Glossary of Health Information Exchange Related Terms
ACTIVE USER
KHIE considers an active user to be one who has logged into the ePartnerViewer, KHIE's web-based clinical portal, within the last 90 days.
ADMIT, DISCHARGE, TRANSFER MESSAGE (ADT)
ADTs are HL7 messages used to communicate details about a patient. An ADT message can identify the patient's state of 'admission, discharge, or transfer' within a healthcare system and contain patient demographic information such as the next of kin, attending doctor, and the name of the patient's insurance.
CABINET FOR HEALTH AND FAMILY SERVICES (CHFS)
The state government agency that administers programs to promote the mental and physical health of Kentuckians and support Kentucky's families.
CENTER FOR DISEASE CONTROL AND PREVENTION (CDC)
The nation's health protection agency. The CDC conducts critical science and provides health information that protects the U.S. against expensive and dangerous health threats and responds when these threats arise.
CONTINUITY OF CARE DOCUMENT (CCD)
Generic term for an electronically generated, patient-specific clinical summary document. These are also known as Summary of Care Documents and Summarization of Episode Notes. The purpose of a CCD is to improve communication between healthcare providers during a transition of care—when a patient is being referred to another provider or coming back to their normal provider after a hospital stay. CCDs are generated out of a provider's electronic medical record system and include care summary information.
CROSS ENTERPRISE DOCUMENT SHARING (XDS.B) AND CROSS-COMMUNITY ACCESS (XCA)
This is KHIE's Platinum Service. It is based on the Integrating the Healthcare Enterprise (IHE) platform. It supports the means to query and retrieve patient health data; it is designed to improve the way healthcare providers with electronic record systems communicate with each other.
DATA PROVIDER
Participant organization that makes patient health information available from its electronic system to KHIE with the purpose of sharing/exchanging with other KHIE Participants.
DATA RECIPIENT
Participant organization that receives patient health information from KHIE.
DATE OF BIRTH (DOB)
Date of a person’s birth, expressed as a specific day, month, and year.
DIGITAL IMAGING AND COMMUNICATIONS IN MEDICINE (DICOM)
Standard for the communication and management of medical imaging information and related data; DICOM enables the transfer of medical images across systems and facilitates the development and expansion of picture archiving.
DIRECT SECURE MESSAGING
A national encryption standard for securely exchanging healthcare data over the Internet. This type of data enables the secure transport of patient health information, such as clinical summaries, admissions and discharges, labs, Advance Directives, etc., directly to another known and trusted recipient over a secure and encrypted network provided by KHIE.
ELECTRONIC CASE REPORTING (eCR)
Automated, secure creation of communicable disease case reports from an electronic health record system that are transmitted through KHIE via Direct Secure Messaging (DSM) to the Kentucky Department for Public Health for review and action. Case reporting complements electronic laboratory reporting by providing critical clinical and demographic data that may not be included in laboratory reports.
ELECTRONIC INITIAL CASE REPORT (eICR)
The electronic initial case report is termed 'initial' because the report may be the first report made to public health from the clinical provider. The report may contains pertinent data for the public health agency to initiate investigation or conduct other appropriate public health activities, such as contact tracing.
ELECTRONIC HEALTH RECORD (EHR)
Digital version of a patient's paper chart. EHR's are real-time, patient-centered records that make information available instantly and securely to authorized users. The key feature of an EHR is that health information can be shared with other providers across more than one health care organization; therefore, EHRs could contain information from all clinicians involved in a patient's care.
ELECTRONIC LABORATORY REPORTING (ELR)
Automated reporting of communicable disease lab information funneled through KHIE to the Kentucky Department for Public Health and NEDSS.
ELECTRONIC MEDICAL RECORD (EMR)
Digital version of a patient’s paper chart in a clinician’s office that includes the medical and treatment history provided by that one medical office. It does not include records from any other healthcare practice or organization involved in the patient’s care.
ELECTRONIC PROTECTED HEALTH INFORMATION (ePHI)
Electronic information relating to the diagnosis, treatment, tests, prognosis, admission, discharge, transfer, prescription, and/or other information implicitly or explicitly identifying an individual, as defined by 45 CFR §160.103.
ENCOUNTER
An encounter is an interaction between a clinician and a patient. KHIE receives encounter information from Participants and makes it available in the health information exchange.
ePartnerViewer
KHIE's customizable web-based portal that offers authorized Participants direct access to patient data available in the health information exchange. The portal contains patient health information from hospitals, health systems, provider practices, specialty offices, clinics, behavioral health centers, correctional facilities, EMS systems and more to offer a single location to access a patient's comprehensive and consolidated health record.
EVENT NOTIFICATION SERVICE
KHIE service that informs providers on patient transitions from various healthcare settings back to the practice.
HEALTH INFORMATION EXCHANGE (HIE)
Health Information Exchange (HIE) can be defined as a noun and as a verb. As a noun, an HIE is the entity that is responsible for overseeing or facilitating the exchange of health information among a diverse group of healthcare stakeholders within and across regions, according to nationally recognized standards. As a verb, health information exchange is the process by which the data can be exchanged.
HEALTH LEVEL SEVEN (HL7)
Provides a framework and related standards for the exchange, integration, sharing, and retrieval of electronic health information. These standards define how information is packaged and communicated from one party to another, setting the language structure and data types required for seamless integration between systems.
IMAGE EXCHANGE
KHIE service that allows authorized users to view low resolution images within the ePartnerViewer. KHIE Participants can contribute images to share with other healthcare providers and can also export images from the ePartnerViewer to their local Picture Archiving and Communication System (PACS) to view high resolution images.
INACTIVE USER
KHIE considers an inactive user to be one who has not logged into the ePartnerViewer, KHIE’s web-based clinical portal, in over 90 days.
