Everyone by now has heard the term FHIR which stands for Fast Healthcare Interoperability Resources. Well the implementation has been anything but fast. When FHIR first hit, the best application was to use it with mobile devices to narrowly scope the data that was being exchanged. The use cases were few and far in between mainly due to access to the data. The CCD was still the best way to exchange data as the electronic medical records vendors only allowed data exchange through that mechanism . This of course is still based on the model of a full record. Before
It all began with the “sneakernet.” If we needed to get data moved from one person to the other, it was delivered on foot. That meant it could take a long time to send/receive data. The positive of this was that it could be sent and received as is. You did not have to create a new document in a different format to send it. The information was photocopied and sent, it was that easy. There were no issues with sending data in a certain format and via specific method. How nice would it be to be able to have
When most people think of integration they think of formats and standards such as HL7, CCD, EDI and XML. But what if I cannot meet the standard? For many it means they cannot participate in data sharing. Most of the software solutions and integration platforms will only accommodate specific formats. Standards are created so that the sharing of information should be easier, and in many cases, it will pave a path for onboarding a good portion of the data. But there is always going to be some percent of trading partners that will not be able to meet the requirements.
How often do organizations, whether a start-up or a well-established organization, start with integration as a core business function? Not many. Which is odd because without data exchange, most solutions add no value. If data exchange is so critical, why do we see organizations attacking integration as an afterthought? We do not believe it is done intentionally, typically the focus is on improving, implementing, and strategizing around the core competencies of the organization. Then, suddenly, the need for some new or additional data arises. Now what? Because the immediate need is to resolve the issue at hand, a more global