Health Intersections

MAY 20, 2019

It’s a common thing for implementers to want to do with FHIR: connect to a FHIR server, and make a local copy of the information provided by the server, and then check back occasionally with the server for updates – that is, new resources, or changes to existing resources. (In And that’s a real problem.

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FHIR EHR 99

Health Intersections

SEPTEMBER 4, 2018

On a forum for FHIR Foundation members, I raised the subject of where FHIR is on the Gartner Hype Cycle (see Gartner write up , or Wikipedia ). FHIR Foundation member Wes Rishel ( @wrishel ), who’s a FHIR user, and also was a Gartner Analyst before he retired, graciously made this contribution that I could post here.

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FHIR EHR Interoperability Health IT 79

Health Intersections

MAY 12, 2019

The FHIR Standard doesn’t say much about security. There are, however, many different valid approaches to making a server secure, so the FHIR standard delegates making rules about security to other specifications such as the Smart App Launch Specification. A security appliance is not enough. openId Connect.

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FHIR Mental health 85

HAY on FHIR

MAY 10, 2019

I had an email from a company which had a number of really good questions about exposing data through FHIR, so I thought I’d write a post about it rather than just replying directly as it may be of interest to others (and also gives others the opportunity to disagree with me ). One resource that is not in the diagram above is the Encounter.

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FHIR 84

Healthcare Exchange Standards

MAY 17, 2022

This article includes explanation of some example scenarios and points at example Consent resources for them. These example scenarios are provided for educational use only, they are not an endorsement of these scenarios. example Given: the same example attributes as above with the addition of a signed form.

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FHIR 52

HAY on FHIR

MARCH 29, 2021

For example, if we just wanted the recommendation for a new born then it’s quite easy. For example, the DTaP-IPV-HepB/Hib vaccine is given 3 times – at 6 weeks (dose 1), 3 months (dose 2) and 5 months (dose 3). Looking at the proposal for the next version of FHIR (R5) it is multiple, but we can’t use that yet.

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FHIR 105

Health Populi

MAY 17, 2021

Each of the teams with whom we collaborated did a stellar job with their pitch desks, business model articulation, and deployment of the latest technology – for example, chatbots working toward mental health and FHIR standards toward interoperability.

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Nursing Mental health FHIR Digital Health 296

HAY on FHIR

JANUARY 6, 2019

As FHIR continues to mature, one of the things we’re seeing is a move away from ‘simple’ data representation Implementation Guides to more complex ones that describe a workflow of some sort. Compare, for example the Argonaut data query Implementation Guide with the Argonaut scheduling guide currently in development.

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FHIR 73

HAY on FHIR

MAY 8, 2019

At the recent Working Group Meeting in Montreal, I participated in the ‘v2 to FHIR’ stream – focused on how can the HL7 community give advice to implementers about converting v2 messages into FHIR bundles. To actually process (convert to FHIR) a message, click the ‘Convert’ button to the upper right.

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FHIR 69

Health Intersections

MARCH 28, 2020

In a number of contexts, people are using FHIR in production to make or report on patient appointments. How to represent this in FHIR: Mark an appointment as a virtual appointment. Examples include telephone conference, email exchange, robotic surgery, and televideo conference. it) has co-morbidities that are known risk factors.

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FHIR Telehealth Interoperability 97

Healthcare IT News - Telehealth

JANUARY 22, 2021

For example, cardiology requires more digital monitoring devices than other specialties to monitor BP, weight, heart rate, and EKGs in real-time. Adopting FHIR standards for integrating data with a physician's daily workflow. Remote patient monitoring uses three primary FHIR resources: Patient.

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FHIR EHR Telehealth EMR 190

Health Intersections

APRIL 6, 2020

Question: Is there a URI form for specifying FHIR versions? For example, ‘ r4.fhir.hl7.org For example, an external system that may not only interact with FHIR servers would need to use that URI to determine that: a) the server to invoke is a FHIR one; and, b) the version is r4.

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FHIR 60

HAY on FHIR

FEBRUARY 9, 2020

I was trying to remember how to represent family relationships in FHIR – to record that one person is related to another, maybe a mother / daughter relationship, assuming that each person is already represented by a Patient resource. The Patient.link then has a type of ‘seealso’ to the Related person. Install sushi.

