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What are the different technical architectures of RHIOs?

Currently, there are three basic data architectures:

Source: Health Information Exchanges: Similarities and Differences, HIMSS HIE Common Practices Survey Results White Paper, HIMSS Health Information Exchange, Best Practices Task Force, March 2009. 

Recently, service-oriented architecture (SOA) has been the subject of much interest as it provides the opportunity for diverse systems to interoperate without requiring the use of a particular kind of computer system. 

In making decisions regarding the appropriate architectural funding for the RHIO, the funding, technical expertise of staff, and the ultimate goals of the initiative must be considered. The participation of leadership and technical staff at forums that discuss these issues is important so that the organization is aware of the current state of knowledge and potential future direction.

Resources:

• Health Information Exchange Projects - What Hospitals and Health Systems Need to Know (PDF - 752 KB)  - Developed by Manatt Health Solutions for the American Hospital Association (AHA), this executive brief discusses benefits, challenges, and lessons learned for hospitals looking to implement an HIE. (2006)
• An IT Primer for Health Information Exchange  - Developed by Stacie Durkin, MBA, RNC, RHIA, and Beth Just, MBA, RHIA for the American Health Information Management Association (AHIMA), this article focuses on the more technical, IT related aspects of HIE. (2008)
• Health Information Exchanges: Similarities and Differences (PDF - 400 KB) - HIMSS HIE Common Practices Survey Results White Paper.  Developed by HIMSS,  this white paper presents and discusses common practices in health information exchange. (2009)