Heath Information Technology Commission Report - Fy2010 Appropriation Bill - Michigan Department Of Community Health Page 38
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87•
Interoperating with EHRs certified by ONC approved certification bodies
•
Meaningful use and associated timeframes
•
HIE/RHIO certification
•
Privacy & Security
•
Audit
•
Technical
•
A sub-state HIE shall be capable of all MiHIN technical specifications relevant to
their operations, security policies and use cases. Minimum specifications include
enabling subscribers to access patient clinical data including lab results and
medication history and working towards providing all elements of CCD. MiHIN
technical specifications will be published in Requirements Documents.
•
A sub-state HIE must be capable of supporting all MiHIN security specifications
including the IHE Audit Trail and Node Authentication (ATNA) specifications for
secure nodes and audit trails. The HIE must also support user authentication at
the HIE level and the use of SAML assertions (of user identity) for all transactions
across the MiHIN.
•
A sub-state HIE must be capable of supporting all MIHIN patient identity
transactions.
•
A sub-state HIE must be capable of supporting all MiHIN Query for Documents
(XDS.b & XCA) transactions and must deploy an XDS.b document repository.
•
A sub-state HIE shall enable bidirectional interoperability between locally
connected health information systems (inpatient, ambulatory, pharmacies,
clinician offices, health plans and the states) in areas of operation and provide
the gateway to the MiHIN for "cross community" transactions.
•
Legal and Policy
•
A sub-state HIE shall comply with all privacy and security requirements set by
Federal and State law and MiHIN governance-approved policies. The compliance
will be documented through written policies and procedures.
•
A sub-state HIE shall provide a written copy of their Data Use and Reciprocal
Support Agreement in use
4.3.4 Interoperability
The long term plan for the MiHIN Shared Services Bus interoperability includes four core
capabilities:
Aggregating data and interconnecting providers via sub-state HIEs
Connecting sub-state HIEs and providing a vehicle for the delivery of shared services
Sharing clinical and administrative services and applications
Providing NHIN connectivity for sharing data with other states and the federal
government
MiHIN Strategic Plan
Page 32
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