Orion Health to detail PCEHR connectivity at HIC

Orion Health will outline its work with state and territory health departments, including its efforts to connect hospital systems to the national PCEHR infrastructure, at the Health Informatics Conference, being held in Sydney from July 30.

Orion Health, a member of the National Infrastructure Partner consortium that built the PCEHR infrastructure, is currently working with ACT Health on developing the capability to send electronic discharge summaries to the national records system.

Orion Health’s solutions director for Australia, Kelsey Grant, said an ACT Health representative will be available on Orion Health's stand to provide details on the territory's progress towards connecting to the PCEHR.

“ACT Health are quite advanced and are already doing electronic discharge summaries,” Mr Grant said. “They have been working on Individual Healthcare Identifiers for quite some time so they have a lot of the groundwork already laid. What the work is about now is doing the translation and to generate CDA documents and send out discharge summaries to the national PCEHR infrastructure.”

ACT Health is using Orion Health’s Rhapsody integration engine to build the infrastructure required to connect to the PCEHR, he said. Rhapsody will allow ACT Health to integrate its disparate clinical and patient management systems and translate the information contained to the national system.

“Rhapsody is used within the organisation to connect and integrate their existing systems and is being used as what we term a PCEHR connector,” Mr Grant said. “The real advantage is that ACT Health does not have to change existing systems in order to contribute information to the PCEHR. Rhapsody can sit at the edge, translate and contribute.”

Orion is also working with NSW Health on two components of the Greater Western Sydney Wave 2 lead site, including the creation of its clinical repository for sharing information between NSW's local health districts and on its electronic Blue Book, which will also come with a mobile application.

Several jurisdictions are building PCEHR conformant repositories to receive and store clinical information and then link it to the PCEHR. The national infrastructure has been built to receive both information uploaded directly and from conformant repositories, Mr Grant said.

“The PCEHR supports both environments,” he said. “You can send information to the national repository and you can build your own conformant repository. To put information into the national repository is probably a bit easier because you don't have to build your own – just send the information across.

“However, some organisations may wish to avoid duplication of information, and keep a higher degree of control. By having your own repository you are able to do this.

“Over time, more organisations will connect and you will start seeing private organisations such as private pathology providers who might not want to duplicate all of their data into the national infrastructure; they might want to retain control of it.”

Mr Grant said the other focus for Orion Health at HIC was its clinical portal product, which has been deployed to build the consumer and the provider portals for the PCEHR. Formerly known as Concerto, the clinical portal is able to aggregate information from existing clinical systems into a single patient view.

“Orion Health has two portals – Orion Health clinical portal and Orion Health patient portal,” Mr Grant said. “Both of those portals are deployed in the national infrastructure and so when the provider portal becomes available it will have a very similar look and feel to the consumer portal.”

Mr Grant said the PCEHR had been built to support the ability for healthcare practitioners to be able to import information into their desktop software from the PCEHR, although this has yet to be deployed by the software vendors. The PCEHR had also been designed to support future mobile applications, he said.

Orion Health will also be displaying a prototype of its mobile version of the clinical portal at HIC. “We have just started building it so we are at the stage of wanting some feedback and to show people how it might work. It's not the full clinical portal but it's clinical information on your iPhone brought in from the clinical portal.

“Our focus at the moment is lab results, and the reason is they come in all the time. In a hospital you don't want to keep going back to the computer so you'll be able to see the results come in on your phone and then that can help you with your decision making.”

Posted in Australian eHealth

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