Data for your App
Accessing the patient data you need to provide a compelling healthcare app
Ken Stevens, VP Healthcare, Intelliware Development
20 Apr 2017
Question I’m setting out to
You have a prototype for an innovative healthcare app. What kind of
interoperability capabilities will it need to have in order for you to sell it in the
FHIR interfaces will be replacing it. (Exception: Rx)
Avoid level 3 CDA.
It is the cornerstone interoperability standard in the U.S.
But it doesn’t work
HL7v2 will be here for decades.
If you integrate with a hospital, you will be using HL7v2. Write once, run once.
SMART on FHIR is the future. But the future isn’t here yet.
Legacy systems will take at least 10 years to update
OneId uses SAML. To operate in Ontario, you will likely need to use this.
The future is OpenID Connect. Don’t be surprised to see an OpenID Connect
interface made available to OneID within the next couple of years.
Access to Patient Data
Today only way is through a HIC (Health Information Custodian)
E.g. Hospital, Pharmacy, Long-term Care Home, Lab, Health Clinic
They will need to be your “sponsor.” You will need your sponsor to give you
access to vendor who runs the system they run that holds patient data.
Existing HIC software vendors charge outrageous feeds to make even the
simplest integration configurations. Their pricing models are generally
connection based and can run from tens of thousands to millions of dollars.
Information Technology Association of Canada
Ken Stevens, Co-chair Interoperability and Standards Committee
20 Apr 2017
ITAC Health Position on Canadian
Healthcare Interoperability Standards
1. Standards should be the same across Canada.
2. Prefer standards that are commercially established
internationally, esp. the U.S.
3. Phase out use of HL7v3, Promote adoption of
IHE/XDS and FHIR.
4. Mandate interoperability standards compliance in
RFPs. Enforce via conformance testing.
1. Increase the number of solutions available for provinces.
2. Lower the cost to customize solutions for each province.
3. Expand the export market for innovative Canadian healthcare solutions.