The Nationwide Health Information Network (NHIN) is a set of standards, services and policies that enable secure health information exchange (HIE) over the Internet. The initiative is sponsored by the Office of the National Coordinator (ONC) for Health Information Technology (HIT), which began developing the NHIN in 2004.
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The NHIN provides a common platform for nationwide health information exchange across diverse entities. NHIN standards and services will be used by federal agencies, health care providers, health information exchanges and consumers to securely exchange health information at both the national and local level. The NHIN is a fundamental requirement for achieving nationwide health information exchange, one of the primary goals of the Health Information Technology for Economic and Clinical Health (HITECH) Act.
A health IT policy committee called the NHIN Workgroup is responsible for providing a set of recommendations to the ONC to establish a policy and technical framework for the NHIN. Several components form the basis of the NHIN -- authentication and certification, vocabulary and message standards, delivery protocols, directories, a trust framework and security. A diverse group of organizations has been using the NHIN to demonstrate live health information exchange; this has resulted in the Nationwide Health Information Network Exchange.
NHIN standards come with some key benefits.
ONC turns its attention to NHIN governance.
Engineers of NHIN struggle to find common ground, tangle over policy.