directed Secure E-Mail messages to other Providers.

HIE 40

HIE Health Information 40

Healthcare Exchange Standards

DECEMBER 30, 2021

The last time I did a year-end report was at the end of 2017 - HIE Future is Bright - stepping into 2018. Set of documents that are very focused #FHIR When is a document not a Document but still a document?

FHIR 75

FHIR Health Information HIE Healthcare IT 75

Healthcare Exchange Standards

DECEMBER 3, 2020

An update to the HIE-Whitepaper , bringing in the newly build FHIR based profiles. IHE IT Infrastructure Technical Framework Documents Published. This document is available at [link]. This document is available at [link]. This is an alternative to SMART-on-FHIR, and not intended to be conflicting. View it in your browser.

HIE 40

HIE FHIR Health Information 40

Healthcare Exchange Standards

APRIL 5, 2024

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.

FHIR 49

FHIR HIE Mobile Health Health Information 49

Healthcare IT Today

MARCH 7, 2023

Just a few weeks ago, CommonWell was announced as one of six applicants—along with eHealth Exchange, Epic TEFCA Interoperability Systems, Health Gorilla, Kno2 and Konza— accepted to continue in the onboarding process to become a Qualified Health Information Network (QHIN) under TEFCA. billion documents to date.

Interoperability 111

Interoperability eHealth FHIR HIE 111

Healthcare Exchange Standards

MARCH 7, 2023

This is a FHIR-Document, much like a CDA Document, but using FHIR fundamentals rather than the HL7 v3 model that is the basis of CDA. The IPS is further designed to support modern informatics and health use-cases, so it is really closer to the C-CDA A question was asked of the panel. Where do I get the IPS for a patient?"

FHIR 69

FHIR HIE Health Information 69

Healthcare IT Today

AUGUST 10, 2023

“We needed to bring in external lab data from the many health information exchanges in New York state to augment our charts. Our clinicians needed that information so it was our job to get it to them.” When the work was done, the lab data seamlessly appeared within Epic. I wouldn’t turn it all on,” stated Jacob. “We

Interoperability 98

Interoperability HIE EMR Health Information 98

Healthcare Exchange Standards

MAY 27, 2015

There is much talk on the blogs about the USA government trepidation around Health Information Exchange interoperability. See below an interesting monthly report I get from the Wisconsin HIE. It shows the health of this system. A very healthy and Quality producing HIE: 2.6 Fully federated. per patient per year.

Interoperability 53

Interoperability HIE EHR Health Information 53

Healthcare Exchange Standards

AUGUST 3, 2016

Some examples where BPPC are used: Connecticut HIE: For release of Privileged Care information, a consent document SHALL be registered with HITE-CT in the form of a BPPC conformant document using the Opt-in for Legally Protected Data (ALL) policy. All Opt-in documents SHALL include an expiration date. Table 10.2.3-1

HIE 49

HIE FHIR Health Information Primary Care 49

Healthcare IT Today

JUNE 1, 2023

Providing functionality designed by physicians with actionable data embedded in the EHR workflow: Providers embrace behavior changes with an efficient, streamlined clinician experience that makes it easy to validate and document diagnoses. “I

HIE 96

HIE EHR Interoperability healthcare technology 96

Healthcare Exchange Standards

NOVEMBER 7, 2023

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.

FHIR 72

FHIR HIE Health Information 72

Healthcare IT Today

NOVEMBER 3, 2022

Here’s a description of the position: New York eHealth Collaborative (NYeC) is a not-for-profit organization working in partnership with the New York State Department of Health to improve healthcare by collaboratively leading, connecting, and integrating health information exchange across the State.

Health IT 78

Health IT eHealth HIE Health Information 78

Healthcare Exchange Standards

OCTOBER 10, 2017

Where the combined list is available in FHIR as a ValueSet of FormatCodes (updated in current build ) Important background :: Eating an Elephant -- How to approach IHE documentation on Health Information Exchange (HIE) and Healthcare Metadata The FormatCode is there to differentiate 'technical format'. is one FormatCode.

HIE 45

HIE FHIR Health Information 45

Redox

NOVEMBER 21, 2023

Consequences for non-participation are currently unclear, although providers may be cited for non-compliance with federal information blocking regulations which, according to the recent HHS proposed rule could be up to $1 million per violation. Is this just another HIE? Required data format requirements are also notable.

HIE 59

HIE FHIR Health Information Nursing 59

Healthcare IT Today

SEPTEMBER 15, 2024

Studies A Health Affairs Scholar paper found 63% of health information organizations plan to participate in TEFCA , while 32% don’t know if they will. Edifecs launched Concurrent Risk Adjustment to help MCOs and other risk-bearing payers share previously documented chronic conditions with providers.

HIE 60

HIE RCM EHR Healthcare IT 60

Healthcare IT Today

MARCH 5, 2023

Becker’s Healthcare and OmniLife Health reported that 30% of health systems and transplant centers use clinical workflow automation , and 48% of those organizations plan to expand its use. The Puerto Rico Health Information Exchange committed to joining Health Gorilla’s anticipated QHIN.

