As the movement of health information increases among consumers and providers, so does the need to track data provenance with each information update and/or exchange event. According to W3C, “provenance is information about entities, activities, and people involved in producing a piece of data or thing, which can be used to form assessments about its quality, reliability or trustworthiness.” The requirements for data provenance information must support the full lifecycle and lifespan of health data. Confidence in the authenticity, trustworthiness, and reliability of the health data being moved is fundamental to patient safety as well as secure health information exchange.
As health information exchange becomes more widespread and patient generated health data more commonplace, industry stakeholders will increasingly depend on understanding (for example):
- Who created the original health information?
- Where was the original health information created?
- When was the original health information created?
- What information has been changed?
- Why has the information been changed?
Notably, standards development in this area continues to progress. Several standards activities help frame “record lifecycle events,” which represent key points at which audit or provenance data should or could be applied. Such standards include, but are not limited to:
- The electronic health record system functional model (EHR-S FM).
- The HL7 Fast Healthcare Interoperability Resources (FHIR®) EHR-S Record Lifecycle Event Implementation Guide (RLE IG) for FHIR’s second and third trial use releases.
An update to the International Organization for Standardization (ISO) Technical Specification 21089: Trusted End-to-End Information Flows, from its (year) 2004 version.
- Phase 1: Up to 4 winners, each awarded a cash prize of $20,000
- Phase 2: 1st place winner will be awarded a cash prize of $60,000.
2nd place winner will be awarded a cash prize of $40,000;
- Total: Up to $180,000 in prizes