A critical component of enabling the electronic sharing of health information is the concept of interoperability, and interoperability standards: standardized messaging specifications and transmission use cases that ensure that any IT systems created in compliance with those standards will be able to communicate critical health information, and interpret that information consistently upon receipt.
Cognaissance has been an active participant in HL7 International as well as IHE International standards development, integration and adoption and has worked in Canada, France and the United states on a variety of interoperability projects including:

  • Leadership, facilitation and technical writing of interoperability standards to meet new healthcare needs
  • Standards implementation planning and adoption
  • Standards conformance testing
  • Hands-on, customized training in critical standards for implementers as well as users or buyers of standardized products
  • Standards implementation RFP issuance and response writing


Cognitive Dissonance is defined as the discomfort experienced when simultaneously holding two or more conflicting ideas. In the rapidly-evolving world of Health Informatics, cognitive dissonance between bright and energetic specialists abounds.

We have often wondered why there is no positive brother term to Cognitive Dissonance, and have determined that such a concept is necessary in order to progress in improving healthcare as a coherent team. As a result we have coined the phrase: Cognitive Assonance, when several ideas can come together in a harmonious, melodious way. Cognitive assonance is required to move from the zero-sum game of compromise to the positive-sum triumph of consensus-building where every stakeholder comes away with a solution to fit their implementation needs.

Cognaissance specializes in working with teams of industry leaders to bring them together to build consensus, and create new solutions that harmonize ideas and technologies and create cognitive assonance, where previously there has been so much conflict and dissonance.


Cognaissance includes both subject matter expertise in internationally deployed Health Informatics standards, as well as international privacy and security regulations and requirements.

As part of their work across Canada, the United States, France and other European and Asian health IT projects Cognaissance staff have valuable expertise in how different countries solve both HIT Standards integration as well as Privacy and Security challenges.