Managing Clinical Data using HL7 & FHIR standards

Smile CDR is a complete clinical data repository built around the HL7 FHIR standard that is used for storing health records. It includes out-of-the-box enterprise-grade capabilities for terminology, security, audit and compliance, Lucene-based search, HL7 v2 to FHIR conversion, and much more. It supports all FHIR resource types, the complete REST API, versioning, soft deletes, and other useful features. It targets enterprises, research organizations, application developers, consultants and integrators.

As an application developer and technology integration partner of SmileCDR we help governments, researchers, health exchanges, healthcare providers and payers to build connected health solutions and products by leveraging our core expertise in health data interoperability and HL7 FHIR. (Health Level 7 - Fast Healthcare Interoperability Resources)

 
 

Innovation: Built around the visionary HL7 FHIR standard and powered by HAPI, the most proven FHIR implementation in the world.

Secure: We have authorization, audit, compliance monitoring tools, and security integration built-in. It’s privacy by design.

Flexible: Your data strategy should be as unique as your business. We can help build a configuration that works for you.

Fast: Out-of-the-box, enterprise-level capabilities so developers can get started immediately. Build faster than ever before.

SMART on FHIR is a set of open specifications to integrate apps with EHRs and other healthcare IT systems.

At first glance that may not sound revolutionary, but since SMART on FHIR apps allow for a variety of use cases to exist on the same infrastructure and the same data model (FHIR), you can build all your apps against a common data backend.

So what do these two standards actually do?

  • FHIR provides a set of models to standardize the representation of clinical concepts such as allergies and medications in an EHR or other clinical data store.

  • SMART standardizes the process through which a third-party application could plug into a data store and access that clinical information. It acts as a security layer that sits on top of FHIR interfaces, giving approved applications access to the data within an EHR or any other SMART on FHIR compliant repository using OAuth2.0 and OpenID Connect.

Simply put, FHIR standardizes data, while SMART standardizes data access.

SMART on FHIR protects user privacy while still making their data accessible and usable by allowing for granular permissions and audit. This ensures the app has to ask for explicit permission from the user to access each different type of data—in conformance with industry best practices such as privacy by design.

Crucially, SMART on FHIR has also gained widespread support and adoption from major EHR vendors, government regulatory bodies, technology companies, payers and providers.

Industry support is essential because ultimately it's up to the EHR vendors to implement the standards, a process which often leaves room for deviation. Fortunately, leading technology vendors and provider organizations have stepped up to form the Argonaut Project, an industry-led group that works to accelerate the use of open standards like FHIR through the creation of implementation guides.

In the US, this has culminated in the creation of the US Core Implementation Guide, a profile which constrains the scope of FHIR to actually be shareable by setting conformance requirements.

This means SMART on FHIR is more than just another standard. It’s a mature set of guidelines with well-established “rules of the road” which have been agreed upon not just by standards bodies like HL7, but by major industry players. It’s this kind of coordination that can transform interoperability from a buzzword to an achievable goal.

Our Services

Standards

The Digicio team can help you understand and plan out the use of FHIR to support your health application. Our team has broad and deep experience in the application of messaging standards and we can help design your solution.

Mapping

The Digicio solution team will help you map other messaging specifications to FHIR. Our solution has a standards mapping suite that we fully support. We can even assist with both design and coding of the integration between your Digicio repository and other health systems.

Business Cases and Proof of Concept

We will help you develop your FHIR proof of concept, business case and business architecture. This process includes discovery sessions, facilitated business decision meetings, and options analysis. It can be completed as part of comprehensive business architecture engagement or as a stand-alone offering.

Training

We offer training in a variety of topics so that you and your team can hit the ground running.

  • Introduction to FHIR

  • Advanced FHIR Topics

  • SmileCDR configuration and management

  • SmileCDR configuration and SmileCDR mapping

  • Installed solutions operations

PRODUCT INTEGRATION

Discovery

We can help identify your integration targets and data sources. Working with your team, we will facilitate the discovery effort by helping to determine how much effort is needed to extract and load data assets into the SmileCDR. We will help you and ways to use your data to improve workflow and deliver quality care.

Design

The Digicio team will help you design your health data solution and its integration with your overall solution. We have in-depth experience in the use and deployment of FHIR services, and we will help you architect an effective data implementation.

IMPLEMENTATION

Architecture

We offer a full suite of architecture support, from inception through delivery. We can help develop a logical solution design and then work with sprint teams to flesh out user stories as your solution is developed. This combination of agile development and high level comprehensive design has enabled rapid delivery of large, complex projects.

Or if you have a more structured architecture governance model, we will work with your team to develop and deliver against your organization’s architecture framework - such as TOGAF, DODAF, and more.

Project Management

The Digicio team has experienced project managers that can help you through all of the phases of your implementation, from inception through to close out. Our team understands the nuances and challenges of healthcare integration and has detailed knowledge of our product.

Development 

We can assist with all aspects of your clinical development cycle. Our development teams have indepth experience mapping information from existing systems into the FHIR specification. Working with your in-house specialists, our experts will help and propose the most appropriate mapping between source data and FHIR resources.

Upon request, our team can help you use the FHIR API for maximum effectiveness reducing the amount of development effort needed to build out your solution. Where needed, we can help develop new API’s to enable specialty services for your project.

 

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Digicio

Contact our team to learn more about our services.