Design Principles for Standardizing Health Data: Towards a Future Record Using FHIR and Global Code Systems
Design Principles - the Health Interoperability Playbook the Health Interoperability
CodeX HL7 FHIR Accelerator published a playbook detailing design principles for health interoperability.
Summary
The CodeX HL7 FHIR Accelerator Community has outlined design principles aimed at collecting and sharing high-quality, longitudinal patient data. These principles emphasize starting with single, narrowly focused use cases, utilizing FHIR and global code systems like LOINC/SNOMED CT to build standardized health records.
Key Players
Details
These guidelines represent the design principles established by the HL7 FHIR Accelerator Community for successful data standardization projects. The approach is holistic, focusing not only on technical aspects but also on stakeholder engagement—requiring commitment from all parties (patients, providers, payers, etc). From a structural perspective, it is recommended to define clinical requirements as discrete observations and actions, starting with a minimal core Implementation Guide (IG). This ensures interoperability across specialties. Furthermore, when using FHIR, leveraging government-backed standards like USCDI or US Core FHIR IG is crucial. Crucially, the principles mandate the use of global code systems such as LOINC and SNOMED CT to ensure consistent representation of health data concepts. The ultimate goal is achieving a 'Standard Health Record' for every patient—a record where data collected once (at the encounter) can be reused across all future care episodes and use cases. These principles are highly relevant to Japanese healthcare IT, providing a framework for defining granular data points and common vocabularies necessary for regional collaboration and seamless information exchange between electronic medical records.
Technology Note
FHIR（Fast Healthcare Interoperability Resources）は医療データ交換の国際標準。このエントリの関連技術: HL7
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