Professional Documents
Culture Documents
The upcoming Healthcare Information and Management Systems Society (HIMSS) Conference showcases some of the
most forward-thinking health IT interoperability projects that are transforming the way health information is shared and
utilized throughout the country.
As part of HIMSS 2011, the Office of the National Coordinator for Health IT
(ONC) and the Federal Health Architecture (FHA) will once again host a series
of demonstrations within the HIMSS Interoperability Showcase. This year there
will be approximately 40 demonstrations highlighting how health practitioners
are securely exchanging health data between doctor’s offices, hospitals,
benefit providers, government agencies, and with other health organizations,
all across America. There will be a particular emphasis on demonstrations
related to the Nationwide Health Information Network Exchange, the Direct
Project, the S&I Framework, and CONNECT.
The demonstrations within the ONC and FHA-dedicated area of the HIMSS
Interoperability Showcase provide a range of examples of how nationwide
health IT collaboration will help improve care for Americans.
Direct Project
Attendees will also see a series of eight demonstrations that highlight the use of Direct Project specifications. Launched in
March 2010 as a part of the Nationwide Health Information Network, the Direct Project was created 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. Today, the Direct Project has more than 200 participants from over 60 different
organizations, including EHR and personal health record (PHR) vendors, medical organizations, systems integrators,
integrated delivery networks, federal organizations, state and regional health information organizations, organizations that
provide health information exchange capabilities, and health information technology consultants.
The participation of any company or organization in the Office of the National Coordinator for Health Information Technology (ONC) and
the Federal Health Architecture (FHA) area within the HIMSS Interoperability showcase does not represent an endorsement by ONC,
FHA or the Department of Health and Human Services.
Office of the National Coordinator for Health Information Technology and the Federal Health Architecture
CONNECT
A series of demonstrations will show how the CONNECT open-source software gateway supports health organizations securely
exchanging health-related information using nationally recognized standards – despite geographic location in the United States.
Originally built by more than 20 federal agencies, CONNECT uses Nationwide Health Information Network standards and
governance as part of its open-source software framework to connect providers, insurers, federal agencies, states, and others
involved in supporting health and healthcare. CONNECT is free of charge and is managed by the Federal Health Architecture and
the Office of the National Coordinator for Health Information Technology (ONC).
S&I Framework
The Standards and Interoperability (S&I) Framework is an open government initiative focused on providing integrated content
and technical specifications that support the interoperable exchange of healthcare information nationwide. S&I Framework
specifications are guided by the healthcare and technology industry and include integrated functions, processes, and tools.
The Framework supports national health outcomes and healthcare priorities, including Meaningful Use, the Nationwide Health
Information Network, and the ongoing mission to create better care, better population health, and cost reduction through
delivery improvements.
2 Demonstrations Overview
Office of the National Coordinator for Health Information Technology and the Federal Health Architecture
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 demonstration
shows how healthcare administration is simplified through collaboration and alignment with national initiatives. Building on
last year’s demonstration in which CORE and CMS’s Medicaid IT Architecture (MITA) collaborated to demonstrate eligibility
transactions (270/271) using the CORE Eligibility and Connectivity Rules transmitted from an HIE to multiple Medicaid systems
over 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 Information
Network using the CORE Phase II Connectivity Rule.
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Office of the National Coordinator for Health Information Technology and the Federal Health Architecture
4 Demonstrations Overview
Office of the National Coordinator for Health Information Technology and the Federal Health Architecture
HIMSS 2011 5
Office of the National Coordinator for Health Information Technology and the Federal Health Architecture
Patient Education Via HL7 Infobutton Request Over Nationwide Health Information Network
U.S. Army Medical Research and Material Command (USAMRMC), Telemedicine and Advanced Technology Research Center (TATRC)
TATRC and Healthwise have partnered to demonstrate how patient education can be integrated seamlessly into the clinician’s
workflow within an EMR application. For this demonstration, the Infobutton Manager applet is launched from within the
Department of Defense’s EMR application (AHLTA) via standard HL7 Infobutton requests, available as web services on the
Nationwide Health Information Network. The context for the patient visit is passed to the Infobutton Manager allowing the
clinician to quickly view, select and prescribe the most relevant patient education materials. With the two-way HL7 interface, the
information prescription is then documented in the patient’s chart.
6 Demonstrations Overview
Office of the National Coordinator for Health Information Technology and the Federal Health Architecture
Service Providers (HISPs) based on the Direct Project Reference Implementations (Java and C#) that are publicly available from
the Office of the National Coordinator for Health IT (ONC).
Immunization Submission
The Direct Project
This demonstration will explain how the Direct Project technical standards and services are being used today to securely transport
immunization data from Hennepin County Medical Center to the Minnesota Department of Health. To show the flexibility and
possibilities of the Direct Project, an immunization submission workflow will be shown along with an optional ability to easily and
securely send a copy of the immunization to a patient’s Direct-enabled personal health record.
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Office of the National Coordinator for Health Information Technology and the Federal Health Architecture
8 Demonstrations Overview
Office of the National Coordinator for Health Information Technology and the Federal Health Architecture
The information collected from the multiple input devices are exportable XML to Natural Language Processor (NLP) and data coded
to standards. Discreet data elements are generated, including free form notes to produce interoperable formats (CDA, C32). This
demonstration will populate an NLP and enterprise content management system for easy health information analysis and document
retrieval. This helps eliminate objections regarding the method of input allowing clinicians to continue in their personal work flow.
HIMSS 2011 9
Office of the National Coordinator for Health Information Technology and the Federal Health Architecture
ONC Office of Interoperability and Standards Office of the National Coordinator for Health Information Technology Website
330 C St, SW, 1st Floor, Washington, D.C. 20201 Department of Health and Human Services http://healthit.gov
200 Independence Ave. SW, Suite 729-D, Washington, D.C. 20201