HCA Healthcare’s Health Information Exchange (HIE) enables interconnectivity and data sharing across multiple care settings and provides a longitudinal view of a patient record that is up-to-date in near real-time. This record consists of combined data from MEDITECH, Epic and eClinicalWorks (eCW) with information from other EHR’s coming soon. From a single location, users have the ability to access and review patient records via the integrated “HIE Tab”, while HCA Healthcare physicians have access to an aggregated patient records via a link from MEDITECH or the Patient Keeper Physician Portal. Epic users can access HIE data using its Care Everywhere feature.


  • Provides a longitudinal view of the health record of a patient
  • Allows for two-way exchange of patient information with other systems.
  • Physician affinity by offering convenience and connecting providers.
  • Quality care and outcomes by integrating in-patient, emergency department and ambulatory care settings.
  • Connections with federal entities and public health reporting agencies to share data.


  • Enterprise connectivity
  • Interoperability
  • Web-base
  • Workflow management

Community Exchange Partners

What is a Community Exchange Partner?

The term Community Exchange Partner refers to an external provider that has completed the technical development process necessary to establish a bidirectional health information exchange relationship with HCA. As an established community exchange partner, the following workflow can be performed:

  • A CEP can electronically send a continuity of care document (CCD) for a referred patient to an affiliated HCA facility.
  • The CCD will be viewable within the Smart Agent tool.
  • Upon patient discharge, an updated CCD will be automatically sent back to the CEP to “close the loop”.

What is a CCD?

A Continuity of Care Document (CCD) is an industry standard electronic document used to share patient summary information. HCA’s standard CCD usually includes the following data elements.

  • Active & Past Medical Problems
  • Active & Past Surgical Problems
  • Allergies
  • Current & Past Home Medications
  • Discharge Instructions
  • Encounters
  • Immunizations
  • Lab Results
  • Patient Demographics
  • Procedures
  • Treatment Plans
  • Vitals

Health Information Exchange (Internal Site)