HAY on FHIR

MAY 29, 2021

Could be FHIR resources, but more likely a database structure specific to the needs of the lab domain. And, conceivably doing more than just storing data – for example it could be tracking that the results have been viewed by the ordering clinician. FHIR Operation? Above them all is a Terminology Server.

FHIR 121

FHIR 121

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.

FHIR 69

FHIR Digital Health EHR Interoperability 69

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.

FHIR 45

FHIR Health Information 45

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.

FHIR 59

FHIR Interoperability EHR Patient Experience 59

HAY on FHIR

MARCH 25, 2021

It’s currently fed by HL7 version 2 messages and there’s a User Interface for authorized users, but there was always a plan to introduce a FHIR interface to some point – something that has been accelerated by the current COVID pandemic of course. So what would a FHIR API look like?

FHIR 124

FHIR 124

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?

FHIR 59

FHIR Interoperability EHR Digital Health 59

Redox

MARCH 29, 2023

FHIR ® R5 has been officially released at hl7.org/fhir. This is the fifth major version of FHIR, and the culmination of years of work by talented HL7 volunteers. As a very programmable specification, FHIR can generate a list of all the differences from R4. This is exciting as it means FHIR is closer to becoming very stable.

FHIR 52

FHIR Interoperability 52

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.

FHIR 52

FHIR EHR HIPAA Healthcare IT 52

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.

FHIR 52

FHIR 52

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.

FHIR 60

FHIR 60

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.

FHIR 68

FHIR 68

HAY on FHIR

MAY 22, 2021

This will be the first post in a short series that considers a very useful interaction – accessing Laboratory data such as blood tests from a repository of data via (of course) a FHIR API. There are 2 core resources, and a number of supporting ones. This graph also contains a number of the supporting resources.

FHIR 110

FHIR EHR 110

Health Intersections

MAY 22, 2019

I also added this to the ci-build at [link] , so it will be present for all future versions of FHIR. Example: These spreadsheets are to help people who want to do spreadsheet based mapping, as a starting point. . Alternatives: the FHIR Mapping Language MDMI (and see MDHT ) Writing your own code…

FHIR 93

FHIR 93

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.

FHIR 69

FHIR 69

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.

FHIR 79

FHIR EHR Interoperability Health IT 79

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.

FHIR 99

FHIR EHR 99

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.

FHIR 73

FHIR 73

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.

FHIR 105

FHIR 105

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.

FHIR 84

FHIR 84

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.

FHIR 85

FHIR Mental health 85

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.

FHIR 75

FHIR 75

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.

FHIR 45

FHIR 45

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.

FHIR 63

FHIR 63

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.

FHIR 68

FHIR 68

Healthcare Exchange Standards

JUNE 22, 2022

I got a Question: Can you address a specific example of the intersection of FHIR standards and OWASP guidance? The FHIR spec allows for sensitive ids such as patient identifier to be used on the query string when searching for a patient. Conclusion I have rallied against this security theatre against GET.

FHIR 40

FHIR 40

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.

FHIR 97

FHIR Telehealth Interoperability 97

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.

FHIR 58

FHIR Interoperability 58

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.

FHIR 49

FHIR 49

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).

FHIR 66

FHIR Primary Care 66

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.

FHIR 51

FHIR 51

HAY on FHIR

MARCH 26, 2021

If we’re going to create examples, then we’re talking FSH and Sushi. Yes, you could create the examples manually or using other tools but FSH is way easier – both to generate the example instances and to understand what’s in them. In fact, in this post we’ll show the FSH as we go rather than the XML or Json representations.

FHIR 58

FHIR 58

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.

FHIR 49

FHIR 49

Healthcare Exchange Standards

MAY 9, 2019

This is an update of what is going on in Security and Privacy in, and around, the FHIR specification. This is an update of what is going on in Security and Privacy in, and around, the FHIR specification. GDPR driven activities: The Security WG has done an assessment of FHIR in the context of GDPR.

FHIR 40

FHIR HIE Health Information 40

Healthcare IT Today

SEPTEMBER 10, 2024

The ONC Cures Act APIs and the companion CMS Access APIs all require these modern FHIR-based technologies and are fundamentally designed to grow a vibrant digital health economy providing choice and value to consumers. These API protocols are known and used by hundreds of thousands of developers.

Interoperability 81

Interoperability FHIR EHR Health Information 81

Healthcare Exchange Standards

JUNE 17, 2022

This kind of double pointers is discouraged in REST and in FHIR. The main difference from the FHIR core Consent I outlined in my Consent article is that this might be a specific kind of Privacy Consent delegating authority , and the RelatedPerson instance would be indicated specifically in the.provision.agent.

FHIR 40

FHIR 40

Healthcare Exchange Standards

SEPTEMBER 8, 2017

I have been working with some of the teams wanting to do something with Privacy Consent and are coming to the FHIR Connectathon in San Diego. For example: Role Based Access Control (RBAC), or Attribute Based Access Control (ABAC). An example of this is -- SMART-on-FHIR. Another example has been shown as "Cascading OAuth".

FHIR 40

FHIR 40

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.

FHIR 56

FHIR 56