The MeHI is the designated state agency for promoting health IT adoption and use in Massachusetts. It oversees the implementation of the statewide HIE called the Massachusetts Health Information Highway (Mass HIway). The Last Mile Program aims to connect all eligible providers to the Mass HIway and demonstrate improvements in care quality, population health, and costs through HIE use. Initiatives include connection support, education, and implementation grants.
Delivered by Craig Brammer at CITIH 2011. Focus on discussion of regional and national initiatives and opportunities for regional partners to leverage them for driving healthcare improvements, public health and research.
This session will provide a broad perspective on the many initiatives related to HIT. Experts from the regional and national level will discuss data models, privacy concerns and adoption strategies from their different perspectives. Also addressed will be planning for NHIN direct adoption as a complimentary strategic to full HIEs.
This presentation was given to an intimate group of attendees at the offices of Kegler, Brown, Hill & Ritter on 10/22/2009. Presenters included Robert Marotta, Elise Spriggs, Jeff Porter, Ralph Breitfeller, Geoffrey Stern, Rex Plouck and Jennifer Covich Bordenick.
FTC Spring Privacy Series: Consumer Generated and Controlled Health DataBrian Ahier
Increasingly, consumers are taking a more active role in managing and generating their own health data. For example, consumers are researching their health conditions and diagnosing themselves online. Consumers are also uploading their information into personal health records and apps that allow them to manage and analyze their data, and utilizing connected health and fitness devices that regularly collect information about them and transmit this information to other entities.
The movement of health data outside the traditional medical provider context has many potential benefits; however, it also raises potential privacy concerns. The seminar will address questions such as:
What types of websites, products, and services are consumers using to generate and control their health data, and how are consumers using them?
Who are the companies behind these websites, products, and services, what are their business models, and what does the current marketplace look like?
How can consumers benefit from these companies’ websites, products, and services?
What actions are these companies taking to protect consumers’ privacy and security?
What do consumers expect from these companies regarding privacy and security protections?
Do consumers differentiate between these companies and those that offer traditional medical products and services that are covered by HIPAA?
What restrictions, if any, do advertising networks and others impose on tracking of health data?
Delivered by Craig Brammer at CITIH 2011. Focus on discussion of regional and national initiatives and opportunities for regional partners to leverage them for driving healthcare improvements, public health and research.
This session will provide a broad perspective on the many initiatives related to HIT. Experts from the regional and national level will discuss data models, privacy concerns and adoption strategies from their different perspectives. Also addressed will be planning for NHIN direct adoption as a complimentary strategic to full HIEs.
This presentation was given to an intimate group of attendees at the offices of Kegler, Brown, Hill & Ritter on 10/22/2009. Presenters included Robert Marotta, Elise Spriggs, Jeff Porter, Ralph Breitfeller, Geoffrey Stern, Rex Plouck and Jennifer Covich Bordenick.
FTC Spring Privacy Series: Consumer Generated and Controlled Health DataBrian Ahier
Increasingly, consumers are taking a more active role in managing and generating their own health data. For example, consumers are researching their health conditions and diagnosing themselves online. Consumers are also uploading their information into personal health records and apps that allow them to manage and analyze their data, and utilizing connected health and fitness devices that regularly collect information about them and transmit this information to other entities.
The movement of health data outside the traditional medical provider context has many potential benefits; however, it also raises potential privacy concerns. The seminar will address questions such as:
What types of websites, products, and services are consumers using to generate and control their health data, and how are consumers using them?
Who are the companies behind these websites, products, and services, what are their business models, and what does the current marketplace look like?
How can consumers benefit from these companies’ websites, products, and services?
What actions are these companies taking to protect consumers’ privacy and security?
What do consumers expect from these companies regarding privacy and security protections?
Do consumers differentiate between these companies and those that offer traditional medical products and services that are covered by HIPAA?
What restrictions, if any, do advertising networks and others impose on tracking of health data?
Interoperability is one of the most critical issues facing the health care industry today. A universal exchange language is needed to assist health care providers in sharing health information in order to coordinate diagnosis and treatment, while maintaining privacy and security of personal data. Health Information Exchanges (HIE) allow for the movement of clinical data between disparate systems; they enable providers to electronically share health records through a network. This presentation provides an overview of HIE and the Meaningful Use requirement related to the exchange of clinical information as well as information about standards of exchange and the recommended "next steps" for providers.
e-health & quality of care - business research and practice - medicinfo & twe...Bart Brandenburg
Lecture held at Twente University, about the challenges, possibilities, lessons learned and research questions involved with developing e-health at Medicinfo.
