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. This is true of an XDS based HIE, Regional Exchange (XCA), Vendor based EHR, nationwide Exchange, and Direct HISP. At an HIE level: Initially I would focus on enabling Apps to query for and read the data available in the HIE.

HIE 40

HIE FHIR EHR Interoperability 40

Healthcare Exchange Standards

MAY 4, 2023

The IHE IT-Infrastructure committee continues to produce new and improved specifications for HIE interoperability. Document Sharing Across Network Topologies- Rev. It is intended to be read by HIE and Healthcare IT Executives and Architects, Standards Development Architects, and health data exchange stakeholders in academia.

FHIR 119

FHIR HIE Interoperability Health Data 119

Healthcare IT News - Telehealth

FEBRUARY 15, 2021

A joint ECRI-EHRA workgroup developed five recommendations – with practical strategies for achieving them – focused across three areas: screening, documentation and information sharing. Optimize clinical documentation for behavioral health and primary care integration.

EHR 172

EHR Health IT Primary Care HIE 172

Healthcare Exchange Standards

MARCH 3, 2021

I don't explain these in this article, but you likely will find that I have explained them in my other articles and the HIE-Whitepaper. No, but the infrastructure includes them, meaning they are ready to be used, rather than some future hope. That said, I am happy to have my comments challenged, or reinforced. So comments welcome.

FHIR 118

FHIR HIE 118

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

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 IT Today

DECEMBER 15, 2022

With any document this complex, there is significant room for interpretation and assumptions. . Consider a continuity of care document (CCD) with fields for social history and family history. While not all candidates who apply will be designated, too many QHINs could hinder TEFCA’s ultimate success. QHIN or not, everyone has a role.

Interoperability 107

Interoperability Health IT HIE Health Information 107

Healthcare Exchange Standards

APRIL 8, 2020

Thus the system needs to provision user accounts, while making sure that policy and procedures assure that the users are all legitimate users track all users actions so that there is traceability and accountability patient discovery mechanism document discovery of list of documents display of user selected document Putting it together using Interoperability (..)

HIE 66

HIE Health Information Interoperability 66

Healthcare Exchange Standards

FEBRUARY 29, 2020

In the past XDS was used when one wanted to create a Document Sharing HIE, and XCA was used to federate XDS Document Sharing HIE and add in EHR based Document publications. I am working up a set of decisions around the use of XDS vs XCA vs MHDS.

HIE 80

HIE EHR 80

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

Manual HIE Today we have Health Information Exchanges that enable Providers to send Directed Secure E-Mail messages to other Providers. The Query model of Health Information Exchange also enables a Provider to publish a document they created under the hope that someone might find it useful. Manual is not bad. Manual is the first step.

HIE 40

HIE Health Information 40

Healthcare Exchange Standards

AUGUST 21, 2018

The IHE IT Infrastructure Technical Committee has published a new Handbook as of August 20, 2018: Document Sharing Metadata The above document is available for download at [link] or at User Handbooks. This is described in the Enabling Document Sharing through IHE Profiles white paper (HIE using IHE).

HIE 40

HIE FHIR 40

Healthcare IT Today

APRIL 22, 2024

General’s emergency room, the hospital’s care team documented a number of indicators that appeared to be related to a neurological issue. This avoids the laborious process and delays associated with calling, faxing, and contacting providers and family members. Data sharing decisions impact the care that patients receive every day.

Health Data 124

Health Data HIE Health Information Mental health 124

Healthcare Exchange Standards

DECEMBER 30, 2017

It happens that the framework for explaining why the future is bright for HIE comes from the Wisconsin HIE (WISHIN) fall summit. They used the following diagram to show what they viewed as the HIE future. These historic events need to have the full context of them, which is what a Document model provides.

HIE 40

HIE FHIR Meaningful Use Leadership 40

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

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 Document Relationships where this is discussed.

FHIR 105

FHIR Health Information HIE Interoperability 105

Healthcare Exchange Standards

FEBRUARY 26, 2021

imagine a fancy graphic here that shows three sources each of the types: e-mail, SOAP, and REST talking to three consumers each of the types: e-mail, SOAP, and REST For a good explanation of these transports, I refer you to the HIE-Whitepaper by IHE. Again, I will refer you to the HIE-Whitepaper by IHE. It has many positive attributes.

FHIR 72

FHIR HIE Healthcare IT 72

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

MARCH 7, 2023

I still remember being with a New York State HIE at the time, on the HIMSS13 floor, and being asked by a reporter to speculate about what it meant. billion documents to date. Today, we facilitate the exchange of 30-40 million documents each week across the nation. and US territories including Puerto Rico.

