Trusted personal health apps will have access to patient portals for the secure exchange of information recorded about the person and their health care.
Steward Health Care built a provider and patient portal that integrates patient data from provider practices and hospitals using several different Electronic Health Records systems that provides ease of use while meeting Meaningful Use Stage 2 Requirements.
CMS Interoperability and Patient Access final rule and Health Samurai FHIR pl...HealthDev
Pavel Smirnov, CEO of Health Samurai.
CMS Interoperability and Patient Access final rule for health plans
CMS has released Patient Access final rule for health plans. By July 1, 2021, health plans must allow their members to access their claims and encounter information over standards-based secure API (FHIR® 4.0.1). Pavel analyzed the rule in detail and share the checklist that any health plan can use. Then he explained the technology that Health Samurai has built to allow health plans comply with the rule.
Pavel Smirnov, Health Samurai - FHIR business opportunitiesHealthDev
Pavel analyzes and explains business opportunities created by the FHIR standard such as Patient Access to Data, Extending existing health records solutions, Development of new FHIR-first solutions, Data Analytics, and FHIR tooling.
He also makes an introduction to the FHIR meetups in the Bay Area.
Anish Arora - Playing With FHIR - A Practical ApproachHealthDev
Is FHIR truly the holy grail of interoperability in Healthcare? Learn about common pitfalls in real-world enterprise-scale FHIR implementations and how to approach them pragmatically — also a look at some exciting new developments in the works.
Nick Radov, Payer/Provider - Interoperability & HL7 Da Vinci Project.HealthDev
The HL7 Da Vinci Project is an industry initiative to develop payer/provider interoperability use cases based on FHIR for value-based care. Da Vinci members write free implementation guides and create open-source reference implementations which any healthcare organization can use. This presentation will cover the project history, give a summary of current use cases, explain the development process, and dive into the technical aspects of a few key use cases. We will also cover how UnitedHealthcare has leveraged Da Vinci Project in our EMR Integration Service Layer (EISL) which acts as a gateway between that payer’s internal systems and their network providers.
Steward Health Care built a provider and patient portal that integrates patient data from provider practices and hospitals using several different Electronic Health Records systems that provides ease of use while meeting Meaningful Use Stage 2 Requirements.
CMS Interoperability and Patient Access final rule and Health Samurai FHIR pl...HealthDev
Pavel Smirnov, CEO of Health Samurai.
CMS Interoperability and Patient Access final rule for health plans
CMS has released Patient Access final rule for health plans. By July 1, 2021, health plans must allow their members to access their claims and encounter information over standards-based secure API (FHIR® 4.0.1). Pavel analyzed the rule in detail and share the checklist that any health plan can use. Then he explained the technology that Health Samurai has built to allow health plans comply with the rule.
Pavel Smirnov, Health Samurai - FHIR business opportunitiesHealthDev
Pavel analyzes and explains business opportunities created by the FHIR standard such as Patient Access to Data, Extending existing health records solutions, Development of new FHIR-first solutions, Data Analytics, and FHIR tooling.
He also makes an introduction to the FHIR meetups in the Bay Area.
Anish Arora - Playing With FHIR - A Practical ApproachHealthDev
Is FHIR truly the holy grail of interoperability in Healthcare? Learn about common pitfalls in real-world enterprise-scale FHIR implementations and how to approach them pragmatically — also a look at some exciting new developments in the works.
Nick Radov, Payer/Provider - Interoperability & HL7 Da Vinci Project.HealthDev
The HL7 Da Vinci Project is an industry initiative to develop payer/provider interoperability use cases based on FHIR for value-based care. Da Vinci members write free implementation guides and create open-source reference implementations which any healthcare organization can use. This presentation will cover the project history, give a summary of current use cases, explain the development process, and dive into the technical aspects of a few key use cases. We will also cover how UnitedHealthcare has leveraged Da Vinci Project in our EMR Integration Service Layer (EISL) which acts as a gateway between that payer’s internal systems and their network providers.
Google Cloud healthcare data platform and FHIR APIs by Kalyan PamarthyHealthDev
Kalyan Pamarthy, product management for the FHIR® and HL7 v2 data platform within Google Cloud AI.
