Welcome to Interoperability Standards Advisory (ISA)

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I-A: Allergies and Intolerances

Representing Patient Allergic Reactions
Representing Patient Allergies and Intolerances; Medications
Representing Patient Allergies and Intolerances; Food Substances
Representing Patient Allergies and Intolerances; Environmental Substances

I-B: Encounter Diagnosis

Representing Patient Medical Encounter Diagnosis
Representing Patient Dental Encounter Diagnosis

I-C: Family Health History

Representing Patient Family Health History

I-D: Functional Status/Disability

Representing Patient Functional Status and/or Disability

I-E: Health Care Providers

Representing Health Care Providers
Representing Provider Role in Team Care Settings

I-F: Imaging (Diagnostics, Interventions and Procedures)

Representing Imaging Diagnostics, Interventions and Procedures

I-G: Immunizations

Representing Immunizations – Historical
Representing Immunizations – Administered

I-H: Industry and Occupation

Representing Patient Industry and Occupation

I-I: Lab Tests

Representing Laboratory Tests

I-J: Medications

Representing Patient Medications

I-K: Units of Measure

Representing Units of Measure (For Use with Numerical References and Values)

I-L: Nursing

Representing Clinical/Nursing Assessments
Representing Nursing Interventions
Representing Outcomes for Nursing
Representing Patient Problems for Nursing

I-M: Patient Clinical “Problems” (i.e., conditions)

Representing Patient Clinical “Problems” (i.e., Conditions)

I-N: Preferred Language

Representing Patient Preferred Language (Presently)

I-O: Procedures

Representing Dental Procedures Performed
Representing Medical Procedures Performed

I-P: Race and Ethnicity

Representing Patient Race and Ethnicity

I-Q: Research

Representing Analytic Data for Research Purposes

I-R: Sex at Birth, Sexual Orientation and Gender Identity

Representing Patient Gender Identity
Representing Patient-Identified Sexual Orientation
Representing Patient Sex (At Birth)

I-S: Social Determinants

Representing Social Connection and Isolation
Representing Exposure to Violence (Intimate Partner Violence)
Representing Financial Resource Strain
Representing Level of Education
Representing Stress
Representing Depression
Representing Physical Activity
Representing Alcohol Use

I-T: Tobacco Use (Smoking Status)

Representing Patient Tobacco Use (Smoking Status)

I-U: Unique Device Identification

Representing Unique Implantable Device Identifiers
Defining a Globally Unique Device Identifier
Transmitting a Unique Device Identifier
Registering and Tracking Patient Device Identifiers

I-V: Vital Signs

Representing Patient Vital Signs

II-A: Admission, Discharge, and Transfer

Sending a Notification of a Patient’s Admission, Discharge and/or Transfer Status to Other Providers
Sending a Notification of a Long Term Care Patient’s Admission, Discharge and/or Transfer Status to the Servicing Pharmacy

II-B: Care Plan

Documenting and Sharing Care Plans for a Single Clinical Context
Domain or Disease-Specific Care Plan Standards
Sharing Patient Care Plans for Multiple Clinical Contexts

II-C: Clinical Decision Support

Sharable Clinical Decision Support
Provide Access to Appropriate Use Criteria
Communicate Appropriate Use Criteria with the Order and Charge to the Filling Provider and Billing System for Inclusion on Claims

II-D: Clinical Quality Measurement

Sharing Quality Measure Artifacts for Quality Reporting Initiatives

II-E: Clinical Quality Reporting

Reporting Aggregate Quality Data to Federal Quality Reporting Initiatives
Reporting Patient-level Quality Data to Federal Quality Reporting Initiatives
Reporting Patient-level and Aggregate Quality Data for Quality Reporting and Evaluation

II-F: Data Provenance

Establishing the Authenticity, Reliability, and Trustworthiness of Content Between Trading Partners

II-G: Diet and Nutrition

Exchanging Diet and Nutrition Orders Across the Continuum of Care

II-H: Drug Formulary & Benefits

The Ability for Pharmacy Benefit Payers to Communicate Formulary and Benefit Information to Prescribers Systems

