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Health Data Standardization Project Proposes “One Record Per Person” Model

Posted on October 13, 2017 I Written By

Anne Zieger is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she’s served as editor in chief of several healthcare B2B sites.

When we sit around the ol’ HIT campfire and swap interoperability stories, many of us have little to do but gripe.

Is FHIR going to solve all of our interoperability problems? Definitely not right away, and who knows if it ever will? Can we get the big EMR vendors to share and share alike? They’ll try, but there’s always a catch. And so on. There’s always a major catch involved.

I don’t know if the following offers a better story than any of the others, but at least it’s new one, or at least new to me. Folks, I’m talking about the Standard Health Record, an approach to health data sharing doesn’t fall precisely any of the other buckets I’m aware of.

SHR is based at The MITRE Corporation, which also hosts virtual patient generator Synthea. Rather than paraphrase, let’s let the MITRE people behind SHR tell you what they’re trying to accomplish:

The Standard Health Record (SHR) provides a high quality, computable source of patient information by establishing a single target for health data standardization… Enabled through open source technology, the SHR is designed by, and for, its users to support communication across homes and healthcare systems.

Generalities aside, what is an SHR? According to the project website, the SHR specification will contain all information critical to patient identification, emergency care and primary care along with background on social determinants of health. In the future, the group expects the SHR to support genomics, microbiomics and precision medicine.

Before we dismiss this as another me-too project, it’s worth giving the collaborative’s rationale a look:

The fundamental problem is that today’s health IT systems contain semantically incompatible information. Because of the great variety of the data models of EMR/EHR systems, transferring information from one health IT system to another frequently results in the distortion or loss of information, blocking of critical details, or introduction of erroneous data. This is unacceptable in healthcare.

The approach of the Standard Health Record (SHR) is to standardize the health record and health data itself, rather than focusing on exchange standards.

As a less-technical person, I’m not qualified to say whether this can be done in a way that will be widely accepted, but the idea certainly seems intuitive.

In any event, no one is suggesting that the SHR will change the world overnight. The project seems to be at the beginning stages, with collaborators currently prototyping health record specifications leveraging existing medical record models. (The current SHR spec can be found here.)

Still, I’d love for this to work, because it is at least a fairly straightforward idea. Creating a single source of health data truth seems like it might work.

A Hospital CIO Perspective on Precision Medicine

Posted on July 31, 2017 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

#Paid content sponsored by Intel.

In this video interview, I talk with David Chou, Vice President, Chief Information and Digital Officer with Kansas City, Missouri-based Children’s Mercy Hospital. In addition to his work at Children’s Mercy, he helps healthcare organizations transform themselves into digital enterprises.

Chou previously served as a healthcare technology advisor with law firm Balch & Bingham and Chief Information Officer with the University of Mississippi Medical Center. He also worked with the Cleveland Clinic to build a flagship hospital in Abu Dhabi, as well as working in for-profit healthcare organizations in California.

Precision Medicine and Genomic Medicine are important topics for every hospital CIO to understand. In my interview with David Chou, he provides the hospital CIO perspective on these topics and offers insights into what a hospital organization should be doing to take part in and be prepared for precision medicine and genomic medicine.

Here are the questions I asked him, if you’d like to skip to a specific topic in the video or check out the full video interview embedded below:

What are you doing in your organization when it comes to precision medicine and genomic medicine?

#TransformHIT Think Tank Hosted by DellEMC

Posted on April 5, 2017 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.


DellEMC has once again invited me back to participate at the 6th annual #TransformHIT Healthcare Think Tank event happening Tuesday, April 18, 2017 from Noon ET (9 AM PT) – 3 PM ET (Noon PT). I think I’ve been lucky enough to participate 5 of the 6 years and I’ve really enjoyed every one of them. DellEMC does a great job bringing together really smart, interesting people and encourages a sincere, open discussion of major healthcare IT topics. Plus, they do a great job making it so everyone can participate, watch, and share virtually as well.

This year they asked me to moderate the Think Tank which will be a fun new adventure for me, but my job will be made easy by this exceptional list of people that will be participating:

  • John Lynn (@techguy)
  • Paul Sonnier (@Paul_Sonnier)
  • Linda Stotsky (@EMRAnswers)
  • Joe Babaian (@JoeBabaian)
  • Dr. Joe Kim (@DrJosephKim)
  • Andy DeLaO (@cancergeek)
  • Dan Munro (@danmunro)
  • Dr. Jeff Trent (@TGen)
  • Shahid Shah (@ShahidNShah)
  • Dave Dimond(@NextGenHIT)
  • Mike Feibus (@MikeFeibus)

This panel is going to take on three hot topics in the healthcare industry today:

  • Consumerism in Healthcare
  • Precision Medicine
  • Big Data and AI in Healthcare

The great thing is that you can watch the whole #TransformHIT Think Tank event remotely on Livestream (recording will be available after as well). We’ll be watching the #TransformHIT tweet stream and messages to @DellEMCHealth during the event as well if you want to ask any questions or share any insights. We’ll do our best to add outside people’s comments and questions into the discussion. The Think Tank is being held in Phoenix, AZ, so if you’re local there are a few audience seats available if you’d like to come watch live and meet any of the panelists in person. Just let me know in the comments or on our contact us page and I can give you more details.

If you have an interest in healthcare consumerism, precision medicine, or big data and AI in healthcare, then please join us on Tuesday, April 18, 2017 from Noon ET (9 AM PT) – 3 PM ET (Noon PT) for the live stream. It’s sure to be a lively and interesting discussion.
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Making Precision Medicine a Reality with Dr. Delaney, SAP & Curtis Dudley, VP at Mercy

Posted on February 4, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

UPDATE: In case you missed the live interview, you can watch the interview on YouTube below:

You can also watch the “after party” where Shahid Shah joins us and extends the discussion we started:

Making Precision Medicine a Reality-blog

Ever since President Obama announced the precision medicine initiative, it’s become a hot topic in every healthcare organization. While it’s great to talk theoretically about what’s happening with precision medicine, I’m always more interested with what’s actually happening to make medicine more precise. That’s why I’m excited to sit down with a great panel of experts that are actually working in the trenches where precision medicine is being implemented.

On Monday, February 8, 2016 at 2 PM ET (11 AM PT) I’ll be hosting a live video interview with Curtis Dudley from Mercy and Dr. David Delaney from SAP where we’re going to dive into the work Curtis Dudley and his team are doing at Mercy around perioperative services analytics that improved quality outcomes and reduced delivery costs.

The great part is that you can join my live conversation with this panel of experts and even add your own comments to the discussion or ask them questions. All you need to do to watch live is visit this blog post on Monday, February 8, 2016 at 2 PM ET (11 AM PT) and watch the video embed at the bottom of the post or you can subscribe to the blab directly. We’ll be doing a more formal interview for the first 30 minutes and then open up the Blab to others who want to add to the conversation or ask us questions. The conversation will be recorded as well and available on this post after the interview.

Here are a few more details about our panelists:

If you can’t join our live video discussion or want to learn more, check out Mercy’s session at HIMSS16 called “HANA as the Key to Advanced Analytics for Population Health and Operational Performance” on March 1, 2016 at 11:00 a.m. at SAP Booth #5828.

If you’d like to see the archives of Healthcare Scene’s past interviews, you can find and subscribe to all of Healthcare Scene’s interviews on YouTube.