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Health Care Vendors Implement HITSP Interoperability Standards

March 28, 2008 // Published as a news service by IHS

 
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Thirty-six vendors in the health care information technology industry implemented the first set of interoperability standards identified by the Healthcare Information Technology Standards Panel (HITSP).

Operating under contract to the U.S. Department of Health and Human Services (HHS), the HITSP worked since 2005 to define the technical standards necessary to assure the interoperability of electronic health records in the U.S.

Priorities for the panel's work are established by the American Heath Information Community (AHIC).

In January 2007, the HHS accepted the HITSP's first set of recommended standards, known as "interoperability specifications (IS)," addressing needs in the areas of :

  • Electronic health records (EHR) such as the electronic delivery of lab results to providers of care.
  • Biosurveillance such as data networks supporting the rapid alert to a disease outbreak.
  • Consumer empowerment such as giving patients the ability to manage and control access to their registration and medication histories.

In January 2008 following a one-year period of implementation testing, the HHS recognized the standards. Agencies administering or sponsoring federal health programs are required to implement the standards.

Three additional sets of HITSP IS - Emergency Responder-Electronic Health Records; Consumer Access to Clinical Information; and Quality - were accepted by the HHS for implementation testing in January 2008.

A new IS on medications management is expected to be approved by the panel. Upon approval, the IS will be submitted to the HHS for acceptance.

New work was also launched to address interoperability needs in six additional areas including:

  • Personalized health.
  • Transfer of care.
  • Remote monitoring.
  • Secure communications between patients and providers.
  • Public health case reporting.
  • Immunizations and response.

The 36 health care vendors who worked on the standards include:

  • Accenx.
  • Acuo.
  • Agfa Healthcare.
  • Alert.
  • Allscripts.
  • Axolotl.
  • Blueware.
  • Capmed.
  • Carestream.
  • CareEvolution.
  • Cerner.
  • Committee on Operating Rules for Information Exchange (CORE).
  • Dejarnette.
  • Digichart.
  • Epic.
  • GE Healthcare.
  • Greenway Medical.
  • Healthvision.
  • Hx Technologies (HxTI).
  • International Business Machines (IBM).
  • InterComponentWare AG (ICW).
  • Initiate.
  • Intersystems.
  • McKesson.
  • MedNet.
  • Microsoft Corp.
  • Management Information Exchange (MIE).
  • Misys.
  • NDOrange.
  • NextGen.
  • NoMoreClipboard.com.
  • Nuvon.
  • Oracle.
  • Sage Software.
  • Software Partners.
  • University of Washington.
  • Source: American National Standards Institute (ANSI).

    Electronic Health Records Standards
    ASTM E 1284
    Standard Guide for Construction of a Clinical Nomenclature for Support of Electronic Health Records
    ASTM E 1769
    Standard Guide for Properties of Electronic Health Records and Record Systems - (Withdrawn 2004; No Replacement)
    ASTM E 1869
    Standard Guide for Confidentiality, Privacy, Access, and Data Security Principles for Health Information Including Electronic Health Records
    ASTM E 2184
    Standard Specification for Healthcare Document Formats
    ASTM E 1239
    Standard Practice for Description of Reservation/Registration - Admission, Discharge, Transfer (R-ADT) Systems for Electronic Health Record (EHR) Systems
    ASTM E 1384 REV A
    Standard Practice for Content and Structure of the Electronic Health Record (EHR)
    ASTM E 1633 REV A
    Standard Specification for Coded Values Used in the Electronic Health Record
    ASTM E 1714
    Standard Guide for Properties of a Universal Healthcare Identifier (UHID)
    ASTM E 1744
    Standard Practice for View of Emergency Medical Care in the Electronic Health Record
    ASTM E 1762
    Standard Guide for Electronic Authentication of Health Care Information
    ASTM E 1769
    Standard Guide for Properties of Electronic Health Records and Record Systems-(Withdrawn 2004; No Replacement)
    ASTM E 1869
    Standard Guide for Confidentiality, Privacy, Access, and Data Security Principles for Health Information Including Electronic Health Records
    ASTM E 2118
    Standard Guide for Coordination of Clinical Laboratory Services within the Electronic Health Record Environment and Networked Architectures
    ASTM E 2171
    Standard Practice for Rating-Scale Measures Relevant to the Electronic Health Record
    ASTM E 2183
    Standard Guide for XML DTD Design, Architecture and Implementation
    ASTM E 2184
    Standard Specification for Healthcare Document Formats
    ASTM E 2211
    Standard Specification for Relationship Between a Person (Consumer) and a Supplier of an Electronic Personal (Consumer) Health Record
    ASTM E 2369
    Standards Specification for Continuity of Care Record (CCR)
    ASTM E 2473
    Standard Practice for the Occupational/Environmental Health View of the Electronic Health Record
    BSI DD ENV 12538
    Medical Informatics - Messages for Patient Referral and Discharge
    BSI DD ENV 12612
    Medical Informatics - Messages for the Exchange of Healthcare Administrative Information
    BSI DD ENV 13606-1
    Health Informatics - Electronic Healthcare Record Communication - Part 1: Extended Architecture
    BSI DD ENV 13606-2
    Health Informatics - Electronic Healthcare Record Communication - Part 2: Domain Term List
    BSI DD ENV 13606-3
    Health Informatics - Electronic Healthcare Record Communication - Part 3: Distribution Rules
    BSI DD ENV 13606-4
    Health Informatics - Electronic Healthcare Record Communication - Part 4: Messages for the Exchange of Information
    BSI DD ISO/TS 18308
    Health informatics Requirements for an electronic health record architecture
    CSA ISO/TS 18308:05-CAN/CSA
    Health informatics Requirements for an electronic health record architecture - First Edition; ISO/TS 18308:2004
    DIN V ENV 13606-1
    Health informatics - Electronic healthcare record communication - Part 1: Extended architecture; English version ENV 13606-1:2000
    DIN V ENV 13606-2
    Health informatics - Electronic healthcare record communication - Part 2: Domain term list; English version ENV 13606-2:2000
    DIN V ENV 13606-3
    Health informatics - Electronic healthcare record communication - Part 3: Distribution rules; English version ENV 13606-3:2000
    DIN V ENV 13606-4
    Health informatics - Electronic healthcare record communication - Part 4: Messages for the exchange of information; English version ENV 13606-4:2000
    DS DS/ENV 13606-1
    Health informatics - Electronic healthcare record communication - Part 1: Extended architecture
    DS DS/ENV 13606-2
    Health informatics - Electronic healthcare record communication - Part 2: Domain term list
    DS DS/ENV 13606-3
    Health informatics - Electronic healthcare record communication - Part 3: Distribution rules
    DS DS/ENV 13606-4
    Health informatics - Electronic healthcare record communication - Part 4: Messages for the exchange of information
    ISO TR 20514
    Health informatics Electronic health record Definition, scope and context - First Edition
    ISO TS 18308
    Health informatics Requirements for an electronic health record architecture - First Edition
    NCCLS LIS09-A
    Standard Guide For Coordination Of Clinical Laboratory Information Services Within The Electronic Health Record Environment And Networked Architectures - First Edition
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