I have been unable to attend HL7 WGM for a year, a problem that is now better.  This means that when I attended the FHIR Connectathon 14, prior to the HL7 Workgroup Meeting in San Antonio TX, I was shocked to experience the new FHIR Connectathon. This is good change…

IHE is still relevant in a FHIR world. But FHIR has changed the world, and IHE needs to adjust to this new world. Profiling is still needed The concept of profiling FHIR is still needed. The difference today is that FHIR is ready and instrumented to be Profiled. It even…

How does one put a FHIR Document into XDS?How does one find a FHIR Document in XDS? Both questions are asking very similar things. The key is the XDS fundamental metadata element mimeType. Let me explain… XDS, more broadly the whole Document Sharing family, including XDS, XCA, XDR, XDM, and…

It is so good to see NIST bring Privacy out of the closet. I promoted the “hints of Privacy” that are deep within NIST 800-53, but always needed to enhance with a harmonized set of  Privacy Principles as a Framework, Privacy Impact Assessment, and Privacy Risk Management. For example my…

In close to 30 years as a professional engineer, I find that some people are natural software architects, while others expert software engineers struggle with architecture. There seems to be a characteristic of those people that can take a step back and ‘architect’.  Is this learned? I suspect anything can…

I am comforted to hear from many Healthcare leaders that their advice to the new USA administration is to continue the progress we have. Including continued support for Exchange, Direct, and CDA; while encouraging FHIR. I am VERY MUCH agreeing with these. Changing from these directions would kill much momentum…

The IT Infrastructure workgroup has selected their work items for next year. It consists of 4 new work items, only one of which is a brand new concept. That is, the other three are re-casting of old use-case needs into a http RESTful world. There is only one of these…

I have gotten into multiple discussions on the topic of TLS 1.0. The result always seems to end up in no change of anyone position. There are a few agreed to points: SSL is fully forbidden.  TLS 1.2 is best TLS 1.0 and 1.1 are not as good as 1.2 Bad crypto…

I have changed employer. From GE Healthcare to By Light. Both companies offer their employees Health Insurance through United Healthcare I ‘figured’ that I could continue to use my existing United Healthcare web login account to access both the old and new insurance account. Turns out this is not the…

This is a use of the IHE published De-Identification Handbook against a use-case. The conclusion we came to is an important lesson, that sometimes the use-case needs can’t be met with de-identification to a a level of ‘public access’.  That is that the ‘needs’ of the ‘use-case’ required so much…