Outburn Ltd.

Almost all #FHIR artifacts can be assigned a #maturity level, from 0 to 6. Understanding the FHIR Maturity Model (FMM) is essential for anyone involved in healthcare data exchange. FMM provides a clear framework for assessing the readiness and stability of FHIR artifacts like resources, profiles, and implementation guides. Here's a concise guide to what each FMM level represents: FMM Level 0: The artifact has been published on the current build but is still a draft. It must have a standards status of Draft. FMM Level 1: Building on Level 0, the artifact produces no warnings during the build process. The responsible work group considers it substantially complete and ready for implementation. For resources, profiles, and implementation guides, the FHIR Management Group has approved the underlying proposals. FMM Level 2: The artifact has been tested and supports interoperability among at least three independently developed systems. These systems leverage most of the scope (at least 80% of core data elements) using semi-realistic data and scenarios, such as those tested at a connectathon. The results have been reported to and accepted by the FHIR Management Group. FMM Level 3: Verified by the work group as meeting the Conformance Resource Quality Guidelines, the artifact has undergone formal balloting. It has received at least 10 distinct implementer comments from at least three organizations, resulting in at least one substantive change. FMM Level 4: The artifact has been tested across its scope, published in a formal publication (e.g., as a Standard for Trial Use), and implemented in multiple prototype projects. The responsible work group agrees that any non-backward compatible changes will require implementer consultation due to the artifact's stability. FMM Level 5: Published in two formal release cycles as a Standard for Trial Use, the artifact has been implemented in at least five independent production systems across more than one country. FMM Level 6 (Normative): The pinnacle of maturity, the artifact is ready to be locked down according to inter-version change rules. It has passed the HL7 normative ballot, and both the responsible work group and the FHIR Management Group agree it achieves Normative standard status. Why FMM Levels Matter The FHIR Maturity Model is more than just a scale—it's a tool that guides the healthcare industry toward robust and interoperable solutions. By selecting artifacts with appropriate FMM levels, organizations can confidently implement FHIR standards, contributing to a more connected and efficient healthcare ecosystem. from all of us at Outburn, we wish you a lovely weekend! Daniel Mechanik Meirav Malkin Amos (Kippi) Bordowitz Alex Baumberg Liron Shahar-Atia Sima Morgenstern Uri Lerner Nir Rabinovich Dmitry Baranov Irit Berezin Ilia Kaplan #healthcare #standard #data

In our increasingly connected world, seamless health data exchange is vital for enhancing patient care and advancing medical research. #FHIR has emerged as a key standard for #interoperability, but implementing it in resource-constrained environments—such as rural clinics or underserved regions—presents unique challenges and opportunities. -- 𝐂𝐡𝐚𝐥𝐥𝐞𝐧𝐠𝐞𝐬 𝐢𝐧 𝐋𝐢𝐦𝐢𝐭𝐞𝐝 𝐒𝐞𝐭𝐭𝐢𝐧𝐠𝐬 𝐂𝐨𝐧𝐧𝐞𝐜𝐭𝐢𝐯𝐢𝐭𝐲 𝐈𝐬𝐬𝐮𝐞𝐬: Unreliable or nonexistent internet access hampers real-time data exchange, a cornerstone of FHIR implementations. 𝐇𝐚𝐫𝐝𝐰𝐚𝐫𝐞 𝐋𝐢𝐦𝐢𝐭𝐚𝐭𝐢𝐨𝐧𝐬: Older or less powerful devices may struggle with standard FHIR applications that require significant computational resources. 𝐒𝐤𝐢𝐥𝐥 𝐆𝐚𝐩𝐬: A shortage of professionals trained in FHIR standards can impede effective implementation and maintenance. -- 𝐀 𝐟𝐞𝐰 𝐬𝐭𝐫𝐚𝐭𝐞𝐠𝐢𝐞𝐬 𝐟𝐨𝐫 𝐒𝐮𝐜𝐜𝐞𝐬𝐬𝐟𝐮𝐥 𝐈𝐦𝐩𝐥𝐞𝐦𝐞𝐧𝐭𝐚𝐭𝐢𝐨𝐧 Offline Functionality: Develop applications capable of operating offline, storing data locally until a stable connection is available for synchronization. This ensures continuity of care despite connectivity issues. 𝐌𝐨𝐛𝐢𝐥𝐞-𝐅𝐢𝐫𝐬𝐭 𝐀𝐩𝐩𝐫𝐨𝐚𝐜𝐡: Leverage the widespread availability of mobile devices. Design FHIR applications optimized for mobile platforms, which are often more accessible in resource-limited areas. 𝐋𝐨𝐜𝐚𝐥 𝐂𝐚𝐩𝐚𝐜𝐢𝐭𝐲 𝐁𝐮𝐢𝐥𝐝𝐢𝐧𝐠: Invest in training local healthcare workers and IT staff. Empowering the community fosters sustainability and encourages ownership of the health information systems. 𝐈𝐧𝐜𝐫𝐞𝐦𝐞𝐧𝐭𝐚𝐥 𝐃𝐞𝐩𝐥𝐨𝐲𝐦𝐞𝐧𝐭: Start with essential features and gradually introduce more complex functionalities. This allows systems to adapt and scale according to available resources. -- 𝐌𝐚𝐤𝐢𝐧𝐠 𝐚 𝐆𝐥𝐨𝐛𝐚𝐥 𝐈𝐦𝐩𝐚𝐜𝐭 By thoughtfully adapting FHIR implementations, we can extend the benefits of interoperable health data exchange to all corners of the world. This not only improves individual patient outcomes but also enhances public health monitoring and response capabilities. Implementing FHIR in resource-constrained environments isn't just about overcoming technical hurdles—it's about making a tangible difference in people's lives. It's about ensuring that advances in healthcare technology contribute to equity, bridging the digital divide that separates communities. image crdeit: The New Economy Magazine From all of us at Outburn Ltd., have a lovely weekend <3 Meirav Malkin Daniel Mechanik Amos (Kippi) Bordowitz Alex Baumberg Liron Shahar-Atia Sima Morgenstern Nir Rabinovich Uri Lerner Irit Berezin Dmitry Baranov