Business, research and practice put into action!
Deep Blue Communications is the leader in engineering, installing and supporting hospitality networks that ensure your property opens on time, on budget, with all your technologies working together the way they should - on day one. With over 10 years’ experience, Deep Blue has made the INC 5000 List of the Fastest Growing Companies, emerging as a pioneer in converged networks for properties by seamlessly integrating hospitality, retail and entertainment services. Deep Blue collaborates with you and your technology vendors to design and install the network, manage all 3rd party product integrations and provide ongoing support, streamlining operations with solutions that deliver the best ROI within your budget. We help businesses across the United States, Canada, Mexico and the Caribbean elevate their guest experience. For more information, contact sales@deepbluecommunications.com, call 844-389-2718, or visit www.deepbluecommunications.com.
Health Care Data Sets and their purpose
UHDDS, UACDS, MDS, OASIS, DEEDS and EMDS.
Explain the standardization data collection efforts.
Explain the five type of standards that need to be in place to implement the Nationwide Health Information Network (NHIN).
Standard Development Organizations
Evolving and Emerging Health Information Standards
Interoperability is one of the most critical issues facing the health care industry today. A universal exchange language is needed to assist health care providers in sharing health information in order to coordinate diagnosis and treatment, while maintaining privacy and security of personal data. Health Information Exchanges (HIE) allow for the movement of clinical data between disparate systems; they enable providers to electronically share health records through a network. This presentation provides an overview of HIE and the Meaningful Use requirement related to the exchange of clinical information as well as information about standards of exchange and the recommended "next steps" for providers.
e-health & quality of care - business research and practice - medicinfo & twe...Bart Brandenburg
Lecture held at Twente University, about the challenges, possibilities, lessons learned and research questions involved with developing e-health at Medicinfo.
Business, research and practice put into action!
Deep Blue Communications is the leader in engineering, installing and supporting hospitality networks that ensure your property opens on time, on budget, with all your technologies working together the way they should - on day one. With over 10 years’ experience, Deep Blue has made the INC 5000 List of the Fastest Growing Companies, emerging as a pioneer in converged networks for properties by seamlessly integrating hospitality, retail and entertainment services. Deep Blue collaborates with you and your technology vendors to design and install the network, manage all 3rd party product integrations and provide ongoing support, streamlining operations with solutions that deliver the best ROI within your budget. We help businesses across the United States, Canada, Mexico and the Caribbean elevate their guest experience. For more information, contact sales@deepbluecommunications.com, call 844-389-2718, or visit www.deepbluecommunications.com.
Health Care Data Sets and their purpose
UHDDS, UACDS, MDS, OASIS, DEEDS and EMDS.
Explain the standardization data collection efforts.
Explain the five type of standards that need to be in place to implement the Nationwide Health Information Network (NHIN).
Standard Development Organizations
Evolving and Emerging Health Information Standards
Personnel Planning and Recruiting ( chapter 5 )Qamar Farooq
After studying this chapter, you should be able to:
1. Explain the main techniques used in employment planning and forecasting.
2. List and discuss the main outside sources of candidates.
3. Effectively recruit job candidates.
4. Name and describe the main internal sources of candidates.
5. Develop a help wanted ad.
6. Explain how to recruit a more diverse workforce.
February 10, 2011 BDPA Charlotte Program meeting.
Presented by:
Karen D. Hill, RHIA
Recruitment/Placement Specialist
ONC HIT Grant
Health Sciences Division
Central Piedmont Community College
Health Information Technology Workforce Development Program
Central Piedmont Community College
Please research Meaningful Use. Prepare a brief report on its origin.pdfsolimankellymattwe60
Please research Meaningful Use. Prepare a brief report on its origin, its purpose, how it is
conducted, etc. Please make sure you understand and explain the three different stages.
Solution
Meaningful Use(MU)
Purpose: The concept of meaningful use rested on the \'5 pillars\' of health outcomes policy
priorities, namely:
->Improving quality, safety, efficiency, and reducing health disparities
->Engage patients and families in their health
->Improve care coordination
->Improve population and public health
->Ensure adequate privacy and security protection for personal health information
Origin:
The American Reinvestment & Recovery Act (ARRA) was enacted on February 17, 2009.
