Dissecting (?)the Reference Architecture

for InteroperabilityHINZ Conference, 21 June 2012

Alastair_Kenworthy@moh.govt.nz

AgendaHISO 10040Referral, discharge and shared careOther practical applicationsTrial implementationQuestions

HISO 10040 Health Information Exchange

10040.1R-CDRs

XDS

10040.2 CCR

SNOMED CTArchetypes

10040.3Documents

CDA

4

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

CDA Solar System

HISO 10041 Transfer of Care

Transfer of Care Reference Architecture

Transfer of Care Standard

10040.1 10040.2 10040.3

Transfer of Care Reference Architecture

HISO standards development

Information landscape

Distributed shared care records

12

Comprehensive care assessment

(a) PDF

(b) CDA + PDF

(c) CDA level 3 + XDS

My List of Medicines

Community pharmacy LTC services

R-CDR trial implementation

ParticipationR-CDRs – provide the registry and certain XDS-enabled repositories LIS, RIS, national systems – load content into R-CDRsIFHC EHR/PHR systems – register content with R-CDRsClinical portals – populate results tree from the registryPMSs, shared care systems – architected as consumers of data services

Questions/discussion

Transfer of care interfaces

19

Point-of-service interface

Referral web services

Document information cycle