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Major Interoperability Initiative Launched During the Annual Meeting of The Sequoia Project

By Michael J. Suralik | December 20, 2019

On December 5, 2019, HLN Consulting, LLC participated in The Sequoia Project's day long annual meeting which was held just outside of Washington, D.C. at the Gaylord National Resort & Convention Center. As a leading healthcare informatics consulting company HLN monitors developments in healthcare interoperability nationally with particular emphasis on the impact to public health agencies and their stakeholders. This conference represented a good opportunity to participate in the start of a major interoperability initiative that will play out over the next several years. In addition to this report, the Sequoia Project posted the proceedings of the meeting online, including the recorded discussions as well as the slides from the presentations. Read More »

ONC Finally Releases TEFCA—What it Might Mean to Public Health

By Noam H. Arzt, Ph.D. | January 31, 2022

On January 18, 2022 the Office of the National Coordinator for Health Information Technology (ONC) finally released version 1 of the Trusted Exchange Framework,  Common Agreement and the QHIN (Qualified Health Information Network) Technical Framework (QTF). Several years in the making, these documents represent the latest attempt at initiating a national health information exchange in the United States. This project is being managed by ONC’s Recognized Coordinating Entity (RCE), The Sequoia Project, and was inspired by both the HITECH Act and 21st Century Cures Act.

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ONC Releases Several New Specifications in 2022

By Noam H. Arzt, Ph.D. | February 4, 2022

The Office of the National Coordinator for Health Information Technology (ONC) started off the new year by releasing several new specifications supporting health information interoperability...On January 3, 2022 ONC released the Version 3 Draft of the US Core Data for Interoperability (USCDI) which defines a core set of data for common interoperability transactions in healthcare. It defines classes of data as well as specific data elements within those classes and represents the data that can be expected to be shared at minimum between data partners. While public health is included, ONC has recently recognized that public health use cases (and therefore their data needs) differ from clinical care use cases...

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ONC Timeline for TEFCA Going Live in 2022

By Micky Tripathi, and Mariann Yeager | July 13, 2021

Today we are pleased to announce the timeline for the Trusted Exchange Framework and Common Agreement (TEFCA). The 21st Century Cures Act, signed by President Obama in 2016, calls on ONC to "develop or support a trusted exchange framework, including a common agreement among health information networks nationally."... The timeline released today-for completion of the Trusted Exchange Framework, the Common Agreement Version 1 and the Qualified Health Information Network (QHIN) Technical Framework (QTF) Version 1-establishes our goal to have this new network open for participation in the first quarter (Q1) of calendar year 2022.

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The Strengths and Weaknesses of the HL7 FHIR Messaging Standard

By Jackie Mulrooney | September 8, 2020

It has been several years since we reviewed the progress of the HL7 FHIR standards adoption rate. Health Level Seven's (HL7) Fast Healthcare Interoperability Resources (FHIR) is an emerging standard that has rapidly captured the mind-share of the Health Information Technology (HIT) standards community. FHIR is a standard that enables healthcare data sharing between systems in a manner that is more easily implemented and more expressive than previous HL7 standards such as HL7 Version 2, 3 and Clinical Document Architecture (CDA). Regardless of the version of HL7 standard used, the purpose of these standards is to send clinical data in messages, whether to a party inside or outside your organization. HL7 devises flexible message formats so the receiver of the message can open it up, know who sent it and why, and break it down into understandable segments and data fields.

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