Someone said to me that they were getting confused messages from me--regarding whether they should focus on XDS or FHIR as the standard.
XDS as a standard (with it registry and repository concept) allows documents and images to be archived in a standards based way --so that they can be "consumed" and displayed by any vendors display systems. I think VNA vendors are already getting very mature with provision of XDS registry and repository. There is no PACS vendor which does not offer a XDS registry-repository VNA!
FHIR does the same of discrete structured/data items--BP measurments, blood creatinine levels, diagnosis, etc. FHIR is dependent of international coding agreement --called resources. Making EPR or other Healthcare IT databases FHIR complaint will make these data items available for consumption by any vendors display/consumer.
So what does our industry need to focus on 1. VNA vendors--continue with XDS Registry repository provision 2. Display vendors --look at XDS and FHIR consumption
posted on Wednesday, August 02, 2017 - 09:42 pm
I am about to give a presentation on Paperless Hospital. It has made me realise how complimentary XDS and FHIR are. A Clinical Portal (Integrated Patient Record) will have 2 main parts 1. Patient Banner 2. Tabs Most of the information in the Patient Banner or Main tabs will be pulled via the FHIR resource APIs. The Images and Document tab will the DocumentResource--XDS on FHIR Here is a slide