Interoperability Proving Ground (IPG) submissions within the ONC Tech Lab are submitted by healthcare, technology and development organizations that are invested in Health IT and Interoperability and want to share, learn and collaborate with similar stakeholders in the US, and around the world.

To view all submissions, please view the IPG link located within the ONC Techlab.

Real-time, automated C-CDA clinical data exchange between an Epic E.H.R. and the Mississippi Division of Medicaid

In February 2016, Mississippi Division of Medicaid (DOM) implemented a real-time, automated connection to its largest provider’s E.H.R. system to exchange clinical data patient summaries using the C-CDA format.  

This connection allows care providers at the University of Mississippi Medical Center (UMC) to request real-time summaries of Medicaid patients from DOM from the E.H.R, including medication lists, allergies, diagnoses and procedures. 

Patient summaries received from DOM are presented to the physician inside UMC’s Epic E.H.R. system, in real-time.  After discharge, updated C-CDA clinical summaries are then automatically sent back to DOM, where they are ingested into the DOM Clinical Data Repository (CDR).

Mississippi Medicaid believes this is the first Medicaid agency to establish a real-time, integrated, automated E.H.R. connection for C-CDA exchange with a provider.  
Start Date
Projected End Date
Project Tags
  • CCDA
  • HIE
  • Innovation
  • interoperability
  • XDS-I
  • EHR Integration
Project Point of Contact:
Project Results