Recently a member of the FOSS Health community wrote to me:

NHINDirect

I have been pretty confused by the NHIN Direct for quite some time. But I have finally invested enough time that I can discuss the aim of the project somewhat succinctly. Note that this is essentially my re-phrasing of the NHIN Direct FAQ item "What is NHIN Direct". To implement code, we need to have very exact definitions of what we will or will not do, and often that careful phrasing, while making it easier to code, makes things harder to understand. So the site above, in its current definition reads like this:

NHIN Direct is the set of standards, policies and services that enable simple, secure transport of health information between authorized care providers. NHIN Direct enables standards-based health information exchange in support of core Stage 1 Meaningful Use measures, including communication of summary care records, referrals, discharge summaries and other clinical documents in support of continuity of care and medication reconciliation, and communication of laboratory results to providers.

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