Interoperability 107

Interoperability eHealth FHIR HIE 107

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.

Health Information 70

Health Information FHIR Interoperability HIE 70

Healthcare Exchange Standards

JANUARY 11, 2022

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. as the current HIE-Whitepaper contains MHD and MHDS now.

eHealth 75

eHealth Mobile Health HIE FHIR 75

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 not a policy or procedure document for how the IPS data was acquired. Note that the Document Sharing exchanges can handle very well this new FHIR-Document.

FHIR 69

FHIR HIE Health Information 69

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. Those files can be created and consumed by many different systems involved in a wide variety of data sharing workflows.

FHIR 72

FHIR HIE Health Information 72

Healthcare IT Today

APRIL 14, 2024

The bigger issue seems to be how regulators and HIE entities are going to address other data use cases as defined by HIPAA, such as Payment, Operations, Research, or Patient Request. Greenway Health is integrating Nabla , an ambient clinical documentation tool, into its Prime Suite and Intergy EHR solutions.

Nursing 94

Nursing HIPAA EHR Life Science 94

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

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

FEBRUARY 19, 2023

Montana HIE Big Sky Care Connect chose Lyniate ‘s Rhapsody Interoperability Suite for data classification and cleansing. Hawai’i HIE chose 4medica to assist with data quality improvement. AI-powered medical documentation tool Abridge appointed Zachary Lipton as Chief Scientific Officer.

HIE 75

HIE Healthcare Cybersecurity EHR Healthcare IT 75

Health System CIO

AUGUST 7, 2013

Being the resident MU expert Telepsychiatry HIE Since becoming CIO at Albemarle Health in 2005, Stephen Clark has made great strides in helping to advance the organization. Telepsychiatry HIE. We’ve been positioned to expand and develop a community-based HIE, but it’s going to take an investment to continue to do so.

HIE 60

HIE Meaningful Use Nursing Primary Care 60

Healthcare Exchange Standards

MAY 27, 2015

See below an interesting monthly report I get from the Wisconsin HIE. A very healthy and Quality producing HIE: 2.6 This is a Standards based HIE, based on IHE-XDS and XCA. We will keep you up to date with WISHIN activities, news on health information exchange (HIE) and new product developments. Fully federated.

Interoperability 53

Interoperability HIE EHR Health Information 53

Healthcare IT Today

AUGUST 20, 2023

Partnerships eHealth Exchange added C3HIE , a Texas-based HIE, to its network of partners under its anticipated QHIN. Products Consensus Cloud Solutions launched Clarity Clinical Documentation , which routes unstructured data into patient records. AVIA added RUSH, MUSC Health, and United Regional Health Care System to its network.

Digital Health 75

Digital Health HIE eHealth Life Science 75

Healthcare IT Today

SEPTEMBER 4, 2022

The Sequoia Project expects to begin the QHIN application process on Monday, October 3 and has released several documents to walk potential Qualified Heath Information Networks through the application and onboarding process. ONC referred to this document release as “moving into the operational phase” of implementing TEFCA.

Psychiatry 79

Psychiatry HIE Healthcare IT Leadership 79

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'. So it is related to mime-type.

HIE 45

HIE FHIR Health Information 45

Healthcare IT Today

SEPTEMBER 15, 2024

Edifecs launched Concurrent Risk Adjustment to help MCOs and other risk-bearing payers share previously documented chronic conditions with providers. Autonomous medical coding tool Fathom is available in Epic Toolbox.

HIE 56

HIE RCM EHR Healthcare IT 56

Redox

NOVEMBER 21, 2023

Is this just another HIE? 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. Required data format requirements are also notable.

HIE 59

HIE FHIR Health Information Nursing 59

Healthcare IT Today

MARCH 31, 2023

Eventually, that information must be reconciled in the new system with all of the disparate sources, including legacy system(s), scanned documents, continuum of care documents (CCDs), and various databases (archives, HIEs, pharmacy databases, state registries, etc.). It’s just a question of when this happens and who does the work.

EHR 85

EHR Leadership HIE Nursing 85

Healthcare IT Today

DECEMBER 10, 2023

Sales Texas Family Wellness Clinic is adopting Sunoh.ai , the EHR-agnostic clinical documentation tool developed by eClinicalWorks. Western New York HIE HEALTHeLINK earned the Validated Data Stream designation in the NCQA Data Aggregator Validation program.

RCM 96

RCM EHR HIE Healthcare IT 96

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. It could use BPPC or later standard.

HIE 40

HIE Health Information EHR 40