FHIR

Full Title or Meme

• FHIR (Fast Health Interoperability Resources) is designed to enable information exchange to support the provision of healthcare in a wide variety of settings.
• Pronounced "fire" it is primarily a data formatting and semantic set of standards.

Context

• HNS Digital GP Connect 1.2.0 on github FHIR standard for trial use (3) STU3
• Health Level Seven (HL7®) International standards body HL7 FHIR and their wiki
• Integrating the Healthcare Enterprise (IHE) wiki on Security
• FHIR can be encoded in several formats, only json and xml seems to be in current consideration, but a jsonLD version has been published.
• IHE Audit Trail and Node Authentication
• Trust Label is a discoverable and computable set of metadata to convey asserted trust attributes of an exchange partner.

Problems

• Current document exchange is focused on XDS or similar and the bulk of data is image data. There is little impetus to move quickly the HL7 FHIR.
• Healthcare data for patients has been stored on desparate networks that could not interchange data which left patients without a permanent health record as the moved across the states.

Solutions

• A FHIR Sandbox for InterSystems is now operational. https://www.healthit.gov/techlab/ipg/node/4/submission/2231
• A jsonLD implementation can be found here https://github.com/fhircat/fhircat/wiki

References

• FHIR, SMAT, CDS Hooks overview A good YouTube presentation from Josh Mandel to get started.