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The information contained in this presentation is based on proposed and working documents.

Proposed Working Definition of Interoperability in Minnesota. 1. Background Variety of definitions for electronic health record (EHR) interoperability used nationally Proposed Minnesota definition draws from this workMinnesota definition adapted in part from:HL7 white paper ?Coming to Terms: Sco

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The information contained in this presentation is based on proposed and working documents.

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    2. Proposed Working Definition of Interoperability in Minnesota 1. Background Variety of definitions for electronic health record (EHR) interoperability used nationally Proposed Minnesota definition draws from this work Minnesota definition adapted in part from: HL7 white paper “Coming to Terms: Scoping Interoperability for Health Care” (HL7–2007) e-Health Initiative definition (ehealthinitiative.org, 2004) Supports statewide mandate that all health care providers adopt interoperable EHRs by 2015 Focuses on electronic exchange; health information exchange can be electronic or non-electronic 2

    3. Proposed Working Definition of Interoperability in Minnesota (continued) 2. Principles Includes key conceptual components of HL7 white paper and national e-Health Initiative definition Sufficient specificity to be useful Sufficiently dynamic to allow for necessary updating Logical and understandable in context of Minnesota e-health environment Supports Minnesota needs related to 2015 mandate 3

    4. Proposed Working Definition of Interoperability in Minnesota (continued) 3. Working Definition Interoperability of Electronic Health Records (EHR) in Minnesota means the ability of two or more EHR systems or components of EHR systems* to exchange information electronically, securely, accurately and verifiably, when and where needed; comprised of “technical”, “semantic” and “process” interoperability; the information includes transactions and standards as defined by the Commissioner of Health and currently includes the following transactions indicated below: Electronic Prescribing / Medication Management Immunization Information Exchange Laboratory Results Reporting Anticipated transactions for 2008-09 include: Exchange of clinical summaries Public Health Surveillance and Case Reporting 4

    5. Types of Interoperability 5

    6. Visual Depiction of Types of Interoperability 6

    7. Examples: Interoperability in Context of Electronic Prescribing 7

    8. Failure of Interoperability Examples 8

    9. Proposed Minnesota Roadmap for Standards and Interoperability

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