Healthcare IT Today

NOVEMBER 11, 2022

The American Medical Informatics Association began a project to reduce patient documentation to 25% of its current volume by 2025. Most hospitals are not set up share their records; interoperability is still limited. Doctors must follow strict rules about what documents to fill out, and when. Follow the money.

EHR 103

EHR Nursing Meaningful Use Health IT 103

Healthcare Exchange Standards

DECEMBER 30, 2017

These historic events need to have the full context of them, which is what a Document model provides. The good news is that FHIR has a Document model, and the FHIR Document model has a directly convertible data model A FHIR Document travels an HIE easily CDA will fade, but never disappear. Today the GP drives everything.

HIE 40

HIE FHIR Meaningful Use Leadership 40

The Digital Health Corner

JUNE 14, 2017

According to most recent statistics from the Office of the National Coordinator, use of EHRs has increased from 20% in 2004 to 87% in 2015. EHRs were designed as documentation centers for billing and regulatory purposes. Increasing healthcare consolidation of hospitals has exacerbated the problem of lack of interoperability.

Digital Health 87

Digital Health EHR Interoperability Health Information 87

Healthcare Exchange Standards

APRIL 26, 2015

From an Interoperability perspective one is using the TLS to Mutually Authenticate. This is the concern that is addressed through Interoperability Profiling. This is all that Profiling can address, in that the Interoperability layer defines how the two sides authenticate each other.

Interoperability 40

Interoperability Meaningful Use 40

Healthcare Exchange Standards

MARCH 16, 2015

So back in 2011 I wrote the first profile in IHE that was targeting ‘ease of use by lightweight application platforms such as Mobile Health Applications”. Thus it targeted use of HTTP RESTful, using JSON encoding. The Mobile Health Documents (MHD) profile was born to provide a more simple API to an XDS environment.

FHIR 40

FHIR Mobile Health mHealth Meaningful Use 40

Docnotes

MAY 31, 2017

Recently, there have been renewed calls for scaling back the certification program and its many criteria, citing the maturation of the EHR incentive programs (meaningful use) and the fact that some of the certification criteria define capabilities that are not invoked by the incentive programs. ” I disagree.

EHR 75

EHR Meaningful Use Public Health Health IT 75

HIStalk Interviews

JUNE 4, 2018

Expanse for us represents the development over several years of an EHR that we designed for the post-Meaningful Use era. Introducing a system that was built around an environment that had shifted massively because of Meaningful Use has made people sit up and take notice of Meditech.

EHR 68

EHR Meaningful Use Interoperability 68

Healthcare Exchange Standards

AUGUST 27, 2012

The transport identified in Meaningful Use 2 as (b) is NOT a transport, it is a functional specification for a service that converts Direct to/from XDR. This specification shows how interoperability can be achieved when one system is using purely the secure e-mail of “The Direct Project” and another system is using IHE-XDR.

Meaningful Use 40

Meaningful Use Interoperability EHR 40

Docnotes

JANUARY 30, 2022

I’ve cut/pasted selected sentences from the DOH document to make it easy to follow here – but (of course) the full document has more detail/explanation. Exhibit 2: SDHN Structural and Funding Diagram. Social Care Data Interoperability Exchange.

Primary Care 52

Primary Care Telehealth HIE Public Health 52

mHealth Insight

SEPTEMBER 6, 2019

Back in 2008 at 3GDoctor we started offering the ability for Patients to use their mobiles to provide their own history to Doctors prior to a documented video consult: [link]. “Digital Therapeutics and Diagnostics. That said, integration with the electronic health record (EHR) is currently extremely challenging and costly.

Mobile Health 48

Mobile Health mHealth EHR FHIR 48