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Standards & Interoperability (S&I) Framework
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Pages and Files
Introduction & Overview
Processes & Guidelines
Getting Started as a Participant
Community Enabling Toolkit (CET)
Standards Development Support
Wiki User Guide
Clinical Quality Framework (CQF)
Data Access Framework (DAF)
Data Provenance (DPROV)
PDMP & Health IT Integration (PDMP)
Structured Data Capture (SDC)
Active Community Led or Other Agency Led Initiatives
a LOINC Order Code
electronic Long-Term Services and Supports (eLTSS)
Electronic Submission of Medical Documentation (esMD)
Laboratory Orders Interface (LOI)
Laboratory Results Interface (LRI)
Public Health Tiger Team
BlueButton Plus (BB+)
Data Segmentation for Privacy (DS4P)
EU-US eHealth Cooperation Initiative (EU-US)
Longitudinal Coordination of Care
Provider Directories (PD)
Public Health (PHRI)
Query Health (QH)
Transitions of Care (TOC)
Privacy on FHIR
Open Test Method Development Pilot Program
Direct Project (S&I Archetype)
Clinical Element Data Dictionary (CEDD)
Model Driven Health Tools
Face 2 Face Meetings
Mention of any product or organization on these pages does not imply endorsement of that product or organization by ONC, HHS, or any other Federal agency.
SAMHSA Consent2Share Project
Meetings and Announcements
Jericho/UT Austin Pilot
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Charter & Members
Use Cases (Discovery)
Standards and Harmonization (Implementation)
S&H - Standards Homepage
S&H - Implementation Guidance
S&H - Standards Inventory
S&H - Tiger Teams
Consent Management Transaction
Meeting Artifacts (Past Meetings)
Harmonization and Standards
The Consent2Share (C2S) effort is currently part of the
Data Segmentation for Privacy (DS4P) SAMHSA pilot
The Substance Abuse and Mental Health Services Administration (SAMHSA) has been working with the ONC on its Data Segmentation for Privacy (DS4P) Initiative. Through this initiative, federal and community stakeholders have developed standards and guidelines for enabling data segmentation and management of patient consent preferences. SAMHSA is using these standards to develop the application branded
, an open source tool for consent management and data segmentation that is designed to integrate with existing Electronic Health Record (EHR) and Health Information Exchange (HIE) systems.
The Consent2Share architecture comprises of two major components, a front-end, patient facing system known as Patient Consent Management (PCM) and a backend control system known as Access Control Services (ACS). While Patient Consent Management (PCM) allows patients to capture, electronically sign, and revoke their consent directives anywhere and anytime, it is the Consent2Share Access Control System (ACS) that provides a Policy Enforcement Point (PEP), a Policy Decision Point (PDP), and a Data Segmentation Engine for enforcing patient consent directives and applying privacy metadata to clinical documents. Data Segmentation consists in not only redacting information based on the patient’s privacy preferences but also in applying privacy metadata tags to the clinical document. Examples of metadata include: confidentiality, applicable privacy law, refrain policy, and obligation policy. The following technonologies are utilized in the development of Consent2Share.
Spring Aspect Oriented Programming (AOP)
Spring Data for JPA
SOAP-based web services
Drools Business Rules
Open-Source Java Spring Framework
RESTful web services
RabbitMQ message broker
Domain Driven Design
Spring Dependency Injection (DI)
Provide the capability for patients receiving behavioral health treatment to share their health information through the nation's HIEs while providing meaningful choices for protection of their privacy.
Stakeholders & Points of Contact
C2S Pilot Mailbox
General inquiries and questions about
the C2S Pilot are handled through this e-mail.
FEi Program Manager for C2S
SAMHSA HIT Lead for C2S
SAMHSA Project LIFT COR
Abt Program Manager for Project LIFT Pilot
Figure 1. Architecture overview of the main components of the Consent2Share system
Release C2S Pilot Application
January 6, 2014
FEi Systems, Inc.
C2S Pilot Application Webinar
January 9, 2014
FEi Systems, Inc.
C2S Pilot Applications Due
Feburary 7, 2014
C2S Pilot Selection
February 28, 2014
C2S Pilot Kick-off
March 17, 2014
Project LIFT Team
Electronic Health Record References
Name of Standard
Direct Project Webpage
Direct Project Wiki
The Direct Project focuses on the technical standards and services necessary to securely push content from a
sender to a receiver and not the actual content exchanged.
