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New methods for information exchange and semantic interoperability in the New Zealand health sector
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Dissecting (?)the Reference Architecture
for InteroperabilityHINZ Conference, 21 June 2012
Agenda
HISO 10040
Referral, discharge and shared care
Other practical applications
Trial implementation
Questions
HISO 10040 Health Information Exchange
10040.1R-CDRs
XDS
10040.2 CCR
SNOMED CTArchetypes
10040.3Documents
CDA
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
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
Participation
R-CDRs – provide the registry and certain XDS-enabled repositories
LIS, RIS, national systems – load content into R-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
Questions/discussion
Transfer of care interfaces
19
Point-of-service interface
Referral web services
Document information cycle