In the evolving landscape of healthcare technology, the Fast Healthcare Interoperability Resources (FHIR) standard is revolutionizing how we manage and exchange medical data. Our latest blog post delves into the true strength of FHIR—not just its "resources," but its use of RESTful architecture combined with standardized data formats like JSON and XML. In the linked post we cover: RESTful Architecture in FHIR: How RESTful APIs simplify communication between diverse healthcare systems, making data exchange more efficient and scalable. The Role of JSON and XML: Understanding how these data formats ensure machine-readable and universally understood information transfer across platforms. Bridging Modern and Legacy Systems: Strategies for integrating new healthcare applications with existing legacy systems using FHIR, ensuring a smooth transition and interoperability. By embracing these components of FHIR, healthcare providers and technologists can enhance interoperability, improve patient care, and future-proof their systems against the rapidly changing technological landscape. 📖 Interested in a deep dive? Read the full article here: https://lnkd.in/d8MfYYje From all of us here at Outburn, have a lovey weekend! #FHIR #HealthTech #Interoperability #HealthcareInnovation #RESTfulAPI #JSON #XML #DataExchange Daniel Mechanik Meirav Malkin Amos (Kippi) Bordowitz Alex Baumberg Liron Shahar-Atia Sima Morgenstern Nir Rabinovich Uri Lerner Dmitry Baranov Irit Berezin

FHIR Resources are the cornerstone of modern interoperable healthcare systems. Our latest blog post delves deep into the intricacies of #FHIR #Resources, exploring their atomic structure, the significance of their modularity, and how they revolutionize data exchange compared to legacy HL7v2 messages. We break down the core components of FHIR Resources, highlighting their self-contained nature and the flexibility they offer through extensions and profiling. By enabling precise data modeling and reducing redundancy, these resources facilitate seamless integration across diverse healthcare systems. Additionally, we contrast the traditional snapshot-based approach of HL7v2 with FHIR’s resource-centric methodology, showcasing advantages in scalability and efficiency. For organizations transitioning to FHIR, we introduce FUME, our powerful FHIR-converter tool designed to simplify the migration process from legacy systems. FUME addresses common challenges and minimizes errors, ensuring a smoother adoption of FHIR standards. Whether you're optimizing interoperability, streamlining data exchanges, or embarking on a migration journey, this article is packed with valuable insights and practical strategies to enhance your FHIR implementations. 👉 Dive into this read here: https://lnkd.in/e6QC7fcY #HealthTech #Interoperability #HealthcareInnovation #TechTrends #HL7v2 #DataExchange #FHIRResources #HealthcareIT Meirav Malkin Daniel Mechanik Amos (Kippi) Bordowitz Alex Baumberg Liron Shahar-Atia Sima Morgenstern Nir Rabinovich Uri Lerner Irit Berezin Dmitry Baranov

