Become a Member

Health Information Technology Standards

Standards Harmonization

Organizations that Harmonize Standards | Tutorials

Standards Harmonization is a process to ensure applicability of various standards for a Use Case / Value Case that describes the use of a Software Application. Standards harmonization includes the following steps:

  1. Use Case development
  2. Use Case’s requirements analysis
  3. Identification of candidate standards
  4. Resolution of standards gaps, duplications and overlaps through the work with the standards development organizations
  5. Standards selection
  6. Construction of the Use Case’s Interoperability Specification
  7. Interoperability Specification’s inspection test
  8. Interoperability Specification release and dissemination
Standards Harmonization
Standards Harmonization Entities Domains
HITSP Healthcare and Public Health
IHE Healthcare and Public Health
S&I Framework Healthcare and Public Health

HITSP - Health Information Technology Standards Panel

HITSP was a cooperative partnership between the public and private sectors to achieve a widely accepted set of standards to enable widespread interoperability among healthcare software applications, as they would interact in local and regional health information exchanges and in the Nationwide Health Information Network for the United States.

The Panel's purpose was to:

  • Harmonize and integrate diverse standards that will meet clinical and business needs for sharing information among organizations and systems
  • Establish HITSP Interoperability Specifications and promote their acceptance
  • Support the implementation of HITSP Interoperability Specifications across the health care enterprise
  • Facilitate the efforts of standards development organizations to maintain, revise, or develop new standards as required to support the HITSP Interoperability Specifications

HITSP developed Interoperability Specifications for the National Use Cases /Value Cases.

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.

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.

S&I Framework – Standards and Interoperability Framework

The S&I Framework is a collaborative community of volunteers 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. Each S&I Framework initiative tackles a critical interoperability challenge through a rigorous process that typically includes use cases, harmonization of specifications and guidance, implementer support, and feedback and testing mechanisms. Initiatives include:

  • Transitions of Care
  • Lab Results Interface
  • Provider Directories
  • Query Health
  • Electronic Submission of Medical Documentation (esMD)
  • Data Segmentation for Privacy
  • Longitudinal Coordination of Care (LCC)
  • Public Health Reporting (PHR)
  • Certificate Interoperability