Tony Cooke Hutt Valley DHB www.huttvalleydhb.org.nz (1/10/09, Forum, 3.20)

2. RAID HL7 Change Control Directory services Two factor Authentication EMR UPS Interoperability SAN PHR Virtual Server HTTPS Proxy server Layer 3 Network VPN Host Bus Adaptor CDA CCOW Dicom SNOMED ISO 17799

3. Functional Interoperability Technical Interoperability Communications Interoperability Human/Computer Interface Interoperability Semantic Interoperability eHealth Systemic Interoperability Security/ Privacy Interoperability Legal, ethical And societal Interoperability Environmental Interoperability Business Interoperability Stakeholder Interoperability

5. Pharmacy Laboratory Radiology Hospital Community based e.g. NGO’s, Maternity, Homecare Aged Care General Practice Emergency Services Specialist Clinic Specialisation leads to Silos Consumers / Populations

9. Trends in IT Services

16. Backend Resilience SAN 1 SAN 2 Servers Servers CR 1 CR 2

17. High Level Information Framework Population Health/Funding (Health Needs Assessment, Public Health, Pricing) Primary Care (GP, Clinic, NGO, Rest Home) Secondary Care (Patient Management, Electronic Medical Record) National Systems (NHI, HPI, NIR Reporting, Surveillance, Payments) Clinical Support (Laboratory, Radiology, Pharmacy, On-line Knowledge) Corp Support (HR, Payroll, Finance, Business Reporting, Service Contracts, Identity Mgmt)

18. External Aotea Lab NIR NHI Surveillance GP PMS Breast Screening Payments (HealthPAC) National Extracts Cervical School Based Vaccination System Public Health Regional Health Surveillance System Data Exchange (Rhapsody) Helpdesk File & Print Email Document Mgmt Small Apps (MS Access) Internet Apps Directory Services/Identity Management Login, Office Applications, Email, Calendar Intranet, Contact List Blood Bank Clinical Support Corporate Support Systems Radiology PACS Laboratory Pharmacy Radiology Internet Clinical Knowledge Bases Poisons Concerto MAP/CDV/Searches Clinical Data Repository Discharge Summaries Clinical Audit (SWE) Referrals (SCD) Medical Documents (Meddocs) Clinical Information Systems Event & Incident Reporting Orderlies jobs Paging Doctors Messaging Service Contracts (HIN) HR Payroll Timesheets Rostering Self-service HR/Payroll Public Health Contract Reporting (ARS) Patient Events, Caseweight Budgets, NNPAC, Business/ Activity Reporting, ESPIs Reporting Nurse Rostering Ward Acuity Rostering Supply Finance Equipment Tracking CSSD (Traybax) Asset Mgmt (BEIMS) Snapshot Ward Imprest Finance & Supply Concur Hutt Valley DHB Systems Map – 16 April 2009 Endoscopy School & Hospital Dental Digital Dictation NASC Head & Neck Audit OSH Ear-van Patient Management System Patient Master Index Outpatients Inpatients Waiting List Medical Records Tracking Medical Records Coding/ 3M Encoder Theatre ED NMDS NBRS Referral Mgmt (Allied Health) PRIMHD NHI Interface ADT Messaging

19. NZ Health Sector Information Model

20. Tests/ Results Labs NZ Health Sector Information Model

21. Tests/ Results Tests/ Images Labs Diagnostic Imaging NZ Health Sector Information Model

22. Health Applications Local Users Doers NZ Health Sector Information Model Tests/ Results Tests/ Images Pharm Data PAS Data Bookings Practice Data Transactors Labs Diagnostic Imaging Pharmacy Patient Administration System Appointment Booking Practice Management

23. Tests/ Results Tests/ Images Pharm Data Clinical Data Repository PAS Data Bookings Practice Data Health Applications Local Users Doers Transactors Labs Diagnostic Imaging Pharmacy Local EMR Patient Administration System Appointment Booking Practice Management NZ Health Sector Information Model

