Coverage Requirements Discovery (CRD), developed under the HL7 Da Vinci project, is crucial for enabling providers to achieve smooth electronic prior authorization (ePA). As a FHIR Implementation Guide, it provides real-time visibility into payer rules directly within clinical workflows.
Infor proposes an FHIR-based data archival solution to address challenges arising from fragmented IT systems and increasing maintenance costs of legacy EHRs following mergers and acquisitions (M&A). This solution aims to reduce operational costs and improve standardized access while ensuring compliance by consolidating old data.
Kat McDavitt of Innsena spoke at a panel discussion at Healthcare 2030, highlighting challenges related to AI and data interoperability. She stated that the current reality is a lack of sufficient data flow, emphasizing the need for industry-wide standards.
To address the siloed nature of Electronic Health Records (EHRs), SMART on FHIR provides an authorization and app launch framework atop FHIR APIs, enabling secure integration of third-party applications. This allows healthcare organizations to accelerate innovation and meet regulatory compliance.
Revenue Cycle Management (RCM) in the US faces significant revenue leakage (estimated at $125 billion annually) due to inefficiencies. To address this, RCM systems must evolve into platform-based, data-driven, and interoperable models that seamlessly connect clinical, financial, and payer ecosystems.
The complexity and interoperability requirements of healthcare data have grown over the past decade, overwhelming legacy software systems. Specifically, public health agencies are being pushed to transition from older standards like HL7 V2 and CDA to FHIR, which is essential for standardizing data exchange and improving analytical capabilities.
Infinitus has released the Model Context Protocol (MCP) server, providing a unified framework for AI agents to safely and at scale link with healthcare systems. This aims to reduce traditional data fragmentation and manual workload, thereby improving speed of medical decision-making.
This article outlines a learning approach to simulate Electronic Health Record (EHR) setup and utilization within the Cerner environment using SMART on FHIR. Participants aim to develop five applications, mastering concepts like OAuth2 flows and FHIR API specifications.
Electronic health record giant Epic announced new app developer tools and interoperability features designed to simplify data sharing. Key highlights include the nationwide rollout of MyChart Central, allowing patients unified access to their medical records, and support for Bluetooth sensors.
Health Chain introduced Centaur, a FHIR-native, cloud-based Health Data Management Platform. This platform enables Payers, Providers, and Integrated Delivery Systems to establish longitudinal member records, aiding compliance with interoperability mandates and improving quality of care.
b.well Connected Health announced 'health.quality,' a new service designed to modernize digital quality measures (dQMs) for health plans and providers. The system utilizes FHIR and Clinical Quality Language (CQL) standards to support regulatory reporting and improved patient care.
Epic strongly supports HL7 FHIR as the future of REST-based interoperability, actively participating in its development. This provides a highly advanced data sharing environment based on international standards, covering everything from clinical records to payment systems.
Smile Digital Health, a provider of enterprise-grade, open-framework health data solutions, announced its commitment to support the Centers for Medicare & Medicaid Services (CMS) Health Tech Ecosystem initiative as a foundational technology partner. Its HL7 FHIR-based platform will enable payers and providers.
Data management company IRI announced significant enhancements to its DarkShield product. By supporting major healthcare EDI formats like HL7 and FHIR, the update boosts capabilities for masking PII and PHI (Protected Health Information) to help organizations comply with regulations such as HIPAA.
b.well Connected Health launched 'health.quality,' a new service to modernize digital quality measures (dQMs) for health plans and providers. The service utilizes FHIR and Clinical Quality Language (CQL) standards, aiming to support regulatory reporting and improved patient care while reducing costs and enhancing data accuracy.
CapMinds provides comprehensive solutions utilizing standards like FHIR and HL7 to facilitate complex healthcare data exchange and integration. By supporting everything from API development to server construction, they aim to improve interoperability in systems like Japanese EHRs and regional health networks.
Sparkco AI provides detailed guides on integrating with EHR systems, enabling Skilled Nursing Facilities (SNFs) to access data via PointClickCare and process referrals from hospital partners using FHIR API.
At the Digital Medicine Society (DiMe) event, panelists debated how AI can transform healthcare. Participants stressed the need for better data flow and industry-wide standardization, reaffirming the critical importance of FHIR.