IHE Australia Workshops July Prepared by: Heather Grain Chair: Standards Australia IT14 Health Informatics and Ehealth Education

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1 IHE Australia Workshops July 2011 Prepared by: Heather Grain Chair: Standards Australia IT14 Health Informatics and Ehealth Education

2 Standards are key to healthcare at all levels service, fiscal, administrative decision makers, clinicians in direct patient care, patients and their carers and researchers across the whole health sector, including public health Cost minimization - Information and the systems used to collect, retrieve and present that information are expensive and complex Benefit maximization standards indicate the way forward to reduce re- work and integrate

3 Standards support the ability to collect information once and use it for a range of purposes Consistent information structure Agreed structure (fields) of information Consistent information representation Agreed way to represent content (eg. SNOMED CT, ICD, AMT, national code systems)

4 PCEHR requires systems that have Appropriate, consistent privacy processes Information transmission and content management Information representation Each of these require skills in our health organisations to implement and manage the information and the systems associated with the information Standards Australia is the environment in Australia where these requirements meet

5 Scope Standards required by the community Consultation, broad input supporting the continuum

6 Government/Semi Government Departments Health services Professional Organisations Consumers Software/Health Informatics Industry Other standards development organizations. DoHA, NEHTA, jurisdictions, AIHW Australian Private Hospitals Association, Healthcare Organisations RACGP, RCPA, RANZCR, RACMA, ANZCA, RCN Consumers Federation of Australia MSIA, HISA and specific vendors HL7 Australia

7 DEPARTMENT OF HEALTH AND AGEING E HEALTH BRANCH NATIONAL E HEALTH TRANSITION AUTHORITY (NEHTA) STANDARDS AUSTRALIA

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9 Reduces costs to Australia Avoids duplication Leverages international expertise Makes Australian vendors internationally competitive

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11 Shared planning approach Development alternatives Traditional Supported workshops to support the community Focused funding Expert input/expertise understanding of the continuum where it fits and where it breaks! Understanding of potential /risk to safe IT in healthcare Learning and leverage expertise International influence and expertise

12 General Overarching Approaches Logical Information Model (independent of implementation) Implementation exchange format (CDA) Conformance Rendering Using Adopt, Adapt, Develop approach Technical / Functional implementation requirements

13 IT14 Work Plan established through open consultation, considering: national priorities by survey and PCEHR review priorities identified by the community International alignment National solutions Collaborative process

14 Though not directly related to the PCEHR the work program includes: Update to HL7 AS4700 series to include identification and identifier requirements Person and Provider Identification in Healthcare: AS: ATS: Systems and processes for local systems ATS: Establishment of network organisation identifiers

15 Electronic Transfer of Prescriptions (includes) : AS: HL7 V2 exchange specification AHB: HL7 V2 exchange specification (implementation handbook) ATS: logical information model ATS: logical services model ATS: CDA exchange specification ATS: Prescription request CDA exchange specification ATS: Web services platform specification ATS: dispense conformance profile and schematron ATS: dispense rendering and XSLT ATS Medication Profile logical information model

16 Imaging Result Report ATS: logical information model ATS: CDA exchange specification ATS: Conformance profile and schematron ATS: rendering and XSLT Pathology report ATS: logical information model ATS: CDA exchange specification ATS: Conformance profile and schematron ATS: rendering and XSLT

17 Work covering: Advance care directives Consumer entered information Core discharge summary Core GP ereferral eevent Summary ehealth Summary PCEHR Consolidated view output Specialist eletter

18 Alerts and Clinical Decision Support technical (HL7) Clinical Decision Support Foundations - Technical - Alerts

19 Health Records digitized records Health records EHR and EMR Health records secure archiving Implementation of clinical terminology in local systems Guide on quality data in healthcare Core principles and properties of HL7 v3 Models (terminology binding) HL7 Common Terminology Services Principles of mapping clinical terminologies

20 Security management guide for health sector Health authentication framework

21 Conformity assessment requirements for secure message delivery AHB: ehealth Interoperability Architecture standards framework (SOA) Upgrade to web services profile, XML secured payload profiles, secure message delivery ATR digitial signature in messages and documents Profile for XDS.b/RLUS and ATNA ATS: profile CDA to include forms based communication

22 Requirements for EHR architecture Australian review ATR: guidelines for implementation of healthcare datatypes ATS: profile of Personal Health Record system functional model ATS: profile of EHR system functional model Detailed clinical models quality criteria

23 Quality criteria for telehealth services and systems Australian telehealth standards roadmap

24 Active uptake Connecting with those dealing with the issues on the ground Active engagement Active consideration of the continuum Active future focus Active input on how we can improve

25 Standards Australia E Health website Coordinated national approach Open to all feel free to join us Also: H.grain@ehealtheducation.net