National Health Information Infrastructure (NHII): Moving Toward Implementation

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National Health Information Infrastructure
(NHII) Moving Toward Implementation
HL7 Meeting May 2004

• Helga E. Rippen, MD, PhD, MPH
• Deputy Senior Advisor
• National Health Information Infrastructure
• Department of Health and Human Services

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Overview

1. What is NHII?
2. HL7-EHR Functional Standards
3. HL7-EHR Interchange Standard
4. Future Computable Guideline Exchange Standard

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I. What is NHII

• Standards
• EHR for all providers and settings
• Community health information exchanges

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HL7-EHR Functional Standards

• Congratulations!
• EHR interchange standard must accommodate the
  information needed to support the functions
  defined in the DSTU

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HL7-EHR Interchange Standard

• Goal
• Transmission of complete EHR between any system
  without information loss
• Requirements
• Information model must accommodate all possible
  types of information (from scanned documents to
  fully standardized and encoded records)
• Arbitrary subsections of the record can be
  transmitted
• Implementation should not require bilateral
  technical agreements (need meta-transactions)

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Future Guideline Interchange Standard

• Goal
• Sharing fully computable decision support
  algorithms
• Problem
• Every site of care can not muster the resources
  to develop a complete suite of decision support
  algorithms
• Solutions
• Standard for encoding decision support would
  allow sharing and distribution of algorithms
  (i.e., printing press for guidelines)

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Questions?
Mark Your Calendar NHII 04 Meeting July 21-23,
2004 Washington, DC
For more information about NHII http//aspe.hhs.go
v/sp/nhii
Helga E. Rippen, MD, PhD, MPH Helga.rippen_at_hhs.gov
202/205-8678