Guided Notes

Health Information Exchange & National Networks

HIE models (directed, query, consumer-mediated), regional HIEs, national networks, TEFCA and QHINs, public health exchange, patient matching and consent management.

HIE models

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ModelHowExample
Directed (push)Send to a known recipientDirect secure messaging of a referral
Query-based (pull)Search for records across organizationsED queries for outside medication history
Consumer-mediatedPatient gathers and sharesPatient app via FHIR APIs
Event notificationAlerts when something happensADT alert to PCP when a patient is admitted