The Information Exchange: Analyzing FHIR/HL7 Trends in Healthcare Data
The Information Exchange: Hot Dog CarePlan Resource Edition - Health API Guy
Summary
This article summarizes a discussion on the US healthcare IT ecosystem. It focuses on structural and regulatory challenges, specifically addressing TEFCA's new auditing contract and the potential enforcement of information blocking rules.
Details
This piece is a comprehensive discussion covering multiple technical and policy topics related to medical data exchange. Key points include the significance and impact of ONC awarding an auditing contract (to Alliance Global Tech) to TEFCA, highlighting the role of external audits in the industry. On the technical side, both FHIR as a structured format for medical records and older standards like HL7v2 are discussed. Specific challenges are raised regarding unit validation and coding systems when representing clinical activities, such as nutrition orders (NutritionOrder). The use of service requests with diagnostic codes like ICD-10-CM is also detailed. Furthermore, predictions are made regarding the feasibility of federal enforcement on Information Blocking, which is a critical policy development aimed at promoting data sharing between healthcare facilities. These discussions are vital for understanding structural changes and regulatory shifts within the US healthcare IT market.
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