"Google Cloud healthcare data platform and FHIR® APIs"
This presentation will provide a high-level view of the Google Cloud healthcare data platform, managed FHIR® APIs, and capabilities that support end-end customer use cases for healthcare data interoperability. It will also cover key themes around the adoption of FHIR and implementation patterns followed by Google Cloud's customers transitioning to FHIR®.
Slides from my presentation at HxRefactored 2015 in Boston. This is an overview of the work I am doing as HHS Entrepreneur-in-Residence to Improve Beneficiaries' access to their health information at CMS (MyMedicare.gov). How we plan to use the HL7 FHIR protocol to build a data service that enables beneficiaries to connect their CMS health information to the applications and services that they trust.
Pavel Smirnov. FHIR-first application development.HealthDev
Besides enabling interoperability FHIR can power the innovation and development of new healthcare solutions via providing a solid data model, modern API, a lot of open-source and commercial tooling, and an active community. Pavel will introduce FHIR-first application development, explain its benefits, and difference.
The newly developed electronic health system can play a vital role in the remote regions of emerging and developing countries although sometimes it seems difficult due to the lack of communication infrastructure. E-Health can be a promising aspect for providing public health benefits if it integrates with the conventional medical system. More strategic approaches are necessary for the planning, development, and evaluation of e-Health. This article is written to depict the existing and future opportunities of e-Health in the health support system.
Your workflow, your rules. CareBridge integrates your EHR with all other health IT systems to create a truly interconnected network of patient data that is easily shared, managed, and accessed across healthcare enterprises and information systems. Choose the EHR integration path that best meets your goals. Learn more at www.emedapps.com
CMS BlueButton On FHIR for Researchers - Presentation to NIH and PCORI Resear...Mark Scrimshire
This is a presentation given to researchers from PCORI and NIH (Precision Medicine Initiative) about the potential benefits to researchers that comes from letting CMS Medicare Beneficiaries share their Claims information with a research study using the Proposed CMS BlueButton data formats built on the HL7 Fast Health Interoperability Resources Specification.
[WSO2 Summit Americas 2020] Healthcare Interoperability Through FHIR® APIs.pdfWSO2
Rapid advancements in healthcare have led to new opportunities for healthcare IT. As the US healthcare system moves forward, health IT has to keep pace and define an interoperable ecosystem. FHIR® is becoming the standard for healthcare information exchange. Murad will share Prime’s journey on how they have partnered with WSO2 towards this evolution.
Cloud Computing is speeding up the way we create, share, and view data. With features such as multiple backups, high security, remote access, and auto-scalability, this platform of virtual computing is assisting health care providers and medical device manufacturers to improve their online led services, allowing greater flexibility in their business models. Indeed, it makes the system more robust and secure against data failures and an example of such a system is the Cloud-based EMR software system...
Blue Button 2.0 at ONC Annual Meeting - API 101 and ONC FHIR WorkshopMark Scrimshire
An overview of the Blue Button 2.0 API. This was featured at the ONC FHIR Workshop and the API 101 Session at the ONC Annual Meeting held in Washington DC in November 2018.
CMS Blue Button API - Developer Preview from Health 2.0 #h20devday, 2017Mark Scrimshire
This is the CMS Blue Button API Developer Preview presentation from the Health 2.0 Conference in Santa Clara, October 1st, 2017. The presentation was part of the Health 2.0 Dev Day Conference. The Blue Button API uses Internet standards such as OAuth2.0 and HL7 FHIR to make Medicare Claims data available to Beneficiaries so they can share that information with application, services and research programs they trust.
7 PROVEN REASONS THAT SHOWS YOU WHY FHIR IS BETTERThiyagu2
FHIR makes a norm for sharing and exchanging clinical records in a viable manner. Here are the 7 proven reasons that gives you why FHIR is better.
https://www.capminds.com/blog/7-proven-reasons-that-shows-you-why-fhir-is-better/
Google Cloud healthcare data platform and FHIR APIs by Kalyan PamarthyHealthDev
Kalyan Pamarthy, product management for the FHIR® and HL7 v2 data platform within Google Cloud AI.
"Google Cloud healthcare data platform and FHIR® APIs"
This presentation will provide a high-level view of the Google Cloud healthcare data platform, managed FHIR® APIs, and capabilities that support end-end customer use cases for healthcare data interoperability. It will also cover key themes around the adoption of FHIR and implementation patterns followed by Google Cloud's customers transitioning to FHIR®.
