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In these scenarios, the receiving provider generally already knows which patient the messages concern and thus uses relevant internal procedures to process the incoming transaction.
Data trading partnerships between providers may dictate the content and format of the HL7 message.
More recent ONC activities such as an environmental scan of vendors, providers, and data exchange organizations are exploring current approaches, practices, and processes related to patient identification.
The output from this activity will be presented to the Health IT Policy and Health IT Standards Committees, and could potentially influence requirements for stage 3 of the “meaningful use” EHR Incentive Program.
It urges industry stakeholders to recognize that now is a critical time to address accuracy in patient identification systems.
Various components of the healthcare ecosystem will address these goals and execute patient identification integrity activities to: Patient identification integrity is a complex concept, and one that is not well understood throughout the healthcare industry.
Differences may include one or two forms of identification with or without a photo.The complexity stems from many factors including variability in practices of authentication, data collection, technology, and the historical silo approach to patient identification.Previously, patient identity integrity was seen as a health information management (HIM) or registration/patient access function, with limited staffing devoted to the issue and a site-specific approach.Once the corresponding HIO patient record identifier is located in the EMPI, the provider can use the RLS to request specific clinical information from other participating providers.Electronic messages are then sent to each of the participating organizations that have stored records pertaining to the patient.
Today’s health transformation initiatives push this function to the front of the health information exchange effort.