An article written by Sr. Product Manager Rob Brull about FHIR stands for Fast Healthcare Interoperable Resource. This emerging standard combines the best features of HL7 V2, HL7 V3, and CDA, while leveraging the latest web service technologies. The design of FHIR is based on RESTful web services. With REST... More, the new health data standard that promises to fundamentally change how applications exchange health data, was published Saturday on The Health Care Blog. THCB is a popular health care opinion blog that highlights topics aimed at improving the industry as a whole — from how care is delivered by caregivers to the challenges presented by the government's Meaningful Use program.
In the article, titled FHIR: Technology and Governance, Rob discusses why the new standard is so popular in health IT circles and why it is a key advancement in the industry's quest for real interoperability, including the use of mobile devices and the inclusion of patient-generated health data in Electronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The National Alliance for Health Information Technology, April 28, 2008): An electronic record of health-related information on an individual that conform... More systems. However, the intent of Rob's post is to highlight the need for governance in order for An HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire”. The standard defines a set of “Resources” that represent granular clinical concepts. The resources provide flexibility for a range of healthca... More to avoid the same adoption issues that have plagued The Direct Project was launched by the ONC within Health and Human Services (HHS) on March 1, 2010. It was initially called NHIN Direct. The object of the Direct Project is to replace the use of faxes, phones, and paper transactions with a simple and... More.
Data governance provides quality control for managing, using, monitoring, maintaining, and protecting PHI. It provides accountabilities for information-related processes, executed according to agreed-upon models that define what actions can be taken with the data. From Rob's post:
So if HL7 is a Standards Developing Organization accredited by the American National Standards Institute (ANSI) to author consensus-based standards representing a board view from healthcare system stakeholders. HL7 has compiled a collection of message form... More only establishes the infrastructure for privacy and security, who is left to figure out the details of FHIR governance?
…One organization that is trying help with governance is Integrating the Healthcare Enterprise (IHE) is an initiative by healthcare professionals and industry to improve the way computer systems in healthcare share information. Visit the IHE website. Synonyms: Integrating the Healthcare Enterprise International with their IUA (Internet User Authorization) profile that manages the tokens used for authorization of access to RESTful web services. If we want FHIR to be successful, then we need to put as much energy and enthusiasm around governance initiatives, such as IUA, as we do the FHIR technology itself.
Make no mistake, I’m not asking the industry to pump the brakes on FHIR progression and get bogged down in the same committee-driven bureaucracy that has weighed down Direct (e.g., The DirectTrust organization is dedicated to build and strengthen the security and trust framework for the exchange of health data using the Direct Project protocol. DirectTrust members agree to participate in work groups dedicated to security, trust... More). It would be wise, however, to involve IHE or some other governing body, to streamline, safeguard, and motivate provider organizations to utilize FHIR. Using these three principles may provide a better blend to achieve FHIR- inspired health interoperability.
To learn more about FHIR, check out Rob's post for our blog: The Interoperability Paradigms of HL7 FHIR.Tags: FHIR