IHE ITI on FHIR

IHE ITI has a set of profiles on FHIR existing in Trial Implementation today. These were written against FHIR DSTU2. These have been updated to STU3, now in ballot for members of the ITI Technical Committee to comment and vote on.  Details and access to the ballot drafts of these documents is available from the

[ Read More ]

IHE Document Digital Signature (DSG) Profile approved for Final Text

Today the IHE ITI Technical and Planning committees approved the Document Digital Signature (DSG) Profile be moved into Final Text. This Document Profile defines a way to support Digital Signatures, including when those Documents are managed in a Document Sharing infrastructure. This DSG Profile is referenced in many places where adding a Digital Signature to

[ Read More ]

Reflecting FHIR FMM in IHE Profiles

IHE is creating many Profiles using FHIR. Given that FHIR is still “Standard for Trial Use” (STU), and thus there is a “Maturity” concern. This maturity concern is communicated in FHIR STU3 through a “FHIR Maturity Model” (FMM) evaluation number on each Resource and other parts. These FMM number indicate to the FHIR audience a

[ Read More ]

FHIR Security model is enterprise centric

NO! This is a false understanding. FHIR has no security model. And this is a good thing. FHIR is designed first and most important as a data model with a few expected interaction models (REST, Messaging, Document). There is expectation that many security models exist, and application of those security models does not impact the

[ Read More ]

Stop using OPT-IN and OPT-OUT

In various conversations on Consent, including #FHIR Consent, discussions often get mixed-up because we use the terms “OPT-IN” and “OPT-OUT”. These terms are trouble. We need to stop using “OPT-IN” and “OPT-OUT”. I want to propose a set of terms. I will never get everyone to stop using opt-in and opt-out, but where better terms can

[ Read More ]

Healthcare Blockchain use?

Today starts the “Healthcare Blockchain Summit“. I wish I could be there. What makes a good use of Blockchain, while also helping Healthcare? What are the questions Blockchain proposals need to answer? Blockchain is the hot word right now, Gartner indicates that it is still on the Peak of Inflated Expectations. Gartner estimates 90% of

[ Read More ]

Multiple formats of the same Document content

I propose that “The most technically advanced” document format be considered the Prime, with all of the other formats considered Transforms (XFRM) from that prime document. Thus if the Document Source can create a C-CDA 2.1; then that becomes the prime. Yet if a Document Source only can create a C32 and PDF, then the

[ Read More ]

Enabling Point-Of-Care Consent

Gathering Privacy Consent is never easy. A Patient, when they are healthy, has no interest in giving Consent for future actions. Mostly because they don’t want to admit they might get sick in the future. Secondarily because they don’t want to do unnecessary paperwork. Realistically, they just want healthcare to work, and not get in

[ Read More ]

FHIR Connectathon has changed and it is good

I have been unable to attend HL7 WGM for a year, a problem that is now better.  This means that when I attended the FHIR Connectathon 14, prior to the HL7 Workgroup Meeting in San Antonio TX, I was shocked to experience the new FHIR Connectathon. This is good change on many levels. The others

[ Read More ]

IHE on FHIR

IHE is still relevant in a FHIR world. But FHIR has changed the world, and IHE needs to adjust to this new world. Profiling is still needed The concept of profiling FHIR is still needed. The difference today is that FHIR is ready and instrumented to be Profiled. It even has a set of Profiles

[ Read More ]