BlueButton+Plus+-+Push+Use+Cases

=ABBI General Use Cases= I see the following generalized use cases for the pushing of PHI.

General Assumptions/Requirements

 * All CCD/CCDA will be standard HITSP C32 XML documents.
 * All encryption formats (rar, Zip, etc) must be supported by Windows (98-2008), Mac, IOS, Android, Linux.
 * Communications from Patients may or may not be encrypted

Provider/Payer to Patient
A provider/payer sends PHI information directly to patient

Patient Request
The Patient requests summary documents of an encounter be sent directly to them. This could be a one time or ongoing request.

Possible workflows
- A CCD/CCDA is generated by the EMR after an encounter then is:
 * o Attached to a Direct email and sent to the patients Direct email address
 * o Encrypted / password protected and sent to the patients email
 * o Encrypted / password protected and sent via network work to patients portable device (IPAD, Iphone, Android)
 * o Encrypted / password protected and sent via network via to patient device (USB, etc)
 * o One time link is emailed /texted to patient where document can be download
 * o Link to providers portal is emailed to patient where the document can be downloaded

Patient to Provider
A patient sends PHI information directly to provider/payer

Patient Request
The Patient wants to send requests summary documents of an encounter be sent directly to payer or provider.

Possible workflows
- A CCD/CCDA which was generated by the EMR after an encounter then is:
 * o Attached to a Direct email and sent to the providers Direct email address
 * o Attached to an email and sent to the providers Direct email address
 * o Provider is granted access by the patient to the provider via the patients PHR of choice.
 * o sent via near field communications work from patients portable device (IPAD, Iphone, Android) to the
 * o Patient uploads document via providers portal

Provider/payer to PHR
A provider/payer sends PHI to the patients PHR

Patient Request
Patient requests summary documents of an encounter be sent to Health Vault or other PHR. This could be a one time or ongoing request.

Possible workflows
- A CCD/CCDA is generated by the EMR after an encounter and this is:
 * o Attached to a Direct email and sent to the Patients Direct email address provided by that PHR
 * o Stored in PHR via XDS standard
 * o Stored via PHR API

Provider to Third party Provider
A provider/payer sends PHI to another provider/payer

Patient Request
Patient requests summary documents of an encounter be sent to a third party provider. This could be a one time or ongoing request.

Possible workflows
- A CCD/CCDA is generated by the EMR after an encounter and this is:
 * o attached to a Direct email and sent to the Providers Direct email address provided by that PHR
 * o Stored In HIE where both providers are members via XDS protocol