ARRA includes many measures to modernize our nation\'s infrastructure,
one of which is the \"Health Information Technology for Economic and
Clinical Health (HITECH) Act\". The HITECH Act supports the concept of
electronic health records - meaningful use [EHR-MU], an effort led by
Centers for Medicare & Medicaid Services (CMS ) and the Office of the
National Coordinator for Health IT (ONC). HITECH proposes the meaningful
use of interoperable electronic health records throughout the United States
health care delivery system as a critical national goal. Meaningful Use is
defined by the use of certified EHR technology in a meaningful manner
(for example electronic prescribing); ensuring that the certified EHR
technology is connected in a manner that provides for the electronic
exchange of health information to improve the quality of care; and that
in using certified EHR technology the provider must submit to the Secretary
of Health & Human Services (HHS) information on quality of care and other measures.
How its conducted:
As in order to encourage widespread EHR adoption, promote innovation and to avoid
imposing excessive burden on healthcare providers, meaningful use was showcased
as a phased approach, which is divided into three stages which span 2011
(data capture and sharing), 2013 (advanced clinical processes) and 2015
(improved outcomes). The incentive payments range from $44,000 over 5 years
for the Medicare providers and $63,750 over 6 years for Medicaid providers
(starting in 2011). Participation in the CMS EHR incentive program is totally
voluntary, however if EPs or EHs fail to join in by 2015, there will be negative
adjustments to their Medicare/Medicaid fees starting at 1% reduction and escalating
to 3% reduction by 2017 and beyond.
The CDC currently offers several types of technical assistance to state and
local health departments related to Meaningful Use, including:
->Meaningful Use Public Health Technical Assistance Team - To request assistance
from this team, email meaningfuluse@cdc.gov with “Request for Technical Assistance”
in the Subject line.The CDC National Program of Cancer Registries provides support
and tools for cancer registries. For more info visit its official website
->The CDC Immunization Information Systems Support Branch (IISSB) provides technic.
Meaningful Use Stage 2 and Health Information Exchange (HIE)MassEHealth
Transformational intent of Meaningful Use (MU) and the increased trend toward interoperability in MU Stage 2 (MU2); MU2 objectives with an HIE component and their MU2 measures; Approaches to achieving the transitions of care; Available public health registries and their current status and submission pathway; How to find a trading partner and best practices to engaging
Presentation by Megan Douglas, JD for the Third Annual Policy Prescriptions® Symposium
She is the associate director of Health Information Technology Policy in the National Center for Primary Care at Morehouse School of Medicine.
The symposium is designed for clinicians, healthcare workers, and healthcare executives interested in exploring the major themes that will emerge in health policy throughout the year. This year, the symposium will emphasize value in healthcare, health information technology, gun violence, insurance choices, the Affordable Care Act, and the viewpoints of the Presidential candidates on health care.
Quality Improvement Strategies: quality improvement tools, factors that help to create and sustain Healthcare Informatics as a new field. quality improvement cycle: PDCA (Plan, Do, Check, Act) Cycle.
MeHI Privacy & Security Webinar 3.18.15MassEHealth
Top Reason Why Providers Fail Meaningful Use Audits: Inadequate Security Risk Analysis
Providers are losing incentive dollars by not meeting the Meaningful Use Privacy & Security Measure.
Get on track with your Security Risk Assessment and attest to Meaningful Use with MeHI’s support & solutions:
• Assess your practice’s privacy and security status
• Develop remediation plans to resolve gaps
• Communicate resolution steps to the providers involved
• Track progress in addressing outstanding issues
Let us help you conduct a security risk analysis and address deficiencies and potential threats and ensure that your practice is compliant and that patient data is safe-guarded.
MeHI Mass HIway: Quick Guide to Using WebmailMassEHealth
The Mass HIway is the state's health information exchange which enables healthcare providers to send and receive information securely. If a provider practice has not yet implemented an EHR or is waiting on an EHR interface configuration they may choose webmail to connect to the Mass HIway. Webmail is a connection type option that allows providers to communicate via the Mass HIway through.
