Using a HISP to Solve C-CDA Interoperability Issues

Interoperability is a major focus for the US Department of HHS Office of the National Coordinator under the leadership of Karen DeSalvo. Much has been written and said about the inability to share data between EHR systems, including finger pointing and accusations of data hoarding.

So I’m proud to be a part of an organization that is rolling up its sleeves and getting to work on addressing the problem, and adding more value to the standard Direct Secure Messaging protocol that is already solving secure messaging interoperability for healthcare providers. By listening to our customers’ issues and getting creative – we are solving sticky wickets – this time in the area of data/document formats for HL7 and the Consolidated Clinical Document Architecture (C-CDA).

The DataMotion™ Direct C-CDA Delivery Service (CCDS) was recently introduced as an option for our Hospital, EHR and HIE customers using Direct Secure Messaging. It addresses an interoperability problem in the structure and content of electronic health documents which are covered by the broadly implemented HL7 and C-CDA standards. Well intentioned EHR vendors often interpret the document format standards differently – rendering them incompatible between vendors.

CCDS is an EHR interoperability solution that enables delivery of C-CDA documents using Direct Secure Messaging across a variety of endpoints using SMTP and XDR protocols. CCDS converts the C-CDA format from the sending EHR into a format acceptable to the recipient system, ultimately presenting the data to the recipient provider in an easily consumable format (XML and/or pdf). The service is implemented by DataMotion within the settings for a customer account – so the feature is otherwise transparent and managed for the customer – in other words – it just works.

While this capability and incremental improvement is not going to change the course of mighty interoperability rivers, leap tall hospitals in a single bound, or stop a powerful EHR vendor from doing things their way with its bare hands – it is disguised as a mild-mannered feature from a great metropolitan HISP. And you might find it’s just super for your C-CDA interoperability challenge.

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