Briefing on Standards Information Sharing Portal (SISP) and ehr Adaptor. Seminar on Preparation for ehr 28 Jun, 2013

Transcription

1 Briefing on Standards Information Sharing Portal (SISP) and ehr Adaptor Seminar on Preparation for ehr 28 Jun, 2013

2 Healthcare Providers may ask: What is the data format? The scope of the ehr sharable dataset? The definition of the data will be shared? How to prepare the interface? Technical protocol? IT Professional What is the code is used? Health Informatician

3 Documentations Data Interoperability Standards Interface Specifications for each clinical data domain: Data Requirement Specification Technical Interface Specification (Message-based) BLS Technical Interface Specification (Bulk-load) Total 56 interface documentations

4 Standards Information Sharable Portal (SISP) Provide both business and technical information Facilitate Healthcare Provider(HCP) to understand the ehr Sharable Data Requirements Facilitate HCP IT professional to develop interface for data sharing

5 What can help you? Sharable dataset Document Download Code Table Message Dictionary

6 ehr Sharable Dataset Scope Scenarios Mindmaps Data Requirements Specifications Interface specifications Sharable dataset Docum ent Downl oad Code Table Message Dictionary

7 Code Table By Sharable Dataset Code Table and value listing Search function Code Table Sharab le Datase t Messa ge Dictio nary Document Download

8 Message Dictionary By Sharable Dataset Including two format HL7-HK Message Standards HL7-HK Localised Bulk Load Standards Blurred the not used segments Blurred the not used fields Search Function Code Table Message Dictionary Docum ent Downl oads Sharable Dataset

9 Document Download By ehr Sharable Dataset Specifications Document Download Document Download Messa ge Dictio nary Sharab le Datase t Code Table

10 Front page of SISP

11 Introduction

12 About Standardisation

13 ehr Sharable Dataset

14 Code Table and table listing

15 Code Table search result

16 Code Table search result

17 Message Dictionary tree structure

18 Message Dictionary tree structure

19 Message Dictionary search result

20 Message Dictionary search result

21 Document Download

22 Example : What dataset can be shared (e.g. Immunisation)? Answer : Sharable dataset What data compliance level for Immunization? Answer : Sharable dataset What fields can be shared (e.g. HKIC, Vaccine code, etc)? Answer : Message Dictionary Any codex? Answer : Code Table How to share? Answer : Message Dictionary, Specification Download Any sample? Answer : Message Dictionary, Specification Download

23 Apart from Data Content, what is the Technical Protocol? EHR Development Guiding Principle Adopt Open Standards Health Level 7 (HL7) X.509 E-cert (for encryption, authentication, nonreputation) ebms ebxml Message Service OGCIO Interoperability Framework (S18) for reliable messaging HTTPs / SFTP commonly used for secure communication on Internet

24 However Communication protocol is also complicated HL7 is difficult to understand Any Tools can HELP? IT Professional

25 ehr Adaptor Framework A set of extensible APIs that enable EMR systems to leverage relevant shared services to communicate with the ehr Core Built-in compliance to ehr data sharing standard

26 Tools: Hospital epr + Local adaptor One of EHR Adaptation module Private Hospital can adopt the module which contains a hospital epr Include functionality for data upload to ehr Format the data in Bulk-load format, generate HL7 message and send via SFTP Handle all security requirements

27 Insert Adaptor Upload Hospital IT prepare Digital Certificate sftp ehr login key PMI HCP info Clinical Data Local EMR DB Upload Job Patient key Data upload web service Encrypt/ insert Sharable Clinical Data Transaction Records Storage HL 7 Message Data files Signed HL 7 Message Zipped files SFTP SFTP Client Fixed IP Adaptation Module DB Mapped Data Data retrieval web service TXN Data DxPx Sharable dataset CS Users Txn dataset TXN Data Retrieve/ Transform SAAM MOE Hospital epr

28 Tools: ELSA + On-ramp Local adaptor ELSA Encapsulated Linkage Security Application Embedded ebms 2.0 Client Embedded e-cert and security functionalities which fulfill the data upload security requirements On-ramp adaptor A set of API Interface Transform the data into HL7 Communicate with ELSA for data upload

29 Architecture of ehr On-ramp Adaptor & ELSA EMR System Sharable Data Extraction Data Converter emr Database Outbound Message Repository Adaptor Core Services Secure Share Service Data Upload Service Data Download Service ehr ELSA Communication Channel ehr Local Adaptor Session Management ELSA EMR Authentication Management ELSA Connection Management by Local EMR

30 Thank you Question?