Health Level Seven International is one of several
American National Standards Institute
Standards Developing Organizaitons (SDOs) operating in the healthcare arena. Most SDOs produce standards
(sometimes called specifications or protocols) for a particular healthcare domain such as pharmacy, medical devices,
imaging or insurance (claims processing) transactions. Health Level Seven's domain is clinical and administrative data.
ONC DS4P Wiki
The purpose of this initiative is to enable the implementation and management of varying disclosure policies
in an electronic health information exchange environment in an interoperable manner with the goal to produce a pilot
project allowing providers to share portions of an electronic medical record while not sharing others, such as information
related to substance abuse treatment, which is given heightened protection under the law.
Technology for Economic
and Clinical Heatlh Act
(HITECH Act) of 2009
ONC is the principal federal entity charged with coordination of nationwide efforts to implement and use the
most advanced health information technology and the electronic exchange of health information. The position of
National Coordinator was created in 2004, through an Executive Order, and legislatively mandated in the
Health Information Technology for Economic and Clinical Health Act (
) of 2009.
Consent2Share Pilot Implementation (Expected Project Time 3/1/14-9/1/14)
Behavioral Health provider integration with HIE
Consent2Share integration with HIE
Consent2Share integration with Behavioral Health provider EHR
Implementation of NwHIN Direct between Behavioral Health provider and Primary Care provider
Consent2Share integration with Primary Care provider EHR
Consent2Share Code Repository -
The project is open source and the source code is available for indivudals to download and further the development of Consent2Share.
Consent2Share Architecture Document-
This document is complimentary to the open source code, laying out the methodology and design structure for Consent2Share.
C2S One Page Announcement_121113-FINAL.pdf
Discussion Session Announcement:
Community input on funding opportunity for pilot test of data segmentation and consent management
Project LIFT Consent2Share Pilot for Consent Management & Data Segmentation: **December 17, 2013**
C2S Webinar Q&A 12-17-13_final.pdf
- Information and Discusssion session hosted on December 17, 2013 by FEI Systems for all those interested in particpating in the Consent2Share Pilot.
Formal Webinar Responses -
The Webinar produced a Q&A session and the questions were responded to in written format December 17, 2013
Project LIFT Consent2Share Pilot for Consent Management & Data Segmentation: **December 20, 2013**
C2S Webinar Q&A 12-20-13 _final.pdf
C2S Pilot Information and Discussion Session Webinar.pdf
- Information and Discusssion session hosted on December 20, 2014 by FEI Systems for all those interested in particpating in the Consent2Share Pilot.
Formal Webinar Responses -
The Webinar produced a Q&A session and the questions were responded to in written format December 20, 2013
PowerPoint Webinar Slides -
The December Webinar sessions were conducted using the following Powerpoint slide presentation.
Consent2Share Pilot Funding Application
C2S One Page Announcement_010614.pdf
Consent2Share Pilot Application v14.1 - FINAL.pdf
C2S Pilot Application Q&A Final 2-5-2014.pdf
Consent2Share Pilot Application Announcement -
Please find attached the annoucement for the contract funding opportunity, Consent2Share Pilot.
Consent2Share Pilot Application -
Please find attached an application for a contract funding opportunity, requiring pilot testing of data segmentation and consent management in a Health Information Exchange organization (HIE).
DUE: February 7, 2014
Consent2Share Pilot Application Questions
- The C2S Pilot application process includes a format for answering questions about the Pilot to aid those submitting an application. All questions shall be sent to
and a response will be provided. In addition, the original question(s) and provided answer(s) will be posted here on the project wiki.
FINAL UPDATE: February 5, 2014
Project LIFT Consent2Share Pilot for Consent Management & Data Segmentation: **January 9, 2014**
LIFT C2S Pilot Q&A 1-9-14_Final.pdf
- Technical session hosted on January 9, 2014 by FEI Systems for all those interested in submitting an application for the Consent2Share Pilot.
Formal Webinar Responses -
The Webinar produced a Q&A session and the questions were responded to in written format January 9, 2014
Project Manager, RI/Pilot Lead
Standards Development Support Team Lead
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