Slides from my presentation at HxRefactored 2015 in Boston. This is an overview of the work I am doing as HHS Entrepreneur-in-Residence to Improve Beneficiaries' access to their health information at CMS (MyMedicare.gov). How we plan to use the HL7 FHIR protocol to build a data service that enables beneficiaries to connect their CMS health information to the applications and services that they trust.
Pavel Smirnov. FHIR-first application development.HealthDev
Besides enabling interoperability FHIR can power the innovation and development of new healthcare solutions via providing a solid data model, modern API, a lot of open-source and commercial tooling, and an active community. Pavel will introduce FHIR-first application development, explain its benefits, and difference.
The newly developed electronic health system can play a vital role in the remote regions of emerging and developing countries although sometimes it seems difficult due to the lack of communication infrastructure. E-Health can be a promising aspect for providing public health benefits if it integrates with the conventional medical system. More strategic approaches are necessary for the planning, development, and evaluation of e-Health. This article is written to depict the existing and future opportunities of e-Health in the health support system.
Your workflow, your rules. CareBridge integrates your EHR with all other health IT systems to create a truly interconnected network of patient data that is easily shared, managed, and accessed across healthcare enterprises and information systems. Choose the EHR integration path that best meets your goals. Learn more at www.emedapps.com
CMS BlueButton On FHIR for Researchers - Presentation to NIH and PCORI Resear...Mark Scrimshire
This is a presentation given to researchers from PCORI and NIH (Precision Medicine Initiative) about the potential benefits to researchers that comes from letting CMS Medicare Beneficiaries share their Claims information with a research study using the Proposed CMS BlueButton data formats built on the HL7 Fast Health Interoperability Resources Specification.
[WSO2 Summit Americas 2020] Healthcare Interoperability Through FHIR® APIs.pdfWSO2
Rapid advancements in healthcare have led to new opportunities for healthcare IT. As the US healthcare system moves forward, health IT has to keep pace and define an interoperable ecosystem. FHIR® is becoming the standard for healthcare information exchange. Murad will share Prime’s journey on how they have partnered with WSO2 towards this evolution.
Cloud Computing is speeding up the way we create, share, and view data. With features such as multiple backups, high security, remote access, and auto-scalability, this platform of virtual computing is assisting health care providers and medical device manufacturers to improve their online led services, allowing greater flexibility in their business models. Indeed, it makes the system more robust and secure against data failures and an example of such a system is the Cloud-based EMR software system...
Blue Button 2.0 at ONC Annual Meeting - API 101 and ONC FHIR WorkshopMark Scrimshire
An overview of the Blue Button 2.0 API. This was featured at the ONC FHIR Workshop and the API 101 Session at the ONC Annual Meeting held in Washington DC in November 2018.
CMS Blue Button API - Developer Preview from Health 2.0 #h20devday, 2017Mark Scrimshire
This is the CMS Blue Button API Developer Preview presentation from the Health 2.0 Conference in Santa Clara, October 1st, 2017. The presentation was part of the Health 2.0 Dev Day Conference. The Blue Button API uses Internet standards such as OAuth2.0 and HL7 FHIR to make Medicare Claims data available to Beneficiaries so they can share that information with application, services and research programs they trust.
7 PROVEN REASONS THAT SHOWS YOU WHY FHIR IS BETTERThiyagu2
FHIR makes a norm for sharing and exchanging clinical records in a viable manner. Here are the 7 proven reasons that gives you why FHIR is better.
https://www.capminds.com/blog/7-proven-reasons-that-shows-you-why-fhir-is-better/
Fast Healthcare Interoperability Resources is a draft standard descr.pdfanuradhaartjwellery
Fast Healthcare Interoperability Resources is a draft standard describing data formats and
elements (known as \"resources\") and an Application Programming Interface (API) for
exchanging Electronic health records. The standard was created by the Health Level Seven
International (HL7) health-care standards organization.
