The Direct Project was launched by the Office of the National Coordinator for Health Information Technology (ONC) – Located within the Office of the Secretary for the U.S. Department of Health and Human Services (HHS), the Office of the National Coordinator (ONC) coordinates nationwide ... More within Health and Human Services (HHS) on March 1, 2010. It was initially called Nationwide Health Information Network (NHIN) is one of the ONC‘s major initiatives. As defined by the ONC, NHIN is: “a set of standards, services and policies that enable secure health information exchange over the Internet. The NHIN will provide... More Direct. The object of the Direct Project is to replace the use of faxes, phones, and paper transactions with a simple and secure point-to-point communication over the Internet.
The Direct Project achieves this in one of two ways:
Applicability Statement for Secure Health Transport: This is the primary Direct Project specification which uses the SMTP e-mail protocol with secure S/MIME attachments and x509 certificates.
Cross-enterprise Document Reliable Interchange (XDR) – What it’s used for: The exchange of health documents between health enterprises using a web-based, point-to-point push network communication, permitting direct interchange between EHRs, PHRs ... More and Cross-enterprise Document Media Interchange (XDM) – What itss used for: According to IHE, XDM transfers documents and metadata using CDs, USB memory or email attachments. This profile supports environments with minimal capabilities in terms of usin... More for Direct Messaging: This is the utilization of Integrating the Healthcare Enterprise (IHE) is an initiative by healthcare professionals and industry to improve the way computer systems in healthcare share information. Visit the IHE website. Synonyms: Integrating the Healthcare Enterprise profiles XDR and XDM in the Direct messaging environment.
These protocols ensure the secure delivery of messages between two trusted endpoints for a variety of purposes including transfer of patient health information in the form or a Continuity of Care Document (CCD) The HL7 CCD is the result of a collaborative effort between the Health Level Seven and American Society for Testing Materials (ASTM) to “harmonize” the data format between ASTM’s Continuity of Care Record (CCR)... More document.
The Direct Project was included as part of the standards for Meaningful Use Stage 2.Read more about Direct project basics.
See also: Meaningful Use