Architecture
HIEBus™ is a comprehensive SOA technology platform for deploying
health information exchanges. Among these plaform services are:
record location services (RLS), world class record-linking to enable a
community master patient index, and a peer to peer data interchange platform
that grows from small pilots to managing entire statewide populations.
HIEBus™ delivers:
- Federated, service oriented architecture
- Peer to peer data exchange
- World class identity management
- Comprehensive yet practical terminology services
- Immutable audit and logging services
- Contemporary security standards
- Granular visit, patient, and provider level opt out capabilities
Each participating institution runs the CareEvolution Adapter Service
that provides the interface between the Record Locator Service, peer institutions,
and the institution's local clinical data sources (EMR/CDR, LIS, Pharmacy,
Dictations)
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The Record Locator Service (RLS) maintains an index of the locations of
patient records for each person in the system. Clinical information is
never sent to the RLS. Furthermore, the RLS only stores secured, blinded
demographic information necessary for record linking. When a patient is
registered with an institution, a query is submitted to the RLS and the RLS
returns the location of any matching records. A location consists of a
site identifier and a record identifier specific to the remote site.
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- Peer to Peer Data Exchange
Finally, the located data interchange is managed purely amongst the adapters
institutions using encrypted web services.
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