Whole Interoperability
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- Antony Haynes
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1 Whole Interoperability Russell B. Leftwich, MD Senior Clinical Advisor for Interoperability, InterSystems
2 Interoperability: InterSystems Corporation. All Rights Reserved.
3 Interoperability: The Future Senior center Social service agency Pharmacy Government Child protective services Rehabilitation Specialist Hospital Family Laboratory Researcher Primary Care Patient Long Term Care Payer Ambulance Schools Home care agency Pharma/device company
4 What if Health Level 7 created a new interoperability standard starting from scratch? InterSystems Corporation. All Rights Reserved.
5 HL7 version2 (2.x) is 30 years old. HL7 CDA is over 10 years old InterSystems Corporation. All Rights Reserved.
6 HL7 FHIR Fast Healthcare Interoperability Resources Health Level Seven, HL7 and FHIR are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office InterSystems Corporation. All Rights Reserved. 6
7 REST REpresentational State Google, Twitter, FaceBook Your favorite travel website InterSystems Corporation. All Rights Reserved.
8 Your favorite travel site AnyAirplaneFlight.com InterSystems Corporation. All Rights Reserved.
9 FHIR Supports 4 Interoperability Paradigms RESTful Documents Messages Services InterSystems Corporation. All Rights Reserved.
10 Ah-ha moment on FHIR Regardless of paradigm the content is the same* It s straight-forward to share content across paradigms e.g. Receive a FHIR lab result in a message. Package it in a FHIR discharge summary document It also means constraints can be shared across paradigms e.g. Define a FHIR representation for Blood Pressure; use same FHIR data in messages, documents, REST and services InterSystems Corporation. All Rights Reserved. * Ah-ha!!
11 iphone Maturity Model People purchased and used the iphone 2 It did not have all of the features of iphone 3 Some features were improved, some were added iphone 6 is even better, but you can still use earlier iphones InterSystems Corporation. All Rights Reserved.
12 Platform App
13 Open Health Apis Mobile App FHIR Layer Presentation SMART enabled EHR System OATH REST JSON FHIR EMR LIS PACS Services InterSystems Corporation. All Rights Reserved.
14 Usability: Data views that fit the workflow InterSystems Corporation. All Rights Reserved.
15 Interoperability: The meaning of the data is understood, and data is usable in the workflow of the receiver InterSystems Corporation. All Rights Reserved.
16 All clinical domains have data that is important to them and usually their workflow dictates how that information is best presented InterSystems Corporation. All Rights Reserved.
17 Pediatric Growth Table InterSystems Corporation. All Rights Reserved.
18 Pediatric Growth Chart InterSystems Corporation. All Rights Reserved.
19 The Challenge InterSystems Corporation. All Rights Reserved.
20
21 Usage + Mindshare The Hybrid Future of Standards HL7 V2 HL7 CDA HL7 FHIR HL7 V3 Time InterSystems Corporation. All Rights Reserved.
22 Bridging Systems in a Hybrid Environment FHIR Health Information Exchange FHIR FHIR Data Transform FHIR Resource Repository Index CDA HL7v2 FHIR Transform FHIR CDA HL7v2 IHE (XDS.b) InterSystems Corporation. All Rights Reserved.
23 REST Enabled Health Information Exchange SMART capable Platform FHIR-based REST client Login Search PUT/POST Data Transform Index Legacy systems with data about individuals FHIR Resource Repository FHIR Transform InterSystems Corporation. All Rights Reserved.
24 Mobile App/ Web App HealthShare Platform Data Repository EMR LIS RLS InterSystems Corporation. All Rights Reserved.
25 Whole Interoperability Platform: A Learning Health System Legacy Standards Connected Health Solutions Legacy Standards Emerging Standards Emerging Standards Proprietary formats Proprietary formats Unstructured Extensible Data Model Health Informatics Platform Unstructured InterSystems Corporation. All Rights Reserved.
26 What Will Make it Successful ü Scalable, standards-based information sharing ü Rigorous, flexible consent management ü Ability to manage granular data in both structured and unstructured formats ü Smart, subscription-based clinical event notifications and analytics ü Continuous focus on building adoption and value
27 Patient-Centered Population Health Management Measure performance of population Enhancing the health of populations by optimizing care for individuals, in the context of a learning health system Aggregate individual care history Provide a personalized, coordinated care experience Deliver actionable information to care givers Identify cohorts that will benefit from intervention InterSystems Corporation. All Rights Reserved.
28 Sustainable health and care systems create connected, healthy communities One citizen at a time
29 Thank you! Russell B. Leftwich, M.D. Senior Clinical Advisor for Interoperability, InterSystems
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