Interoperability Coding Systems and Health Information Exchange (HIE)

by Rhonda Lawes, PhD, RN

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    00:01 Now that we understand language HIS speak, we need to know how they exchange the data.

    00:06 The first concept we need to tackle is Health Information Exchange or HIE.

    00:11 HIE is the process that makes the electronic sharing of patient health information between different healthcare providers possible.

    00:18 Now, there are three main types of HIE: First one is Direct Exchange: This allows healthcare professionals to send and receive patient information electronically between care providers.

    00:30 This method is often used for sending referrals or discharge summaries directly to another care provider.

    00:37 Query-Based Exchange: Provides healthcare professionals with the ability to find and/or request information on a patient from other care providers, often used for unplanned care.

    00:49 Consumer Mediated Exchange: Allows patients to aggregate and control the use of their health information among care providers.

    00:57 Each type of HIE use standards to facilitate the exchange process and achieve interoperability.

    01:05 Interoperability is the capability of different information systems, devices, or applications to connect and communicate in a coordinated, secure, and efficient manner to The reason they do this is to provide timely access to patient health information.

    01:21 It's a broad concept that applies to the entire healthcare industry and involves technology, policies, and stakeholders agreeing on standards, protections, and practices for sharing information.

    01:34 To achieve interoperability we have the FHIR, or Fast Healthcare Interoperability Resources enters the scene. FHIR is a standard for electronic health data exchange designed to support interoperability.

    01:52 This standard has been developed and maintained by HL7.

    01:55 HL7, or Health Level Seven.

    01:58 An organization that provides a framework and standards for the exchange, integration, sharing, and retrieval of electronic health information.

    02:07 To understand FHIR, consider a patient visiting a new clinic.

    02:11 Standards like FHIR make it possible for their Electronic Health Record (EHR) to be shared and understood at the new clinic, providing continuity of care.

    02:21 In this process, the EHR might contain ICD-10 codes specifying diagnoses, SNOMED CT codes detailing clinical terms relevant to their conditions, and LOINC codes identifying laboratory tests and their results.

    02:39 These coding systems, working together with the FHIR, ensure that critical health data is not only transferred, but is transferred in a way that makes it universally understandable, regardless of the specific system or device used by the clinic.

    02:54 On top of everything we have discussed today, we have to think of AI and machine learning.

    02:59 Imagine a healthcare analyst faced with thousands of patient records.

    03:03 AI and machine learning algorithms can help predict which patients might be at risk for certain conditions, allowing for timely intervention.

    03:12 It sounds like our next big leap in healthcare attention… Intrigued? Then, hold on tight because we're just scratching the surface of this exciting world, and there's a lot more to explore! Bye!

    About the Lecture

    The lecture Interoperability Coding Systems and Health Information Exchange (HIE) by Rhonda Lawes, PhD, RN is from the course Healthcare Informatics.

    Included Quiz Questions

    1. Fast Healthcare Interoperability Resources (FHIR)
    2. Health Interoperability Standardization (HIS)
    3. Health Level Seven Exchange (HLSE)
    4. Logical Observation Identifiers Names and Codes (LOINC)
    1. Direct exchange
    2. Query-based exchange
    3. Consumer-mediated exchange
    4. Indirect exchange

    Author of lecture Interoperability Coding Systems and Health Information Exchange (HIE)

     Rhonda Lawes, PhD, RN

    Rhonda Lawes, PhD, RN

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