Western Wayne Physicians

1. Southeast Michigan Health Information Exchange Western Wayne Physicians

2. A03 Trigger is generated based on patient referral ADT-A03 Origination Trigger Oakwood Node (Adapters) Request Discharge Summary Data ADT Discharge Trigger Discharge Data Response Discharge Data Request Oakwood discharges patient with WWP as PCP The Oakwood Node (Adapters) receives Discharge Summary Data Oakwood Node The Oakwood Node (Adapters) generates the CCD CCD Generator MPI CCD Generator XDS.b Repository PD – QD - RD

3. ADT-A03 Origination Trigger SEMHIE Node submits the CCD to the Western Wayne EHR The Oakwood Node (Adapters) generates the CCD The Oakwood Node (Adapters) generates the CCD Western Wayne Physicians CCD Generation Framework CCD Generation Framework SEMHIE NwHIN Node SEMHIE NwHIN Node MPI XDS.b Repository CCD Generator Western Wayne Node Receives CCD PD – QD – RD SEMHIE Node receives the CCD from Oakwood Node ADT Discharge Trigger Discharge Data Response Discharge Data Request Oakwood discharges patient with WWP as PCP Query Document Retreive Document Framework receives proprietary format clinical data from Oakwood EHR Discharge Summary CCD Semantic Translation Service Semantic Translation Service Discharge Summary CCD Submission Allscripts queries for the CCD from Western Wayne Node SEMHIE Node identifies recipient via Provider Registry SNOMED SNOMED MPI MPI XDS.b Repository XDS.b Repository LOINC LOINC Western Wayne Physicians MDHT Runtime Libraries MDHT Runtime Libraries Oakwood Node RxNorm RxNorm PD – QD – RD PD, QD, RD Provider Registry Provider Registry Framework translates and constructs a CDA conformant CCD SEMHIE Node submits the CCD to the Western Wayne EHR Allscripts retrieves the CCD and displays in EHR App CCD Generator CCD Generator MPI XDS.b Repository PD – QD – RD

4. Real-Time Transition of Care Leveraging NwHIN Based HIEs Allscripts queries for the CCD from Western Wayne Node Allscripts retrieves the CCD and displays in EHR App A03 Trigger is generated based on patient referral Oakwood Node (Adapters) Request Discharge Summary Data The Oakwood Node (Adapters) receives Discharge Summary Data The Oakwood Node (Adapters) generates the CCD SEMHIE Node receives the CCD from Oakwood Node SEMHIE Node submits the CCD to the Western Wayne EHR Western Wayne Node Receives CCD ADT-A03 Origination Trigger Western Wayne Physicians CCD Generation Framework SEMHIE NwHIN Node MPI XDS.b Repository ADT Discharge Trigger Discharge Data Response Discharge Data Request PD – QD - RD Document Request Document Response Semantic Translation Service MPI PD – QD – RD Provider Registry XDS.b Repository SNOMED LOINC Oakwood Node Western Wayne Physicians MDHT Runtime Libraries RxNorm CCD Generator MPI TOC Pilot Host Systems Integrator PD – QD - RD XDS.b Repository Technology Partners