Essential Interoperability Standards

Proposes a new expert-led international instrument to address access to essential technical standards.

This book focuses on the development and use of interoperability standards related to healthcare information technology (HIT) and provides in-depth discussion of the associated essential aspects. The book explains the principles of conformance, examining how to improve the content of healthcare data exchange standards (including HL7 v2.x, V3/CDA, FHIR, CTS2, DICOM, EDIFACT, and ebXML), the rigor of conformance testing, and the interoperability capabilities of healthcare applications for the benefit of healthcare professionals who use HIT, developers of HIT applications, and healthcare consumers who aspire to be recipients of safe and effective health services facilitated through meaningful use of well-designed HIT. Readers will understand the common terms interoperability, conformance, compliance and compatibility, and be prepared to design and implement their own complex interoperable healthcare information system. Chapters address the practical aspects of the subject matter to enable application of previously theoretical concepts. The book provides real-world, concrete examples to explain how to apply the information, and includes many diagrams to illustrate relationships of entities and concepts described in the text. Designed for professionals and practitioners, this book is appropriate for implementers and developers of HIT, technical staff of information technology vendors participating in the development of standards and profiling initiatives, informatics professionals who design conformance testing tools, staff of information technology departments in healthcare institutions, and experts involved in standards development. Healthcare providers and leadership of provider organizations seeking a better understanding of conformance, interoperability, and IT certification processes will benefit from this book, as will students studying healthcare information technology.

This book provides an introduction to health interoperability and the main standards used. Health interoperability delivers health information where and when it is needed. Everybody stands to gain from safer more soundly based decisions and less duplication, delays, waste and errors. The third edition of Principles of Health Interoperability includes a new part on FHIR (Fast Health Interoperability Resources), the most important new health interoperability standard for a generation. FHIR combines the best features of HL7’s v2, v3 and CDA while leveraging the latest web standards and a tight focus on implementability. FHIR can be implemented at a fraction of the price of existing alternatives and is well suited for use in mobile phone apps, cloud communications and EHRs. The book is organised into four parts. The first part covers the principles of health interoperability, why it matters, why it is hard and why models are an important part of the solution. The second part covers clinical terminology and SNOMED CT. The third part covers the main HL7 standards: v2, v3, CDA and IHE XDS. The new fourth part covers FHIR and has been contributed by Grahame Grieve, the original FHIR chief.

This extensively updated fourth edition expands the discussion of FHIR (Fast Health Interoperability Resources), which has rapidly become the most important health interoperability standard globally. FHIR can be implemented at a fraction of the price of existing alternatives and is well suited for use in mobile phone apps, cloud communications and electronic health records. FHIR combines the best features of HL7’s v2, v3 and CDA while leveraging the latest web standards and clinical terminologies, with a tight focus on implementation. Principles of Health Interoperability has been completely re-organised into five sections. The first part covers the core principles of health interoperability, while the second extensively reviews FHIR. The third part includes older HL7 standards that are still widely used, which leads on to a section dedicated to clinical terminology including SNOMED CT and LOINC. The final part of the book covers privacy, models, XML and JSON, standards development organizations and HL7 v3. This vital new edition therefore is essential reading for all involved in the use of these technologies in medical informatics.