24. Tests/ Results Tests/ Images Pharm Data Clinical Data Repository PAS Data Bookings Practice Data Health Applications Local Users Doers Transactors Labs Diagnostic Imaging Pharmacy Local EMR Patient Administration System Appointment Booking Practice Management Labs Labs Diagnostic Imaging Diagnostic Imaging Pharmacy Pharmacy Local EMR Local EMR Patient Administration System Patient Administration System Appointment Booking Appointment Booking Practice Management Practice Management NZ Health Sector Information Model

25. Tests/ Results Tests/ Images Pharm Data Clinical Data Repository PAS Data Bookings Practice Data Health Applications Local Users Doers Transactors Messaging / Routing / Reporting Labs Diagnostic Imaging Pharmacy Local EMR Patient Administration System Appointment Booking Practice Management Labs Labs Diagnostic Imaging Diagnostic Imaging Pharmacy Pharmacy Local EMR Local EMR Patient Administration System Patient Administration System Appointment Booking Appointment Booking Practice Management Practice Management NZ Health Sector Information Model

26. Tests/ Results Tests/ Images Pharm Data Clinical Data Repository PAS Data Bookings Practice Data Health Applications Local Users Doers Transactors Messaging / Routing / Reporting NMDS NHI NIR HealthPAC ACC Accumulators Labs Diagnostic Imaging Pharmacy Local EMR Patient Administration System Appointment Booking Practice Management Labs Labs Diagnostic Imaging Diagnostic Imaging Pharmacy Pharmacy Local EMR Local EMR Patient Administration System Patient Administration System Appointment Booking Appointment Booking Practice Management Practice Management NZ Health Sector Information Model

27. Tests/ Results Tests/ Images Pharm Data Clinical Data Repository PAS Data Bookings Practice Data Health Applications Local Users Doers Transactors Messaging / Routing / Reporting Regional CDR/PACS Regional Data WH NMDS NHI NIR HealthPAC ACC Accumulators Labs Diagnostic Imaging Pharmacy Local EMR Patient Administration System Appointment Booking Practice Management Labs Labs Diagnostic Imaging Diagnostic Imaging Pharmacy Pharmacy Local EMR Local EMR Patient Administration System Patient Administration System Appointment Booking Appointment Booking Practice Management Practice Management NZ Health Sector Information Model

28. Tests/ Results Tests/ Images Pharm Data Clinical Data Repository PAS Data Bookings Practice Data Health Applications Local Users Doers Transactors Messaging / Routing / Reporting Surveillance Regional CDR/PACS Regional Data WH NMDS NHI NIR HealthPAC ACC Accumulators Health Data Repositories Labs Diagnostic Imaging Pharmacy Local EMR Patient Administration System Appointment Booking Practice Management Labs Labs Diagnostic Imaging Diagnostic Imaging Pharmacy Pharmacy Local EMR Local EMR Patient Administration System Patient Administration System Appointment Booking Appointment Booking Practice Management Practice Management NZ Health Sector Information Model

29. Tests/ Results Tests/ Images Pharm Data Clinical Data Repository PAS Data Bookings Practice Data Health Applications Local Users Doers Transactors Messaging / Routing / Reporting Surveillance Patient VITALS MyHealth Regional CDR/PACS Regional Data WH NMDS NHI NIR HealthPAC ACC Accumulators Health Data Repositories Labs Diagnostic Imaging Pharmacy Local EMR Patient Administration System Appointment Booking Practice Management Labs Labs Diagnostic Imaging Diagnostic Imaging Pharmacy Pharmacy Local EMR Local EMR Patient Administration System Patient Administration System Appointment Booking Appointment Booking Practice Management Practice Management NZ Health Sector Information Model

30. Tests/ Results Tests/ Images Pharm Data Clinical Data Repository PAS Data Bookings Practice Data Health Applications Local Users Doers Transactors Messaging / Routing / Reporting Surveillance Patient VITALS MyHealth Regional CDR/PACS Regional Data WH NMDS NHI NIR HealthPAC ACC Accumulators Health Data Repositories Connectivity Viewers Labs Diagnostic Imaging Pharmacy Local EMR Patient Administration System Appointment Booking Practice Management Labs Labs Diagnostic Imaging Diagnostic Imaging Pharmacy Pharmacy Local EMR Local EMR Patient Administration System Patient Administration System Appointment Booking Appointment Booking Practice Management Practice Management NZ Health Sector Information Model Policy Maker/ Researcher Health Practitioner Patient/ Individual Provider Organisation Funder

