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Role of HL7 & FHIR in Healthcare Data Standards

November 4, 2024 ⌛ 6 min

In today’s healthcare world, sharing health information is crucial for providing quality care. But how do healthcare systems, with their various technologies, communicate with each other? This is where healthcare data standards like HL7 and FHIR come into play. Whether you’re a healthcare provider or someone interested in healthcare IT, understanding these standards can help you navigate the complex world of health data. Let’s break it down in simple terms.

What is HL7?

HL7 (Health Level 7) is a set of international standards developed to facilitate the exchange of information between healthcare systems. Imagine you have different hospitals and clinics, each using its software. HL7 acts like a common language, ensuring these systems can understand each other when sharing patient data, test results, and other health-related information.

HL7 in Use

Let’s say a hospital uses one type of software to manage patient admissions and another to process lab results. These systems need to exchange information seamlessly, but because they are built differently, they don’t speak the same language. For example, Corpsoft.io specializes in integrating HL7 into these systems so that they can share data smoothly. Before HL7 was implemented, nurses had to manually enter lab results into patient records, leading to delays and potential errors. With HL7, lab results are automatically sent and updated in the hospital’s system, saving time and reducing the risk of mistakes.

How Does HL7 Work?

HL7 works through “messages” that are transmitted between systems. These messages are structured in a way that computers can easily read and process them. For example, when a patient is admitted to a hospital, an HL7 message is sent to notify the system, triggering various HL7 events to make sure all relevant records are updated This helps keep patient information up-to-date across different departments.

Hospitals, both online and offline, often want to implement HL7 so that the system automatically updates data in all departments when a patient is transferred from the emergency room to a regular ward. This includes updates to billing, pharmacy, and other departments, all driven by HL7 messages that trigger specific events. Without HL7, each department would have to manually update its records, which could lead to errors and missed updates.

The developers at Corpsoft.io frequently use HL7 to automate these updates, reducing the manual workload on hospital staff and increasing the accuracy of patient records.

The Evolution of HL7

FHIR (Fast Healthcare Interoperability Resources) is the next generation of HL7. While HL7 has been around for a long time, FHIR is designed as a more modern and flexible tool, especially in today’s world of mobile apps and cloud computing.
FHIR Architecture and Messaging

Think of FHIR as a set of building blocks. Unlike HL7, which often involves large, complex messages, FHIR breaks information down into smaller pieces called “resources.” These resources can be anything from patient data to medication information. Since FHIR is built on web technologies, it uses modern methods like RESTful AP I— the same technologies used that power most modern websites. This makes FHIR messaging faster, more adaptable, and better suited to today’s digital environment.

How Does FHIR Work?

If you want to create an app that allows patients to easily access their medical records from their phones, then FHIR is the way to go. It allows you to extract specific information you need such as the latest test result without having to deal with large, complex files.

One of our developers worked on a project where they used FHIR to create a patient portal for a hospital. Before FHIR, accessing medical data was a slow process because the system had to sift through large, cumbersome files. With FHIR, the system quickly finds the needed data, making the app more responsive and user-friendly. Plus, if the hospital wants to add new features, like messaging with doctors, FHIR makes it much easier to do so.

The Benefits of FHIR

One of the main advantages of FHIR is its ease of use. It is designed to be simple, making it easier for developers to create applications that can connect to healthcare systems. Since it uses the same web technologies that developers are already familiar with, developing and implementing new features happens much faster. FHIR is also flexible, allowing it to be applied to a wide range of healthcare scenarios — from simple patient records to complex clinical workflows.

At Corpsoft.io, we often handle tasks involving the integration of a new mobile app with an existing hospital system. Using FHIR, we can:

  • Quickly set up the app to receive patient data
  • Send appointment reminders
  • Ensure secure messaging between patients and doctors

All of this is possible without having to rewrite the entire hospital system’s code. One of our developers recently used FHIR to integrate telemedicine functionality into an existing healthcare app. Thanks to FHIR’s flexibility, the new feature was implemented in just a few weeks—a task that would have taken months with older standards like HL7.

The result?

Patients were able to start scheduling virtual visits almost immediately, significantly enhancing the hospital’s ability to provide care during the pandemic.

HL7 vs. FHIR: Key Differences

So what’s the difference between HL7 and FHIR? HL7 and FHIR are often compared, and while both aim to improve data exchange in healthcare, they do so in different ways. HL7 is the traditional way of exchanging information, relying on large, complex messages that work well for many existing systems. On the other hand, FHIR is a more modern approach, using smaller, more flexible resources that are easier to work with, especially in new applications.

You can think of FHIR as a breath of fresh air. It’s built for the modern, fast-paced, tech-savvy world. If you’re developing a new app or integrating with modern cloud systems, working with FHIR is much easier. For example, with FHIR, a developer can create a feature that allows patients to view their medical records in a mobile app. Since FHIR breaks data down into smaller, manageable pieces (called resources), it’s much quicker to retrieve and display only what the user needs, without overloading the app with unnecessary information.

Transitioning from HL7 to FHIR

Many healthcare systems are transitioning from HL7 to FHIR. This transition can be challenging, as it often requires updating existing systems and processes. However, tools like HL7 mapping solutions can help, ensuring an accurate translation of data from older HL7 systems into the more modern FHIR format.

Expert Tip from Corpsoft.io

Transitioning from HL7 to FHIR is like renovating an old house you still need to live in: you have to keep everything running smoothly while making significant changes. For those working in healthcare IT, getting HL7 FHIR certification will be highly valuable. This certification demonstrates expertise in both HL7 and FHIR, which can be crucial for organizations looking to implement or transition to these standards.

Additionally, the HL7 FHIR certification is like a passport to the future of healthcare IT. It shows that you are not only familiar with traditional methods but also ready to embrace new technologies. Developers with this certification often find it easier to work on projects where they need to bridge the gap between legacy systems and innovations. For example, at Corpsoft.io, HL7 FHIR certification gives us a significant advantage when leading projects that transition from an outdated system to a modern FHIR-based platform.

The Future of Data Exchange Standards in Healthcare

As healthcare continues to evolve, so do the standards that support it. FHIR is set to play a significant role in the future of healthcare, especially as more systems move to the cloud and patients seek easier access to their health data.

However, there are still challenges. Implementing these standards across different organizations and technologies isn’t always simple. But with the right tools and a clear understanding of the benefits of each standard, the opportunities for improving healthcare delivery are significant.

At Cleveland Clinic, another leading healthcare institution, IT departments are working on transitioning from HL7 to FHIR to improve data interoperability in their systems. The goal is to make patient data more accessible across various platforms, whether it’s the hospital’s internal system or the patient’s mobile device. Developers at Cleveland Clinic faced challenges such as ensuring effective communication between legacy systems and new FHIR-based applications. Nevertheless, the potential benefits — faster access to patient information, improved care coordination, and the ability to integrate cutting-edge technologies — make this transition worthwhile.

Conclusion

The choice between HL7 and FHIR depends on your specific needs and existing technologies. HL7 has been a reliable standard for many years, particularly for large, established systems. FHIR, however, offers a more modern, flexible approach that is ideal for new applications and mobile integration.

We recommend healthcare providers and IT specialists thoroughly explore the key differences between HL7 and FHIR to make the best decision for enhancing system interoperability and improving patient care.

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