HIE 81

HIE FHIR Telemedicine Healthcare IT 81

Healthcare Exchange Standards

OCTOBER 24, 2022

Releases Four publications released from IHE IT-Infrastructure, one in Public Comment Release for Public-Comment -- Mobile access to Health Document (MHD) - Improvements changed to AuditEvent profiling leveraging Basic Audit Log Patterns (BALP) Release 1.1 Based on interest these Options may survive or be removed.

FHIR 40

FHIR HIE Health Information Health Data 40

Healthcare Exchange Standards

FEBRUARY 29, 2016

There is a general misunderstanding that the BPPC (profile of CDA for capturing patient privacy consent) profile is only useful for XDS (document based Health Information Exchange) and XCA (Federation of document based Health Information Exchanges of various types) environments.

HIE 40

HIE Health Information EHR 40

Healthcare IT News - Telehealth

JANUARY 18, 2022

As part of the NETCCN project, Avel eCARE worked collaboratively to develop a cloud-based, low-resource, standalone health information management system to create and coordinate flexible and extendable "virtual critical care wards." Capability for basic documentation in real time as well as data collection and reporting.

eCare 190

eCare Telehealth Telemedicine Nursing 190

Healthcare Exchange Standards

JULY 5, 2017

Some of the drivers of this growth are the increased utilization of EMR systems, scanning of paper records, and improved access to health information exchanges. Privacy preferences are commonly documented in a patient privacy consent document. APPC’s focus is to enable automatic enforcement of consent documents.

HIE 49

HIE EMR Health Information 49

The Digital Health Corner

JUNE 14, 2017

EHRs were designed as documentation centers for billing and regulatory purposes. There are hospitals within the same healthcare system in many places with disparate EHRs which do not talk to each other or exchange information. Health Information Exchanges (HIEs) have been woefully underfunded and have fallen short of their vision.

Digital Health 87

Digital Health EHR Interoperability Health Information 87

Health Blawg

AUGUST 20, 2018

Micky is the president and CEO of the Massachusetts eHealth Collaborative , a non-profit health IT advisory and clinical data analytics company ( @MAeHC_org ), and is a nationally recognized leader in health information technology. Health Care Law and Consulting. Join the conversation on Twitter at #HarlowOnHC.

Interoperability 60

Interoperability EHR FHIR HIE 60

Health Blawg

AUGUST 20, 2018

Micky is the president and CEO of the Massachusetts eHealth Collaborative , a non-profit health IT advisory and clinical data analytics company ( @MAeHC_org ), and is a nationally recognized leader in health information technology. Join the conversation on Twitter at #HarlowOnHC. Join the conversation on Twitter at #HarlowOnHC.

Interoperability 60

Interoperability EHR FHIR HIE 60

Health Blawg

AUGUST 20, 2018

Micky is the president and CEO of the Massachusetts eHealth Collaborative , a non-profit health IT advisory and clinical data analytics company ( @MAeHC_org ), and is a nationally recognized leader in health information technology. Join the conversation on Twitter at #HarlowOnHC. Join the conversation on Twitter at #HarlowOnHC.

Interoperability 60

Interoperability EHR FHIR HIE 60

Health Blawg

AUGUST 20, 2018

Micky is the president and CEO of the Massachusetts eHealth Collaborative , a non-profit health IT advisory and clinical data analytics company ( @MAeHC_org ), and is a nationally recognized leader in health information technology. Health Care Law and Consulting. Join the conversation on Twitter at #HarlowOnHC.

Interoperability 60

Interoperability EHR FHIR HIE 60

Healthcare Exchange Standards

FEBRUARY 20, 2019

The recommendation I give here is restricted to the gross level: for Document Sharing at the XDS/XCA/DocumentReference metadata level; for FHIR REST at the returned Bundle.meta.security level, but not on each Resource in the Bundle; and for CDA at the CDA header, but not on each element. Which does not help for Data Segmentation nor Privacy.

FHIR 66

FHIR HIE Health Information Health Data 66

Health Blawg

AUGUST 20, 2018

Micky is the president and CEO of the Massachusetts eHealth Collaborative , a non-profit health IT advisory and clinical data analytics company ( @MAeHC_org ), and is a nationally recognized leader in health information technology.

Interoperability 60

Interoperability EHR FHIR eHealth 60

Health Blawg

AUGUST 20, 2018

Micky is the president and CEO of the Massachusetts eHealth Collaborative , a non-profit health IT advisory and clinical data analytics company ( @MAeHC_org ), and is a nationally recognized leader in health information technology.

Interoperability 60

Interoperability EHR FHIR eHealth 60

Healthcare Exchange Standards

OCTOBER 16, 2015

The expectation that the IHE ITI Technical Committee had on formatCodes was that the Affinity Domain would not want random and unspecified documents registered. As documents that can't be understood by Document Consumers are not helpful to the Affinity Domain. Even the IHE defined Document Content profiles are not pre-approved.

HIE 40

HIE Health Information 40