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Health Information Technology Standards

Standards and Interoperability (S&I) Framework

The Standards and Interoperability (S&I) Framework is a collaborative community of participants from the public and private sectors who are focused on providing the tools, services and guidance to facilitate the functional exchange of health information. The S&I Framework uses a set of integrated functions, processes, and tools that enable execution of specific value-creating initiatives.

Its mission is to:

  • Promote a sustainable ecosystem that drives increasing interoperability and standards adoption
  • Create a collaborative, coordinated, incremental standards process that is led by the industry in solving real world problems
  • Leverage "government as a platform" - provide tools, coordination, and harmonization that will support interested parties as they develop solutions to interoperability and standards adoption.

Each S&I Initiative tackles a critical interoperability challenge through a rigorous process that typically includes:

  • Development of clinically-oriented user stories and robust use cases
  • Harmonization of interoperability specifications and implementation guidance
  • Provision of real-world experience and implementer support through new initiatives, workgroups and pilot projects
  • Mechanisms for feedback and testing of implementations, often in conjunction with Office of the National Coordinator for Health IT (ONC) partners such as National Institute of Standards and Technology (NIST).

An S&I Initiative focuses on a single challenge with a set of value-creating goals and outcomes that will enhance efficiency, quality and effectiveness of the delivery of healthcare, through the development of content, technical specifications and reusable tools and services.