INTEROPERABILITY
Ability of different information systems, devices, and applications (systems) to access, exchange, integrate and cooperatively use data in a coordinated manner, within and across organizational, regional, and national boundaries.
KENTUCKY CANCER REGISTRY (KCR)
Record of cancer cases and other specified tumorous and pre-cancerous diseases that occur in the state. Participants can electronically submit cancer case reporting through KHIE.
KENTUCKY IMMUNIZATION REGISTRY (KYIR)
The state's Immunization Registry. KHIE, as the public health reporting authority for KY, provides the technology platform for healthcare providers to submit immunization data to the registry. In turn, when healthcare providers query KHIE for a patient's health history, we can return the patient's immunization history in addition to the patient's clinical health data.
KENTUCKY ONLINE GATEWAY (KOG)
Kentucky’s Enterprise Identity and Access Management (IAM) and web Single Sign-On (SSO) Platform. In order to access the ePartnerViewer, Participants must have a KOG account.
KHIE PLATINUM SERVICE
This is KHIE's most sophisticated way to exchange health data. With this connection, Participants can view clinical data from KHIE seamlessly from within their own EMR/EHR system. It leverages the Integrating the Healthcare Enterprise (IHE) standard to communicate and exchange accurate and comprehensive clinical data with healthcare providers across different health enterprises. It supports the means to query and retrieve patient health data and it is designed to improve the way healthcare providers with electronic record systems communicate with each other.
NATIONAL PROVIDER IDENTIFIER (NPI)
A Health Insurance Portability and Accountability Act (HIPAA) administrative simplification standard. Each NPI is a unique identification number for covered health care providers. Covered health care providers, all health plans and health care clearinghouses will use NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a random 10-digit number with no user identifying information.
ONBOARDING ANALYST (OA)
KHIE team member who is responsible for onboarding or assisting a Participant with establishing various technical connections to KHIE to ensure patient clinical data from the Participant is available for sharing in the health information exchange, ensure clinical data is submitted for public health reporting, or both; and ensure a connection is established that enables the Participant to query the health information exchange for patient data.
OUTREACH COORDINATOR (OC)
KHIE team member who initially works with the Participant to assist with the onboarding process. The OC introduces KHIE and the services offered. The OC works with the Participant to develop a service path or blueprint outlining the services the Participant is interested in pursuing with KHIE. After managing the administrative side of onboarding, the OC transitions the Participant to an Onboarding Analyst to start the technical onboarding, but remains in communication with the Participant throughout the entire onboarding process. KHIE has four Outreach Coordinators strategically located across the state.
PARTICIPANT
A healthcare organization that has executed a participation agreement with the Kentucky Health Information Exchange, (KHIE), enabling the organization to send and receive clinical data through the Health Information Exchange (HIE).
PERSONALLY IDENTIFIABLE INFORMATION (PII)
Any information such as name, address, social security number or other identifying number or code, telephone number, or email address that permits the identity of an individual to be directly or indirectly inferred. If such information pertains to the health care of an individual, and is accessed or disclosed by or on behalf of a HIPAA covered entity, then the information is considered protected health information.
POINT OF CARE (POC)
Point of care has several meanings in healthcare.
1. Point in time when clinicians deliver healthcare products and services to patients at the time of care.
2. At KHIE, POC is used to reference a ‘business’ or healthcare organization’s physical location or owned organizations.
PRESCRIPTION DRUG MONITORING PROGRAM (PDMP)
A PDMP is an electronic database that tracks controlled substance prescriptions in a state. PDMPs can provide health authorities timely information about prescribing and patient behaviors that contribute to the epidemic and facilitate a nimble and targeted response. KASPER is Kentucky’s PDMP. KHIE is integrated with KASPER. When an authorized user of KASPER queries the KHIE system for a patient who has a PDMP report, the user can view it in KHIE. This eliminates the need to search in two different places for patient data.
PROMOTING INTEROPERABILITY (FORMERLY MEANINGFUL USE)
The Health Information Technology for Economic and Clinical Health Act (HITECH) established Medicare and Medicaid programs to provide incentive payments for meaningful use of certified electronic health records (EHR) technology. KHIE provides support for Promoting Interoperability, formerly Meaningful Use, and Quality Payment Programs for public health and clinical data registry reporting for the following: Kentucky Immunization Registry, ELR, Syndromic Surveillance, Cancer Registry, and Advance Directive.
PROTECTED HEALTH INFORMATION (PHI)
Health data created, received, stored, or transmitted by HIPAA-covered entities and their business associates in relation to the provision of healthcare, healthcare operations, and payment for healthcare services.
QUALITY PAYMENT PROGRAM
Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) required incentive program that rewards high-value, high-quality Medicare clinicians with payment increases - while at the same time reducing payments to those clinicians who aren’t meeting performance standards. Clinicians have two tracks to choose from in the Quality Payment Program based on the practice size, specialty, location, or patient population: the Merit-based Incentive Payment System (MIPS) or the Advanced Alternative Payment Models.
SERVICE LEVEL AGREEMENT (SLA)
Agreement between KHIE and another party that outlines the scope of service, roles and responsibilities, and business operations support for the KHIE service.
USER
Individual authorized by a KHIE Participant to access the data available in KHIE.
VENDORS
Sellers/suppliers of EMR/EHR systems to KHIE Participants. Authorized by and on behalf of a KHIE Participant, an EMR/EHR vendor typically works with KHIE's technical team to establish connectivity. The vendor supports and maintains the interface connection to KHIE.
VIRTUAL PRIVATE NETWORK (VPN)
A VPN is an encrypted point-to-point interface, also called a tunnel, connection that allows the safe transmission of health information.
INFLUENCING THE WAY HEALTHCARE IS PLANNED, COORDINATED, AND DELIVERED.