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Connecting For Health And Care For The Nation : A Shared Nationwide Interoperability Roadmap

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Interoperability Roadmap Comments Connecting for Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap, Draft Version 1.0 (Roadmap) is an initial attempt by the Office of the National Coordinator for Health Information Technology (ONC) to define a path for health information interoperability by the year 2020. The Roadmap spans 166 pages and encompasses five building blocks; 1. Core technical standards and functions. 2. Certification to support adoption and optimization of health IT products and services. 3. Privacy and security protections for health information. 4. Supportive business, clinical, and regulatory environments. 5. Rules of engagement and governance. (Office of the National Coordinator for Health …show more content…

(Appendix 1) 1. Nationwide consensus-based definitions for the fundamental terms. 2. A shortened version of 30 pages, written in actionable terms. 3. The 10 Interoperability Principles must be aligned with the definition of interoperability. 4. Convey a clear approach and methodology for enabling interoperability. 5. Include currently out-of-scope topics that are fundamental to achieving interoperability. 6. An identifier standards category for the technical list of standards for interoperability. 7. Adjusted timeline to include the challenges inherent in the absence of a Nationwide Interoperability Framework and infrastructure. 8. List of business and technical actors for health information systems interoperability. 9. Use Cases developed on clearly defined Use Case definitions and methodology. 10. Clear approach for governance. Most of these items are addressed in an article published in the May 2015 edition of the Journal of AHIMA. AHIMA agrees with the ONC’s Roadmap which aligns with their work over the last several years however, it warns that the ONC’s approach lacks a “broader information governance or data governance strategy”. More specificity is needed on: 1. Standards that support interoperability - ICD-10-CM, SNOMED, LOINC, etc. 2. Standards regulating the balance between individual privacy rights and the common good. - Sharing of health personal health information for public health and scientific research, knowledge, and innovation

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