Insights on health informatics, interoperability, clinical decision support, and the technology shaping healthcare.
The CMS Interoperability and Prior Authorization Final Rule recommends FHIR Questionnaires and CQL for electronic prior authorization, ushering in automation for a process long plagued by complexity.
Read article →FHIR isn’t a single standard but a family of standards with multiple versions and implementations. Here’s how we navigate the complex landscape to achieve true interoperability.
Read article →CMS’s interoperability plan risks sidelining social care data. Without addressing HRSN and SDOH, efforts toward whole-patient care may fall short.
Read article →Domain-specific AI solutions need seamless EHR integration. SMART-on-FHIR provides a uniform, secure, and scalable framework for clinical data access and workflow integration.
Read article →A marriage between human curation and generative-AI efficiency. At Elimu, our knowledge engineers are utilizing generative AI to make the process much more efficient while uncovering the risks of building content without human oversight.
Read article →Remarkable progress underway in many states to build collaboration, infrastructure and integration to better coordinate social and medical care in their communities.
Read article →Your clinical team can efficiently monitor daily post-operative patient opioid consumption with Elimu’s Sapphire® Peri-Op Opioid Monitor, integrated seamlessly with your EHR.
Read article →Gravity SDOH interoperability pilots are underway. Elimu with Civitas provides guidance in several domains to support practical and tailored adoption of the Gravity standards.
Read article →Leveraging the full spectrum of patient-specific data for advanced clinical decision making through FHIR-based genomics-EHR integration.
Read article →Exploring the potential and limitations of today’s AI engines to reduce labor in value set curation — and why human oversight remains essential.
Read article →SMART-on-FHIR apps let registries and researchers harvest high-quality real world data directly from EHRs — improving accuracy, interoperability, and patient recruitment.
Read article →A look at the work of the Gravity Project and the CMS Connectathon — and what it takes to build SDOH infrastructure that delivers on the promise of social equity at scale.
Read article →Elimu has been awarded an SBIR grant to create PillHarmonics™, a decision support service that orchestrates comprehensive medication CDS incorporating pharmacogenomic considerations.
Read article →Using HL7 Clinical Quality Language (CQL) and the FHIR Genomics IG, we can express molecular trial inclusion criteria as computable logic — opening the door to automated trial matching for precision oncology.
Read article →EHRs are widely cited as a contributor to physician burnout. Thoughtfully designed SMART on FHIR apps can cut through the data tsunami and bring the right information to the right person at the right time.
Read article →Value sets are foundational to CDS, quality measures, and reporting — but they’re notoriously hard to model and maintain. A look at what makes the difference between brittle and durable value sets.
Read article →A practical mapping from CPIC Level A medication ingredient codes to the RxNorm codes commonly found in EHRs — ready to plug into your pharmacogenomic CDS.
Read article →Texting is how patients prefer to communicate — but PHI demands HIPAA-grade safeguards. Done right, secure texting becomes a powerful, automated extension of care management.
Read article →A recent JAMA Cardiology study showed 1 in 10 cardiac surgery patients are still filling opioid prescriptions months after surgery. Real-time MME awareness at the bedside can help bend that curve.
Read article →Small changes in CLIA lab regulations could unlock far more next-generation sequencing data for clinical decision support — here’s what we told the CDC.
Read article →A refresher on SARS-CoV-2 biology, diagnostics, vaccines, and treatments — designed to spark out-of-the-box thinking among informatics professionals fighting the pandemic.
Read article →A new framework using homomorphic encryption lets us analyze genomic data while it remains encrypted — reconciling the freedom to study data with the imperative to keep it secure.
Read article →As clinical data becomes more accessible through FHIR and C-CDA, combining it with claims data unlocks richer analytics — but only with the right reconciliation rules.
Read article →A FHIR Genomics ecosystem — combining GACS, knowledge sources, and clinical decision support — can surface what we already know about precision oncology at the point of care.
Read article →A surprising share of variants returned by NGS pipelines can be false positives. Confidence tiering could let CDS engines safely reason against a far wider set of variants — without Sanger confirmation.
Read article →A roundup from AMIA’s 2019 Clinical Informatics Conference: custom patient views, SMART on FHIR apps, and voice assistants all working to make EHRs less of a hunt and more of a help.
Read article →Our take on the best of AMIA’s 2019 CIC in Atlanta — from CDS quality improvement and agile development to voice assistants and Sync for Genes.
Read article →A look at five recent advances in genomic medicine, plus our own contributions to genomics-EHR integration — in celebration of the double helix and the Human Genome Project.
Read article →A new open-source converter translates next-generation sequencing variants from VCF files into FHIR Genomics reports — a foundational piece of genomics-EHR integration.
Read article →No single workflow can capture every social determinant. We propose a “5 Rights” framework — right info, right person, right setting, right channel, right time — for a personalized approach.
Read article →Traditional development cycles make SMART on FHIR adoption painfully slow. Sapphire™ App Assembler uses a library of reusable widgets to compress months of work into minutes.
Read article →An NIA SBIR grant funds Elimu’s research into context-relevant EHR views that consolidate the data clinicians need into a single screen — cutting clicks and reducing information overload.
Read article →LOINC® classes give us an intuitive set of lab categories that ease order entry and results review. Here’s why they work — and how to grab our free LOINC2000-with-categories download.
Read article →Wrapping a Genomic Archiving and Communication System (GACS) with an on-demand FHIR translator could unlock standards-based, scalable genomics clinical decision support.
Read article →A tour of CDS apps embedded in EHR workflows — from SMART Forms and the Bilirubin app to ATHENA DSS and the ASCVD Risk Calculator — and the two “super powers” they bring.
Read article →Kicking off our Knowledge Sharing program, Elimu is releasing CVX-to-RxNorm immunization mapping tables so providers can report and analyze immunizations consistently — at no charge.
Read article →Interoperability standards alone aren’t enough to make EHR data trustworthy for analytics and CDS. Semantic normalization is the missing piece that preserves meaning across representations.
Read article →DMN brings business-friendly decision modeling to healthcare, but shareable CDS artifacts need triggers, contexts, workflow integrations, and interventions that DMN doesn’t yet cover.
Read article →Pharmacogenomics (PGx) CDS based on FHIR and CDS Hooks is feasible today — and it addresses many of the long-standing barriers to integrating genomics into EHR workflows.
Read article →When is cloud-based clinical decision support the right call? A practical guide to prioritizing which clinical requirements to offload first.
Read article →Cloud-based CDS can dramatically lower the burden of authoring and maintaining clinical rules — and CDS Hooks plus FHIR are knocking down the integration barriers that held it back.
Read article →By bringing RESTful APIs to healthcare interoperability, HL7 FHIR is opening the doors of HIT to a whole new generation of developers, apps, and innovation.
Read article →A short note on how PSMI and Meliorix came together to form Elimu Informatics — uniting decision support, clinical content, and knowledge management under one roof.
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