Webinar on Document Sharing HIE on FHIR
Healthcare Exchange Standards
OCTOBER 28, 2020
Webinar recording is available that covers the Document Sharing Health Information Exchange (HIE) on FHIR.
Document Health Information HIE 
The Balance Between Promoting Data Sharing and Ensuring the Privacy and Security of Sensitive Health Information
Healthcare IT Today
OCTOBER 8, 2024
Most of the data that we are looking to share is highly sensitive health information, the kind of information that cybercriminals love to hold for ransom. A clear definition of what is considered sensitive information subject to such rules and directives has not yet been established.
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Why does IHE-MHDS not have a Document Repository?
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 
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Mobile Health Document Sharing (MHDS) Profile
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
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Transitioning Federated HIE from XCA to FHIR Query
Healthcare Exchange Standards
MARCH 23, 2023
I already have one proposal for the transition from the current Federated Health Information Exchange to supporting FHIR, that is based on a transition from CDA to FHIR-Documents. Note that just because the content being published is a "Document" does not mean that it must be consumed as a document.
FHIR 112
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IHE whitepaper on Health Information Exchange models
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. The clinicians will find that this paper recognizes their interests in being properly recognized as authors of documentation.
FHIR data in existing Nationwide Health Information Exchange
Healthcare Exchange Standards
AUGUST 10, 2021
In the USA and elsewhere, there are Document Sharing based Health Information Exchanges. Ready for anything The IHE-XCA implementation guide is designed to be content agnostic, focusing on a set of metadata that describes the document. See the HIE-Whitepaper - section 2.7 These metadata are well talked about.
FHIR 105
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IHE IT-Infrastructure Spring 2023
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
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How Health Data Sharing Impacts How Clinicians Care for Patients
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 124
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Basics of doing Document Sharing Query right
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.
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HIE Future is bright - Automated not Manual
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
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Too Many QHINs Could Hinder Progress Toward Nationwide Health IT Interoperability
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 107
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IHE releases IUA, HIE-Whitepaper, and html published Technical Framework
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
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Sharing IPS (sIPS)
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 64
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FHIR documents in XDS
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
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Disaster use of HIE is a PurposeOfUse
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.
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Bonus Features – September 15, 2024 – 63% of HIE entities plan to participate in TEFCA, 19% of customer interactions with healthcare orgs get disrupted, plus 32 more stories
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 73
73 
California says goodbye to fax machines. Hello to DxF.
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
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Glad 2021 is now passed
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?
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IT-Infrastructure Fall 2022
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 52
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IHE IT-Infrastructure Fall 2023
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
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Where do I get 'the' IPS?
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
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ECRI, EHR Association put forth safety practices for behavioral health IT
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.
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Rochester Regional Health is Achieving Interoperability One Practical Byte at a Time
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
Reveleer Announces Acquisition of MDPortals to Enhance its Comprehensive Risk Adjustment Technology with Real-Time Access to Clinical and Claims Data
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
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Featured Health IT Job: Data Scientist
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 73
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CommonWell Marks its 10th Anniversary as TEFCA Gets Underway
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.
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Granularity of FormatCode
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.
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Basic Consent - a necessary first step
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
49 Bonus Features – March 5, 2023 – Two-thirds of patients connect with regular docs when they need medical care when traveling, half of clinical workflow automation users plan to expand their use, and more
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.
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How Electronic Health Records Streamline Chronic Care Management with Real-Time Data Integration
DrKumo Remote Patient Monitoring
OCTOBER 7, 2024
An EHR is a digital version of a patient’s medical history, making it easier for healthcare providers to access and share vital health information. Unlike paper-based systems, EHR allows for integrated care management, ensuring every healthcare professional involved in a patient’s care has up-to-date information.
EHR 52
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The Role of the Trusted Exchange Framework and Common Agreement (TEFCA) in Facilitating Seamless Data Sharing Among Healthcare Entities
Healthcare IT Today
AUGUST 30, 2024
Data privacy and security concerns are paramount, given the sensitive nature of health information and the need to protect patient confidentiality while ensuring accessibility for healthcare providers. Standard data representation, secure information exchange, and human-centric design will simplify care team decisions.
In Wisconsin we have Interoperability
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.
BPPC is not just for XDS/XCA
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
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Beyond Basic Privacy – The IHE APPC Profile
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
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Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare
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.
Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare
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.
Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare
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.
Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare
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.
Featured Health IT Job: Senior Solutions Architect – HIE
Healthcare IT Today
AUGUST 10, 2022
Today, we’re featuring the Senior Solutions Architect – HIE position that was recently posted on Healthcare IT Central. You’ll collaborate closely with others on the various technologies of our health information exchange platform to implement software solutions.
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IHE FormatCodes are mandatory
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
40 
Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare
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.
Micky Tripathi’s glass-half-full view of EHR interoperability – Harlow on Healthcare
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.
Basic DS4P - How to set the confidentialityCode
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.
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