FHIR builds on previous data format standards from HL7, like HL7 version 2.x and HL7 version
3.x. But it is easier to implement because it uses a modern web-based suite of API technology,
including a HTTP-based RESTful protocol, HTML and Cascading Style Sheets for user interface
integration, a choice of JSON or XML for data representation, OAuthfor authorization and Atom
for results.One of its goals is to facilitate interoperation between legacy health care systems, to
make it easy to provide health care information to health care providers and individuals on a
wide variety of devices from computers and electronic gadgets and to allow third-party
application developers to provide medical applications which can be easily integrated into
existing systems.
FHIR provides an alternative to document-centric approaches by directly exposing discrete data
elements as services. For example, basic elements of healthcare like patients, admissions,
diagnostic reports and medications can each be retrieved and manipulated via their own resource
URLs. FHIR was supported at an American Medical Informatics Association meeting by
companies like Cerner which value its open and extensible nature.
Application of FHIR -
Implementations
A number of high-profile players in the health care informatics field are showing interest in and
experimenting with FHIR, including CommonWell Health Alliance and SMArt (Substitutable
Medical Applications, reusable technologies). In 2014, the U.S. Health IT Policy and the Health
IT Standards committees endorsed recommendations for more public (open) APIs. The JASON
task force report on \"A Robust Health Data Infrastructure\" says that FHIR is currently the best
candidate API approach, and that such APIs should be part of stage 3 of the \"meaningful use\"
criteria of the U.S. Health Information Technology for Economic and Clinical Health Act.
Open source implementations of FHIR data structures, servers, clients and tools include
reference implementations from HL7 in a variety of languages, SMART on FHIR and HAPI-
FHIR in Java.
In 2016, a variety of applications were demonstrated at the FHIR Applications Roundtable in
July 2016 The Sync for Science profile builds on FHIR to help medical research studies ask for
(and if approved by the patient, receive) patient-level electronic health record data.
Implications for Healthcare Informatics
Because FHIR is implemented on top of HL7 and the HTTPS (HTTP Secure) protocol, messages
can be parsed by wire data analytics platforms for real-time data gathering. In this concept,
healthcare organizations would be able to gather real-time data from specified segments in FHIR
messages a.
Chapter 6 Health Information ExchangeRobert Hoyt MDWilliam .docxrobertad6
Chapter 6: Health Information Exchange
Robert Hoyt MD
William Hersh MD
After viewing the presentation, viewers should be able to:
Identify the need for and benefits of health information exchange (HIE) and interoperability
List healthcare data that should be shared
Enumerate HIE challenges and barriers
Describe several organizations known as Health Information Organizations (HIOs)
Summarize the newest HIE models
Learning Objectives
Health Information Exchange (HIE) is the “electronic movement of health-related information among organizations according to nationally recognized standards”
Health Information Organization (HIO) is “an organization that oversees and governs the exchange of health-related information among organizations according to nationally recognized standards”
Important Definitions
Regional Health Information Organization (RHIO) is “a health information organization that brings together health care stakeholders within a defined geographic area and governs health information exchange among them for the purpose of improving health and care in that community.”
Interoperability is defined as “the ability of two or more systems or components to exchange information and to use the information that has been exchanged”. This implies that the data is computable and that standards exist that permit interoperability
Important Definitions
Foundational: refers to the technology or platform used to exchange information
Syntactic: means messages have a structure and syntax that is understandable. Uses XML and HL7 standards
Semantic: terminology and coding must be the same for the sending and receiving organizations
Interoperability Levels
Exchange (sharing) of health information is vital for healthcare reform at the local, state and national level
The next two slides will demonstrate the types of healthcare data that should be shared
If electronic health records don’t share data, then we have moved from paper siloes of information to electronic siloes; not the goal of anyone
HIE is part of the Meaningful Use program, discussed in the module on electronic health records
Introduction
Clinical results: Lab, pathology, medication , allergies, immunizations and microbiology data
Images: Actual images and radiology reports
Documents: Office notes, discharge notes and emergency room notes
Clinical summaries: Continuity of Care Documents (CCDs); XML-based documents that standardize and summarize care
Financial information: Claims data and eligibility checks
Medication data: Electronic prescriptions, formulary status, and prescription history
Healthcare Data Potentially Shared
Performance data: Quality measures like blood pressure or diabetes control, cholesterol levels, etc.
Case management: Management of the underserved and emergency room utilization
Public health data: Infectious diseases outbreak data, immunization records
Referral management: Management of re.
