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HL7® FHIR® Connectathon 16: Patient Consent Forms: Redundant in the World of OAuth2? Part 2 of 2

[fa icon="calendar'] Oct 5, 2017 9:43:53 AM / by Sandeep Giri posted in FHIR, hl7, hl7 community, health IT, Connectathon, OAuuth2, Patient Consent, Patient Experience, Operational Efficiency

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 The HL7® FHIR® Connectathon Consumer Centered Data Exchange Track

In my previous article, Patient Consent Forms: Redundant in the World of OAuth, Part 1, I suggested providers to design their OAuth2 authorization challenge as a patient consent form so that patient consent can be digitally recorded during the OAuth dance. This would allow providers to share patient health records with the patient health apps much more efficiently without requiring separate paper/PDF consent forms, while still meeting the policy and regulatory requirements.

In this post, I will walk through a specific example of how to do this, and also discuss the differences in providers and patients’ perspectives on consent.

OAuth2 Authorization Challenge as a Patient Consent Form

First, let’s consider the scenarios from the Consumer Centered Data Exchange track at the FHIR Connectathon 16 in San Diego where a patient app can pull their health records from all of their providers in one place, or cause their EMR data to be sent from provider A to provider B. In both these scenarios, the provider may need an explicit patient consent or authorization form (often paper-based) signed by patient. So, how can we use OAuth2 challenge instead to capture patient consent?

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HL7® FHIR® Connectathon 16: Patient Consent Forms: Redundant in the World of OAuth2? Part 1 of 2

[fa icon="calendar'] Sep 29, 2017 11:56:45 AM / by Sandeep Giri posted in FHIR, hl7, hl7 community, health IT, Connectathon, OAuuth2, Patient Consent, Patient Experience, Operational Efficiency

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 The HL7® FHIR® Connectathon Consumer Centered Data Exchange Track

The HL7 FHIR Connectathon 16 in San Diego hosted a Consumer Centered Data Exchange track, focusing on scenarios where a patient app can “pull” their health records from all of their providers in one place, or cause their EMR data to be sent from provider A to provider B. However, before such pulling or sharing can begin, one needs to consider that a provider may require an explicit patient consent or authorization form (often paper-based) signed by the patient

Today, a patient would typically do this by signing a paper form and the provider would hand over a DVD containing scanned PDF copies of the patient’s health records. Now, imagine using a consumer health app on your phone, and every time you request your provider to share your records, the app asks you to first download a consent form that you then need to print, sign and fax to your provider. That would be a cumbersome and undesirable patient experience. Instead, digitally embedding patient consent during the electronic pulling or sharing of patient records itself can make this experience much smoother.

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CDS Hooks, Genomics and More: Update from HL7 FHIR Connectathon 15 in Madrid

[fa icon="calendar'] May 25, 2017 9:49:37 AM / by David Hay posted in FHIR, hl7, hl7 community, health IT, Connectathon

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As is customary, the team held a FHIR® Connectathon preceding the HL7 International Conference & Working Group Meeting in Madrid earlier this month.

Connectathons are an integral part of the HL7 FHIR process as they help validate the decisions that are made as part of the overall development of the specification, and ensure the standard is as easy as possible to implement (recognizing that healthcare interoperability is always going to be complex). 

HL7 FHIR Connectathon 15 had approximately 80 attendees – a bit down from previous connectathons, though still a strong turnout for an event held outside of the US. 

This connecthaton featured 10 tracks, click here to read the complete list. 

Following are some of the highlights: 

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How Applicadia Leverages FHIR, CQL and CIMI

[fa icon="calendar'] May 10, 2017 1:11:03 PM / by Richard Esmond posted in FHIR, hl7, hl7 community, interoperability, health IT, CQI, CIMI

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How Applicadia Leverages FHIR, CQL and CIMI

The medical software industry often exhibits great reluctance in adopting new approaches and technology. HL7 Fast Healthcare Interoperability Resources (FHIR®), which has been enthusiastically embraced, is an exception. FHIR is in the limelight and is being adopted at an unprecedented rate. However, FHIR also has two other sister-standards that aren’t getting the attention they deserve: Clinical Quality Language (CQL) and the Clinical Information Modeling Initiative (CIMI). When combined with FHIR, CQL and CIMI bring powerful and important capabilities to healthcare platforms that go far beyond what FHIR can deliver on its own.

Applicadia Wins Best in Show at HL7's March 2017 FHIR Applications Roundtable 

Applicadia’s mission is to build a suite of tools, components and libraries, that facilitate the integration of FHIR, CQL and CIMI clinical models into existing healthcare platforms.

 

At the HL7 FHIR Application Roundtable event, Applicadia demonstrated a novel speech-based charting application that leverages Clinical Natural Lanugage Processing (NLP) and CIMI clinical models to capture structured information at the point-of-care, without ever having to touch a keyboard. As a clinician speaks, SNOMED CT and LOINC descriptors are built from his or her statements and used to determine which pre-defined schema (CIMI clinical model) best describes the clinical situation. The system can then prompt for additional information, as necessary, until a fully encoded and computable standards-compliant medical record is produced that conforms to the expectations of its matching FHIR profile.

