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S L Fritz Consulting LLC

Enterprise Application Consultancy

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Health (Patient) Information Exchange (HIE)

Commonly known as a Patient Information Exchange, the Health Information Exchange (HIE) facilitates a broad range of patient information sharing needs.  Most states provide for some form of health information sharing across business entities.

Three transfer depots are utilized by the exchange hub;


  1. Allow for the pull of patient information from one care giver to another
  2. A central repository for orders and results available for query by an external party
  3. Allow for the push of electronic medical records as mobile patients change geographies or care givers


To provide for secure and filtered information in and out, the HIE works in conjunction with the Patient Portal import / export engines.  This way information is reviewed and deposited into the appropriate patient record and coded to note the source.  Conversely, data exported is placed in secure repositories awaiting authorized pickup.  Full audit trails guide the trafficking of all information at all times.


Within the care givers environment are two key components.  First is the Enterprise Middleware Exchange.  It facilitates the movement of information among dispersant application systems.  For example, the admission of a patient is communicated to billing, housekeeping, and the destination department.  Secondly, the use of standardized Health Information Exchange functionality assist in moving data in and out of the organization – such as primary care groups that are independently chartered  from the hospital but admit patients for surgery.

External to the organization are both Regional Health Information Organizations and Statewide Health Information Networks.  Detailed data mapping is required to format the formation to meet the requirements of the RHIO and SHIN.