Consumer-Mediated Exchange Track

Track leads

• Kathleen Connor
• Sheridan Cook

Purpose of track

• To prove that FHIR resources can be used to expedite and streamline Right of Access requests, allowing consumers and their surrogates to electronically request and receive granular health information (immunizations, medications, procedures, etc.) from their care team in a timely and burden-free manner.

Description

In this scenario, Linda May Shannon, an 18-year-old enrolling freshman is required to provide her medical information to her new university to ensure she can enroll in classes and participate in school activities. Linda's new university is classified as a HIPAA Non-Covered Entity, meaning Linda will have to obtain her records and share them with the school.

Linda also wants to ensure her coach also receives a list of her immunizations so she can start training with the cross-country team.

Linda will mediate both of these exchanges of information through Right of Access requests.

Roles

• Health Information Network (FHIR Server with Questionnaire Repository + Query/Push Service) *User-Managed Access Service
• Third Party Consumer Application* (Application where Linda will create ROA request)
• Third Party Consumer Application* (Application where Linda will receive requested information)
• Simulated Source EHR(s) (FHIR Server with Linda's Medical Records x2)
• Direct Secure Message Application (Application where Linda's athletic department staff will receive Linda's designated information)

Steps

• Step 1: Consumer application that Linda has not previously selected to receive her information requests her immunizations

• Application uses FIND Immunizations FHIR API Call to find Linda’s immunizations Application is not a designated entity on Linda's ROA (if available) application receives error message (we need to make)

• Step 2: Linda creates a ROA Request in her Patient Portal indicating the three destinations she would like her immunizations sent (X, Y, Z).

• Application uses HAS Questionnaire Response API Call Application finds that Linda does not have a ROA on file Application uses WRITE Questionnaire Response API Call to select (X, Y, Z)

• Step 3: Linda's ROA questionnaire is stored in the HIN Repository for use in routing

• Step 4: Application uses FIND Immunizations FHIR API Call to find Linda’s immunizations

References

This article "Consumer-Mediated Exchange Track" is from Wikipedia. The list of its authors can be seen in its historical and/or the page Edithistory:Consumer-Mediated Exchange Track. Articles copied from Draft Namespace on Wikipedia could be seen on the Draft Namespace of Wikipedia and not main one.

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