May 2012

Document Type


Degree Name



Dept. of Medical Informatics and Clinical Epidemiology


Oregon Health & Science University


In 2010, the Office of the National Coordinator for Health Information Technology launched the Direct Project to expand the specifications of the nationwide health information network to create specifications and service descriptions that enable simple, secure point-to-point electronic messages between health care participants. Using Direct Messaging for electronic push of information between two healthcare providers or between a provider and a patient not only improves the patient experience, it also enables them to meet the exchange requirements of the Center for Medicare and Medicaid Services Electronic Health Record (EHR) incentive program. Although considerable progress is being made in launching Direct Messaging implementations, much about the role of a Health Information Service Provider (HISP) and some of a HISP's future functionality remain untested in the market place. The goal of this project was to demonstrate interoperable health information exchange using Direct Messaging




School of Medicine



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.