Introduction

This topic provides an introduction to Oracle Health Clinical Data Exchange and the functionality that it offers.

Oracle Health Clinical Data Exchange allows healthcare providers to automate the sharing of patients' medical records with payers for healthcare payment and operations activities. Oracle Health Clinical Data Exchange is built in Oracle Cloud Infrastructure (OCI), and it uses industry-standard communication standards, including FHIR, to securely send and receive electronic health record information.

Oracle Health Clinical Data Exchange delivers the following items:

• Clinical Event Notifications: These notifications include admit and discharge (ADT) messages in the form of Health Level Seven Version 2 (HL7 V2) messages.
• Clinical Documents: This data includes HL7 V2 Consolidated Clinical Document Architecture (C-CDA) documents that adhere to R2.1 specifications that are aligned with the current approved United States Core Data for Interoperability (USCDI) data classes. Also, this data includes unstructured documents in the form of Health Level Seven Version 3 (HL7 V3) C62 documents. These clinical event notifications and clinical data are delivered to connected payers in accordance with data access controls configured by the providers and the data-retrieval workflows implemented by the payers.

The system allows payers to configure a notification delivery endpoint to receive event notifications, and to allow the retrieval of clinical documents for patients enrolled in payer health plans and for patient encounters that are covered by the payer. Payers can set up a document query endpoint to retrieve clinical documents using FHIR queries, or use the bulk document retrieval functionality. The bulk document retrieval functionality allows payers to upload a list of patients enrolled in their health plans, and to specify a date range of up to the last three calendar years (not including the current calendar year). The system can then retrieve encounters for each patient and create the corresponding C-CDA documents for each encounter.

Oracle Health Clinical Data Exchange uses a built-in Master Patient Index (MPI) and Record Locator Service (RLS) to match patients and locate their records across all electronic health record (EHR) environments that are connected to the network. Oracle Health Clinical Data Exchange does not create or deliver clinical documents for an encounter if no clinical data is retrieved from the connected EHR environment.