Specification Download Page

Thank you for your interest in the ConCert by HIMSS certification program. Please use the links below to download the specifications of interest to you.

Statewide Send and Receive Patient Record Exchange

  • Statewide Send and Receive Patient Record Exchange Functional Specification, Version 1.0

    The functional specification defines the scope and a series of assumptions for push-based transactions conducted by health endpoints such as ambulatory and inpatient EHRs, HIEs and other clinical systems to exchange a wide array of clinical information. In order to expand the ability to implement push-based transactions, the functional specifications expands upon the interaction between health endpoints and provider directories to define the processes by which users interact with a common service to identify the address of an intended recipient such as an individual provider or entity, the recipient's application capability to conduct exchange with compatible protocols, and the receiving systems ability to process specific payloads.

  • Statewide Send and Receive Patient Record Exchange Technical Specification, Version 1.1

    The technical specification provides guidance for specific functional requirements defined in the Statewide Send and Receive Patient Record Exchange Functional Specification v1.1 that can be accommodated by Direct Protocols. This specification defines the interoperability protocols for health endpoints including ambulatory and inpatient EHRs, HIEs and clinical systems to conduct Direct transactions. These specifications expand upon the current Direct interoperability protocols and define the format for a compatible Provider Directory based on the Integrating the Healthcare Enterprise (IHE) Healthcare Provider Directory (HPD) and aligns with the Standards & Interoperability (S&I) Framework Provider Directory Schema. The resulting Provider Directory format called “HPDPlus” also expands upon the currently defined Direct protocols of S/MIME/SMTP and XD* to provide State HIEs, Regional Health Information Organizations (RHIOs), ambulatory and inpatient EHR vendors and Direct HISPs with the standards-based transactions for health endpoints to communicate with a common Provider Directory and conducts transactions with a single HISP’s domain and across multiple HISP domains or networks.

This Implementation Guide serves as an appendix to the Statewide Send and Receive Patient Record Exchange Technical Specification v1.1. The Implementation Guide provides detailed guidance for the development of an HPDPlus Provider Directory including a detailed list of the elements of the Provider Directory, as well as how to implement an HPDPlus Provider Directory using a Lightweight Directory Access Protocol (LDAP) instance or a Relational Database Model.

Statewide Patient Data Inquiry Service

The functional specification lays out the scope and assumptions of the Statewide Patient Data Inquiry Service as well as detailed information of the functions (purpose, input, operations, and output), use cases, and the model for how to operate an inquiry service across and between HIE domains. It was developed to be extensible for the inclusion of other interoperability needs such as a Statewide Master Patient Index (SMPI) and Record Locator Service (RLS) as well as the use intermediaries, like Regional Health Information Organizations (RHIOs). It is also flexible to facilitate a true SOA paradigm and a modified SOA paradigm. The functions outlined in this document are Patient Publish, Document Publish, Patient Consent, End User Authentication, Node Authentication, Patient Query, Document Query, Record Retrieval, and Record Viewing.

The technical specification provides the guidance for implementation to meet the functional specifications. As noted it relies heavily on the IHE and NwHIN specifications and the ability of the applications to leverage those protocols. In addition to providing specification guidance for the Statewide Patient Data Inquiry Service functions (Patient Publish, Document Publish, Patient Discovery, Document Query, and Document Retrieve) and the technical aspects like messaging and authorization. The document also provides guidance on the payload (a Summary CCD Document) agreed to by the Interoperability Workgroup through discussion and formal ratification by the consortium. The group also developed a proposal to address provenance, particularly in cases where an aggregated CCD is expected for retrieved documents.