Last December, the President’s Council of Advisors on Science and Technology threw a curveball at the Office of the National Coordinator’s criteria for meaningful use of electronic health records.

On the issue of health information exchange, the advisors said ONC was going down the wrong road and recommended adopting a “universal exchange language” that uses metadata tags to facilitate HIE while enhancing privacy. “In analyzing the path forward, we conclude that achievement of the President’s goals requires significantly accelerated progress toward the robust exchange of health information,” PCAST asserted.

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