Global Healthcare Data Standards & Interoperability

From ASTM to X12, We Speak Interoperability

lab techs looking at health data on a tablet

Our Products Support a Wide Variety of International Healthcare Data Standards

Health Level Seven* (HL7) was developed as a standard language for the sharing and integration of electronic health information. Healthcare organizations worldwide use InterSystems’ technology to seamlessly integrate information inside and outside the hospital while streamlining clinical and administrative business processes. InterSystems is a member and benefactor of the HL7 standards organization.

HL7 FHIR

HL7^® FHIR^®* (Fast Healthcare Interoperability Resources). InterSystems products provide all the technology needed to easily handle FHIR, including FHIR client and server components, a FHIR message model, and translation between FHIRand other health information exchange standards, such as HL7 v2 and C-CDA.

CDA

CDA^® (Clinical Document Architecture) is an XML-based document markup standard that specifies the structure and semantics of clinical documents for the purpose of exchange of information. CDA is a standard published by the HL7 standards development organization. CCD (Continuity of Care Document) is a CDA implementation guide for a summary of care for care transition for a patient.

C-CDA

Consolidated CDA (C-CDA) 2.0 is an implementation guide that contains a library of CDA templates for 12 clinical documents including the CCD template. C-CDA incorporates and harmonizes previous efforts from HL7, IHE, and the Health Information Technology Standards Panel (HITSP).

ASTM Standards

ASTM International, formerly known as the American Society for Testing and Materials (ASTM), is a globally recognized leader in the development and delivery of international voluntary consensus standards. Today, some 12,000 ASTM standards are used around the world to improve product quality, enhance safety, facilitate market access and trade, and build consumer confidence.

DICOM

The Digital Imaging and Communications in Medicine (DICOM) standard is used to ensure the interoperability of systems that produce, store, display, process, send, retrieve, query or print medical images, and to manage related data and workflow.

Direct Secure Messaging

The Direct Project was created to specify a simple, secure, scalable, standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. Direct messages are exchanged through an accredited Health Information Service Provider (HISP) based on the standards represented by the Nationwide Health Information Network. Direct Secure Messaging is a form of secure email that requires a specific type of email address.

EDIFACT

The Electronic Data Interchange For Administration, Commerce, and Transport standard (EDIFACT) is also known as the International Standards Organization (ISO) Standard 9735-6. In healthcare, EDIFACT is used primarily for exchange of administrative data.

ITK

The Interoperability Toolkit (ITK), developed by the United Kingdom’s National Health Service (NHS), is a set of common specifications, frameworks and implementation guides to support interoperability within local organizations and across local health and social care communities. InterSystems was the first company to receive official accreditation for its ITK implementation and continues to support new specifications as they are developed.

SCRIPT

The National Council on Prescription Drug Products (NCPDP) is an organization providing the SCRIPT standard for e-prescribing. This includes information exchanges related to medications, supplies, and services within the healthcare system.

SS-MIX

SS-MIX (Standard Structured Medical Information eXchange) is a standard for health information exchange published by the Japanese Ministry of Health, Labor and Welfare. SS-MIX is based in part on HL7.

X12

X12 is a standard for business-to-business electronic data interchange (EDI). It covers business transactions such as order placement and processing, shipping and receiving information, invoicing, payment and cash application data, and data to and from entities involved in finance, insurance, and is used for submission and adjudication of health insurance claims.

Support for Global and National Standards and Certifications

Organizations worldwide use InterSystems to support their data standards in healthcare for interoperability and improved workflow across the care continuum.

Promoting Interoperability

ONC Certified

HealthShare has received ONC Health IT Certification as an electronic health record (EHR) module for ambulatory and inpatient settings. A benefit of this certification is that HealthShare can be used by organizations to achieve and demonstrate what was previously known as Meaningful Use stages 2 and 3.

This Health IT Module is 2015 Edition compliant and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services.

Costs and Limitations
Transparency Attestation
HealthShare Personal Community API Documentation for CEHRT

Multi-factor Authentications Explanations

HealthShare Personal Community 2020.1
HealthShare Unified Care Record 2020.1
HealthShare Unified Care Record 2020.2

Real World Testing Plans

HealthShare Personal Community 2022
HealthShare Personal Community 2022 Results
HealthShare Personal Community 2023

