Investments

Inferno

Inferno Framework is a rigorous and extensible testing development framework for HL7® FHIR® standard and beyond. ONC hosts a version of Inferno to purposes of testing for the ONC Health IT Certification Program and to support community-driven health IT standards development projects.

Lantern

Lantern is an open source tool and dashboard that monitors fielded patient-facing FHIR(r) API endpoints to provide analytics about their conformance, performance, and responsiveness. These analytics give the public and, especially patients, app developers, and other API users, insights into the adoption and availability of FHIR APIs across U.S. healthcare providers.

HL7

Health Level Seven (HL7®) is a not-for-profit, ANSI-accredited standards developing organization dedicated to providing a comprehensive framework and related standards for the exchange, integration, sharing and retrieval of electronic health information that supports clinical practice and the management, delivery and evaluation of health services. ONC has provided financial support to accelerate the standards development timeline.

Integrating the Healthcare Enterprise (IHE)

Under this cooperative agreement, the Office of the National Coordinator for Health Information Technology (ONC) and Integrating the Health Enterprise (IHE) USA are collaborating to accelerate the creation of new and updated IHE profiles to support the use of the HL7® FHIR® (Fast Healthcare Interoperability Resources) standard. This agreement also strengthens and streamline cross-organizational collaboration efforts between standards developing organizations (SDO), interoperability test tool developers, FHIR champions and other vital stakeholders.

LEAP in Health IT

Leading Edge Acceleration Projects (LEAP) in Health IT program funds projects that help advance the next generation of health IT development and also address emerging challenges that inhibit the development, use, and advancement of interoperable health IT. Recent projects include aligning social determinants of health with clinical care, and health IT tools to aggregate and compare EHR data across diverse health care settings for research purposes.

LOINC with Regenstrief

ONC’s cooperative agreement with Regenstrief will enhance the LOINC® standard to support health IT interoperability. Among key objectives, the project advances the production deployment of FHIR-based terminology services for LOINC, update tools maintained by Regenstrief for LOINC implementers, and support LOINC content developers as they develop new content that supports the USCDI. Funding also seeks to accelerate and expand LOINC development to support interoperable public health reporting.

National Council for Prescription Drug Programs

National Council for Prescription Drug Programs (NCPDP) formally took over the stewardship of the electronic prescribing testing tool approved for use under the ONC Health IT Certification Program. As of August 2018, NCPDP supports and maintains the ONC-approved testing tool used to test and provide assurance that health IT is conformant to the ONC-required SCRIPT v10.6 standard.

Patient-Centered Outcomes Research (PCOR)

ONC projects that inform policy, standards, and services specific to the adoption and implementation of a patient-centered outcomes research data infrastructure.

Patient Unified Lookup System for Emergencies (PULSE)

A public health initiative to strengthen and enable secure and timely access to vital health information during disasters to ensure patients can continue to receive care when and where they need it.

Public Health Informatics & Technology (PHIT)

ONC awarded $73 million in cooperative agreements as part of its PHIT Workforce Program. Ten awardees, comprising of Historically Black Colleges and Universities, Hispanic Servicing Institutions, Asian American and Native American Pacific Islander-serving Institutions and other institutions of higher education, will form multiple consortia to collectively train more than 4000 individuals over a four-year period in interdisciplinary public health informatics and technology.

STAR HIE Program

The Strengthening the Technical Advancement & Readiness of Public Health via Health Information Exchange (STAR HIE) Program is designed to build innovative HIE services that benefit public health agencies and improve the services available to support communities disproportionately impacted by the COVID-19 pandemic.

Trusted Exchange Framework and Common Agreement

Required by the Cures Act, the Trusted Exchange Framework and Common Agreement (TEFCA) seeks to create a nationwide policy and infrastructure backbone to ease information sharing across health information networks of electronic health records (EHRs) and other health IT systems.

More Investments

  • Patient Engagement Playbook

    • A resource guide for clinicians, practice staff, hospital staff, and other innovators with tips and best practices for leveraging health IT
  • Patient Unified Lookup System for Emergencies (PULSE)

    • A public health initiative to strengthen and enable secure and timely access to vital health information during disasters to ensure patients can continue to receive care when and where they need it.
  • Precision Medicine

    • A nationwide initiative focused on bringing a tailored approach to health care by incorporating people’s unique characteristics including environment, lifestyle, and biology into treatments and prevention strategies.
  • Project US@

    • Project US@ works to bring a unified specification for address in health care.
  • Patient-Centered Outcomes Research (PCOR)

    • ONC projects that inform policy, standards, and services specific to the adoption and implementation of a patient-centered outcomes research data infrastructure

Past Investments

  • ONC HITECH Programs

    • ONC supports nationwide implementation of health IT, partially through programs like the Health Information Technology for Economic and Clinical Health (HITECH). HITECH Program targeted a range of issues from promoting health IT excellence in communities to fostering collaboration among federal agencies.
  • SHARP

    • An innovation program that supported innovative research and addressed well-documented problems in 4 areas that impeded the adoption and use of health IT.
  • ONC Challenges

    • ONC began running challenges in 2011 under the America COMPETES Reauthorization Act, and executed over 30 challenges between 2011 and 2018.
  • Testing & Utilities

    • The ONC Tech Lab’s Testing and Utilities page supports a collaborative work environment for health IT developers and providers to test tools, test their health IT functionality in the field, and coordinate with leading industry experts on the development of additional testing resources and testing events.