Interoperability
Toward Health Equity in Transfusion Medicine
2019 Interoperability Standards Advisory (ISA)
Transitioning from CDA to FHIR
FHIR, HL7’s latest standard, supports the document paradigm without document restrictions. FHIR includes a RESTful API out of the box, as well as alternate syntaxes (i.e., XML and JSON). The industry will need transition strategies for those invested heavily in CDA while new implementers move directly to FHIR.
Read MoreHas the Clock Run Out on Electronic Claims Attachments?
With the shift towards value-based care, payers still need access to clinical information for reimbursement decisions as well as for cost and quality metrics and standardizing enough of the clinical record to satisfy the anticipated attachments reg would be an excellent next step in that direction.
Read MorePatient-Generated Health Data and EHR Integration
The PGHD Revolution With the rise in popularity of mobile health apps and wearable technology, the volume of patient-generated health data (PGHD) is rapidly outpacing providers’ ability to…
Read MoreElectronic Attachments Tell a Comprehensive Health Story
Anticipated HHS regulations are expected to provide standards for electronic documents used as attachments to support reimbursement-related transactions. On February 5, I was joined by Mary Lynn Bushman, Sr.…
Read MoreReporting Into the Antimicrobial Use and Resistance (AUR) Module
Hospitals report and analyze AUR data via the AUR Module. The AUR Module covers two reporting options, one for antimicrobial use (AU) and one for antimicrobial resistance (AR). Facilities can participate in one (just AU or just AR) or both (AU and AR) at any given time.
Read MoreProposed Interoperability Standards Measurement Framework
Lantana Consulting Group submitted comments on July 31, 2017 in response to the Office of the National Coordinator’s (ONC) request for feedback on the Proposed Interoperability Standards Measurement Framework.
Read MoreMeasurement Framework to Assess Nationwide Progress Related to Interoperable Health Information Exchange to Support the National Quality Strategy
Lantana Consulting Group submitted comments on June 30, 2017 in response to the National Quality Forum’s (NQF) request for comments on the Measurement Framework to Assess Nationwide Progress Related to Interoperable Health Information Exchange to Support the National Quality Strategy.
Read MoreCDA in the Wild: Conclusion (Installment #8)
Clinical Documents were never meant to hold 10 pounds of coded data. CDA is a 5-pound bag, containing the actual words, either written directly by a clinician or spoken and transcribed, with the minimal coding necessary for the use case.
Read MoreWhy Payers Should Play with FHIR
This blog introduces participants working on clinical data exchange and value-based care to HL7’s Fast Healthcare Interoperability Resources (FHIR) standard and Connectathon, an event that tests FHIR’s interoperability mettle. Since Connectathon 1 in 2012, the buzz around FHIR has grown exponentially. Word on the street is HL7 has trouble finding hotel conference rooms large enough to fit all attendees! HL7 will host Connectathon 14 in January 2017 in San Antonio.
Read MoreWhy Payers Should Play with FHIR – Part 2
This is Part 2 of the Why Payers Should Play With FHIR. To read part 1 click here. HL7 holds Connectathons on the Saturday and Sunday before the working group…
Read MoreCDA in the Wild: Timing is Everything (Installment #7)
Will time be cruel to CDA? Some think so, we think it is still alive and kicking. The hard part of CDA has always been its HL7 V3 heritage, and it is HL7 V3, not CDA that needs to join the dinosaurs, buried in shale and crushed into carbon.
Read MoregreenLantana: The Case Against Commuting
One of the many benefits of a distributed environment is flexibility. At Lantana Consulting Group, employees establish productive work environments wherever Wi-Fi can reach. Rather than joining millions of…
Read MoreCDA in the Wild: Coded Data Issues (Installment #6)
This week, I have left the bush behind and retreated to the comfort of my office. I am attempting to decode the works of the famous biologist Brice Schneuer,…
Read MoreComments on Standards for Claims Attachments
Co-author: Kanwarpreet Sethi Lantana Consulting Group commented on the testimony provided on February 16, 2016, to the National Committee on Vital and Health Statistics (NCVHS) Subcommittee on Standards, Hearing…
Read More2017 Interoperability Standards Advisory
Lantana Consulting Group submitted comments on March 18, 2016 in response to the Office of the National Coordinator’s (ONC) request for feedback on the 2017 Interoperability Standards Advisory (2016 Advisory).…
Read MoreTrifolia Release 3: New Functionalities
Co-author: Robin Williams, RN Trifolia (https://trifolia.lantanagroup.com/) is a web-based tool for standards development work. Trifolia produces HL7 Clinical Document Architecture (CDA) templates and Fast Healthcare Interoperability Resources (FHIR) profiles.…
Read MoreCDA in the Wild: Narrative Issues (Installment #5)
A solitary Wild CDA has left its pride. We can only presume it is searching for a mate by its extravagantly complex header and the swish of its long…
Read MoreConsolidated CDA: Pursuing Continuous Improvement
Recently, I helped a team of HIT vendors implement an experiment to study the new HL7 Consolidated CDA (C-CDA) Care Plan Document template. This template includes constraints on a…
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