How do interface engines support FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More? When looking at an engine replacement, what should be considered?

Answer from HL7 FHIRFHIR stands for Fast Healthcare Interoperable Resource. This emerging standard combines the best fea... More Governance Board Co-Chair and Corepoint Health CTO Dave Shaver:

I think the first thing I would look for is a vendor that's engaged in the FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More community and supporting the creation of the standard.

From a technical perspective, or maybe a motivating example perspective, one of the things we see happening — I'll go back to my device example where we've got an EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More on the left and I've got my device on the right. And there's a desire from the device's standpoint to use this example, as I'm going to publish a FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More resource, which is an observation.

What I need is an integration engine in the middle to take that FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More resource and map it through some environment from FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More into an HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (... More result. So this could be an HL7HL7 is a Standards Developing Organization accredited by the American National Standards Institute (... More V2 result and the logic that's in the middle with the interface engineAn interface engine can transform or map the data to the receiving application’s requirements whil... More will do that transformation. An engine will take a FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More bundle or FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More resource and translate it into a v2 result so that my old school EMRElectronic Medical Record (EMR), as defined in Defining Key Health Information Technology Terms (The... More over here, which doesn't yet support FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More, will be able to effectively utilize the data.

We can imagine doing the same thing where I've got an ADT feed that's coming out of my HISHospital Information System (HIS) is the main system in a hospital used by most caregivers. Sends AD... More (health information system) and I bring it into my interface engineAn interface engine can transform or map the data to the receiving application’s requirements whil... More. And the engine has the ability to use a database and take that v2 information and push it into a database. So this would be, effectively, a FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More repository.

That FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More repository now has the ability to be queried. The engine could provide a FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More query mechanism that could respond to requests from a device. We will be able to — without having to involve my HISHospital Information System (HIS) is the main system in a hospital used by most caregivers. Sends AD... More vendor — effectively take my ADT data, push it into the FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More repository, serve it up through a FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More API, and translate the results back.

And eventually, once I've got a FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More API, these interfaces could swing over and talk directly to my EHRElectronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The ... More. Or I could continue to run the engine between these different translations of FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More.

Another challenge we're going to have is — continuing with the same example — there's an application on the left and on the right and we want to do a query. The problem is, of course, FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More is very extensible. So we've got "FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More flavor one" and "FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More flavor two" and they're not completely compatible.

Or, we're potentially losing information in the extensions. You can imagine that an interface engineAn interface engine can transform or map the data to the receiving application’s requirements whil... More sitting in the middle can translate from one flavor of FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More to another.

So I would be looking for a vendor that is working on solving and educating and working with the industry to solve these problems. One that has the technical componentry to support things like REST-based web servicesWeb services are a standardized way of integrating applications. Using open standards, businesses ca... More, XML and JSON.

It is key, in my opinion, for a vendor to be active in the process of the creation of FHIRAn HL7 standard that is short for Fast Healthcare Interoperability Resources and pronounced “Fire... More because they will be in the best position to anticipate and adopt new processes that will help their customers.

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