NZ national EHR aims to connect data across digital health ecosystem

The NZ Ministry of Health has released a request for information (RFI) from the market to help further develop its plans for a national electronic health record (EHR), which it hopes will be able to connect data across the digital health ecosystem, including provider and consumer-entered data.

The Ministry has settled on the title of the National Electronic Health Record Business Case for the project, which was first recommended as part of the country's health strategy roadmap of actions.

Posted in New Zealand eHealth

Tags: NZ EHR, NZ Ministry of Health

Comments  

# Orion Health staff member 2017-08-23 08:38
Is there any chance of confusion when on one hand there is the statement that the National EHR will adopt a "slightly different approach to the more traditional longitudinal EHR that aggregates information from across clinical information systems to provide a summary view of a consumer's lifelong health story", and on the other hand the National EHR "aims to connect across the digital health ecosystem to create a summary record of a consumer’s health information across care settings, geographies, and time.” What is meant to be the intended difference in "summary views" then, other than the obvious potential inclusion of additional behavioural, social, etc. data?
# Martin Wilson 2017-08-24 09:00
I too was confused around
"It envisages a platform perspective to achieve this but with a slightly different approach to the more traditional longitudinal EHR that aggregates information from across clinical information systems to provide a summary view of a consumer's lifelong health story."
+1 # Kate McDonald 2017-08-24 09:06
It might be my summarisation that is at fault. Here's the relevant bit from the RFI:

"A traditional view of a National Electronic Health Record involves aggregating information from across clinical information systems to document a summary view of a consumer’s lifelong health story. e.g.: “a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting”. (www.himss.org/library/eHR)

"However, Electronic Health Record systems are increasingly becoming a digital platform solution that provides access to a single set of information for the benefit of and use by consumers, health professionals and care teams, health planners and funders, and, with the correct security and privacy settings, social service partners.

"From a platform perspective the National Electronic Health Record aims to connect across the digital health ecosystem to create a summary record of a consumer’s health information across care settings, geographies, and time."
+1 # Richard Medlicott 2017-08-29 09:48
It seems these longitudinal records are already sorted for a lot of people with combination of patient portals and various iterations of shared care records around the country .
I note : What it won't do is:
Aim to replace existing clinical systems to serve as the main transactional/c linical record that is used by health care providers for treatment and diagnosis in their own care setting"

BUT surely we can get a single transactional engine for medications? Big source of time wasting and error. Lets leverage the NZePS and get something done about meds. Seems to me that would be a better bang for he buck - create something new, and useful in an area that needs one national view.

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