{"head":{"title":"FHIR and HL7 for Software Teams: Standards and Rules","description":"What FHIR and HL7 v2 mean for software teams: resources, US Core, SMART on FHIR, bulk data, US API rules and the engineering behind them. Not legal advice.","canonical":"https://oceanlab.in/compliance/fhir-hl7"},"slug":"fhir-hl7","stats":{"builds":8,"industries":4,"countries":6},"featured":[{"meta":{"slug":"headgate","industry":"healthdata","projectType":"Claims & EHR integration API","country":"us","tags":["healthcare","enterprise"],"compliances":["CMS-9115-F","CMS-0057-F","HIPAA Privacy and Security Rules","HIPAA X12 transactions","HL7 FHIR R4 and US Core","SMART App Launch","FHIR Bulk Data","Da Vinci CRD, DTR and PAS","CARIN Blue Button"],"cover":{"src":"/case-studies/headgate/01-home.png","width":1440,"height":1000}},"text":{"en":{"title":"Headgate - FHIR Interoperability API Platform for Claims, Clinical Data and Prior Authorization","description":"Designed and built a clickable console for the FHIR APIs a US regional health plan must run under federal interoperability rules: API health across Patient Access, Provider Directory, Formulary, Provider Access, Payer-to-Payer and Prior Authorization, a security review queue for third-party apps, and one clock for every prior authorization request, however it arrived.","category":"Health Data / Interoperability","client":"Juniper Basin Health Plan"}}},{"meta":{"slug":"sutura","industry":"healthdata","projectType":"Patient data hub","country":"us","tags":["healthcare","enterprise"],"compliances":["HIPAA Privacy Rule","HIPAA Security Rule","42 CFR Part 2","21st Century Cures Act (information blocking)","HL7 v2","HL7 FHIR R4 and US Core","SMART on FHIR","HL7 DS4P security labels","TEFCA","CMS Conditions of Participation"],"cover":{"src":"/case-studies/sutura/01-home.png","width":1440,"height":1000}},"text":{"en":{"title":"Sutura - 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Member Portal for an Israeli Health Fund with Family Proxy Access","description":"Designed and built a clickable member portal for an Israeli health fund: one login for a member and the children and parents they look after, referrals and tofes 17 commitments with an honest status, and test results with plain-language explanations, held results and teen confidentiality built in.","category":"Telehealth / Patient Portal","client":"Tamar Health Fund"}}},{"meta":{"slug":"qistas","industry":"insurance","projectType":"Health claims adjudication","country":"sa","tags":["insurtech","healthcare","enterprise"],"compliances":["Cooperative Health Insurance Law","CHI Unified Health Insurance Policy","NPHIES (HL7 FHIR)","ICD-10-AM and SBS coding","SCFHS clinician registration","PDPL"],"cover":{"src":"/case-studies/qistas/01-home.png","width":1440,"height":1000}},"text":{"en":{"title":"Qistas - Health Claims Adjudication with an Explanation on Every Line","description":"Designed and built a clickable claims adjudication platform for a Saudi cooperative health insurer: claims arrive through NPHIES, from member reimbursements or on paper, a rules engine decides each line with a trace and a provider explanation in Arabic and English, and only uncertain lines reach a medical reviewer.","category":"Insurance / Health Claims Adjudication","client":"Hadaba Cooperative Insurance"}}},{"meta":{"slug":"berth","industry":"clinics","projectType":"Bed & capacity management","country":"gb","tags":["healthcare","enterprise"],"compliances":["NHS OPEL framework","NHS same-sex accommodation","DCB0129","DCB0160","DSPT","UK GDPR","Data Protection Act 2018","HL7 v2 ADT"],"cover":{"src":"/case-studies/berth/01-home.png","width":1440,"height":1000}},"text":{"en":{"title":"Berth - Live Bed Board and Patient Flow for a Two-Site NHS Hospital Trust","description":"Designed and built a clickable bed and capacity management system for a two-site NHS acute trust: a command centre with the day's bed balance, a live bed board for every ward and bay, a bed request queue that suggests safe beds with reasons, and a cleaning board that turns dirty beds around for the patients waiting on them.","category":"Healthcare / Bed & Capacity Management","client":"Calderwick and Pellbrook Hospitals NHS Foundation Trust"}}}],"all":[{"slug":"atalaya","title":"Atalaya - Radiology workflow"},{"slug":"berth","title":"Berth - Bed & capacity management"},{"slug":"headgate","title":"Headgate - Claims & EHR integration API"},{"slug":"loupe","title":"Loupe - Specialty EHR"},{"slug":"qistas","title":"Qistas - Health claims adjudication"},{"slug":"recado","title":"Recado - Patient feedback"},{"slug":"sutura","title":"Sutura - Patient data hub"},{"slug":"tavor","title":"Tavor - Patient portal"}],"byIndustry":[{"id":"clinics","label":"Hospitals & clinics","href":"/case-studies/industry/clinics","count":4},{"id":"healthdata","label":"Health data & interoperability","href":"/case-studies/industry/healthdata","count":2},{"id":"insurance","label":"Insurance","href":"/case-studies/industry/insurance","count":1},{"id":"telehealth","label":"Telehealth & patient apps","href":"/case-studies/industry/telehealth","count":1}]}