🎤📜🔥 מנהלי מוצר בחברות מדיקל, מנהלי פרוייקטים בבתי תוכנה בעולמות הבריאות, מנהלי מערכות מידע ופרוייקטים במערכות בריאות וכל בעל תפקיד הקשור לתחום מידע רפואי - הוובינר הזה יעשה לכם סדר! 📜🎤 אחרי מספר שנים של פעילות אנחנו מזהים בשלות הולכת וגדלה במימוש והבנת FHIR🔥 של ארגוני בריאות בכל הארץ. בשלב זה אנחנו נערכים למימוש החוק לניוד מידע רפואי. הדבר מביא איתו אתגרים רבים, יחד עם צורך ללמוד נושאים חדשים. אחד האתגרים הגדולים ביותר ללא ספק, הוא כל נושא הטרמינולוגיה📃 - רשימות ערכים, מערכות קידוד, מערכות זיהוי וכו'. בין אם הארגון שלכם כבר עתיר נסיון ובין אם לאו, מדובר בנושא רחב ידיים, עם אינספור pitfalls אפשריים. 🪤 מסיבה זו ראינו לנכון "להרים את המכסה" מעל כל נושא הטרמינולוגיה – מה זה אומר לנהל טרמינולוגיות, האם זה רק נושא טכנולוגי או גם עיסקי, מה ההבדל בין הסוגים השונים, כיצד הם "מדברים" אחד עם השני ומה הצעדים הבאים. 👣 לשם כך, נתכנס למפגש קהילה בזום ביום שני הקרוב, ה-11 בנובמבר, בשעה 09:00. שם נשמע הרצאה מרתקת מפי ד"ר אורי לרנר שתעשה סדר "ממעוף הציפור" בכל הנושא. בואו ללמוד איתנו! להרשמה, נא להקליק על הלינק: https://lnkd.in/dg4A6SWT Uri LernerMeirav MalkinDaniel Mechanik

Mastering Dosage and Timing in FHIR Are you finding the Dosage element in FHIR resources like MedicationRequest or MedicationStatement complex and challenging? Our latest blog post, by Sima Morgenstern demystifies this "super-element," breaking down its components—from primitive and complex data types to the intricacies of timing and repetition. The post also dives into the coding issues with the unit of measure and provides insights to help streamline your implementation process. 👉 Click the link to read the full post! From all of us at Outburn, have a lovely week! Daniel Mechanik Meirav Malkin Amos (Kippi) Bordowitz Liron Shahar-Atia Alex Baumberg Nir Rabinovich Uri Lerner Irit Berezin Dmitry Baranov

אאוטברן שמחה לבשר על שיתוף פעולה חדש עם רשת "מכון מאר". מאר היא רשת המספקת שירותי דימות רפואית ואבחון, ופרושה ברחבי הארץ באמצעות 48  סניפים. עם למעלה מ-40 שנה של ניסיון, מאר מבצעת מעל ל- 700 אלף סריקות בשנה, עבור כל קופות החולים, כולל בדיקות רנטגן, CT, ממוגרפיה, אולטראסאונד, EMG ועוד. אאוטברן תספק למאר פתרון ליישום ובדיקה של אישור התחייבות למתן השירותים על ידי טופס 17. הפתרון מאפשר ניהול התהליך  מול כל ארבע קופות החולים. הפתרון כולל פיתוח רכיב אינטגרציה הכולל ממשק ניהול, המאפשר ניהול תהליכים מול 4 הקופות, המנהל את התהליך מקצה לקצה על ידי קבלת בקשה מה-EMR של מאר, קריאה לשירות של הקופה, קבלת התשובה ושליחתה לאחר המרה. ההמרות ל- FHIR# ומ- FHIR יבוצעו על ידי פתרון FUME, שיבצע המרות ממבנה ה- EMR (מערכת לניהול מידע רפואי) של מאר למשאב CoverageElgigibilityRequest של FHIR, וכן כתיבת המידע אל ה- EMR. פתרון זה מהווה תשתית ליישומי המשך של ממשקי אינטגרציה מבוססי FHIR עבור מאר. ברצוננו להביע הערכה גדולה כלפי מאר על היוזמה לקיים תהליך לבניית אינטראופביליות מול קופות החולים. שיתוף פעולה זה יוביל לצמצום זמני המתנה במכון ולפיכך שיפור חוויית המטופל. כמו כן, אימוץ הפתרון יביא בד בבד לשיפור תפעולי במכון עקב צמצום זמן הפקידות ובהתאמה, צמצום הוצאות תפעוליות, הן במכון מאר והן בקופות החולים. מכולנו באאוטברן – גמר חתימה טובה וסופ"ש רגוע!   Outburn Ltd. is pleased to announce a new collaboration with the MAR network. MAR provides medical imaging and diagnostic services, with 48 branches spread across the country. With over 40 years of experience, MAR performs over 700,000 scans annually for all four HMOs, including X-rays, CT scans, mammography, ultrasound, EMG, and more. Outburn will deliver a solution for the implementation and verification of service authorizations via Form 17. The solution enables the management of this process with all four healthcare funds and includes the development of an integration component with a management interface that handles the entire process end-to-end: from receiving requests from MAR’s EMR, calling the health fund’s service, receiving a response, and sending it back after conversion. The FUME solution will handle conversions between MAR’s EMR structure and the FHIR CoverageEligibilityRequest resource, as well as write the data back to the EMR. This solution lays the foundation for future FHIR-based integration applications for MAR. We would like to express our appreciation to MAR for their initiative in creating an interoperability process with the healthcare funds. This collaboration is another step towards building interoperability in Israel, which will reduce waiting times at the institute and thus improve the patient experience. Additionally, adopting the solution will lead to operational improvements by reducing clerical time and, consequently, operational costs, both for MAR and the HMOs. From all of us at Outburn – wishing you a meaningful Yom Kippur and a peaceful weekend! MAR Ltd-מאר בע"מ Ido Bar-Meir Avi Weiss Alex Baumberg Daniel Mechanik Meirav Malkin Liron Shahar-Atia

