Programming HealthCare Silos
summary
A concrete patient flow: an EMR emits HL7v2 pipe‑delimited messages to the lab and back, with results carrying SNOMED CT (e.g. T57000 for gallbladder) and CPT codes (e.g. 88304), the EMR sends X12 270/271 eligibility to the payer, then packages a CCR/CCD/C32 for Microsoft HealthVault which can be delivered or auto-ingested via SMTP/S‑MIME; developers use open libs like HAPI for HL7 parsing, hospitals run 100 systems in a 400-bed hospital, HealthVault exposes CCR/CCD/C32 via SMTP S/MIME and SDKs (Java, Ruby, Python, PHP); expect two‑way sync, Amalga connector, and a ~$39B market.
AI-written summary · about
chapters (6)
- 0:00Introduction to healthcare silos
- 3:04Healthcare standards vs internet tech
- 7:28Lab results and payment processing
- 11:48Consumer health records future
- 15:49Open source resources overview
- 17:20Q&A on standards and interoperability
related talks
21mPreparations and plans from the Austrian EHR towards FHIR
21mX12 gets lit: X12 to FHIR (and back again)
49mArchitect’s Survival Guide to Healthcare -
42mA Software Architecture Based on Coarse-Grained Self-Adjusting Computations
46mPost-Acute Care Interoperability work group - outcomes
21mFHIRing up Primary Care with Specialty Clinical Decision Support
40mThe CARIN Blue Button Framework
08mHealthcare Challenges in the Public and Private Sectors