Project Summary

The Office of the National Coordinator (ONC) and the Department of Veterans Affairs (VA) launched the Standards and Interoperability (S&I) Framework for the Blue Button Initiative to develop standards that allow patients to privately and securely download their health information in a common, machine-readable format, as well as automate the exchange of that data from their health care providers to other third party apps and services.

Project Team

Pierce Graham-Jones

Project Details

The S&I Framework is a collaborative community of participants from the public and private sectors who are focused on providing the tools, services and guidance to facilitate the functional exchange of health information. The S&I Framework uses a set of integrated functions, processes, and tools that enable execution of specific value-creating initiatives. Each S&I Initiative tackles a critical interoperability challenge through a rigorous process that typically includes: – Development of clinically-oriented user stories and robust use cases – Harmonization of interoperability specifications and implementation guidance – Provision of real-world experience and implementer support through new initiatives, workgroups and pilot projects – Mechanisms for feedback and testing of implementations, often in conjunction with ONC partners such as NIST

Additional Information


Established in 2012, the Innovator-in-Residence Program brings new ideas and expertise into HHS programs through collaboration between the Department of Health and Human Services and private sector not-for-profit organizations. To date, the HHS IDEA Lab has partnered with the West Health Institute to take on the issue of health care cost and the Healthcare Information and Management System Society to address the issue of patient matching.