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Dissecting (?) the Reference Architecture for Interoperability

Dissecting (?) the Reference Architecture for Interoperability. HINZ Conference, 21 June 2012 Alastair_Kenworthy@moh.govt.nz. Agenda. HISO 10040 Referral, discharge and shared care Other practical applications Trial implementation Questions. HISO 10040 Health Information Exchange.

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Dissecting (?) the Reference Architecture for Interoperability

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  1. Dissecting (?)the Reference Architecturefor Interoperability HINZ Conference, 21 June 2012 Alastair_Kenworthy@moh.govt.nz

  2. Agenda • HISO 10040 • Referral, discharge and shared care • Other practical applications • Trial implementation • Questions

  3. HISO 10040 Health Information Exchange 10040.2 CCR SNOMED CT Archetypes 10040.3 Documents CDA 10040.1 R-CDRs XDS

  4. HISO 10040 • Interoperability RA version 1.o (2011) • Public comment / evaluation panel October 2011 • Ballot round February 2012 • Interim standard April 2012 • Trial implementation 2012/13

  5. HISO 10040 • … use of HL7 v2 is ‘in containment’ (used only when CDA + web services not practical) • ‘I'm not privy to the logic behind this decision but – at risk of offending people who probably worked very hard! – it appears someone has focussed more on the conceptual standard [v3/CDA] than reality :-(’

  6. Not exactly what we meant

  7. CDA Solar System

  8. HISO 10041 Transfer of Care Transfer of Care Standard Transfer of Care Reference Architecture 10040.3 10040.2 10040.1

  9. Transfer of Care Reference Architecture

  10. HISO standards development

  11. Information landscape

  12. Distributed shared care records

  13. Comprehensive care assessment (a) PDF (b) CDA + PDF (c) CDA level 3 + XDS

  14. My List of Medicines

  15. Community pharmacy LTC services

  16. R-CDR trial implementation

  17. Participation • R-CDRs – provide the registry and certain XDS-enabled repositories • LIS, RIS, national systems – load content intoR-CDRs • IFHC EHR/PHR systems – register content with R-CDRs • Clinical portals – populate results tree from the registry • PMSs, shared care systems – architected as consumers of data services

  18. Questions/discussion

  19. Transfer of care interfaces

  20. Point-of-service interface

  21. Referral web services

  22. Document information cycle

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