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FHIR 75

Redox

DECEMBER 18, 2023

2023 HL7 ® FHIR ® DevDays in Amsterdam stood out in a few ways, and in case you weren’t able to make it to the event, here’s your chance to digest the newly uploaded session recordings. These sessions highlighted two crucial truths about FHIR capabilities and adoption. In the meantime, check out our latest FHIR content below.

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FHIR HIPAA EHR Digital Health 59

HAY on FHIR

JANUARY 23, 2020

The 23 rd FHIR connectathon in Sydney is almost upon us, and despite the trials and tribulations that the weather has thrown at us, it’s going to be a great event with over 150 people currently scheduled to attend. For myself, I’m going to participate in the FHIR shorthand track. In keeping with the FHIR ethos, the Mitre corp.

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FHIR Primary Care 123

Redox

NOVEMBER 2, 2023

Healthcare software vendors prioritize projects that use HL7 ® Fast Healthcare Interoperability Resources (FHIR ® ) over those built on other standards for many reasons. Because FHIR resources have a defined structure, they can be accessed, manipulated, and exchanged in ways that other standards aren’t today.

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FHIR Digital Health EHR Interoperability 69

HAY on FHIR

MAY 31, 2019

So a little while back I wrote about an app I developed during the WGM Connectathon to send an HL7 v2 message to a converter app, and display the response (a FHIR Bundle ) in a number of visualizations after validating it using the community supplied validation tool (actually, exposed by the reference servers via the $validate operation).

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FHIR Primary Care 66

Healthcare Exchange Standards

AUGUST 12, 2024

There is a FHIR leadership desire to have the FHIR Data Type "Signature" normative in FHIR R6. The ballots leading to FHIR R6 will give us a chance to test with the community their interest in this Data Type being ready to be called Normative. The FHIR Signature Datatype is less concerning than all of Digital Signatures.

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FHIR Leadership 49

HAY on FHIR

FEBRUARY 17, 2023

So I’ve written an earlier post describing how you can use the excellent HAPI FHIR engine to host your own FHIR server. This used the CLI (Command Line Interface) tool , and has worked well for me in the past – for example most of the clinFHIR modules have used this as the back end storage.

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FHIR 68

Redox

MARCH 14, 2024

Up first: Using bulk FHIR. What is bulk FHIR? Like many aspects of HL7 ® Fast Healthcare Interoperability Resources (FHIR ® ), there has been a lot of hype about the potential of using bulk FHIR to get large amounts of data out of EHRs. That’s where bulk FHIR comes in.

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FHIR Interoperability EHR Patient Experience 59

HAY on FHIR

SEPTEMBER 24, 2017

As you probably know, there are a number of ‘conformance’ resources in FHIR that have a unique ‘canonical’ Url that identifies them globally. So how do you accomplish this across different versions of FHIR? So back to FHIR versions. Take an example of a ValueSet – say the set of iwi in New Zealand.

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FHIR 49

HAY on FHIR

MAY 25, 2021

We spent a bit of time in the last post describing why we want to have data coded, how FHIR supports coded data – especially the external terminologies where the concepts are defined – and described some of the RESTful API calls that we could make to retrieve specific Observations and DiagnosticReports from the repository.

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FHIR 68

Healthcare Exchange Standards

AUGUST 23, 2024

Users are grouped into "clearances" (aka roles); this might be a FHIR PractitionerRole, CareTeam, RelatedPerson, and Group; but might be something non-FHIR (aka OAuth, LDAP, etc). A good example is Observation.category code of 'vital-signs' -- indicates vital signs that are normal health information of no stigmatizing sensitivity.

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FHIR Health Information 52

HAY on FHIR

MAY 26, 2021

You might, for example, want to reference the ServiceRequest from the Specimen – and indicate who actually took the specimen. This is actually a good example how a single ValueSet can refer to concepts from multiple CodeSystems. And, of course, you could document this in an Implementation Guide with the appropriate profiles.

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FHIR 63

Health Intersections

APRIL 13, 2018

The FHIR R4 ballot is out (see announcement), and I’d like to draw attention to one part of FHIR that we’ve been working hard on during the preparation of R4: Patterns. h/t to Andrew Goodchild for introducing me to this example many years ago). In FHIR, we made a specific decision to be as specific as we can get away with.

