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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

Dissecting (?)the Reference Architecturefor Interoperability

HINZ Conference, 21 June 2012

Alastair_Kenworthy@moh.govt.nz

agenda
Agenda
  • HISO 10040
  • Referral, discharge and shared care
  • Other practical applications
  • Trial implementation
  • Questions
hiso 10040 health information exchange
HISO 10040 Health Information Exchange

10040.2

CCR

SNOMED CT

Archetypes

10040.3

Documents

CDA

10040.1

R-CDRs

XDS

hiso 10040
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
hiso 100401
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 :-(’
hiso 10041 transfer of care
HISO 10041 Transfer of Care

Transfer of Care Standard

Transfer of Care Reference Architecture

10040.3

10040.2

10040.1

comprehensive care assessment
Comprehensive care assessment

(a) PDF

(b) CDA + PDF

(c) CDA level 3 + XDS

participatio n
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