HXR 2016: The Health IoT: Remote Care and Mobile Solutions -Andrew Hooge, Val...HxRefactored
Through new telehealth technologies and increased data analysis physicians are gaining insights into patients like never before, allowing them to facilitate early interventions, improve adherence, and reduce readmission rates -- not to mention at a price more affordable than ever. The companies you’ll hear from in this session are using a healthy and innovative mix of data, educational tools, sensors, and more to improve patient outcomes.
EHR Software Solutions: Revolutionizing Healthcare Data ManagementChetu
Electronic Health Record (EHR) software solutions are digital platforms designed to systematically collect, store, and manage patient health information in a digital format. These solutions aim to replace traditional paper-based medical records with electronic versions, offering numerous benefits such as improved efficiency, accessibility, and security.
Steward Health Care built a provider and patient portal that integrates patient data from provider practices and hospitals using several different Electronic Health Records systems that provides ease of use while meeting Meaningful Use Stage 2 Requirements.
Enabled data interoperability for a leading U.S. care consortium, facilitating seamless sharing and integration of healthcare data across diverse systems and providers. This achievement enhances collaboration, improves patient care quality, and optimizes operational efficiency within the consortium's expansive network, setting a new standard for healthcare data management and interoperability.
iUZ has organised last 3rd July a talk about Cross-Border Interoperability and we've broadcasted live on Youtube.
This is the presentation document.
You can watch the event through our Youtube channel: http://youtu.be/k1KLgD8GF3Q
Monday, July 20, 2015
11:00 am - 12:00 pm
Learn more about the technical framework and implementation of sPRL and how your organization can leverage this powerful tool.
Patientory Blockchain Architecture Is Everything IntelligentPatientory
Patientory.com. Know how the Patientory Blockchain architecture provides the best solutions to healthcare risks.
Your Health, at your fingertips. Visit Now Patientory.com.
Approach to enable your IT systems for FHIR (HL7 standards) complianceShubaS4
This summary deck discusses a practical, step-by-step approach to transform your IT systems for FHIR (HL7 standards) compliance, API-enablement of your legacy for an accelerated go to market using a library of tools and frameworks under the DigitMarket umbrella. It outlines different integration challenges such initiatives encounter and equips you to plan your compliance roadmap for FHIR.
Connecting the Dots: How Open Health Data will Accelerate Care Delivery Innov...Apigee | Google Cloud
Former CTO of the Obama administration, Aneesh Chopra, joins Apigee’s health care transformation strategist, Aashima Gupta, to discuss how to foster an application ecosystem that leverages connected apps and data to implement patient-centric reform.
In this webcast we will discuss:
- imperatives to open up data across multiple EHRs, payers, government and remote monitoring services
- Project Argonaut, an open, industry-led “code sprint” to support FHIR-based APIs for patient data interoperability
- how APIs built on a secure platform will enable expanded information sharing for patient health records
- value and viability of low cost inter-operability through FHIR-based APIs at healthcare systems
We have successful terminologies for medicines but medical devices have much greater variety and are inherently harder to describe. We need international standards for device terminology and identification on both the clinical side and for the supply chain.
SNOMED terminology is being introduced for clinical coding in emergency care in New Zealand. This includes emergency departments and ambulance, with SNOMED reference sets used to code clinical impressions, diagnoses, medicines and procedures. There is a challenge for software developers to build a RESTful SNOMED code finder web service and to use this in new clinical workstation solutions. Terminology services such as this are essential alongside rich data services such as FHIR services.
There is a snow theme, and a movie identification quiz.
Standards and architecture update to the New Zealand national e-health vendor forum
- New HL7 CDA standards
- Clinical data repository record locator service
New Zealand Health Sector Architects Update on Interoperability February 2013Alastair Kenworthy
Update to the New Zealand health sector architects forum from the interoperability working group. We have enjoyed a summer of CDA, with a number of new implementation guides coming about. This year also looks bright for XDS-enabled regional CDRs.
