Barriers to Pediatric Health Information Exchange

A Brief Survey on Six Basic and Reduced eHealth Indicators in Seven Countries in 2017

“…Many medical offices are prepared to provide patient information via consolidated Clinical Document Architecture documents to tertiary centers when referring patients, but this communication depends on offices pushing the information as opposed to a data pull. 34 In addition, large electronic health care vendors are now permitting data exchange among their various clients resulting in an “in vendor product” interoperability. The vast majority of pharmacies in the United States use the vendor Surescripts for e-prescribing activities.…”

Direct Secure Messaging in Practice—Recommendations for Improvements

“…Other organizations may not have DSM turned on in their EHRs. 20 DSM is often a background technical functionality hidden to the user of technology, preventing awareness of this form of health care messaging. Furthermore, the rebranding of the DSM function (►Table 1) has also created barriers to organizations' understanding that they are using the same underlying technology standard and can exchange information with each other.…”

Consensus Statement: Feature and Function Recommendations to Optimize Clinician Usability of Direct Interoperability to Enhance Patient Care

“…The robust EHR features and functionalities needed for the optimal use of Direct interoperability remain undeveloped by some HIT vendors, unimplemented by health care organizations, or unused by clinicians. 8 9 10 To date, there have been no peer-reviewed journal articles examining the use or usability of Direct interoperability.…”