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Dissecting (?)the Reference Architecture
for InteroperabilityHINZ Conference, 21 June 2012
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AgendaHISO 10040Referral, discharge and shared careOther practical applicationsTrial implementationQuestions
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HISO 10040 Health Information Exchange
10040.1R-CDRs
XDS
10040.2 CCR
SNOMED CTArchetypes
10040.3Documents
CDA
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HISO 10040Interoperability RA version 1.o (2011)Public comment / evaluation panel October 2011Ballot round February 2012Interim standard April 2012Trial implementation 2012/13
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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 :-(’
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Not exactly what we meant
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CDA Solar System
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HISO 10041 Transfer of Care
Transfer of Care Reference Architecture
Transfer of Care Standard
10040.1 10040.2 10040.3
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Transfer of Care Reference Architecture
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HISO standards development
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Information landscape
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Distributed shared care records
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Comprehensive care assessment
(a) PDF
(b) CDA + PDF
(c) CDA level 3 + XDS
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My List of Medicines
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Community pharmacy LTC services
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R-CDR trial implementation
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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
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Questions/discussion
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Transfer of care interfaces
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Point-of-service interface
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Referral web services
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Document information cycle