{"id":5050,"date":"2013-07-23T11:20:10","date_gmt":"2013-07-23T15:20:10","guid":{"rendered":"http:\/\/www.healthit.gov\/buzz-blog\/?p=5050"},"modified":"2025-08-19T20:43:34","modified_gmt":"2025-08-19T20:43:34","slug":"interoperability-guide-viewdownloadtransmit-hios","status":"publish","type":"post","link":"https:\/\/healthit.gov\/blog\/insights-updates\/interoperability-guide-viewdownloadtransmit-hios\/","title":{"rendered":"New Interoperability Guide: View-Download-Transmit for HIOs"},"content":{"rendered":"\n<p>Following our release of <a href=\"https:\/\/healthit.gov\/wp-content\/uploads\/2017\/09\/key_considerations_for_hios_stage_2_toc_final_0.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Key Considerations for Health Information Organizations Supporting Meaningful Use Stage 2 Transitions of Care<\/a>, today we\u2019ve posted our second interoperability deep dive document for Health Information Exchange Organizations (HIOs), <a href=\"https:\/\/healthit.gov\/wp-content\/uploads\/2025\/03\/key_considerations_for_health_information_organizations_vdt.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Key Considerations for Health Information Organizations Supporting Meaningful Use Stage 2 Patient Electronic Access Measures<\/a>.<\/p>\n\n\n\n<p>Interoperability is achieved when information is exchanged between two or more products or systems and then is able to be used by the person or system that received the information.<\/p>\n\n\n\n<p>The new patient electronic access requirements (View-Download-Transmit and patient secure messaging) under Meaningful Use Stage 2 represent a transformative step forward for health information exchange and interoperability.<\/p>\n\n\n\n<p>When they take effect in January 2014, patients all over the country will find themselves newly empowered with access to their health data.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-does-the-new-interoperability-guide-cover\">What does the new interoperability guide cover?<\/h2>\n\n\n\n<p>This new report provides HIOs with expanded information about approaches to support the three patient electronic access measures in Stage 2 for achieving interoperability.&nbsp; Built into the document is:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A review of View-Download-Transmit (VDT) and secure messaging Meaningful Use (MU) objectives and measures<\/li>\n\n\n\n<li>An overview of associated certification requirements<\/li>\n\n\n\n<li>A discussion of additional considerations for HIOs supporting VDT and\/or patient secure messaging functionality, including potential documentation that may be required if an eligible provider is audited<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-interoperability-requirements-for-certified-ehr-technology-stage-2-use\">Interoperability requirements for certified EHR technology Stage 2 use<\/h2>\n\n\n\n<p>We also explore requirements for when and how certified EHR technology must be used for Stage 2, as summarized in the following table.<\/p>\n\n\n\n<div align=\"center\">\n<table border=\"1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<th>\n<p align=\"center\"><b>Measures<\/b><\/p>\n<\/th>\n<td>\n<p align=\"center\"><b>VDT objective:<\/b><\/p>\n<p><b>Does the EP\/EH need to use CEHRT to send initial information to patient?<\/b><\/p>\n<\/td>\n<td>\n<p align=\"center\"><b>VDT objective:<\/b><\/p>\n<p align=\"center\"><b>Does the patient need to receive \/view \/ download information using CEHRT?<\/b><\/p>\n<\/td>\n<td>\n<p align=\"center\"><b>VDT and secure messaging objective:<\/b><\/p>\n<p align=\"center\"><b>Does the patient need to use CEHRT to transmit information?<\/b><\/p>\n<\/td>\n<td>\n<p align=\"center\"><b>Secure messaging objective<\/b>:<\/p>\n<p align=\"center\"><b>Does the EP need to use CEHRT to receive information from patient?<\/b><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td><b>VDT measure 1: 50% of unique patients provided timely online access to their health information<\/b><\/td>\n<td>\n<p align=\"center\">No<\/p>\n<\/td>\n<td>\n<p align=\"center\">Yes<\/p>\n<\/td>\n<td>\n<p align=\"center\">N\/A<\/p>\n<\/td>\n<td>\n<p align=\"center\">N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td><b>VDT measure 2: 5% of unique patients view, download or transmit their health information to a 3<sup>rd<\/sup>&nbsp;party<\/b><\/td>\n<td>\n<p align=\"center\">No<\/p>\n<\/td>\n<td>\n<p align=\"center\">Yes<\/p>\n<\/td>\n<td>\n<p align=\"center\">They may, but are not required to<\/p>\n<\/td>\n<td>\n<p align=\"center\">N\/A<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td><b>Secure messaging measure 1: 5% of unique patients send a secure message to the EP<\/b><\/td>\n<td>\n<p align=\"center\">N\/A<\/p>\n<\/td>\n<td>\n<p align=\"center\">N\/A<\/p>\n<\/td>\n<td>\n<p align=\"center\">They may, but are not required to<\/p>\n<\/td>\n<td>\n<p align=\"center\">Yes<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n\n\n\n<p>We hope you find this information useful as you seek to support providers and hospitals in achieving Stage 2 MU objectives. We encourage all readers to use this document in conjunction with the Patient and Family Engagement Interoperability Training Module on healthit.gov.<\/p>\n\n\n\n<p>If you have questions, please contact Lee Stevens, State HIE Policy Office Director, at <a href=\"mailto:lee.stevens@hhs.gov\">lee.stevens@hhs.gov<\/a> or provide comments below.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Following our release of Key Considerations for Health Information Organizations Supporting Meaningful Use Stage 2 [&hellip;]<\/p>\n","protected":false},"author":619,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_selected_menu":"","_show_breadcrumbs":"true","_blog_show_featured_image":false,"footnotes":""},"categories":[],"archived-category":[],"featured":[],"topics":[444,442,418],"class_list":["post-5050","post","type-post","status-publish","format-standard","hentry","topics-guidance-best-practices","topics-health-it-basics","topics-interoperability"],"acf":{"blog_authors":[{"blog_author_profiles":"198501"},{"blog_author_profiles":"198499"}],"hp_news_hide":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v24.8.1) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>New Interoperability Guide: View-Download-Transmit for HIOs<\/title>\n<meta name=\"description\" content=\"ONC shares a deep dive on interoperability for Health Information Exchange Organizations on supporting MU Stage 2 Patient Electronic Access Measures. 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