MOSS HIE Key Components
Governance and Privacy Consulting Services: Industry experts will work with your community stakeholders to establish a formal governance framework and roadmap based on its definition of success.
Unique Patient Identification: This component provides IHE PIX/PDQ profile implementation for matching patient records across multiple systems. Working with our community partners, we now offer an modular open source eMPI functionality.
Clinical Document Display: The IHE profile implementation of XDS Registry and Repository provides document storage and retrieval, with robust replacement, addendum, translation (e.g., across languages) and history transactions.
e-Rx Integration: A deep integration with ePrescribing, including single sign-on (SSO) and patient-in-context, make writing prescriptions fast and high-value.
Policy Engine: It manages and enforces user authorization across the whole system while maintaining compliant with HIPAA and other regulatory rules. It enforces opt-in/opt-out, Basic Patient Privacy and Consent (BPPC IHE profile), and other governance rules.
Audit trial: In addition to what is required by the IHE profile implementation of Audit Trail and Node Authentication (ATNA), a full audit trail is maintained for both clinical and administrative users. A full-featured, open source reporting tool makes auditing easy, precise, and comprehensive.
Secure Messaging: State-of-the-art security is utilized at every step of processing, storing, and displaying data to ensure only authenticated users can view critical PHI. These include TLS (transport layer security), SSL (secure socket layer), and PKI (public key infrastructure).
MOSS supports a federated or centralized approach to health information exchange.
This diagram represents a centralized approach to document exchange.
The fundamental objective of MOSS Health Information Exchange is the secure exchange of patient clinical data with authorized users to advance the quality, safety and efficiency of healthcare delivery. MOSS HIE Framework leverages IHE technical profiles to exchange medical summary documents across various source systems. For provider organizations, communities, and state-level Health Information Exchanges (HIEs) or Regional Health Information Organizations (RHIOs), these HIE Services enable a XDS.b (CCD, HITSP C32/C48 specifications) document (containing patient health information) to be shared regardless of the source system.
This is a depiction of HIE/HIO technical services that would allow source systems to share their data with MOSS IHE core services for data aggregation. These transactions would represent the data exchange with an actual transmission of data, whether the source system is IHE compliant system or otherwise.
MOSS HIE infrastructure enables the exchange of patient-centric electronic health information via a secure, IHE technical framework based health information exchange infrastructure. For provider organizations, communities, and state-level Health Information Exchanges (HIEs) or Regional Health Information Organizations (RHIOs), these HIE Services enable an XDS.b document-based sharing of health information. Once the medical summaries are viewed, the portal also allows critical patient data to be exported in order for it to be imported and viewed inside the applications care providers use to deliver care, such as electronic medical records and physician web portals.
