[{"innerBlocks":[],"name":"core\/freeform","postId":926,"blockType":{"name":"core\/freeform","keywords":[],"attributes":{"content":{"type":"string","source":"raw"},"lock":{"type":"object"}},"providesContext":[],"usesContext":[],"selectors":[],"supports":{"className":false,"customClassName":false,"reusable":false},"styles":[],"variations":[],"apiVersion":3,"title":"Classic","description":"Use the classic WordPress editor.","category":"text"},"originalContent":"HL7\u2019s Fast Healthcare Interoperability Resources standard has succeeded in disrupting health information technology and standards, but not healthcare\u2019s \u201cbroken\u201d processes.

That\u2019s the contention of Grahame Grieve, architect of the open health data standard and HL7\u2019s FHIR product director, who spoke earlier this month at the Regenstrief Institute.

\u201cOur goals are threefold\u2014to disrupt healthcare IT standards, to disrupt healthcare IT and to disrupt healthcare,\u201d Grieve told the audience. \u201cWe set out to disrupt healthcare IT standards\u2014that\u2019s in the bag. We set out to disrupt healthcare IT\u2014that\u2019s changing. We want to disrupt healthcare\u2014that has not started yet. Our focus now is turning more to healthcare rather than healthcare IT.\u201d

With the publishing earlier this year of the \u201cnormative\u201d version, FHIR has emerged as a mature, stable standard forming the basic application programming interface (API) building block for common healthcare transactions.

Not surprisingly, the Office of the National Coordinator for Health IT has proposed a rule that\u2014for the first time\u2014seeks to make FHIR a requirement for developers participating in the ONC Health IT Certification Program.

Also See:<\/b> Proposed ONC rule requires FHIR interoperability standard<\/a>

Given these recent developments, FHIR has tremendous potential to serve as the core functionality to support data access in healthcare enabling health information exchange.

\u201cFHIR is the web for healthcare,\u201d said Grieve. \u201cIt\u2019s an open community based around web technologies, web techniques and web philosophy.\u201d

As a standards framework, FHIR leverages RESTful APIs to enable data sharing among myriad health IT systems. By using the latest web standards, FHIR is seen as a simple-to-use format that can improve interoperability for a range of HIT technologies, including mobile apps, cloud communications and EHR-based data sharing.

\u201cWe need to start thinking in terms of clinical interoperability,\u201d added Grieve. \u201cIt\u2019s a clinical problem, it\u2019s a human problem and a record-keeping problem. It\u2019s not a technology problem, and we should just stop talking about technology. We now have an information management, workflow, record-keeping problem.\u201d

According to Grieve, other industries have been transformed in the past decade, and IT has enabled that transformation. However, he contends that healthcare is an outlier.

\u201cWe set out to remove IT as a barrier to seamless care, but there\u2019s lots of other barriers and problems,\u201d Grieve concluded. \u201cSolving the IT problems along with the wider societal changes around IT will tilt the playing field. And, everyone will start sliding towards better seamless care.

\u201cThe ride forward is going to be very, very bumpy as people disintermediate clinical processes, healthcare funding arrangements and start eroding the effectiveness of the cross-subsidization that is ubiquitous in healthcare,\u201d he added.","saveContent":"HL7\u2019s Fast Healthcare Interoperability Resources standard has succeeded in disrupting health information technology and standards, but not healthcare\u2019s \u201cbroken\u201d processes.

That\u2019s the contention of Grahame Grieve, architect of the open health data standard and HL7\u2019s FHIR product director, who spoke earlier this month at the Regenstrief Institute.

\u201cOur goals are threefold\u2014to disrupt healthcare IT standards, to disrupt healthcare IT and to disrupt healthcare,\u201d Grieve told the audience. \u201cWe set out to disrupt healthcare IT standards\u2014that\u2019s in the bag. We set out to disrupt healthcare IT\u2014that\u2019s changing. We want to disrupt healthcare\u2014that has not started yet. Our focus now is turning more to healthcare rather than healthcare IT.\u201d

With the publishing earlier this year of the \u201cnormative\u201d version, FHIR has emerged as a mature, stable standard forming the basic application programming interface (API) building block for common healthcare transactions.

Not surprisingly, the Office of the National Coordinator for Health IT has proposed a rule that\u2014for the first time\u2014seeks to make FHIR a requirement for developers participating in the ONC Health IT Certification Program.

Also See:<\/b> Proposed ONC rule requires FHIR interoperability standard<\/a>

Given these recent developments, FHIR has tremendous potential to serve as the core functionality to support data access in healthcare enabling health information exchange.

\u201cFHIR is the web for healthcare,\u201d said Grieve. \u201cIt\u2019s an open community based around web technologies, web techniques and web philosophy.\u201d

As a standards framework, FHIR leverages RESTful APIs to enable data sharing among myriad health IT systems. By using the latest web standards, FHIR is seen as a simple-to-use format that can improve interoperability for a range of HIT technologies, including mobile apps, cloud communications and EHR-based data sharing.

\u201cWe need to start thinking in terms of clinical interoperability,\u201d added Grieve. \u201cIt\u2019s a clinical problem, it\u2019s a human problem and a record-keeping problem. It\u2019s not a technology problem, and we should just stop talking about technology. We now have an information management, workflow, record-keeping problem.\u201d

According to Grieve, other industries have been transformed in the past decade, and IT has enabled that transformation. However, he contends that healthcare is an outlier.

\u201cWe set out to remove IT as a barrier to seamless care, but there\u2019s lots of other barriers and problems,\u201d Grieve concluded. \u201cSolving the IT problems along with the wider societal changes around IT will tilt the playing field. And, everyone will start sliding towards better seamless care.

\u201cThe ride forward is going to be very, very bumpy as people disintermediate clinical processes, healthcare funding arrangements and start eroding the effectiveness of the cross-subsidization that is ubiquitous in healthcare,\u201d he added.","order":0,"get_parent":{},"attributes":[],"attributesType":{"content":{"type":"string","source":"raw"},"lock":{"type":"object"}},"dynamicContent":""}]

Grieve: FHIR has disrupted health IT, but not healthcare

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