31. Tests/ Results Tests/ Images Pharm Data Clinical Data Repository PAS Data Bookings Practice Data Health Applications Local Users Doers Transactors Messaging / Routing / Reporting Surveillance Patient VITALS MyHealth Regional CDR/PACS Regional Data WH NMDS NHI NIR HealthPAC ACC Accumulators Health Data Repositories Role & Patient Context Connectivity Index(s) NHI HPI Apps Viewers Security Mgmt Authentication Labs Diagnostic Imaging Pharmacy Local EMR Patient Administration System Appointment Booking Practice Management Labs Labs Diagnostic Imaging Diagnostic Imaging Pharmacy Pharmacy Local EMR Local EMR Patient Administration System Patient Administration System Appointment Booking Appointment Booking Practice Management Practice Management NZ Health Sector Information Model Policy Maker/ Researcher Health Practitioner Patient/ Individual Provider Organisation Funder

32. Tests/ Results Tests/ Images Pharm Data Clinical Data Repository PAS Data Bookings Practice Data Health Applications Local Users Doers Transactors Messaging / Routing / Reporting Surveillance Patient VITALS MyHealth Regional CDR/PACS Regional Data WH NMDS NHI NIR HealthPAC ACC Accumulators Health Data Repositories Health Portal Viewer Search Engine | Identifiable | Individual Anonymised | Aggregated | Role & Patient Context Connectivity Index(s) NHI HPI Apps Viewers Security Mgmt Authentication Labs Diagnostic Imaging Pharmacy Local EMR Patient Administration System Appointment Booking Practice Management Labs Labs Diagnostic Imaging Diagnostic Imaging Pharmacy Pharmacy Local EMR Local EMR Patient Administration System Patient Administration System Appointment Booking Appointment Booking Practice Management Practice Management NZ Health Sector Information Model Policy Maker/ Researcher Health Practitioner Patient/ Individual Provider Organisation Funder

33. Tests/ Results Tests/ Images Pharm Data Clinical Data Repository PAS Data Bookings Practice Data Health Applications Local Users Doers Transactors Messaging / Routing / Reporting Surveillance Patient VITALS MyHealth Regional CDR/PACS Regional Data WH NMDS NHI NIR HealthPAC ACC Accumulators Health Data Repositories Health Portal Viewer Search Engine | Identifiable | Individual Anonymised | Aggregated | Role & Patient Context Connectivity Index(s) NHI HPI Apps Governors & Monitors Viewers Auditing & Compliance Security Mgmt Authentication Labs Diagnostic Imaging Pharmacy Local EMR Patient Administration System Appointment Booking Practice Management Labs Labs Diagnostic Imaging Diagnostic Imaging Pharmacy Pharmacy Local EMR Local EMR Patient Administration System Patient Administration System Appointment Booking Appointment Booking Practice Management Practice Management NZ Health Sector Information Model Policy Maker/ Researcher Health Practitioner Patient/ Individual Provider Organisation Funder

34. Labs Tests/ Results Tests/ Images Pharm Data Clinical Data Repository PAS Data Bookings Practice Data Health Applications Local Users Doers Transactors Messaging / Routing / Reporting Surveillance Patient VITALS MyHealth Regional CDR/PACS Regional Data WH NMDS NHI NIR HealthPAC ACC Accumulators Health Data Repositories Health Portal Viewer Search Engine | Identifiable | Individual Anonymised | Aggregated | Role & Patient Context Connectivity Index(s) NHI HPI Apps Governors & Monitors Viewers Auditing & Compliance Policy Maker/ Researcher Health Practitioner Patient/ Individual Provider Organisation Funder Security Mgmt Authentication Diagnostic Imaging Pharmacy Local EMR Patient Administration System Appointment Booking Practice Management Clinical Knowledge Databases Labs Labs Diagnostic Imaging Diagnostic Imaging Pharmacy Pharmacy Local EMR Local EMR Patient Administration System Patient Administration System Appointment Booking Appointment Booking Practice Management Practice Management . health.nz NZ Health Sector Information Model