Query Solutions  

Fostering exchange statewide and nationally, by facilitating connectivity on the eHealth Exchange.


What are Query Solutions?

In the context of the Florida HIE Services, “query” is the act of searching for clinical documentation for a specific patient across one or many clinical data sources. Queries use Cross-Community Access (XCA) standards, as defined by IHE, and return clinical documentation in the form of Continuity of Care Documents (CCDs).

Solution #1: The eHealth Exchange, operated by the Sequoia Project, is a network of exchange partners who securely share clinical information over the Internet across the US, using a standardized approach. By leveraging a common set of standards, legal agreement and governance, eHealth Exchange participants are able to securely share health information with each other, without additional customization and one-off legal agreements. The eHealth Exchange connectivity spans across all 50 states and is now the largest health data sharing network, or HIE, in the US.

Who is connected? eHealth Exchange connectivity represents 4 federal agencies, approximately 50% of US hospitals, 26,000 medical groups, 3,400 dialysis centers, and 8,300 pharmacies.

Solution #2: Carequality, also operated by the Sequoia Project, brings together a diverse group of representatives, including electronic health record (EHR) vendors, record locator service (RLS) providers and other types of existing networks from the private sector and government, to determine technical and policy agreements to enable data to flow between and among networks, platforms, and geographies.

Who is connected? Carequality’s membership is vendor-based and includes athenahealth, Epic, eClinicalWorks, NextGen, Surescripts, the Commonwell Health Alliance, and many others.

Solution #3: The State Gateway is a service offered by the Florida HIE that serves as an onramp to the eHealth Exchange, and in the future, Carequality. Organizations in Florida will be able to partner with the Florida HIE to connect to the State Gateway and enjoy the benefits of connectivity to both national exchange networks without having to connect to either one directly, plus connectivity to other organizations connected directly to the State Gateway. Moving forward, the Florida HIE State Gateway will offer the unique, optional feature of aggregating and de-duplicating multiple distinct continuity of care documents (CCDs) retrieved on a given patient, thus enhancing the usability of the clinical documentation obtained.

*Information from eHealth Exchange and Carequality

More Questions about the Florida HIE Services Query Solutions?

Contact a member of the Florida HIE at flhie_info@ainq.com