Criteria Certified

CERTIFICATION CRITERIA	PRODUCT NAME AND VERSION
	HealthShare Personal Community¹ 2019.2 - 2021.2	HealthShare Unified Care Record² 2019.1 - 2021.2	Personal Community¹ 2018.1 - 2019.1
170.315 (d)(1) Authentication, Access Control, Authorization
170.315 (d)(2) Auditable Events and Tamper-resistance
170.315 (d)(3) Audit Report(s)
170.315 (d)(5) Automatic Access Time-out
170.315 (d)(6) Emergency Access
170.315 (d)(7) End-User Device Encryption
170.315 (d)(9) Trusted Connection
170.315 (d)(12): Encrypt Authentication Credentials
170.315 (d)(13): Multi-Factor Authentication (Cures Update)
170.315 (e)(1) View, Download, and Transmit to 3rd Party
170.315 (e)(3) Patient Health Information Capture
170.315 (g)(1) Automated Numerator Recording
170.315 (g)(4) Quality Management System
170.315 (g)(5) Accessibility Centered Design
170.315 (g)(6) Consolidated CDA Creation Performance
170.315 (g)(7) Application Access-patient selection
170.315 (g)(9) Application Access-all data request

1 – Personal Community 2018.1, 2019.1 & HealthShare Personal Community 2019.2, 2020.1, 2020.2, 2021.2
2 – HealthShare Unified Care Record 2019.1, 2019.2, 2020.1, 2020.2, 2021.1, 2021.2

InterSystems Personal Community 2018.1 was certified on December 28, 2022 with CHPL ID 15.04.04.2988.Heal.PC.02.0.221228
InterSystems Personal Community 2019.1 was certified on December 28, 2022 with CHPL ID 15.04.04.2988.Heal.PC.03.0.221228
HealthShare Unified Care Record 2019.1 was certified on January 1, 2022 with CHPL ID 15.04.04.2988.Heal.19.03.0.220101
HealthShare Unified Care Record 2019.2 was certified on January 1, 2022 with CHPL ID 15.04.04.2988.Heal.19.04.0.220101
HealthShare Unified Care Record 2020.1 was certified on January 1, 2022 with CHPL ID 15.04.04.2988.Heal.20.05.0.220101
HealthShare Personal Community 2020.1 was certified on December 28, 2022 with CHPL ID 15.04.04.2988.Heal.PC.05.0.221228
HealthShare Unified Care Record 2020.2 was certified on January 1, 2022 with CHPL ID 15.04.04.2988.Heal.21.05.0.220101
HealthShare Personal Community 2020.2 was certified on December 27, 2022 with CHPL ID 15.04.04.2988.Heal.PC.05.0.221227
HealthShare Unified Care Record 2021.1 was certified on January 1, 2022 with CHPL ID 15.04.04.2988.Heal.21.06.0.220101
HealthShare Unified Care Record 2021.2 was certified on December 15, 2022 with CHPL ID 15.04.04.2988.Heal.21.07.0.221215
HealthShare Personal Community 2021.2 was certified on December 28, 2022 with CHPL ID 15.04.04.2988.Heal.PC.06.0.221228

InterSystems Contact Information:
InterSystems HealthShare: https://www.intersystems.com/HealthShare
Address: 1 Memorial Drive, Cambridge, MA 02142

Additional Software Used for Certification: Secure Exchange Solutions SES Direct (HISP); required for Personal Community only.

IHE Certification

InterSystems is committed to the IHE’s (Integrating the Healthcare Enterprise) objectives which are focused on improving the ways in which computer systems in healthcare share information.

View our IHE Integration Statement

HealthShare is certified for Health IT interoperability by IHE USA and ICSA Labs, following rigorous and thorough testing under the IHE IT Infrastructure Domain, which specifies capabilities related to:

Interoperability
Clinical-document sharing
Patient identification
Audit logging
Security

View Certificate of Compliance

Certified Access & Interoperability on National Health Networks

eHealth Exchange

HealthShare is an eHealth Exchange Validated product. It supports a common set of healthcare standards and specifications that enable a secure, trusted, and interoperable connection among all participating eHealth Exchange organizations, including federal agencies such as CMS, regional and state health information organizations, IDNs, academic medical centers, dialysis centers, and pharmacies.

CommonWell

CommonWell Health Alliance is a not-for-profit trade association devoted to making health data available regardless of where care occurs. InterSystems is a CommonWell Connected™ Member and HealthShare Managed Connections as a CommonWell Connector™, provides healthcare providers a single connection to the CommonWell network.

Carequality

Carequality is a public-private, multi-stakeholder collaborative that has come together to meet this challenge. Our community, drawn from all parts of the healthcare ecosystem, uses a consensus-based process to enable seamless connectivity across all participating networks.

DMP

DMP (Dossier Médical Personnel) is the Internet-accessible French national electronic health record aimed at improving health information sharing and care coordination. Electronic medical records and other clinical systems communicate and share data with DMP via published specifications based on the French health information systems interoperability framework (CI-SIS), which is itself based on IHE profiles.

^{*“HL7,” “Health Level Seven,” are registered trademarks, and the HL7 design is a trademark of Health Level Seven International. Registered trademarks used with the permission of HL7.}