What is PULSE?
The Patient Unified Lookup System for Emergencies (PULSE) is an effort to create national resilience through access to health information during disasters and public health emergencies.
PULSE is more than a technology solution it is a state/local approach to accessing health information during disaster. Every disaster or emergency is local and state specific—PULSE allows for state and locality customization based on needs, policy and other health information technology.
In addition to a technical solution, states/locals will need to consider other components when launching PULSE:
- Support Services
- State and local HIE capacity
- Legal and policy considerations (e.g., activation, privacy security, training, alignment with existing laws and policies, etc.)
- Programmatic and funding
PULSE Technical Solutions
- PULSE Community Edition
A PULSE technical solution managed by ONC that is code only and is scalable, flexible, non-proprietary and available at no cost to state, territorial, local and tribal governments and their public and private sector partners through the ONC GitHub. Community is not currently operational and will need significant developer or state/local government IT support.
- PULSE Enterprise Edition
A PULSE technical solution developed and fully supported by Audacious Inquiry. It includes Audacious Inquiry proprietary code and will continue to be optimized over time. There is a fee for onboarding and ongoing support.
- PULSE COVID
A PULSE technical solution that is developed and fully supported by Audacious Inquiry, specifically to support the COVID-19 response. This solution will sunset no later than December 31, 2020. There is a fee for onboarding and ongoing support.
2013: California Emergency Medical Services Authority (EMSA) 1st HIE in EMS Summit
March 2016: EMSA awards the PULSE development contract
January 2017: HHS IDEA Lab blog publishes PULSE post
July 2017: PULSE California GO-live
October 2017: PULSE California activated 2017 California wildfires
January 2018: PULSE partners with The Sequoia Project
March 2018: CMS funds PULSE California to connect to eHealth Exchange
November 2018: PULSE California Activated for 2018 California wildfires
August 2019: ONC funds PULSE Community
October 2019: PULSE California Activated for 2019 California wildfires
July 31, 2020: PULSE Community now available
September 2020: Audacious Inquiry to launch a PULSE technical solution
What is the PULSE Community Edition?
ONC has worked to create a new a PULSE technical solution, called the PULSE Community Edition (PULSE Community), to enable first responders and healthcare volunteers access to vital health information during disasters. This option is code only rather than a specific technology product. The solution is scalable, flexible, non-proprietary, and available at no cost to state, territorial, local and tribal governments, and their public and private sector partners through the ONC GitHub.
PULSE Community gives state and local governments more flexibility to build upon existing health information exchange infrastructure, create a more customized PULSE program and system, and utilize existing vendor and developer resources. Additionally, it may create a more innovative and competitive market for other PULSE technical solutions. Interested persons should email ONCPulse@hhs.gov.
PULSE Community Edition: Getting Started Guide Version 3 (July 2020)
Public and Private Partners Involved with PULSE
- Department of Health and Human Services, Assistant Secretary for Preparedness and Response
- National Highway Traffic Safety Administration, Office of EMS
- The Sequoia Project
- Audacious Inquiry
- California Emergency Medical Services Authority
- Texas Health Services Authority
- Florida HIE Services