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http://www.hhs.gov/healthit/healthnetwork/prototype/

http://www.hhs.gov/healthit/healthnetwork/resources/summary_report_on_nhin_Prototype_architectures.pdf

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Nationwide Health Information Network (NHIN): Prototype Architectures

In its first year, the NHIN established four consortia to design and evaluate standards-based prototype architectures for the NHIN. These prototypes demonstrated the advancement of:

Capabilities to find and retrieve healthcare information inside of health information exchanges and between health information exchanges
The delivery of new data to appropriate recipients
Key consumer services such as control over who can access a personal health record, data searching, ability to choose not to use a network service
User identity proofing, authentication and authorization
Methods for match patients to their data without a national patient identifier
Access control and other security protections
Specialized network functions
The feasibility of large-scale deployment
In addition to the prototype architectures, other significant accomplishments from the first year of the NHIN included:

Public input from three NHIN public fora
The initial set of initial NHIN functional requirements published by the National Committee on Vital and Health Statistics (NCVHS)
Needed data and technical standards
Security and business models
Harmonized standards from the Health Information Technology Standards Panel (HITSP)
Privacy and security recommendations from the NCVHS and the Confidentiality, Privacy, and Security working group of the American Health Information Community (AHIC)
Core services and capabilities for Nationwide Health Information Network Health Information Exchanges (NHIE)
A Summary Report of the NHIN Prototype Architecture Contracts (PDF) is available that describes the first year’s work and details common elements that will be used in the next step in the NHIN - “NHIN Trial Implementations”.

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