MeHI Regional Health IT Meetings - Worcester, MA - Nov, 2013MassEHealth
Presentation from the Massachusetts eHealth Institute Regional Health IT meeting in Worcester, MA in November, 2013. Featuring Larry Garber from Reliant Medical Group.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
DISSERTATION on NEW DRUG DISCOVERY AND DEVELOPMENT STAGES OF DRUG DISCOVERYNEHA GUPTA
The process of drug discovery and development is a complex and multi-step endeavor aimed at bringing new pharmaceutical drugs to market. It begins with identifying and validating a biological target, such as a protein, gene, or RNA, that is associated with a disease. This step involves understanding the target's role in the disease and confirming that modulating it can have therapeutic effects. The next stage, hit identification, employs high-throughput screening (HTS) and other methods to find compounds that interact with the target. Computational techniques may also be used to identify potential hits from large compound libraries.
Following hit identification, the hits are optimized to improve their efficacy, selectivity, and pharmacokinetic properties, resulting in lead compounds. These leads undergo further refinement to enhance their potency, reduce toxicity, and improve drug-like characteristics, creating drug candidates suitable for preclinical testing. In the preclinical development phase, drug candidates are tested in vitro (in cell cultures) and in vivo (in animal models) to evaluate their safety, efficacy, pharmacokinetics, and pharmacodynamics. Toxicology studies are conducted to assess potential risks.
Before clinical trials can begin, an Investigational New Drug (IND) application must be submitted to regulatory authorities. This application includes data from preclinical studies and plans for clinical trials. Clinical development involves human trials in three phases: Phase I tests the drug's safety and dosage in a small group of healthy volunteers, Phase II assesses the drug's efficacy and side effects in a larger group of patients with the target disease, and Phase III confirms the drug's efficacy and monitors adverse reactions in a large population, often compared to existing treatments.
After successful clinical trials, a New Drug Application (NDA) is submitted to regulatory authorities for approval, including all data from preclinical and clinical studies, as well as proposed labeling and manufacturing information. Regulatory authorities then review the NDA to ensure the drug is safe, effective, and of high quality, potentially requiring additional studies. Finally, after a drug is approved and marketed, it undergoes post-marketing surveillance, which includes continuous monitoring for long-term safety and effectiveness, pharmacovigilance, and reporting of any adverse effects.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Antimicrobial stewardship to prevent antimicrobial resistanceGovindRankawat1
India is among the nations with the highest burden of bacterial infections.
India is one of the largest consumers of antibiotics worldwide.
India carries one of the largest burdens of drug‑resistant pathogens worldwide.
Highest burden of multidrug‑resistant tuberculosis,
Alarmingly high resistance among Gram‑negative and Gram‑positive bacteria even to newer antimicrobials such as carbapenems.
NDM‑1 ( New Delhi Metallo Beta lactamase 1, an enzyme which inactivates majority of Beta lactam antibiotics including carbapenems) was reported in 2008
7. MeHI | How We Help
Awareness
Education
Motivate
Qualify
Engage
Adopt
Communications
Regional Extension Center
Webinar Series
Recruiting a few new providers
Regional Meeting Series
Helping providers get to
Meaningful Use
HIway Newsletter
EU-US Conference
October 22-23
Medicaid EHR Incentive Program
Processing 2013 MU applications
HIE Last Mile Program
HIway Implementation Grants
HIway Vendor Grants
7
Implement
Optimize
Impact
eHealth
Economic
Development
eHealth Firm
Listing (>150
firms in MA)
Workforce
Planning
Provider and
Consumer
Research
12. Why did we go paperless
Improve
efficiency
Improve documentation
Patient Safety
Improved information access
Care-Coordination
Blue Cross grant support
Reporting
13. The Brockton Neighborhood
Health Center Story
Started
in a church parking lot 1 physician
19 years ago
Expanded to 2 story office with 10
providers. Administrative and dental
office in separate building
Moved to new building 6 years ago- 40
providers, 26,000 patients and 150,000
visits per year.
14. MAEHC-Mass E-Heath
Coalition
Founded
in 2004 with a BCBS 50 million $
grant to bring EHR technology to 3
communities
Brockton chosen as 1 community (also
North Adams and Newburyport
2005- vetting of systems,
2006 GOLIVE with NextGen EMR/EPM
15. System Choice
Practice
size/scalability
Specialty support
Reporting- quality and business reports
User friendliness
Plays well with others
Meaningful Use certified
Amount of IT support needed
16.
17. PRE-GO LIVE
Choose a system- and pay for it
Map workflows- translate to EHR processes
TRAIN,TRAIN,TRAIN!