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FHIR 51

Redox

MARCH 29, 2024

In the first post, I covered how Redox is overcoming current limitations with bulk FHIR. This time, I’ll be discussing our capabilities to translate between HL7 ® v2 and HL7 ® FHIR ® —a reoccurring challenge for many of our customers. However, modern technology shops want everything in FHIR. Let’s dive in. What does HL7 v2 do?

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FHIR Interoperability EHR Digital Health 59

Healthcare Exchange Standards

OCTOBER 25, 2022

IHE IT-Infrastructure has agreed to start a new work item on the topic of Privacy Consent, using FHIR. This minimally would be a re-evaluation of the use-cases in BPPC for use with FHIR Consent, but likely will go beyond that scope simply because of modern needs, modern toolings, and ease at which the FHIR Consent can support them.

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FHIR 52

Healthcare Exchange Standards

JANUARY 30, 2024

The FHIR security tag `VIP` is used to indicate that a patient's health information is considered to be highly confidential and requires heightened security measures. To use the VIP security tag, simply add it to the security tag of any FHIR resource that contains the patient's health information. other content.

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FHIR Health Information 45

Healthcare Exchange Standards

MAY 4, 2023

This conversion enabled better and more comprehensive definition of the Provenance linkage between the derived FHIR clinical Resources and the source documents from the HIE. This Provenance definition is now in mXDE along with examples and requirements CapabilityStatement.

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FHIR HIE Interoperability Health Data 119

Health Intersections

MARCH 4, 2018

In discussions with implementers, one question that has come up quite a lot recently is whether you should store FHIR resources natively in your database or not. In principle, FHIR resources (like all HL7 specifications) are designed for exchange between systems, rather than as a database storage format.

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FHIR 56

HAY on FHIR

JANUARY 30, 2020

Examples are probably one of the more useful things to an implementer – yet likely the least exciting part of building an Implementation Guide (IG) to the designer. But the tooling to create examples is not that great. Admittedly it does require a basic understanding of FHIR – but well within the reach of a Clinician or BA.

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FHIR 45

Redox

JUNE 15, 2023

Last week a handful of Redoxers headed over the big pond to take in 2023 HL7 FHIR DevDays. We loved connecting and reconnecting with the world’s foremost FHIR enthusiasts in Amsterdam. For example, there is healthy demand to implement FHIR-based queries (e.g., FHIR’s promise as a programable standard is being delivered.

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FHIR EHR HIPAA Healthcare IT 52

HAY on FHIR

MAY 24, 2021

Before we start thinking of the specifics of coding in lab tests, a quick review of coded data in FHIR in general is probably a good idea. The strength of the binding is ‘example’, which means that, actually, any code from any codesystem is allowed. For example, a url value of [link] would indicate that this is a LOINC code.

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FHIR Interoperability 58

Healthcare IT News - Telehealth

JULY 11, 2022

For example, "I've been nauseous today, I have a headache, my headaches are getting worse." Artificial intelligence has really come a long way in the last 10 years from companies like Uber and Tesla for example, and you're seeing the proof points of its value. This made the integration process very slow and expensive.

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EHR FHIR Healthcare IT Health Data 143

HAY on FHIR

JANUARY 6, 2019

In part one of this series, we looked at using node-RED to manage notifications using the FHIR Subscription resource for a Use Case where relatives (or other care givers) could be notified when a person is admitted to hospital. This node makes the actual call (a POST) to the FHIR server and validates the resource. Subscription.

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FHIR 49

Healthcare Exchange Standards

AUGUST 16, 2018

It is better to put pointers (to FHIR Servers) onto the chain. Thus there will be many FHIR Servers that hold your data (might be others than FHIR, but why bother mentioning them). However probably best to presume many FHIR servers. permissioned chains, or encrypted, etc). So pointers are good, data are bad.

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FHIR 53

Healthcare IT News - Telehealth

MARCH 16, 2022

Microsoft took a step to address health data interoperability with Azure API for FHIR in 2019. For example, a patient whose lack of transportation makes it difficult to get to their appointment on time could use Patient Virtual Care to connect with their physician virtually. More holistic view of the patient.

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Life Science Interoperability Health Data FHIR 200