NextGen Interoperability – Leading the Charge
Presenter – David Venier
DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.
Housekeeping Items
 Answering your
questions
 Please hold all questions until
the end of the presentation.
 Cell phones
 Please silence all electronic
devices for the presentation.
Agenda
 Key terminology and IHE profile support.
 The current status of NextGen Interoperability
 Supported features and technologies
 What industry initiatives is NextGen participating in
 What NextGen is doing to differentiate itself from its
competition
 Reduced total cost of ownership for clients
 Hub based models for Meaningful Use interfaces.
 Rapid deployment, install and update methodologies.
 Q&A
Key Terms
NextGen Supported IHE Profiles:
HPD+ Health Provider Directory
PIX/PDQ Patient demographic and cross reference queries
XDS Cross enterprise document sharing, NwHIN Exchange pull mechanism
XDR Cross enterprise document sharing for reliable exchange, NwHIN Direct push
mechanism
Other terms:
HIE Health Information Exchange
CCDA Consolidated Clinical Document Architecture
NwHIN Direct National standards where HIE infrastructure is not available. Uses
SMTP (email) or XDR (web services)
HISP Health Information Service Provider, use for XDR /NwHIN Direct - 3rd party
(Not NG), acts as translator for SMTP to XDR (and vice versa)
SMTP Simple Mail Transfer Protocol – a.k.a. sending secure email
MDN Message Disposition Notification
Where are we today?
Interoperability Capabilities
Functional capabilities for C-CDA Export:
Save a C-CDA to a local file
Functional capabilities for C-CDA Exchange with an External Vendor:
Export a C-CDA to another a 3rd party (HL7)
Receive a C-CDA from a 3rd party (HL7)
Functional capabilities for C-CDA Exchange with an HIE:
Query and retrieve a C-CDA from an HIE (XDS.b)
Provide and register a C-CDA with an HIE (XDS.b)
External system query and retrieve C-CDA from NextGen. (XDS.b)
Functional capabilities for Direct Secure Messaging: (Referrals)
NextGen Share
 NextGen’s free messaging service using our own HISP.
 HISP is powered by Mirth Mail.
Direct message exchange with a 3rd party HISP.
Online provider directory lookup (HPD+)
Message delivery confirmation (MDN)
Interoperability Capabilities - 2
Functional capabilities for other clinical information exchange:
Immunizations
Cancer Registry Reporting
Syndromic Surveillance
Orders and Results
EHR generated documentation.
NextGen open API’s for third party consumption.
What are we working on?
Interoperability Plans within the Industry
New technologies, standards and workgroups:
Adoption of FHIR standards
Adoption of SMART technologies
Argonaut Project
Open API standards
Data Provenance
esMD - Electronic provider submission.
S&I Frameworks.
Blue Button Plus
NextGen EHR
- Confidential
Interoperability Plans Outside of the Industry
Reducing the total cost of ownership to clients:
Less client time spent on installation, updating and troubleshooting our
current interoperability offerings.
Meaningful use interfaces a priority
Payer based initiatives (C-CDA exchange with payers)
RIS based initiatives (Radiology system integration)
Implementation of a central interface routing solution:
Public Health Registries building on NextGen Share Technology
Immunizations
Syndromic Surveillance
Cancer Registry Reporting
Reference labs (future phase)
Centralized Public Health Routing
Providers
Centralized Routing Benefits
Centralized administration:
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Reduced costs to NextGen and their clients
Automated deployment
Automated installation
Automated updates
Centralized routing:
 Manage a single point of connectivity to each registry
 Onboard clients more rapidly
 Ease of administration for development
Q&A