Running head: MILESTONE TWO: INTEROPERABILITY AND DATA DICTIONARY
Milestone Two
Southern New Hampshire University
Milestone Two
MILESTONE TWO: INTEROPERABILITY AND DATA DICTIONARY
There are several classification standards and terminologies that will be necessary for
successful interoperability and security of the Health Information Exchange (HIE). The
classification standards what will be necessary for interoperability and security are the
International Classification of Diseases (ICD) and the Healthcare Common Procedure Coding
System (HCPCS). The ICD facilitates the storage and retrieval of diagnostic information and
serves as the basis for compiling mortality and morbidity statistics (Oachas & Watters, p. 147).
HCPCS is "used to report services and supplies primarily for reimbursement purposes in the
outpatient or ambulatory setting" (Oachs & Watters, 2020, p. 150). The terminologies that will be
necessary include the Current Procedural Terminology (CPT), Diagnostic and Statistical Manual
of Mental Disorders (DSM-5), International Classification of Primary Care (ICPC), Current
Dental Terminology (CDT), and National Drug Codes (NDC's) (Oachs & Watters, 2020, p. 152-
155).
For the HIE to be successful it will need key technologies that provide interoperability
and security. Direct secure messaging can send data similar to a fax or email to a specific digital
recipient. It fulfills the interoperability and security standards by using authentication and
advanced encryption protocols making it a trusted and highly secure method of transmitting
electronic protected health information (ePHI) (Healthcare Drive, 2020). The master patient
index (MPI) will be used a s a patient identifying directory that references all patients related to a
healthcare facility, is a link to the patient health record or information and assists in maintaining
a longitudinal patient record from birth to death (Sayles, 2018). Additionally, the Record Locator
Service (RLS) is an important technology as it identifies where records are located based on
specific criteria as well as providing for context-sensitive information location based upon
matching metadata requirements (Oachs & Watters, 2020, p. 397).
MILESTONE TWO: INTEROPERABILITY AND DATA DICTIONARY
The most important regulation that affects the exchange of ePHI is the Health Insurance
Portability and Accountability Act of 1996 (HIPAA). The patient's decision to not share their
health information is protected by HIPAA. Should the patient's decision not be respected by the
provider could mean critical consequences. If a complaint is filed to the Office of Civil Rights
(OCR) and the OCR finds that the provider has been negligent in the compliance with HIPAA
privacy regulations, the provider could suffer significant fines (Oachs & Watters, 2020, p. 391)
Each state has their own governance that determines the rules for HIE participation but obtaining
consent for the HIE is a requirement before enrolling the patient in that system.
The HIPAA Privacy Rule establishes a set national standard for the protection of certain
health information. To be compliant with this rule there are several steps that an organization
should follow to protect this information. The Privacy Rule requires the organization to nominate
a specific "Privacy Officer" who will "maintain responsibility for developing and implementing
any policies and procedures needed to becom