Clinical Portal Release Notes (8.9.15.5)

Release notes highlight enhancements, improvements, and/or changes made to the software that have impacts to end users and which therefore should be read to ensure continuity of service(s).

Summary

Implemented a revised “HIE HIPAA Authorization” disclaimer; established the capacity to receive and display C-CDA standards from participants.

Details

Software Version	8.9.15.5
Software Release Date	March 8, 2021
Software Summary	The HealthInfoNet Clinical Portal gives participating providers the ability to securely look up and retrieve real-time patient medical record information in a view-only screen at the point of care, greatly improving patient safety and care coordination activities.
Software Updates	Implemented a revised “HIE HIPAA Authorization” disclaimer (see Appendix I) that all new and existing users with a system user role of “Clinician,” “Clinician Administrative,” “Demographic Lookup,” or “Auditor” must electronically agree to upon their next login to the environment. Impacted users must read and agree to the terms of the disclaimer prior to being granted access to the Clinical Portal. Users will only be required to agree to the terms of the disclaimer once, unless they change user roles or are assigned additional user role(s) that also require agreement. Established the capability to receive and display the Consolidated Clinical Document Architecture (C-CDA®) standard from participating organizations. These “CCDA Documents” can be found, when available, in the Document Library within the Patient Summary View. The release of this functionality was completed through a pilot project in partnership with Wiscasset Family Medicine (WFM) and their electronic health record (EHR) vendor, eClinicalWorks (eCW). As such, C-CDA information is currently only available for patients seen at WFM. Moving forward, HealthInfoNet plans to continue to work with other eCW HIE participants to receive and display additional sources of C-CDA information. The C-CDA standard is an Extensible Markup Language (XML) document summarizing current and pertinent historical information about an individual patient’s healthcare record at a given facility. Although not every document type contains every section, the current C-CDA standard supports the following information: Allergies, Care Team, Encounter History, Hospital Discharge Instructions (inpatient visits only), Functional/Cognitive Status, Immunizations, Instructions, Medications, Patient Demographic Details, Plan of Care, Problems/Encounter Diagnoses, Procedures, Reason for Hospitalization (inpatient visits only), Reason for Referral, Reason for Visit (ambulatory visits only), Results, Social History, Vital Signs.

Additional Notes

Screenshot of C-CDA Functionality in Document Library

Appendix I - HIE HIPAA Authorization

HIE HIPAA Authorization

I have been authorized to access the HealthInfoNet Health Information Exchange (the “Exchange”) by either a health care organization or other authorized participant, which has a Participant Agreement or other contract (“PA”) with HealthInfoNet to participate in the Exchange. As a condition of accessing the Exchange, I acknowledge and agree to these terms of use:

I will access, use and disclose protected health information (“PHI”) as that term is defined by HIPAA/HITECH, in accordance with the terms of the applicable PA.
Since the PHI provided through the Exchange may not be complete or accurate, I will exercise reasonable care to verify the accuracy and completeness of the PHI information with the individual or individual’s authorized representative and will apply reasonable professional judgment in making treatment decisions based on such PHI.
The Exchange is an information tool only and is not a substitute for competent medical advice.
PHI in the Exchange is derived from various sources and is transmitted using facilities and communication lines outside the control of HealthInfoNet and may be erroneous or incomplete and is provided “as is.”
Medication History is limited to the previous 120 days from pharmacy claims data that may be limited to acute care settings and is therefore incomplete.
All medical practice management and patient care decisions made in which the Exchange may be utilized, and the consequences thereof, will be exclusively the responsibility of myself, as well as other authorized users at my organization so long as the PHI is not inaccurate as a result of any willful misconduct or negligent act or omission of HealthInfoNet or its Third-Party Licensors.