Standards update to New Zealand national e-health vendor forumAlastair Kenworthy
New Zealand is developing a raft of new HL7 CDA based standards in pursuit of the national e-health vision for 2014 - this has proven an unexpectedly long journey, but we hope a rewarding one
Standards and interoperability towards 2014 and the New Zealand e-health visionAlastair Kenworthy
Standards and interoperability towards 2014 and the New Zealand national e-health vision - the not so unexpected journey towards core personal health information being available at all points of care
Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
KEY Points of Leicester travel clinic In London doc.docxNX Healthcare
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Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
Our mission is to provide a safe and supportive environment where our clients can receive the highest quality of care. We are dedicated to assisting our clients in reaching their objectives and improving their overall well-being. We prioritize our clients' needs and individualize treatment plans to ensure they receive tailored care. Our approach is rooted in evidence-based practices proven effective in treating addiction and mental health disorders.
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International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
Dr. David Greene R3 stem cell Breakthroughs: Stem Cell Therapy in CardiologyR3 Stem Cell
Dr. David Greene, founder and CEO of R3 Stem Cell, is at the forefront of groundbreaking research in the field of cardiology, focusing on the transformative potential of stem cell therapy. His latest work emphasizes innovative approaches to treating heart disease, aiming to repair damaged heart tissue and improve heart function through the use of advanced stem cell techniques. This research promises not only to enhance the quality of life for patients with chronic heart conditions but also to pave the way for new, more effective treatments. Dr. Greene's work is notable for its focus on safety, efficacy, and the potential to significantly reduce the need for invasive surgeries and long-term medication, positioning stem cell therapy as a key player in the future of cardiac care.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Under Pressure : Kenneth Kruk's StrategyKenneth Kruk
Kenneth Kruk's story of transforming challenges into opportunities by leading successful medical record transitions and bridging scientific knowledge gaps during COVID-19.
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
6. Almost 100 general practices
were offering a patient portal in
September 2014
37,000 patients had been
provisioned a portal account
7. Ngaio uses a smartphone app to help manage her diabetes
She performs blood glucose and cholesterol tests at home and
uploads the results to her patient portal
She graphs these results alongside lab test results, blood
pressure, weight and exercise data
She consults her doctor online with any concerns
8. Repository delegates request
and receives authorisation to
permit access to the app
Clinical data
repository
App web
service
The app (a) authenticates itself to
the repository and requests access
to (b) save and retrieve data
Performs home blood
test, uploads results
and views alongside
other data
Access control
service
Logs in and
authorises access
to the app
9. Repository delegates request
and receives authorisation to
permit access to the app
Clinical data
repository
App web
service
The app (a) authenticates itself to
the repository and requests access
to (b) save and retrieve data
Performs home blood
test, uploads results
and views alongside
other data
Access control
service
Logs in and
authorises access
to the app
Record locator
service
X.509
client
cert.
JSON
web
token
Auth.
scopes
10.
11. An ecosystem that supports
many users, apps,
publishers, patient portals,
repositories and access
control services
12. Sharing portal and
repository data with an app
will be under explicit
patient control
19. Patient portals will be the
docking points where
personal health apps
connect to the ecosystem
20. Portal systems will expose
patient information and
communication functions
via a standard API
21. OAuth2 is the chosen
protocol for authentication
and authorisation
22. Digital certificates for
mutual authentication will
enable patient portals,
repositories and access
control services to operate
within a circle of trust
24. Patient portals and apps
will allow the user to login
with Real Me, which must
add OAuth2 support
25.
26. Support people who use
portals and apps on behalf
of others will have their
own user accounts
27. NHI number will become
another federated identity
attribute under Real Me,
which must add support for
OpenID Connect
28. Health Provider Index
(HPI) identities will be used
and there will be an open
electronic addressing
scheme and directory of
health practitioners,
facilities and organisations
29. Patient portals and
repositories will have
RESTful APIs, based where
practical on HL7 FHIR
30. Rich apps will support
SNOMED CT and LOINC for
clinical terminology
32. A record locator service
will enable document
search across all
repositories
33. Apps will need to support
the clinical document
metadata standard and a
common repository API
34. Record locator service
Clinical data
repository
CDR
CDR
Record locator service
one index across n sources, serving clinical
workstations, patient portals and apps
Storing, locating and retrieving clinical
documents (XDS model)
35. Authorisation scopes will
include:
search:[<NHI number>]
summary:[<NHI number>]
send-email-to:<address>
36. Patient portals and apps
will support defined CDA
document types, FHIR
resources and common
media types
37. 10041 Medications, Allergies and Adverse
Reactions
10043 CDA Common Templates
10047 Comprehensive Clinical
Assessments for Older People
10050.2 Maternity Care Summary
10052 Ambulance Care Summary
GP2GP and NZePS
38. Xero has an API that
enables account owners to
grant access to apps
Public apps are registered
at api.xero.com and
certification is not needed
Access tokens are issued for
a limited time
39. Certified apps may connect
to portals and repositories
Publishers will be asked to
register new apps
Accredited agents will test
and certify apps against
published standards
40. A directory of repository,
patient portal and
authorisation server
endpoints will be published
Editor's Notes
People are involved in their own care and share a core set of personal health information with providers.
