1. © Copyright 2011, Alembic Foundation. All Rights Reserved. Open Architectures for Health Tech@State: Open Source Conference February 11, 2011 Tech@State: Open Source Conference February 11, 2011 David L. Riley, President, Alembic Foundation

2. © Copyright 2011, Alembic Foundation. All Rights Reserved. Nationwide Health Information Network Exchange and CONNECT The Nationwide Health Information Network is a set of standards, services, and policies that enable secure health information exchange over the internet. Nationwide Health Information Network Exchange connects a diverse set of federal agencies and private organizations to securely exchange electronic health information using the Nationwide Health Information Network services. (For example: SSA – MedVirginia, DoD, VA and KP) CONNECT is a federally funded and developed open source reference implementation of the Nationwide Health Information Network Exchange standards and services. CONNECT is using an effective public – private collaboration to create a secure, standard platform for health information exchange Nationwide Health Information Network Exchange participants save resources by using CONNECT instead of developing their own implementation of the Nationwide Health Information Network Exchange standards and services 2

3. © Copyright 2011, Alembic Foundation. All Rights Reserved. CMS CARE - Doc Submission CDC GIPSE - HIEM Messaging Platform Authorization Framework MITA - Eligibility Verification DiscoveryPullPushPub/Sub Patient Discovery HIEM Doc Submission Services Registry Query & Retrieve Docs Eligibility Verification Security Infrastructure (managed PKI) Web Services Registry Access Control Policy Nationwide Health Information Network Exchange Specifications and Operational Infrastructure 3 Transaction Profiles Utilize exchange patterns for specific transactions Discovery and Information Exchange Services Rely on foundations to enable exchange patterns Messaging, Security, & Privacy Foundations Enable private, secure, and interoperable communication of health information Operational Infrastructure Runtime systems that support the Nationwide Health Information Network Limited Production Exchange