On Jan. 10, the Department of Health and Human Services’ Office of the National Coordinator for Health IT (ONC) released a reformatted, interactive version of the Interoperability Standard Advisory (ISA), an annually updated compilation of health IT standards and implementation specifications for various applications. The new format includes robust searching functionality and ways to review and incorporate stakeholder input on the content of the ISA as well as on submissions from other users. The previous format of the ISA was static and did not solicit stakeholder engagement beyond brief public comment periods on annual draft revisions.
Several subsections of the ISA are applicable to radiology informatics. They include but are not limited to the following:
I-F: Imaging (Diagnostics, Interventions and Procedures)
II-C: Clinical Decision Support
- Provide Access to Appropriate Use Criteria
- Communicate Appropriate Use Criteria with the Order and Charge to the Filling Provider and Billing System for Inclusion on Claims
- Medical Image Formats for Data Exchange and Distribution
- Format of Medical Imaging Reports for Exchange and Distribution
- Format of Radiology Reports for Exchange and Distribution
III-C: Image Exchange
- Exchanging Imaging Documents Within a Specific Health Information Exchange Domain
- Exchanging Imaging Documents Outside a Specific Health Information Exchange Domain
The annual ISA is intended to be an informational resource for interested stakeholders from industry and the informatics community. It is not mandated by federal regulation or explicitly tied to the ONC Health IT Certification Program. Stakeholders, who wish to comment and contribute to ONC’s efforts, should register at the ONC website.