Orion Health Communicate provides reliable and protected communication between patients, healthcare providers and organisations across desktop and electronic medical record (EMR) systems. Users anywhere can quickly send accurate patient information to other healthcare providers or even to the patients themselves.

This reduces the risk of communication errors, ensures that records reach their intended destination and allows received information, including attachments, to be included in a patient’s electronic record instead of being filed as a paper document. Improved communication enables our customers to deliver excellent care coordination and can increase patient engagement while seeking to ensure privacy and confidentiality at all times.

Communicate is a central, community-wide information exchange platform. Standards-based security is applied so that only the intended recipient can open the message in their secure inbox.

The Benefits of Communicate

  • Direct Secure Messaging (Communicate) is a very simple product to use; it takes no time at all to train a provider ... We rolled it out rather quickly.


    Executive Director, Alaska eHealth Network

  • Direct Secure Messaging (Communicate) was listed as one of the top three differentiators for Orion Health in Chilmark's December 2014 Report.


    2014/15 Clinician Network Management, Market Trends Report

Key Features

  • Convenient Web Access
  • Browser Support
  • APIs
  • US Classifications
  • Definitions

Communicate Webmail is a convenient way for users to communicate with other providers and patients using a web browser. Messages can be accessed from any desktop with Internet access. Added support is provided for displaying clinical documents (for example, Continuity of Care Documents) and message delivery confirmations.

Communicate Webmail is supported in the following web browsers:

  • Microsoft® Edge
  • Internet Explorer® 8 or later
  • Mozilla® Firefox®
  • Google Chrome™
  • Safari®
  • Safari® for iPad

Other Orion Health solutions, mobile and third-party applications can connect to Communicate via REST* APIs. This enables them to leverage the secure messaging functionality in their own solutions.

Orion Health Communicate is a trusted communication solution in the United States. As a fully accredited EHNAC/DirectTrust *HISP, users can send and receive messages confidently and reliably to and from any user within the DirectTrust network in the United States. Communicate also supports HIPPA* compliance.

*HIPAA Compliance

HIPAA, the Health Insurance Portability and Accountability Act 1996, sets the standard for protecting sensitive patient data. Any company that deals with protected health information (PHI) must ensure that all physical, network, and process security measures required by the act are in place and followed.

*Direct XDR

The XDR message format is based on the Direct Project XDR for Direct messaging specification. This specification is an extension to the IHE ITI-41 Provide and Register Document Set-b specification, the Direct Project specification is not a full specification and the IHE specification should be used for the full XDR details. Messages that are sent and received may use the minimal meta-data and as such each Document Recipient must be capable of processing a XDR message that does not meet the full meta-data requirements.


Representational State Transfer (REST) is the software architectural style of the World Wide Web. REST provides a coordinated set of constraints to the design of components in a distributed hypermedia system that can lead to a higher performing and more maintainable architecture.


Launched in March 2010 as a part of the Nationwide Health Information Network (“NwHIN”), the Direct Project was created to specify a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet, enabling interoperable, secure messaging in the healthcare industry. Those Direct Project specifications and protocols are now known as the Direct standard, which meets a federal requirement for Meaningful Use Stage 2. “Directed exchange” is the term used for this secure communication.

Orion Health achieved full accreditation with the Direct Trusted Agent Accreditation Program (DTAAP) for Health Information Systems Program (HISP) from DirectTrust and the Electronic Healthcare Network Accreditation Commission (EHNAC) in January 2015.

Interested in learning more about Communicate?