This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
I already have one proposal for the transition from the current Federated Health Information Exchange to supporting FHIR, that is based on a transition from CDA to FHIR-Documents. Federated FHIR Resource Servers In this article I am going to add another step to the smooth transition. I will get to those later.
The solution is to leverage this existing solution, and just add FHIR. My point in this article is that this does not need to be a restriction on those that do want to move on to FHIR. Just add FHIRFHIR is a content format. Thus for those that want a FHIR content format, the choice would be the IPS rather than the C-CDA.
This article is where I muse about getting to that beautiful future based on #FHIR. Break Everything One possibly that some advocate is turn off what we have today, and everyone and everything switch to using http RESTful FHIR. This pair of transports now has a third FHIR mode, so Karen's Cross is now three dimensional.
The IHE IT-Infrastructure committee continues to produce new and improved specifications for HIE interoperability. This white paper primarily illustrates how such a network could be represented in a Mobile Care Services directory. Details on who IHE is and how to engage are available on their web site. May the 4th be with you.
This profile shows how to build a Document Sharing Exchange using IHE profiled FHIR® standard, rather than the legacy IHE profiles that is dominated by XDS and HL7® v2. The MHDS Profile specifies how a collection of IHE profiles can be used by communities for exchanging health information. 3 - Section 4.0
How does one put a FHIR Document into XDS? How does one find a FHIR Document in XDS? Both of these might still be needed for FHIR Documents. FHIR is more popularly known for the access model using http REST. FHIR has a Document model. If I have a FHIR Document, how would I publish that into XDS?
I have covered the vision of Data Segmentation for Privacy (DS4P) concept, and outline how a Security Labeling Service (SLS) would enable this grandiose vision of DS4P. However, there are stepping stones: The following is a slightly update on an article I wrote in July 2015 on how to set the confidentialityCode. for "_confidentiality".
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.
The benefits of connecting to a QHIN via Redox A single connection for all your integration needs: Redox will connect our customers to TEFCA, while also connecting them to any other system required to power their solutions, workflows, or analytics, via a single HL7 ® Fast Interoperability Healthcare Resources (FHIR ® ) or Redox JSON-based API.
Healthcare IT Today received a demo from Rajat Mukherji at Spectrum Enterprise on how to monitor network traffic in the hospital and at home – including temperature and humidity sensors in key locations. Read more… Making Healthcare App Development and FHIR Data Access Easy.
This white paper will show how various profiles work together to provide a standards based, interoperable approach to community and cross-community health information sharing. Here is the HIE-Whitepaper Those looking to deploy a Health Information Exchange will find guidance on recognized principles and mechanisms.
This winter quarter will be a lighter load, recognizing the holidays: Patient Scheduling, prospective look at FHIR R5/6, and evaluating impact of Gender Harmony. The Non-Patient File Sharing (NPFS) Profile defines how to share non-patient files such as clinical workflow definitions, domain policies, and stylesheets.
There is renewed discussion, much like back in January, around the need to go beyond testing just the FHIR Resource 'interoperability'. This reference system needs to pick a minimum-useful set of FHIR resource centric workflows. This is more than just a selection of FHIR Resources. Each actor must do something useful.
Most use of FHIR today is as an API to an organizations health information (EHR). However what is being asked latey is how does one scale FHIR to a nation. I have plenty of articles on how a Nationwide Health Information Exchange (HIE) could be built with the IHE XD* family of profiles.
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
In a panel discussion, experts from KeyCare, NTT, Rackspace, and Dell covered what hospitals need to do to protect data and clinical systems safe from cyberattacks no matter where they’re hosted , along with how to recover to minimize downtime and staff disruption. Read more… How to Make Healthcare Kiosks More Accessible for All.
IHE is currently working on a "Handbook" intended to instruct an XDS Affinity Domain, or Community (XCA), or MHD community on how to structure their requirements on metadata. Later I explain how to deal with this fragility. IHE FormatCodes are mandatory In Wisconsin we have Interoperability What is MHD beyond XDS-on-FHIR?
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'. is one FormatCode.
Available from the FHIR specification for easy reading. link] How to determine what the value should be? See FHIR Demonstration of DS4P. "M", because the content is less sensitive than normal, but still medical. for "_confidentiality". I don't disagree that this is a hard thing to determine.
Some of my Privacy blog articles Healthcare Blockchain - Big-Data Pseudonyms on FHIR Start at Consent as a FHIR Resource FHIR Consent as a Resource or Profile Consent given to authorized representative Patient ID is critical to Enabling Privacy Consent to grant read access to a specific types of FHIR Resource electronic Privacy Consent -- Patient choice (..)
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.
Mobile Health Document Sharing The Mobile Health Document Sharing (MHDS) shows how to build a Document Sharing Exchange using IHE-profiled FHIR® standard, rather than the legacy IHE profiles that are dominated by XDS and HL7® v2. as the current HIE-Whitepaper contains MHD and MHDS now. Removed section 50.7
Given XDS and XCA interactions that are often used in an Health Information Exchange (HIE), or a National Health Information Exchange (NHIE); there is no standards/profiled way to enable a point-of-care consent gathering workflow. So today, if Consent is not already captured, and needed, then data access is blocked.
We talk a lot about sharing data and how it will improve patient outcomes and interoperability, but do we talk enough about how to do it safely? TEFCA proposes that the adoption of FHIR access with OAuth2.0 So not only is it highly sensitive, it is also highly sought-after.
There is some strong discussion going on at HL7 around privacy concerns, especially now that HL7 FHIR has enabled easy application writing. There is concern that applications are being written by people that might not be as mature in the knowledge of how important Privacy is in healthcare.
Today, we’re featuring the Senior Solutions Architect – HIE position that was recently posted on Healthcare IT Central. HOW TO APPLY: Please email a copy of your cover letter and resume to HR@transformsso.ca. If this looks like a position that would interest you, check out the full details for the job and how to apply.
See my other articles on Privacy Modes of patient centric communication Basics of Healthcare Data access rights in USA Privacy and Security Considerations for the use of Open APIs for Patient Directed Exchange GDPR on FHIR IHE Perspective on EU GDPR Privacy is not dead, but does need reinforcement Patient Centered HIE Apple should have a HEART HIE (..)
link] I'm trying to think through how to go about it and it seems challenging. But, what if a fhir-based app they use has server/architecture outside of ca? Very likely that this bill could be used to get a bunch of people together to define policy and profile how to make it work. Which ones? and I am on that project.
We organize all of the trending information in your field so you don't have to. Join 48,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content