Heath Information Technology Commission Report - Fy2010 Appropriation Bill - Michigan Department Of Community Health Page 39
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87This is a long term venture that will take substantial time and resources. To enhance
interoperability the architecture focuses on several technical design paradigms:
HITSP and other national and industry standards
Vendor agnostic design
NHIN design concepts
“Shared Services Bus” to act as the broker for cross community interoperability
Security framework that complies with state and federal regulations but is also
straightforward to implement
4.3.5 NHIN
HHS has sponsored a large scale development effort to build a national health information
exchange capability called the Nationwide Health Information Network (NHIN) that instantiates
the HITSP standards into real networks and systems. The MiHIN will leverage the work of the
NHIN effort in its architectural framework.
The MiHIN will support connectivity to the NHIN for data exchange with the federal government
and other states with NHIN-compatible infrastructures.
We will support the NHIN core functions of Security Services, Subject Discovery, Query for
Documents, and Retrieve Documents. NHIN Standards are mostly are still being tested but
there is at least one case of limited production with the MedVirginia connection to the Social
Security Administration using Connect Open Source. To meet these functional requirements we
will follow the NHIN Trial Implementations specifications as follows:
Authorization Framework Service Interface Specification v2.2
Messaging Platform Service Interface Specification v 1.9.8
Patient Discovery Service Interface Specification v 0.9
Query for Documents Service Interface Specification v 1.6.10
Retrieve Documents Service Interface Specification v1.6.8
Health Information Event Messaging v1.5
NHIN Services Registry Specification v1.3
Access Consent Policy Specification v0.3
HIEM Profile Framework
4.3.6 Interoperability with Federal Systems
The table below specifies the approach MiHIN will take to develop interoperability with federal
systems.
System Purpose
Interoperability
Care for veterans
The MiHIN identify the sub-state HIEs that can work with the local Veterans
Administration hospitals to develop mechanisms to connect to MiHIN or to the
NHIN. This will be a longer term project and will depend on how the VA System
decides to integrate into nationwide HIE.
Social security
Investigate a working relationship with the Southeastern Michigan Health
disability benefits
Information Exchange (SEMHIE) who was recently awarded a $2.9M grant to
MiHIN Strategic Plan
Page 33
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