People trust and understand how their information is used and recorded.
Patient portal interfaces with GP systems, shared care systems, clinical data repositories, My List of Medicines, clinical assessment and shared care planning tools, telehealth services
Naturally, we also want to support multiple mobile device types, brands and operating systems
We also want to support multiple mobile device types, brands and operating systems
We also want to support multiple mobile device types, brands and operating systems
Blue Button was developed in 2010 by USA Veterans Affairs to allow users to download a health summary from a patient portal
ONC for Health IT took over Blue Button in 2012
Blue Button+ added structured data and support for web services in 2013
Each BB+ provider is the pairing of an OAuth2 authorisation service with a data service that implements the BB+ interface
Each BB+ provider is the pairing of an OAuth2 authorisation service with a data service that implements the BB+ interface
Patient portals are secure web apps featuring cross browser support and an accessible user interface
Patient portals are in rollout around the country
There is a robust face-to-face provisioning process, based on the patient-practitioner relationship
Portals provide the ability to order a repeat prescription, make an appointment or send a note to the GP, as well as view personal health information
Providers will be obliged to operate certified patient portal systems that have such an API
Patient portals are secure web apps featuring cross browser support and an accessible user interface
Patient portals are in rollout around the country
There is a robust face-to-face provisioning process, based on the patient-practitioner relationship
Portals provide the ability to order a repeat prescription, make an appointment or send a note to the GP, as well as view personal health information
Providers will be obliged to operate certified patient portal systems that have such an API
OpenID Connect is an identity layer on OAuth2
In general, the authorisation server will be separate from the resource server
The resource server can trust the access token because it is signed by the authorisation server
HTTPS secure connections over the internet
Identity, authentication and authorisation services will be provided by the NHI system, Real Me and patient portals
We need stronger evidence of identity than social media provides
The NHI system is probably not suitable as an OAuth2 identity and authorisation server
Real Me is a federated identity system, offering an identity verification service and a login service
Systems such as the NHI system can become identity attribute providers under this federated model, storing a Federated Identity Tag (FIT) per person as a link to the Real Me identity
A Federated Login Tag (FLT) per person is used in a similar way to support single sign-on
In order to support Real Me, patient portals will need to store FITs and FLTs, but will these need to be the same across different portals?
Having NHI number as a federated identity attribute under Real Me would support uses such as GP enrolment and patient portal provisioning
Real Me is a product and registered trademark of the New Zealand Government and New Zealand Post
1500 clinical impressions among about 3000 finding and diagnosis concepts
Matched content is listed in an Atom feed
The app issues an authenticated HTTPS GET request to retrieve any document from its repository location
10040.4 Clinical Document Metadata Standard defines twenty metadata elements for clinical data repository content
It is a standard for repository, record locator, clinical workstation, shared care and portal solutions
CDA and other payload types are supported.
CDA for discharge summary and med rec content, clinical assessments, care summaries.
Xero public apps use the standard three-legged OAuth process that allows the user to authorise access to their Xero account by a third party app:
User presses a ‘Connect to Xero’ button in the app and is redirected to a Xero authorisation service to login
User selects which Xero account they want to grant the app access to
User is redirected back to the app, which can then interact with the selected account via the API
Access tokens last for 30 minutes (partner apps are more privileged but need to be centrally hosted)
Xero also supports partner apps, which are more privileged
Partners are issued an 99 client certificate for their apps
Partner apps present an X.509 client certificate issued by Xero
Partner apps access the Xero API at a different URL from public apps
Partner apps also use a different signature method to public apps - requests are signed using the RSA-SHA1 method
Partner apps use the same three-legged authorisation process as public apps, but the 30 minute access tokens are automatically renewed