Healthcare Exchange Standards

FEBRUARY 20, 2021

HIE-Whitepaper -- the whitepaper needed to be updated to include the FHIR based models that we have published in the MHD family. This also includes the use of QEDm and mXDE to make FHIR Resource level data available from the shared documents, making consumption more easy. StructureDefinition) and inclusion of examples.

FHIR 72

FHIR HIE 72

Healthcare Exchange Standards

MAY 18, 2017

I have been made aware of Utah HIE that has a checkbox on their Consent to forbid break-glass. This is a consent only for HIE, not for within a hospital environment; but it is relevant to our FHIR consent (and CDA consent) work. It is a general form that the Patient has some check boxes they can choose.

HIE 40

HIE FHIR 40

Healthcare IT Today

SEPTEMBER 11, 2023

But despite the availability of FHIR and of APIs from many vendors, interoperability is often described as “difficult and “not frictionless” according to Loyd Bittle, CEO and Founder at Innovar Healthcare. Patients, regulators, and payers are insisting on data exchange in health care.

Interoperability 73

Interoperability HIE EMR FHIR 73

Healthcare Exchange Standards

JUNE 18, 2020

HIE-Whitepaper IHE publications in html * kanban has not been started as too much is in flux * publications github where we are doing our work [link] publications * meeting minutes [link] IHE/publications/wiki * html rendering of current work for committee review (not proper external publication) [link] github.io/publications/

HIE 40

HIE FHIR 40

Healthcare Exchange Standards

MARCH 16, 2020

That is that the HIE is designed for ONE purpose. For example a Health Information Exchange (HIE) that is designed for supporting Treatment. It is being considered to be added to SMART-on-FHIR , but is not fundamental there. Today a custodian trusting SMART-on-FHIR must presume Purpose from the indirect means.

HIE 64

HIE FHIR EHR Health Information 64

Healthcare Exchange Standards

APRIL 4, 2018

Another example is only documents covering the last 6 months by specifying a StartTimeFrom and leaving open the stop time. IHE FormatCodes are mandatory In Wisconsin we have Interoperability What is MHD beyond XDS-on-FHIR? IHE FormatCodes are mandatory In Wisconsin we have Interoperability What is MHD beyond XDS-on-FHIR?

HIE 45

HIE FHIR Health Information Interoperability 45

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. This article is all about IHE Document Sharing, and not about FHIR. Table 10.2.3-1

HIE 49

HIE FHIR Health Information Primary Care 49

Healthcare IT Today

AUGUST 30, 2024

Etienne Boshoff, Managing Director at EHR Enhancify Healthcare interoperability is advancing through the adoption of Electronic Health Records (EHRs), standardized APIs like FHIR, and emerging technologies such as blockchain. Policies like the 21st Century Cures Act and ONC/CMS rules enhance data access and prevent information blocking.

Interoperability 73

Interoperability eHealth FHIR EHR 73

Healthcare Exchange Standards

AUGUST 21, 2018

This is described in the Enabling Document Sharing through IHE Profiles white paper (HIE using IHE). A Community deploying an HIE this way needs to define some metadata constraints and practices, so that the documents are found when they are needed. Each document shared is described by metadata.

HIE 40

HIE FHIR 40

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 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. Available from the FHIR specification for easy reading.

FHIR 66

FHIR HIE Health Information Health Data 66

Health Blawg

AUGUST 20, 2018

Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.

Interoperability 60

Interoperability EHR FHIR HIE 60

Health Blawg

AUGUST 20, 2018

Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.

Interoperability 60

Interoperability EHR FHIR HIE 60

Health Blawg

AUGUST 20, 2018

Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.

Interoperability 60

Interoperability EHR FHIR HIE 60

Health Blawg

AUGUST 20, 2018

Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.

Interoperability 60

Interoperability EHR FHIR HIE 60

Healthcare Exchange Standards

FEBRUARY 20, 2019

Best example is that Sickle Cell diagnosis has historically been used to exclude people from serving in the military. An example might be a document specifically assembled as an "Emergency Data set", a critical set of data with minimal facts useful in an emergency. Some data are only sensitive in specific context.

FHIR 53

FHIR HIE Health Data 53

Healthcare IT Today

OCTOBER 8, 2024

A great example of this is de-identified patient data sets, where we’re able to take a large volume of data and determine trends. TEFCA proposes that the adoption of FHIR access with OAuth2.0 will help in providing secure access through third-party entities/applications.