Ever wondered about the differences between #HL7v2 and #FHIR in healthcare data exchange? HL7v2, the older and well-established standard, has been serving the industry for decades, but its limitations in extensibility and data exchange have become apparent. Enter FHIR, the newer standard designed to address these challenges. FHIR leverages web technologies for a more flexible and efficient approach to data exchange. It offers better support for complex data structures, making it easier to integrate different healthcare systems and applications. By adopting FHIR, healthcare organizations can improve interoperability, streamline workflows, and enhance patient care. Want to learn more about the key differences between HL7 v2 and FHIR? Check out our blog post for a detailed explanation:  https://lnkd.in/e6jUZKMc From all of us at Outburn Ltd. we wish you a peaceful weekend! Alex Baumberg Uri Lerner Daniel Mechanik Meirav Malkin Amos (Kippi) Bordowitz Liron Shahar-Atia Sima Morgenstern Nir Rabinovich Dmitry Baranov Irit Berezin H/T: Health Level Seven International Grahame Grieve

Yesterday, we had the privilege of participating in an enlightening community seminar focused on SMART on FHIR, a cornerstone of modern healthcare IT infrastructure. SMART is a framework that allows developers to build applications that can access and interact with healthcare data stored in FHIR servers. SMART on FHIR is a game-changing standard that enables secure, seamless integration of healthcare applications with electronic health records, promoting unprecedented levels of interoperability and innovation in the healthcare technology landscape. The seminar brought together a diverse audience, including representatives from healthcare organizations, established vendors like InterSystems and Amazon AWS, and innovative startups. This mix of participants created a rich environment for knowledge exchange and networking. We were fortunate to hear insightful presentations from industry experts, including Tani Frankel and Keren Skubach from InterSystems, as well as representatives from Amazon Web Services (AWS). Throughout the day, we explored the various components of the SMART on FHIR standard, gaining a deeper understanding of its benefits and the challenges involved in its implementation. The speakers provided valuable insights into how SMART on FHIR can transform healthcare delivery and data management. The highlight of the event was the hands-on session at the end of the day, where we successfully built and ran our own SMART application. This practical experience reinforced the concepts we'd learned and demonstrated the accessible and powerful nature of SMART on FHIR technology. Armed with this knowledge, we invite you to contact us with your application ideas. We will be happy to help you bring your plans to fruition! From all of us at Outburn Ltd. have a lovely weekend! Daniel Mechanik Meirav Malkin Amos (Kippi) Bordowitz Nir Rabinovich Liron Shahar-Atia Alex Baumberg Sima Morgenstern Uri Lerner Irit Berezin Dmitry Baranov

In the ever-evolving world of #FHIR, one of the biggest challenges is maintaining backward compatibility while integrating the latest features from newer versions. Cross-version extensions offer a simple but effective solution to this problem, allowing us to use elements from FHIR R5 in R4 implementations by assigning unique extension URLs. This can prevent the need for creating custom extensions for elements that HL7 has already come up with. In fact, the specs demand this solution be used when available!   Each cross-version extension has its own URL, according to the following template: http://hl7. org/fhir/[version]/StructureDefinition/extension-[Path] where [version] is the version number of FHIR (e.g., 4.3, 5.0 etc.) and [Path] is the element path.   This allows implementers to incorporate new elements without having to shift-up the FHIR version of the entire project.   Just recently, we required such a cross-version extension on one of our projects, where we required the R5 version of DiagnosticReport.note element for an R4 implementation, where this element doesn’t exist, nor is there a canonical extension for it. To do this, the URL required was: http://hl7. org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Note that the [version] is 5.0.   Now, if you ever run into this dilemma, you will be aware of this solution! Be aware that that there are certain caveats and pitfalls, which are discussed in greater detail here: https://lnkd.in/d3PM4ywR   Click the link in the post to see a full list of cross-version extensions. Until next time, all of us at Outburn Ltd. wish you a lovely and quiet weekend! Daniel Mechanik Meirav Malkin Amos (Kippi) Bordowitz Alex Baumberg Liron Shahar-Atia Sima Morgenstern Nir Rabinovich Irit Berezin Uri Lerner Dmitry Baranov