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Health Information Technology Standards

Implementation of Standards-Based Specifications

Organizations that Implement Standards-Based Specifications | Tutorials

Standards implementation is a process of demonstrating the use of standards in an information technology application. To help implement standards, standard development organizations create Implementation Guides - technical documents that describe how to implement standards.

Standards Implementation
Standards Implementation Guides Developers Domains
CONNECT Healthcare and Public Health
Direct Project Healthcare and Public Health
IHE Healthcare and Public Health
National Information Exchange Model (NIEM) Healthcare and Public Health
Nationwide Health Information Network (NHIN) Healthcare and Public Health
PHDSC Healthcare and Public Health

CONNECT Community Portal

CONNECT is an open source software solution that supports health information exchange both locally and at the national level. CONNECT uses Nationwide Health Information Network (link to NHIN description below) standards and governance to make sure that health information exchanges are compatible with other exchanges being set up throughout the country. CONNECT was initially developed by federal agencies to support their health-related missions, but it is now available to all organizations and can be used to help set up health information exchanges and share data using nationally-recognized interoperability standards. CONNECT provides a core services gateway, enterprise service components, and a universal client framework for public use.

Direct Project

The Direct Project provides 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 establishes standards and documentation to support simple scenarios of pushing data from where it is to where it is needed in a way that will support more sophisticated interoperability in the future.

IHE - Integrating the Healthcare Enterprise

IHE is a multi-year initiative under the leadership of Healthcare Information Management & Systems Society (HIMSS) and the Radiological Society of North America (RSNA). IHE began in November 1998 as a collaborative effort to improve the way computer systems in healthcare share critical information. IHE includes medical and public health experts, administrators, standards organizations, IT professionals, and vendors. IHE Technical Committees develop integration profiles to assure that health information seamlessly is passing from application to application, system to system, and setting to setting across the entire healthcare enterprise.

IHE Connectathon is the healthcare IT industry's largest interoperability testing event. The full range of profiles defined in the IHE Technical Frameworks are tested in a carefully organized and supervised environment. More than 70 vendors have registered to test more than 130 healthcare IT systems in 2009.

PHDSC was invited by IHE to start a Public Health Domain at IHE. PHDSC and IHE are collaborating to enable interoperability across clinical and public health enterprises. This includes the development of interoperability standards for immunization information systems, cancer registries, chronic disease registries (diabetes) and maternal and child health (newborn screening). This also includes work on information infrastructure issues such as service-oriented architecture (SOA) for public health. PHDSC member organizations, American Immunization Registry Association (AIRA), North-American Association of Central Cancer Registries (NAACCR), Software Partners and OZ Systems, have been working on various public health projects at IHE.

NIEM National Information Exchange Model

NIEM is a national program supported by the federal government to connect communities of people who share a common need to exchange information in order to advance their missions. The goal is to establish standards and best practices for intergovernmental information exchange so that practitioners at all levels of government can share accurate, complete, timely and appropriately secured information to enable informed decision making. NIEM establishes common vocabulary to ensure consistency and understanding among domains that may not have collaborated in the past. NIEM operates collaboratively through domain-specific communities of interest, who work to specify and define specific data exchanges.

Nationwide Health Information Network (NHIN/NwHIN)

The Nationwide Health Information Network (NHIN/NwHIN) is a set of standards, services and policies that enable secure health information exchange over the Internet. The network will provide a foundation for the exchange of health information across diverse entities, within communities and across the country, helping to achieve the goals of the Health Information Technology for Economic and Clinical Health (HITECH) Act. This critical part of the national health IT agenda will enable health information to follow the consumer, be available for clinical decision making, and support appropriate use of healthcare information beyond direct patient care so as to improve population health. The NwHIN, Direct Project, and CONNECT software solutions are three initiatives launched to help expand secure health information exchange efforts using Nationwide Health Information Network standards.

PHDSC - Health Care Services Reporting Guide Sub-Committee

PHDSC has developed the ANSI X12N 837 Health Care Service Data Reporting Guide to provide a standardized format and data content for reporting health care service data that are compatible with the 837 Health Claim transaction set standards identified by the Health Insurance Portability and Accountability Act (HIPAA). This guide provides assistance in developing and executing the electronic transfer of health care systems data for reporting purposes to local, State, and Federal agencies that utilize the data for monitoring utilization rates, assessing patterns of health care quality and access, and other purposes required by legislative and regulatory mandates.