This page documents current and proposed modifications to the official ONC website as it relates to the Direct Project.

Current Site Reference
Proposed Modification
Status
Home Page:
Currently, no mention
Something in the "What's New" section on the right of the page at an appropriate time.

Nationwide Health Information Network: Overview
Currently says in paragraph 4:
"Based on initial recommendations from the Nationwide Health Information Network Work Group, a new initiative, the Direct Project, was launched to explore the nationwide health information network standards and services required to enable secure health information exchange at a more local and less complex level, such as a primary care provider sending a referral or care summary to a local specialist electronically. For more information about the Direct Project, please visit http://nhindirect.org."
Suggested modification to this text:
"Based on initial recommendations from the Nationwide Health Information Network Work Group, the Direct Project was launched in March 2010 to specify a simple, secure, scalable, standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. The Direct Project expands existing Nationwide Health Information Network standards and service descriptions to address the key Stage 1 requirements for Meaningful Use, and to provide an easy "on-ramp" for a wide set of providers and organizations looking to adopt. For more information about the Direct Project, please visit the project website."
In process
Nationwide Health Information Network: Left Navigation Panel
Currently, Direct Project has no place.
Add Direct as an option under CONNECT and go to new splash page with this text:
"Launched in March 2010 as a part of the Nationwide Health Information Network, the Direct Project was created to specify a simple, secure, scalable, standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. The Direct Project has more than 200 participants from over 50 different organizations. These participants include EHR and PHR vendors, medical organizations, systems integrators, integrated delivery networks, federal organizations, state and regional health information organizations, organizations that provide health information exchange capabilities, and health information technology consultants.

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. However, when these services are used by providers and organizations to transport and share qualifying clinical content, the combination of content and Direct-Project-specified transport standards may satisfy some Stage 1 Meaningful Use requirements. For example, a primary care physician who is referring a patient to a specialist can use the Direct Project to provide a clinical summary of that patient to the specialist and to receive a summary of the consultation.

For more information about the Direct Project, please visit the Project Wiki and the project website."
In process
Nationwide Health Information Network: Ongoing Development Activities
Currently says:
"After receiving an initial set of recommendations from the NHIN Work Group and other input, ONC has initiated a new project to assess and test a working set of specifications to support local level health information exchange between providers. As part of this project, a community of stakeholders will collaborate through an open and transparent process to explore a set of policies, standards and services that could enable simple, direct transport of information over the Internet (between providers who know each other). The group will initially focus on the business cases that support meaningful use requirements for 2011. This project is limited in scope with defined outcomes.

This effort is complementary to and an extension of the current NHIN Limited Production Exchange. Development of a nationwide health IT infrastructure that allows for the secure exchange of information necessitates policies, standards and specifications that are compatible so that the secure routing capability specified as part of the NHIN Direct Project will work with the current NHIN Limited Production Exchange. Both of these efforts support nationwide health information exchange.

For more information about the NHIN Direct Project, please visit http://nhindirect.org."
Suggested modifications to this text:
"An additional effort, the Direct Project, was launched in March 2010 to specify a simple, secure, scalable, standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. The Direct Project has more than 200 participants from over 50 different organizations. These participants include EHR and PHR vendors, medical organizations, systems integrators, integrated delivery networks, federal organizations, state and regional health information organizations, organizations that provide health information exchange capabilities, and health information technology consultants.

To drive adoption of the Direct Project specifications as quickly as possible, members of the community have worked together to create two Reference Implementations of the essential software required to run a "Health Information Service Provider." One implementation is written in Java, the other using the C#/.Net collection of tools. Both are licensed under the "BSD" software license, a very simple license that allows commercial software vendors to incorporate these works into their own products without further obligations, or anyone else to use and modify to meet their needs. The development process, like everything else on the project, was conducted in the public from the very start, so that a wide audience could inspect the work and offer improvements and additional quality control.

For more information about the NHIN Direct Project, please visit the Project Website and the Project Wiki."
In process
Nationwide Health Information Network Inventory of Tools
Currently, no mention of Direct Project artifacts
Add appropriate artifacts as they become available. Specifically, add the Direct Project Overview now to the Architecture Section.

connectopensource.org
Not clear whether Direct project specifications and software will be integrated there or not



Might be nice to have some kind of "countdown" indicator towards a launch of the software. Not clear what that date actually is, though, nor where exactly to place this.