Office of the National Coordinator for Health Information Technology and the Federal Health Architecture
Demonstrations Occurring within the ONC and FHA Area of theInteroperability Showcase
The Virtual Lifetime Electronic Record (VLER)
Department of Defense, Department of Veterans Affairs, Kaiser Permanente, and MedVirginia
President Barack Obama, along with Defense Secretary Robert M. Gates and VA Secretary Eric Shinseki, announced the VirtualLifetime Electronic Record (VLER) initiative in April 2009 to enhance the continuity of care for our Service men and womenby ensuring that electronic records will transition along with them and remain with them forever. VLER will result in increasedinformation available to clinicians and healthcare organizations, which will in turn improve the continuity of services and care forour Service Members and Veterans. Initially, VLER will permit authorized users to share health information and eventually enablesharing of electronic health, benefits and administrative information for Service Members and Veterans. This demonstration willhighlight progress being made toward achieving interoperability within the VLER initiative.
Authorized Release of Information to a Trusted Entity
Kaiser Permanente, MedVirginia and Social Security Administration
The demonstration will show how the Social Security Administration requests information from medical providers (KaiserPermanente and MedVirginia) based on authorization to release information and receives the information using the NationwideHealth Information Network. The information flow is seamless and does not require any human intervention. This exchange ofinformation dramatically reduces the time required for the exchange compared to the traditional process.
Claim Status Transactions Over Nationwide Health Information Network Using CORE Connectivity
CAQH Committee on Operating Rules for Information Exchange (CORE), Community Health Information Collaborative (CHIC), and Noridian
This CAQH CORE, Noridian, CHIC HIE-Bridge and ApeniMED (formerly known as MEDNET) interoperability demonstrationshows how healthcare administration is simplified through collaboration and alignment with national initiatives. Building onlast year’s demonstration in which CORE and CMS’s Medicaid IT Architecture (MITA) collaborated to demonstrate eligibilitytransactions (270/271) using the CORE Eligibility and Connectivity Rules transmitted from an HIE to multiple Medicaid systemsover the Nationwide Health Information Network, this year the collaboration continues to show claim status transactions(276/277) from CHIC HIE-Bridge to Medicare via Noridian, a Medicare contractor, over the Nationwide Health InformationNetwork using the CORE Phase II Connectivity Rule.
Patient-Centric Access Control Policy Demonstration Using Nationwide Health InformationNetwork Standards
Office of the National Coordinator for Health IT
The Nationwide Health Information Network expands the frontier for securely sharing patient health information betweenhealthcare organizations. As HIE’s and other health-related service providers begin to share patient medical information, itremains a top priority to ensure patient privacy is maintained in accordance with the patient’s wishes. This demonstrationillustrates how a HIE could implement a dynamic Access Control Policy service, which is administered and reviewed by thepatient. In the demo, attendees will observe a patient granting a HIE permission to share medical data with a health careprovider. Later the patient will chose to revoke the permission of sharing medical data with the health care provider.