{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T07:39:11Z","timestamp":1767339551206,"version":"3.37.3"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T00:00:00Z","timestamp":1659312000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T00:00:00Z","timestamp":1662508800000},"content-version":"vor","delay-in-days":37,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Digit Imaging"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Every organization in the health IT industry plays an important role in overcoming\u00a0barriers to health information exchange in the United States. It is important to understand imaging interoperability in the overall context of Health Information Exchange (HIE). The rapid evolution of storage, bandwidth and network transport technologies has made the handling of imaging data converge with the primarily text-based healthcare data. The radiology community must understand the overall environment and become a tightly integrated part of it. As the health IT ecosystems continue to evolve, it became clear that there would not be a single health information exchange network to service the nation. Rather, like other industries such as telecom and banking, there would be multiple networks that would need to interconnect. To support compliance to interoperability standards and specifications, The Sequoia Project began collaborating with industry to create testing programs and tooling that supports transport, security and content testing requirements for four production testing programs today. These testing programs validate compliance to standards for transport and security as well standards for the payloads such as clinical documents and imaging data. While once operating under the same umbrella, The Sequoia Project, Carequality and eHealth Exchange (<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/ehealthexchange.org\/\">https:\/\/ehealthexchange.org\/<\/jats:ext-link>) have been separate companies since 2018. Each plays a unique role in helping patient information move where and when it is needed, each working with a framework of standards published by IHE, DICOM, and HL7 to enable health information exchange.<\/jats:p>","DOI":"10.1007\/s10278-021-00538-y","type":"journal-article","created":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T14:02:37Z","timestamp":1662559357000},"page":"812-816","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["How Carequality, The Sequoia Project, and eHealth Exchange Support the Interoperable Exchange of Health Data in the USA"],"prefix":"10.1007","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7461-8968","authenticated-orcid":false,"given":"Blanca \u201cDidi\u201d","family":"Davis","sequence":"first","affiliation":[]},{"given":"Alan","family":"Swenson","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2022,9,7]]},"reference":[{"key":"538_CR1","unstructured":"IHE IT Infrastructure Technical Framework. Available at https:\/\/www.ihe.net\/resources\/technical_frameworks\/#IT. Accessed 07\/15\/2021"},{"key":"538_CR2","unstructured":"HL7 C-CDA (HL7 CDA(R) R2 Implementation Guide: Consolidated CDA Templates for Clinical Notes - US Realm. Available at http:\/\/www.hl7.org\/implement\/standards\/product_brief.cfm?product_id=492. Accessed 07\/15\/2021"},{"key":"538_CR3","unstructured":"The Sequoia Project. Available at https:\/\/sequoiaproject.org\/. Accessed 07\/15\/2021"},{"key":"538_CR4","unstructured":"IHE Conformity Assessment Testing. Available at https:\/\/www.ihe.net\/testing\/conformity-assessment\/ and https:\/\/www.ihe-europe.net\/testing-IHE\/conformity-assessments. Accessed 07\/15\/2021"},{"key":"538_CR5","unstructured":"About DICOM. Available at https:\/\/www.dicomstandard.org\/about\/. Accessed 4\/18\/2019"},{"key":"538_CR6","unstructured":"Integrating the Healthcare Enterprise, Integration Profile Cross Enterprise Document Sharing for Imaging (XDS-I.b), Cross-enterprise Document Sharing for Imaging - IHE Wiki. Last accessed 7\/12\/2001"},{"key":"538_CR7","unstructured":"Integrating the Healthcare Enterprise, Integration Profile Cross Community Access for or Imaging (XCA-I), last accessed 07\/15\/2021"},{"key":"538_CR8","unstructured":"Carequality. Available at https:\/\/carequality.org\/. Accessed 07\/15\/2021"},{"key":"538_CR9","unstructured":"eHealth Exchange. Available at https:\/\/ehealthexchange.org\/. Accessed 07\/15\/2021"},{"key":"538_CR10","unstructured":"Carequality Imaging Data Exchange Supplemental Implementation Guide. Available at https:\/\/carequality.org\/wp-content\/uploads\/2021\/03\/Imaging-Data-Exchange-Implementation-Guide.pdf. Accessed 07\/15\/2021"},{"key":"538_CR11","unstructured":"Integrating the Healthcare Enterprise (IHE) International. Available at https:\/\/www.ihe.net. Accessed 07\/15\/2021"},{"key":"538_CR12","unstructured":"FHIR Overview. Available at https:\/\/www.hl7.org\/fhir\/overview.html. Accessed 4\/20\/2020"}],"container-title":["Journal of Digital Imaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10278-021-00538-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10278-021-00538-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10278-021-00538-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T16:19:44Z","timestamp":1663604384000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10278-021-00538-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["538"],"URL":"https:\/\/doi.org\/10.1007\/s10278-021-00538-y","relation":{},"ISSN":["0897-1889","1618-727X"],"issn-type":[{"type":"print","value":"0897-1889"},{"type":"electronic","value":"1618-727X"}],"subject":[],"published":{"date-parts":[[2022,8]]},"assertion":[{"value":"23 August 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 October 2021","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 November 2021","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 September 2022","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}},{"value":"Not applicable","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"Not applicable","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}}]}}