Healthcare Interoperability — HL7, FHIR, and Data Standards

• Parse HL7 v2 messages across major types (ADT, ORM, ORU, DFT, MDM), identifying segments, fields, and components relevant to clinical data flow Analyze
• Design FHIR R4 API integrations using Patient, Encounter, Observation, MedicationRequest, and DiagnosticReport resources with SMART on FHIR authentication Create
• Apply healthcare terminology standards (SNOMED CT, LOINC, RxNorm, ICD-10, CPT) to map between hospital-specific codes and standard terminologies Apply
• Evaluate interface engine configurations (Mirth Connect, Rhapsody, Epic Bridges) to diagnose message parsing failures, transformation errors, and acknowledgment issues Evaluate
• Analyze X12/EDI transaction formats (837 claims, 835 remittances) and their role in the revenue cycle Analyze
• Apply CMS interoperability rules to assess an organization's compliance with patient access APIs, provider directories, and payer-to-payer exchange requirements Apply
• Design an interface migration plan that prioritizes by clinical criticality, message volume, and downstream dependencies with rollback procedures Create
• Understand the practical differences between HL7 v2 and FHIR R4, including where each standard applies and the realities of dual-standard environments Understand

Levels: Remember · Understand · Apply · Analyze · Evaluate · Create — highest demands most original thinking.