II-I: Electronic Prescribing

A Prescriber’s Ability to Create a New Prescription to Electronically Send to a Pharmacy
A Prescriber’s Ability to Grant a Refill Request to the Pharmacy
Allows the Pharmacy to Respond to Prescriber with a Change on a New Prescription
Cancellation of a Prescription
Pharmacy Notifies Prescriber of Prescription Fill Status
A Prescriber’s Ability to Obtain a Patient’s Medication History
Allows Prescriber to Electronically Request Prior Authorization for Medications
Prior Authorization Cancel Request

II-J: Family Health History (Clinical Genomics)

Representing Family Health History for Clinical Genomics

II-K: Healthy Weight

Sending Healthy Weight Information

II-L: Images

Medical Image Formats for Data Exchange and Distribution
Format of Medical Imaging Reports for Exchange and Distribution
Format of Radiology Reports for Exchange and Distribution

II-M: Laboratory

Support the Transmission of a Laboratory’s Directory of Services to Health IT
Receive Electronic Laboratory Test Results
Ordering Labs for a Patient

II-N: Medical Device Communication to Other Information Systems/Technologies

Transmitting Patient Vital Signs from Medical Devices to Other Information Systems/Technologies

II-O: Patient Education Materials

A Standard Mechanism for Clinical Information Systems to Request Context-Specific Clinical Knowledge From Online Resources

II-P: Patient Identification Management

Sending a Message for Patient Identification Management Within a Community

II-Q: Patient Preference/Consent

Recording Patient Preferences for Electronic Consent to Access and/or Share their Health Information with Other Care Providers

II-R: Public Health Reporting

Reporting Antimicrobial Use and Resistance Information to Public Health Agencies
Reporting Cancer Cases to Public Health Agencies
Case Reporting to Public Health Agencies
Electronic Transmission of Reportable Lab Results to Public Health Agencies
Sending Health Care Survey Information to Public Health Agencies
Reporting Administered Immunizations to Immunization Registry
Reporting Syndromic Surveillance to Public Health (Emergency Department, Inpatient, and Urgent Care Settings)
Reporting Birth Defects to Public Health Agencies

II-S: Research

Integrate Healthcare and Clinical Research by Leveraging EHRs and other Health IT Systems while Preserving FDA’s Requirements
Submit Adverse Event Report from an Electronic Health Record to Drug Safety Regulators
Complete Disease Registry Forms and Submit to Reporting Authority (ACC)
Registering a Clinical Trial
Submission of Clinical Research Data to FDA to Support Product Marketing Applications
Pre-population of Research Forms from Electronic Health Records

II-T: Segmentation of sensitive information

Document-Level Segmentation of Sensitive Information

II-U: Summary care record

Support a Transition of Care or Referral to Another Health Care Provider

III-A: "Push” Exchange

An Unsolicited “Push” of Clinical Health Information to a Known Destination and Information System User
An Unsolicited “Push” of Clinical Health Information to a Known Destination Between Systems
Push Communication of Vital Signs from Medical Devices
Representing Path Traversal Expressions
Medical Device Communication to Other Information Systems/Technologies
Remote Patient Monitoring to Support Chronic Condition Management, Patient Education, and Patient Engagement

III-B: Clinical Decision Support Services

Providing Patient-Specific Assessments and Recommendations Based on Patient Data for Clinical Decision Support
Retrieval of Contextually Relevant, Patient-Specific Knowledge Resources from Within Clinical Information Systems to Answer Clinical Questions Raised by Patients in the Course of Care

III-C: Image Exchange

Exchanging Imaging Documents Within a Specific Health Information Exchange Domain
Exchanging Imaging Documents Outside a Specific Health Information Exchange Domain

III-D: Healthcare Directory, Provider Directory

Listing of Providers for Access by Potential Exchange Partners

III-E: Patient Identification Management

Exchanging Patient Identification Management Within a Community

III-F: Public Health Exchange

Transport for Immunization Submission, Reporting

III-G: Publish and Subscribe

Publish and Subscribe Message Exchange

III-H: Query

Query for Documents Within a Specific Health Information Exchange Domain
Query for Documents Outside a Specific Health Information Exchange Domain
Data Element Based Query for Clinical Health Information

III-I: Resource Location

Care Service Discovery Within the US