You can watch the Applicadia demo from the March 2017 FHIR Applications Roundtable by clicking here.

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Getting Ready for HL7 FHIR Connectathon 15

[fa icon="calendar'] Apr 5, 2017 3:48:15 PM / by David Hay posted in FHIR, hl7, hl7 community, interoperability, health IT, Connectathon

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It’s my pleasure to make you aware of the next HL7 FHIR Connectathon taking place on Saturday,   May 6 and Sunday, May 7 in Madrid, Spain. This event takes place in conjunction with the May 2017 International Conference & Working Group Meeting

Hard to believe, but it’s already the 15th one and we look forward to many more.

If you are thinking about attending this Connectathon, but you’re not sure if it is right for you, or even where to start, as one of the organizers, I can help. 

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The HL7 FHIR Applications Roundtable: A Showcase of FHIR-Based Solutions

[fa icon="calendar'] Mar 20, 2017 4:30:34 PM / by Rafiya Javed, MD posted in FHIR, hl7, hl7 community, interoperability, SMART on FHIR, health IT

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The HL7 FHIR® Applications Roundtable: A Showcase of FHIR-Based Solutions 
An Attendee's Perspective

This month, I had the pleasure of attending the HL7 FHIR Applications Roundtable at Duke University. As an MD that recently defected into the software world, I'm going to take a few paragraphs to briefly explain the significance of HL7 and Fast Healthcare Interoperability Resources (FHIR) to my non-technical friends and medical school colleagues.

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Release of the HL7 C-CDA® R2.1 Companion Guide

[fa icon="calendar'] Mar 9, 2017 2:17:57 PM / by Health Level Seven posted in CDA, hl7, hl7 community, health IT, C-CDA

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Introducing the HL7 Companion Guide to Consolidated Clinical Document Architecture (C-CDA®) 2.1

On March 3, 2017, Health Level Seven International and the Duteau Design Inc. team of Jean Duteau, Joginder Madra, Helen Stevens, and Lisa Nelson published the Companion Guide to Consolidated Clinical Document Architecture (C-CDA) 2.1. This companion guide is a supplement to HL7's  CDA R2 Implementation Guide (IG): C-CDA Templates for Clinical Notes STU Release 2.1.

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HL7 FHIR Foundation Collaborates with Google Cloud Platform to Support FHIR Community

[fa icon="calendar'] Feb 21, 2017 7:19:47 AM / by Health Level Seven posted in hl7, hl7 community, interoperability, health IT, Google

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Google Cloud Platform to Work with HL7 FHIR Foundation by Providing the Underlying Cloud Technology for the HL7 FHIR Developer Community

Health Level Seven® International (HL7®), the global authority for interoperability in healthcare information technology with members in 55 countries, today announced that the HL7 FHIR Foundation is now working with Google to support HL7’s Fast Healthcare Interoperability Resources (FHIR) standard and the FHIR community using Google Cloud Platform.

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HL7 FHIR Connectathon: Notes from the Medication Track

[fa icon="calendar'] Feb 2, 2017 4:00:56 PM / by Sandeep Giri posted in FHIR, hl7, hl7 community, health IT, pharmacy, Connectathon

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The HL7 FHIR Connectathon Medication Track

At the HL7 FHIR Connectathon 14, held January 14 - 15, 2017 in San Antonio, I participated in the medication track. See my previous post to learn more about how I ended up in the medication track. 

HL7’s Fast Healthcare Interoperability Resources (FHIR®) standard has four key resources related to medication:

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HL7 FHIR Connectathon: First Time Impressions and Other Tidbits

[fa icon="calendar'] Jan 31, 2017 11:15:00 AM / by Sandeep Giri posted in FHIR, hl7, hl7 community, interoperability, health IT, Connectathon

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Excitement Filled the Room

It was already 9:23 am. One could argue that on a normal Saturday morning, that's an early start time. 

But I was late. The conference room at the Hyatt Regency San Antonio on the Riverwalk was packed ... and buzzing with excitement over FHIR resources, interoperability and the like: 

 

I later learned the total number of participants at the HL7 FHIR Connectathon 14 was 200+  (a sharp increase from the 6 who attended the first Connectathon just a few years ago).

It seemed like 20+ round tables, packed close to each other, each with 6 to 10 participants, elbow to elbow.  Some attendees engaged in lively discussion, some furiously wrote code, and some just stared at their screens (most displaying a FHIR resource page) brows creased in concentration.

Where Do I Start? 

Why couldn’t I drag my behind out of bed a little earlier for the opening remarks so I could orient myself better?

Which table should I start from?

In this mild confusion, I walked past each table to see if I could find anyone I knew or a track I was familiar with.

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