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From Chat:

SZARFMAN 12:19 PM
Wanted to share that I reviewed the HHS ONC 2024 Interoperability Standards Advisory (ISA) Reference Edition.Regarding the 38 mentions in the ISA:“Secure Message Router – Securely route and enforce policy on inbound and outbound messages without interruption of delivery.” Advocated adding after “without interruption of delivery” the following specific recommendation for assuring a successful comprehension and delivery of the messages: “need to have multi-directional feedback loops for prompt access to ancillary data, for clarifications, and for quickly reporting and addressing system and data transmission errors.” See https://www.nature.com/articles/s43856-022-00148-x.

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