CommonWell Health Alliance.
Interoperability Standards | Patient Identification | Patient Coverage Information | CORE Operating Rules. The Patient Protection and Affordable Care Act (ACA) defines operating rules as, “the necessary business rules and guidelines for the electronic exchange of information that are not defined by a standard or its implementation specifications.” Operating rules build on existing standards to make electronic transactions more predictable and consistent, regardless of the technology. Rights and responsibilities of all parties, security, transmission standards and formats, response time standards, liabilities, exception processing, error resolution and more must be clearly defined in order to facilitate successful interoperability.
Beyond reducing cost and administrative hassles, operating rules foster trust among all participants. All CORE rules will build on applicable HIPAA requirements and other related standards. CORE is focused on creating operating rules and will not develop software solutions, a switch, a database or central repository of administrative information. Health Information Exchange Standards. Health information exchange (HIE) is complicated and the standards that support them are abundant. Here is a quick (or maybe not so quick) guide to HIE standards. The guide is divided into a number of standards categories for easier navigation. The resources listed here are by no means exhaustive but do provide the most relevant material for understanding the landscape for achieving health data interoperability. For transactions supporting the Medicare and Medicaid Programs Electronic Health Record Incentive Program Final Rule (July, 2010), standards identified in the Final Rule for Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology (July, 2010) are most relevant.
Process standards define how health data should be used within the workflow of the organizations participating in interoperability. Structure and Syntax Transport Additional transport strategies of interest include: HTMS, an Emdeon company, is a management consulting company focused on the healthcare market, particularly payer organizations. Health Information Exchange Standards. Www.hl7.org/special/committees/vocab/v26_appendix_a.pdf. HL7: A Programmer’s Viewpoint | HL7Coders: Medical Integration Tips and News. HL7 or “Health Level 7” is the accepted messaging standard for medical systems interoperability. To put more simply, HL7 is the language that medical systems use to speak to one another.
There are many references out there that talk about HL7, versions and standards. This article will discuss things that affect programmers and integration specialists. One of the greatest and worst things about HL7 is agility. HL7 allows a programmer almost an unlimited number of options when designing how something will mesh with other systems. On the face of it that’s a great thing! The big problem with this agility is that some designers either choose not to use it, or design their system based on limited exposure to the healthcare world and end up hobbling their system’s ability to integrate. Anyone who has worked in medical systems integration for a length of time will be aware that “HL7 compliant” can mean many, many things. As an example lets look at patient flow through the ER.
Pretty simple eh? Patient Safety: Achieving a New Standard for Care. Standards Organizations. Healthcare Information Technology Standards - HITSP. WebSphere Transformation Extender. Www.iha.org/pdfs_documents/calinx/FactSheetClinicalDataStandardsExplained.pdf. Scrum Log.