Mobile Health Document Sharing (MHDS) – First Public Comment

MHDS is published for public comment. This is the first of two Public Comment periods, with the next one this spring. We are doing two public comment phases in order to get broad set of review. The Mobile Health Document Sharing (MHDS) Profile is a 100% FHIR Document Sharing infrastructure leveraging many IHE FHIR profiles

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2019 wrap

I am not impressed by 2019. Not personally, not for the healthcare industry, not for my country, and not for our world. This is depressing, but also gives me many things to work on. It is working on fixing problems that gives a Systems Designer something to look forward to in the morning. Blog On

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Sydney – HL7 FHIR Privacy and Security Tutorial

I will be giving the FHIR Privacy and Security tutorial again at Sydney HL7 meeting on Thursday afternoon (our normal Wednesday afternoon agenda slot). See https://hl7.sydney/tutorials.php As always I welcome any suggestions for improving the slides. They can be viewed freely on my blog at : HL7 Tutorial – FHIR Privacy and Security Given that

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FHIR Consent mapped with BPPC

Today on the FHIR Consent call we had a very useful discussion of how one would use FHIR Consent to do the same thing that BPPC does in XDS. Said another way, what is the degenerate form of FHIR Consent that is equal-to the functionality of BPPC, and what is the degenerate form of FHIR

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Scaling #FHIR authorization in a multiple organization HIE

In my last article on  Controlled Exchange Architecture Models for Scale on #FHIR. One issue I ran into is the question of how OAuth at healthcare scale works when an HIE is made up of multiple organizations in a federation.  In XDS environment we describe that the SAML assertion in the transaction is authenticating the Organization

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Controlled Exchange Architecture Models for Scale on #FHIR

In the previous article I discuss the various Modes of Patient Centric Exchange models. I cover Mediated Exchange, Directed Exchange, and Negotiated Exchange. These are all good solutions for scaling, but fail when the patient doesn’t actively get engaged. When a patient wants to actively get engaged they MUST be given their damn data. Reminder that

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Nationwide Health Information Exchange on #FHIR

Most use of FHIR today is as an API to an organizations health information (EHR). This solution is maturing nicely, although it has issues that are being worked on. However what is being asked latey is how does one scale FHIR to a nation. I spoke of this scale problem in past articles. It is

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Introduction to IHE

I was asked for recommendation for a set of resources that would give a good introduction to IHE: One always wishes they could create new material, but realistically there exists plenty of resources already published that can be leveraged: Is it general intro to what is IHE? IHE-USA intro – YouTube – https://www.youtube.com/watch?v=BaN1DuVY3go General overview

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HL7 Tutorial – FHIR Privacy and Security

I am giving a tutorial at the HL7 workgroup meeting in Atlanta. There are still openings, so please look to register for my class. My tutorial is Thursday morning, covering two quarters, about 3 hours.  My tutorial is “FHIR Security and Privacy (TH15)” Not Hacking Unfortunately I did not provide a description for my tutorial, so

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The Patient Innovator Track at DevDays – Privacy

I assume anyone reading my blog has already seen this announcement on FireLy, Grahame, HL7, Hay on FHIR, etc. Go read those for the specific details, no good reason for me to duplicate them. What I will do is focus on the opportunity for Patient to drive for Innovations in Privacy. Most of the other

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