Data practitioners in healthcare have long been aware of the Health Level Seven International (HL7) data exchange and information standards. This standard, created over 20 years ago, was complicated to implement, and has seen many iterations.
The original goal of the standard – to reduce information isolation and variations in how patient data is stored – hasn’t changed.
And now, with the advent of the Fast Healthcare Interoperability Resources (FHIR) standard, developed on top of HL7, healthcare data interoperability is easier to implement. For example, Apple’s iPhone Health App accesses FHIR-compliant medical records.
Even today, much of our health information is exchanged at the static document level, such as:
So by sharing information at the data (not document) level, patients won’t have to enter the same data over and over again for each Provider they visit. And Providers — including physicians — will have patient data precisely when they need it within existing workflows.
The FHIR standard has been in development, and in trial use since 2014. What has really stirred the pot, however, is the recent Office of the National Coordinator for Health Information Technology (ONC) ruling that requires access to all electronic health information at no cost (to patients).
Today’s healthcare data systems must adapt to the expectations of open-access-patient-information and the FHIR standard. And patients will come to demand increased access to their own information.
Surprisingly, many data processing systems can’t handle
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Healthcare data interoperability is clearly no longer a dream of the future. It is the realization of the original intent of electronic records.
This will happen through APIs between information storage and electronic health record systems.
And the focus of data interoperability won’t just be between providers and patients. Insurance providers and payers will also require access to standardized data to comply with the FHIR standard.
We hoped you learned what is FHIR and the history behind it.
But the modern healthcare experience isn’t just about improving the integration and exchange of data.
It’s about orchestrating all aspects of patient care with the goals of: