Delivering HIE in the real world requires close monitoring and use of technology and policy standards. Technology standards define the hardware connection and software protocols used to move and store data; policy standards can be thought of as the social and legal infrastructure defined by a set of privacy and security policies and procedures. HIE Networks recommends the following organizations as a guide to standards-based HIE:
• The Office of the National Coordinator for Health Information Technology (ONC)
• Healthcare Information Technology Standards Panel (HITSP)
• The Markle Foundation Connecting For Health Common Framework
• Certification Commission for Health Information Technology (CCHIT)
• eHealth Initiative
HIE Networks has an expert team with real-world integration experience and knowledge of popular integration standards that spans two decades. While standards-based exchange is preferred and recommended, HIE Networks also has the ability to support custom interfacing and system APIs.
HIE Networks supports the following standards in our HIE platform:
Direct
The Direct Project was launched in March 2010 to specify a simple, secure, scalable, standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. The Direct Project expands existing Nationwide Health Information Network standards and service descriptions to address the key Stage 1 requirements for Meaningful Use. The most common use of Direct is to create a secure email solution for healthcare providers to replace fax and phone communications.
Read more about the Direct Project.
HL7 Messaging Standard
Health Level Seven International (HL7) is the global authority on standards for interoperability of health information technology. HL7 version 2.x Messaging Standard is the workhorse of electronic data exchange in the clinical domain and arguably the most widely implemented standard for healthcare in the world.
Read more about HL7.
HL7 CDA/CCD
The Continuity of Care Document (CCD) derived from the ASTM CCR but it was modeled from the HL7 Clinical Document Architecture (CDA) which is based on the Reference Information Model (RIM). The HITSP supported XSD C32 Summary Document is emerging as the specific clinical patient summary record transport within the CDA/CCD standard.
Read more from HL7.
NwHIN
The Nationwide Health Information Network (NwHIN) is being developed to provide a secure, nationwide, interoperable health information infrastructure that will connect providers, consumers, and others involved in supporting health and healthcare.
Read more about NHIN.
CONNECT
CONNECT is an open source software solution that supports health information exchange – both locally and at the national level. CONNECT uses NHIN standards and governance to make sure that health information exchanges are compatible with other exchanges being set up throughout the country.
Read more about CONNECT.
PHIN
The Public Health Information Network (PHIN) is a national initiative to improve the capacity of public health to use and exchange information electronically by promoting the use of standards and defining technical requirements that support both routine public health activities and emergency preparedness and response. The PHIN Messaging System is used today by many of the state public health agencies for electronic lab reporting and reporting to the CDC.
Read more about the PHIN.
IHE
Integrating the Healthcare Enterprise (IHE) accelerates the adoption of EHRs by improving the exchange of information among healthcare systems. Its goal is to improve the quality, efficiency and safety of clinical care by making relevant health information conveniently accessible to patients and authorized care providers.
Read more about IHE.
NCPDP
the National Council for Prescription Drug Programs (NCPDP) creates and promotes data interchange standards for the pharmacy services sector of the healthcare industry.
Read more from NCPDP.
ASTM CCR
The ASTM Continuity of Care Record (CCR) was developed by Subcommittee E31.28 on Electronic Health Records, which is under the jurisdiction of ASTMCommittee E31 on Healthcare Informatics. (CCR) is a core data set of the most relevant administrative, demographic, and clinical information facts about a patient’s healthcare, covering one or more healthcare encounters. To ensure interchangeability of electronic CCRs, this specification specifies XML coding that is required when the CCR is created in a structured electronic format.
Read more about ASTM.