Health Information 124

Health Information HIPAA Interoperability eHealth 124

Health Blawg

AUGUST 20, 2018

Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.

Interoperability 60

Interoperability EHR FHIR eHealth 60

Health Blawg

AUGUST 20, 2018

Micky is also active in the industry at a local and national level, including being on the Board of Directors of the New England Health Exchange Network (NEHEN), the Sequoia Project, the CARIN Alliance, and the FHIR Foundation and the Project Manager of the Argonaut Project, an industry collaboration to accelerate the adoption of FHIR.

Interoperability 60

Interoperability EHR FHIR eHealth 60

Healthcare Exchange Standards

MAY 3, 2015

We can't change Healthcare by writing very complex standards like the current FHIR ConsentDirective , which is fundamentally a " Contract " resource. First I recommend that FHIR make ConsentDirective a resource rather than just profiles of Contract. Essentially the common HIE policies from BPPC.

HIE 40

HIE FHIR Health Information 40

Healthcare Exchange Standards

SEPTEMBER 23, 2016

There is some strong discussion going on at HL7 around privacy concerns, especially now that HL7 FHIR has enabled easy application writing. Apple is a good example of building Privacy in by design, and they have few (not zero) issues. Hack it on later and it is surely going to be problematic.

Mobile Health 40

Mobile Health FHIR HIE mHealth 40

Healthcare Exchange Standards

NOVEMBER 12, 2021

PMIR model is about one master Patient instance ; PIXm model is about cross-references to identifiers ; This is further explained in the " HIE Whitepaper - Patient Identity Management " PMIR PMIR model is one where a community wants to cooperate on a master Patient identity for each patient, a "golden" patient. The elephant in the room is.

HIE 52

HIE FHIR 52

Lloyd Price

AUGUST 6, 2018

It can also leverage the open, API-compatible Fast Healthcare Interoperability Resources (FHIR) interface, a set of standards that will be available in every major EHR to consolidate lifetime clinical records from different EHR providers. It's the lattice work or the skeleton for it," Shegewi said.

Interoperability 89

Interoperability EHR HIE FHIR 89

Healthcare Exchange Standards

JULY 15, 2015

Available from the FHIR specification for easy reading. See FHIR Demonstration of DS4P. One specific example is 42CFR Part 2 – SAMSA covered treatment- that must be explicitly marked with a 'do not disclose without explicit authorization by the patient'. "M", because the content is less sensitive than normal, but still medical.

FHIR 40

FHIR HIE Health Information 40

Healthcare Exchange Standards

AUGUST 31, 2020

Interoperability solutions FHIR Profiles Mobile Health Document Sharing (MHDS) – Published 2020-05-29 Section 50.7 Interoperability solutions FHIR Profiles Mobile Health Document Sharing (MHDS) – Published 2020-05-29 Section 50.7 MHDS Background 50.7.4 Patient Identity Management 50.7.4.1 MHDS Background 50.7.4 PIX Manager Section A.8.2.2.10

Interoperability 45

Interoperability HIE FHIR Health Information 45

Healthcare IT Today

SEPTEMBER 3, 2024

For example, we all have a favorite gas station based on where we live and what our price and snack preferences are, this is an area where having different choices is great. FHIR-based API usage by Payers (Government and Commercial) in the next few years will usher in enriched datasets to TEFCA networks.

Interoperability 89

Interoperability FHIR EHR Health Information 89

Healthcare Exchange Standards

FEBRUARY 19, 2024

Update HIE Whitepaper and MHDS with newest Profiles. Previously PDQm supported only the FHIR query, which does not give the server the power to utilize algorithms. Support for the normal FHIR dynamic discovery using the metadata endpoint returning a CapabilityStatement is used in operational environments to detect server support.

FHIR 64

FHIR HIE 64

Healthcare Exchange Standards

JULY 23, 2024

Using Long Term signatures as Documents in an HIE (aka Document Sharing) would tend to be available for a long time, and over a broad distance. As part of this we will be providing examples and pointing at some code that people could use. This specification is based on FHIR Version 4.0.1

FHIR 45

FHIR HIE Health Data 45

Healthcare Exchange Standards

OCTOBER 5, 2023

But, what if a fhir-based app they use has server/architecture outside of ca? For example, if a portion of the resource is sensitive. Some may not segment application registrations in such a way Access by a patient seems like it would be straightforward, but perhaps not. The patient has the unfettered right to see the data.

HIE 49

HIE FHIR 49