Decide on infrastructure
Decide on go live scheduling modificationsDecide how much data to abstract
Data conversion if using another EHR
Play with/test system in test environment
Pick a EHR Champion
Get a super-user group together to guide process
18. GO LIVE
Cut
schedule by 50% for 1-4 weeks
Have experts/superusers on hand to
trouble shoot and provide support
Expect some problems- have backup
methods ready to go
19. Lessons Learned
Keep
on track of workload(chart
completion, task completion, ect)
Make sure reports are correct- vet them
You cannot train too much
Communicate- superuser group is a good
venue
Try to keep template modifications to a
minimum- complicates upgrades
20. When the system goes down
DON’T
PANIC
Have backup worflows in place before
this happens (downtime packets)
Have processes in place to backup data
Don’t throw away paper forms (archive
them)
Make sure data gets back into EHR when
it is back up (RX,problem lists, visit notes)
22. EHR incentives
Meaningfull
use:
$44,000 for medicare eligible providers
$63,750 for medicade eligible providers
Initial attestation that you are using a MU
certified system
Stage 1: some thresholds, some measures
simply require that you be able to report
data
Stage 2- more and higher thresholds
Stage 3- stay tuned!
23. Medicare ERX Incentive
Thresholds
for # of ERX’s sent (low)
Penalties for not participating (2%)
Incentive is 0.5% of medicare billing
Must submit G8553 code when submitting
and ERX on a medicare patient
25. What can MeHIdo for you?
Funds
IOO’s (Implementation
Optimization Organization) to help
implement EHR use
Funds consulting services to reach MU
(REC program)
Implementation grants to help with care
coordination
Educational services
(webinars/conferences/site visits)
26. Mass HIway
The Massachusetts Health Information Highway (The HIway) will further
advance the Commonwealth’s goal to electronically connect all of its
health care community. The Commonwealth is working with public and
private partners to extend its existing technology infrastructure. The
HIway will be implemented in three phases.
Phase One will support the direct connectivity among health care
providers.
Subsequent phases will support the analysis of protected health
information (PHI) to better manage the quality and cost of care
delivered; and query and retrieval of information across the health care
community to achieve the best possible care coordination for
Massachusetts residents.
When fully developed, The HIway will provide a mechanism for the
Commonwealth’s entire health care community—residents, providers,
public health officials and others—to have appropriate access to health
information
27. FUTURE DIRECTIONS
Mass
HIway connection- case
management project with Network
Health
MU Stage 2
Patient Portal
Electronic Dental Record (go live 10/1)
UPGRADE
Improve patient education software
Improve quality reporting
capacity/accuracy
28. Coordinating and
Improving Care through
the Mass HIway
Sean Kennedy
Mass eHealth Institute
Director, Health Information Exchange
Discuss the state agency alignmentGoal to become the go-to for all things Health IT
Bullet #2. We are ranked right behind Maine. Rumor has it we are getting close to #1. (cannot verify this so use “rumor”) CMS site still has us at #2Bullet #3. We are ranked behind Wisconsin, Minnesota, and North Dakota
EasCare Ambulance & Boston Healthcare for the Homeless HIway Grant >> Exchanging patient information who are moving to and from respite facility including patient demographics and care history. Replaces paper and phone hand-offBaystate Health coordinates care for high-risk heart failure patients for important AIMS including Transition of Care Alert, Information Exchange on medication and procedures, and discharge care planMilford Hospital using HIway for discharge summaries from acute care to Skilled Nursing Facilities and Home HealthNorth Adams Regional Hospital is using the HIway for referrals from specialty care to home health Umass Memorial Health Care will exchange patient data with CVSCaremark Minute Clinic sites for a two-way patient data exchange initiative.
2014 Edition certification criteria defines the content standards (C-CDA, Continuity of Care Document/Continuity of Care Record (CCD/C32 or CCR) for the create and display capabilities; the criteria provides options for the transport standards used in implementing the transmit and receive capabilities. Required. The Applicability Statement for Secure Health Transport specification v1.1 (Direct or the Direct Project) Optional. Applicability Statement for Secure Health Transport specification and the Cross-Enterprise Document Reliable Interchange and Cross-Enterprise Document Media Interchange (XDR and XDM) for Direct Messaging specification Optional. The Simple Object Access Protocol (SOAP)-Based Secure Transport Requirements Traceability Matrix (RTM) v1.0 standard and the XDR and XDM for Direct Messaging specification
Massachusetts has adopted a 2-phase approach to the development of its HIE infrastructure…