This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

How does Interoperability and Standards integrate with other business initiatives? What prevents you from making the changes you know will make you a more effective Interoperability and Standards leader? How important is Interoperability and Standards to the user organizations mission? Can you do Interoperability and Standards without complex (expensive) analysis? Do you cover the five essential competencies: Communication, Collaboration, Innovation, Adaptability, and Leadership that improve an organization's ability to leverage the new Interoperability and Standards in a volatile global economy? This best-selling Interoperability and Standards self-assessment will make you the credible Interoperability and Standards domain master by revealing just what you need to know to be fluent and ready for any Interoperability and Standards challenge. How do I reduce the effort in the Interoperability and Standards work to be done to get problems solved? How can I ensure that plans of action include every Interoperability and Standards task and that every Interoperability and Standards outcome is in place? How will I save time investigating strategic and tactical options and ensuring Interoperability and Standards costs are low? How can I deliver tailored Interoperability and Standards advice instantly with structured going-forward plans? There's no better guide through these mind-expanding questions than acclaimed best-selling author Gerard Blokdyk. Blokdyk ensures all Interoperability and Standards essentials are covered, from every angle: the Interoperability and Standards self-assessment shows succinctly and clearly that what needs to be clarified to organize the required activities and processes so that Interoperability and Standards outcomes are achieved. Contains extensive criteria grounded in past and current successful projects and activities by experienced Interoperability and Standards practitioners. Their mastery, combined with the easy elegance of the self-assessment, provides its superior value to you in knowing how to ensure the outcome of any efforts in Interoperability and Standards are maximized with professional results. Your purchase includes access details to the Interoperability and Standards self-assessment dashboard download which gives you your dynamically prioritized projects-ready tool and shows you exactly what to do next. Your exclusive instant access details can be found in your book. You will receive the following contents with New and Updated specific criteria: - The latest quick edition of the book in PDF - The latest complete edition of the book in PDF, which criteria correspond to the criteria in... - The Self-Assessment Excel Dashboard, and... - Example pre-filled Self-Assessment Excel Dashboard to get familiar with results generation ...plus an extra, special, resource that helps you with project managing. INCLUDES LIFETIME SELF ASSESSMENT UPDATES Every self assessment comes with Lifetime Updates and Lifetime Free Updated Books. Lifetime Updates is an industry-first feature which allows you to receive verified self assessment updates, ensuring you always have the most accurate information at your fingertips.

Although the standards in electronic health records and general healthcare services continue to evolve, many organizations push to connect interoperability with public service and basic citizenship rights. This poses significant technical and organizational challenges that are the focus of many research and standardization efforts. Interoperability in Healthcare Information Systems: Standards, Management and Technology provides a comprehensive collection on the overview of electronic health records and health services interoperability and the different aspects representing its outlook in a framework that is useful for practitioners, researchers, and decision-makers.

The economic and political stakes in the current heated debates over “openness” and open standards in the Internet's architecture. Openness is not a given on the Internet. Technical standards—the underlying architecture that enables interoperability among hardware and software from different manufacturers—increasingly control individual freedom and the pace of innovation in technology markets. Heated battles rage over the very definition of “openness” and what constitutes an open standard in information and communication technologies. In Opening Standards, experts from industry, academia, and public policy explore just what is at stake in these controversies, considering both economic and political implications of open standards. The book examines the effect of open standards on innovation, on the relationship between interoperability and public policy (and if government has a responsibility to promote open standards), and on intellectual property rights in standardization—an issue at the heart of current global controversies. Finally, Opening Standards recommends a framework for defining openness in twenty-first-century information infrastructures. Contributors discuss such topics as how to reflect the public interest in the private standards-setting process; why open standards have a beneficial effect on competition and Internet freedom; the effects of intellectual property rights on standards openness; and how to define standard, open standard, and software interoperability.

Joined-up healthcare makes information available when and where it is needed to improve safety, efficiency and effectiveness. Politicians may take interoperability between healthcare computer systems for granted, but it is non-trivial. Healthcare integration projects are notoriously under-estimated and come in over-budget and over-time. Joined-up healthcare depends on standards. The two leading standards are the SNOMED CT, which is a clinical terminology (semantics) and HL7 Version 3, which is a specialised healthcare interoperability language (syntax). Both are new, complex and fit for purpose. Tim Benson believes there is an unmet need for a book on Healthcare Integration. Some health informatics textbooks include chapters on HL7 and/or SNOMED, but these are usually quite short and cannot provide even an adequate introduction. There is little of much value on the Internet, or in journals or conference proceedings.