Surescripts HISP utilizes the direct trust framework/protocol to exchange information. It leverages SMTP servers to send and receive information. But the SMTP server would have to be HISP approved in order to be able to receive data.
I am not familiar with HISP but Foundry does not provide tooling to receive emails via SMTP. Generally speaking in most cases connections are made from Foundry to read data from external systems instead of external systems pushing data into Foundry. Does Surescript support a pull model? Could you use transforms with python to query the data that you are interested in?
Our need on Foundry is to be able to receive HISP messages (SMTP protocol) directly into our foundry instance. HISP does not support a pull model, since it’s SMTP protocol based. For this to be possible, Foundry would have to be Direct Trust certified. If this were true, this would enable us to receive referrals through most health systems in the country through frameworks like Surescripts HISP or whatever other HISP the EHR has enabled. We can also receive chart transfers through HISPS. Options are endless. Let me know if you need any more info from us to advocate for this in the healthcare roadmap. It would be truly invaluable and make foundry so much more useful in the healthcare segment with regards to data interoperability with external systems!
There are two parts to this:
- Foundry having the technical capability to receive messages over SMTP. Today, this is not something we offer out of the box but is very much something we can consider as a feature request to add to the suite of connectivity options we offer.
- Palantir/Foundry getting accreditation from direct trust specifically to receive HISP messages. I’ve started a thread internally to understand if this is something we want to pursue and if it makes sense at the platform level versus something that individual customers should be applying for with Foundry as the backing technology. You’re the first customer I’ve seen ask for this and it will likely take some time to work through what would be required to make this happen.
Given those points, I think there are technical solutions that you could consider such as an intermediate hop using an external email service, for example receiving the HISP messages via Amazon SES, and then writing the data to Foundry. I am not sure of the compliance implications of this and how you’d go about getting certification for a custom SES setup since Amazon doesn’t appear in the list of HISP-certified organizations on the direct trust website.