The purpose of this guidance is to provide additional information in response to §§ 8703.9, 8704.1(b), 8704.1(d), 8704.1(f), 8705.4(a)(2) of the “HIE Rule”, Chapter 87 (District of Columbia Health Information Exchange) of Title 29 (Public Welfare) District of Columbia Municipal Regulations (DCMR). This document provides guidelines for Registered Health Information Exchange (HIE) entities on:

• Conducting audits per nationally recognized standards and methodologies;
• Reporting any unusual findings to involved participating organizations; and
• Providing timeframes to involved participating organizations for implementing remedial actions.