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Health Information Exchange (HIE)

Secure information sharing

Our Health Information Exchange (HIE) enables the amalgamation of and access to shared data, no matter what system it resides in. When the care professional needs it, Cerner HIE brings together a person’s data from across the health and social care ecosystem in a secure manner, embedding an aggregated and longitudinal view of their record natively in each digital system. HIE supports joined-up, safe and effective care provision, overcoming organisational and system boundaries.

Save time, save lives

When time is of the essence, every moment you wait for a patient’s information could have life-altering repercussions for the individual and their family. The ability to cut out this waiting time won’t just help you respond to the needs of a single patient quicker, you’ll notice a system-wide impact on the ability to influence flow through your organisation.

Get the full picture

By supporting the provision of data across organisational, geographical and technological boundaries, care providers can access clinical and other information from any venue of care. This means that pre-existing conditions, investigation results, medications, allergies, clinical correspondence and more can easily be considered when clinicians are making interventions for patients, with safer and more timely decisions reached at the point of care.

Transfer data securely

Misappropriation of personal data is a key issue for many and our HIE has been designed with this concern in mind. It’s built on a secure, standards-based infrastructure, so that individuals’ data is stored, viewed and managed in an appropriate way, meaning that people only experience the benefits of information sharing.


What information can care providers view through Cerner HIE?

Care providers in the UK view a wide range of information through HIE, including problem lists, medications allergies, investigation results, procedures, vaccinations, vital signs, past visits, upcoming appointments and clinical correspondence such as discharge summaries or clinic letters.

Built to support high volumes of data in a scalable setting, HIE supports all the primary interoperability standards, including HL7 v2, HL7 v3, HL7 FHIR, IHE, XDS, NwHIN, , NCPDP, SNOMED CT, ICD-9, ICD-10, NANDA, NIC, NOC, CDA, CCD, CCR, X12, RxNorm, XML, PDF, and non-standard formats, like CSV and text files. It facilitates secure exchange through several protocols, including TCP/IP MLLP, HTTPS, web services and direct messaging.

The main uses and benefits of an HIE include:

  • Allowing for organisation-based sharing between strategic partners that share care pathways to help join up care.
  • Providing care professionals with the ability to view aggregated, person-centric information embedded within digital systems (avoiding the need for separate logins) or a secure web portal for those whose digital system does not yet have single-sign-on capabilities.
  • Helping care professionals provide the best care possible by reducing gaps in history.
  • Helping emergency care professionals to provide more informed care for patients admitted to A&E with issues that are unknown to the hospital, often resulting in critical interventions.
  • Reducing hospital admissions as the unscheduled care professionals can confidently send patients home based upon information from other care settings.
  • Avoiding unwarranted duplicate investigations, which reduces costs and is better for the patient as there is less exposure to radiation and reduced infection risks.
  • Supporting improved mental health assessments with the availability of physical health data.
  • Community care is more timely and more precise with the availability of hospital decision making.
  • Discharge planning is more holistic because of knowledge about the person’s needs when being cared for in the community.
  • Primary care services are more informed, particularly the GPs in providing the patient with reassurance over test results and referrals that have led to appointments.
  • Social care having improved access to health records, thereby providing even more helpful interventions for citizens by reducing the gaps in history.
  • End-of-life care is more tailored, with greater ability to look after people in their own homes.
  • Community pharmacies now see what interventions have been made and in what context in hospital, enabling speedier decisions for those requiring repeat prescription dispensing.

Cerner is working with several supplier partners to make data accessible across the health and care economy. Currently, Cerner HIE can access datasets from providers such as Healthcare Gateway’s MIG, EMIS, TPP SystmOne, Servelec Rio, Servelec Mosaic, AzeusCare, Epic, Coordinate my Care, DXC Lorenzo, LiquidLogic. This list is not exhaustive and other direct links will become progressively available.

Cerner works with its supplier partners to provide access to the Cerner HIE as a contextual link within the application rather than through a secondary login to encourage clinical adoption. The contextual link is available from the likes of EMIS Web, TPP SystmOne, INPS, Servelec Rio, Servelec Mosaic, AzeusCare, Civica Cito, DXC Lorenzo, LiquidLogic. This is not an exhaustive list and new suppliers and their solutions will become progressively available.

Yes, Cerner HIE is vendor agnostic, with 80% of our Cerner HIE connections being with non-Cerner EHRs. Our Cerner HIE technology does not rely on our Cerner Millennium® EHR technology and is a separate technology stack and solution. As an example, Cerner has implemented our HIE for Tanner Health and Northeast Georgia Health System in the USA. Neither of these clients have implemented our EHR.

The Cerner HIE has a flexible data model. Three models for data governance exist today and are fully supported by our HIE: centralised, federated and hybrid. In all three governance models, healthcare organisations’ internal policies for data sharing and enterprise security are taken into account during implementation to ensure the data gets stored, secured, exchanged and managed appropriately.


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