Check here regularly for the latest updates to the ISA. Please note, that revisions to individual interoperability needs (such as adding/removing of standards or changes to their informative characteristics) are not included here. Revision history is available on each ISA page. In addition, registered users may subscribe to change notifications to be alerted by e-mail of all revisions to individual interoperability needs or for ISA-wide changes. Once logged in, look for the blue “change notification” button at the bottom of the interoperability need page, or at the bottom of the home page to be notified of any changes across the ISA.
- March 6, 2018 - Changed menus and table of contents to reflect move from "lettered" sub-section format to alphabetized sub-section titles. Further work ISA-wide continues to ensure individual pages are updated to the same format.
- December 2017 - numerous changes made to address public comments received and prepare the 2018 Reference Edition ISA, including:
- Revision of ISA Introduction language.
- Change of Section I-S title from Social Determinants to "Social, Psychological, and Behavioral Data".
- Addition of two new interoperability needs in Section II-B: Care Plan, including "Documenting and Sharing Medication-Related Care Plans by Pharmacists" and "Sharing Patient Care Teams for Care Planning in Multiple Clinical Contexts".
- Consolidation of previous Sections II-D and II-E into a single Section II-D: Clinical Quality Measurement and Reporting.
- Addition of three interoperability needs to Section II-H: Electronic Prescribing, including Allows Prescriber to Respond to a Prior Authorization for a Medication Electronically to the Payer/Processor", "Prior Authorization Cancel Request", and "A Prescriber’s Ability to Obtain a Patient’s Medication History from a Prescription Drug Monitoring Program".
- Addition of an interoperability need in Section II-K: Images, "Format of Radiation Exposure Dose Reports for Exchange and Distribution".
- In Section II-O: Patient Identification Management, a change to the title of the interoperability need to "Patient Demographic Record Matching".
- In Section II-Q: Public Health Reporting, addition of four new interoperability needs, including "Data Submission for Title X Family Planning Annual Reporting", "Reporting Death Records to Public Health Agencies", "Reporting Newborn Screening Results to Public Health Agencies", "Reporting Birth and Fetal Death to Public Health Agencies" and a revision to one interoperability need's title "Exchanging Immunization Data with Immunization Registries" to better reflect the interoperability need.
- Addition of a new Section V-F: CMS Interoperability Standards for Provider to Provider Communication with three interoperability needs related to CMS' Electronic Medical Documentation Interoperability work.
- Numerous updates within individual interoperability needs from public comments.
- October 25, 2017 - A new subsection (I-W: Pregnancy Status) and associated interoperability need, Representing Patient Pregnancy Status, has been added to the ISA to reflect Federal Advisory Committee recommendations.
- October 18, 2017 - Functionality has been added allowing users to submit proposals for new ISA interoperability needs for ONC consideration.
- September 18, 2017 - New Questions and Requests for Stakeholder Feedback have been added as part of the Fall 2017 comment and review period.
- September 18, 2017 - A new sub-section related to Consumer Access/Exchange of Health Information has been added, with four initial interoperability needs. This was recommended by the 2017 ISA Task Force and the Health IT Standards Committee.
- September 15, 2017 - Advanced Search functionality has been added, allowing users to find content based on standards/implementation specifications, informative characteristics, etc. Please note: we are aware of some minor issues with this functionality and are working to resolve these as quickly as possible.
- August 16, 2017 - A new Section V has been created that includes standards for administrative transactions.
- April 19, 2017 - A new interoperability need, Reporting Birth Defects to Public Health Agencies, has been added to Section II-R: Public Health Reporting.
- April 3, 2017 - A new appendix has been added, with informational and educational resources as recommended by the Health IT Standards Committee.