02 — Capability · BC-1880.30
Clinical Data Exchange
Share patient data with other providers, health plans, patients' apps and public health authorities in standard formats, so care is coordinated and reporting duties are met, while honoring consent. Building the integration platforms themselves is application delivery.
- Interoperability
- HIE
- Health Information Exchange
- FHIR APIs
In scope
- Exchange network participation and outside record queries
- Standards-based APIs for patients, payers and other providers
- Care summaries at referral, transfer and discharge, and public health feeds
- Data sharing consent and agreements
Out of scope
- Integration platforms and interface engineering (see BC-720.40)
- Enterprise data pipelines and warehouses (see BC-750.30)
- Claims and remittance transactions (see BC-1840.30, BC-1870.40)
- Deciding which infections must be reported (see BC-1850.30)
Realized by · 6
- Epic · Care Everywhere and Interoperabilitycore via BC-1880.30.10
- Oracle Health · Interoperability, Referrals and Public Health Reportingstrong via BC-1880.30.10
- MEDITECH Expanse · Traverse Exchangestrong via BC-1880.30.10
- InterSystems HealthShare · Unified Care Recordcore via BC-1880.30.10
- InterSystems HealthShare · Consent Managementstrong via BC-1880.30.50
- InterSystems HealthShare · FHIR and Standards Servicesstrong via BC-1880.30.20
Used in · 4
Build it · 1
Governed by · 1
Decomposes into · 5
- BC-1880.30.10Exchange Network ParticipationJoin regional and national exchange networks, query them for outside records, and make the organization's records available under their rules.
- BC-1880.30.20Standards-Based Data APIsOffer standards-based interfaces that let patients' apps, payers and other providers retrieve the data they are entitled to, as interoperability rules require.
- BC-1880.30.30Care Summary ExchangeSend and receive structured care summaries at referrals, transfers and discharges, and bring outside data into the local record.
- BC-1880.30.40Public Health Data FeedsSend required electronic reports such as immunizations, reportable results and syndromic data to public health authorities.
- BC-1880.30.50Exchange Consent DirectivesRecord patients' choices about sharing their data and the agreements with partners, and enforce both in every exchange.