1. Steven Posnack, the director of the office of standards and technology at ONC, hosted ONC's Twitter chat last week and informed participants about the patient's role in the deliberations.
  2. Posnack also explained how ONC is looking to make the new version of the ISA different than past versions -- namely heading away from the stagnant, 80-page PDF format of the 2016 edition.
  3. Participants in the Twitter chat bemoaned what they viewed as the failures of meaningful use, pointing out that despite the government spending billions of dollars on the program, interoperability was not achieved. However, one participant believed that spending so much money is the only way to get healthcare organizations to share medical records.
  4. Participants also discussed possible solutions to creating interoperability.

  5. One major topic of discussion was standards, their role in increasing interoperability and possible use cases in the industry. Some participants felt that SMART on FHIR, a standards-based application platform that also uses APIs to make interoperability possible, is a viable solution; others felt standards need to be implemented for a particular use case in order to be successful. Posnack explained that ONC is trying to represent broader uses of standards when it comes to interoperability.
  6. One participant wondered whether blockchain would make it into future versions of the ISA and whether the technology would play a role in creating interoperability. Some health IT experts believe that one use case for blockchain is creating interoperability.
  7. Other solutions that participants discussed include APIs and getting companies such as Apple involved.
  8. The 2017 draft of the ISA can be found on ONC's website. ONC is accepting public comments on the document until 5 p.m. ET on Monday, October 24, 2016.
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