Roadmap To Accelerate Shift To Interoperable Digital Health System | #natoinalcybersecurity | #homelandsecurity


A new Interoperability
roadmap
outlines how to accelerate the shift to a,
“fully interoperable digital health ecosystem that
enriches the experience for consumers and the health and
disability workforce through better connectedness and use of
information”.

Published by The Health Information
Standards Organisation, the roadmap identifies four themes
and each section details milestones to hit over the next two
years.

The foreword from deputy director general data
and digital Shayne Hunter says interoperability is a key
part of the Ministry’s digital
health strategic framework
and HiSO will set the
standards needed and promote their adoption.

“The
Ministry will look at the barriers and settings, including
incentives, that will drive alignment across the health and
disability system to the interoperability requirements
outlined in this roadmap, as well other parts of government
such as social and education services,” Hunter
says.

The roadmap says some of the forecast change is
in scope for the planned
national Health Information Platform
(nHIP) ecosystem,
with its own investment and commercial frameworks, while
other parts will be delivered separately.

The first
theme is ‘connecting and identifying’, which involves
work on digital identity, cybersecurity and national systems
such as the Health Provider Index (HPI) and National Health
Index (NHI).

It says HiSO will establish
standards-based NHI and HPI Application Programming
Interfaces (APIs) using the HL7 FHIR standard with a draft
data set published next month and finalised in January
2021.

In April next year a digital identity framework
will be published. In July the New Zealand Business Number
will be introduced to the HPI and in April 2022 the HPI will
be extended to Kaiāwhina and non-registered health
workers.

The second area of focus is titled ‘using
the same languages’ and has a goal of semantic
interoperability.

It describes an environment of
predominantly unstructured data and a patchwork of different
data standards with low adoption of key terminology and code
set standards where these have been determined.

The
document says HiSO will implement common identity,
demographic and eligibility code sets in all foundational
services and national systems, accelerate the move to key
international standards for terminology and replace legacy
approaches.

The organisation is committed to using
SNOMED CT as the principal standard for terminology and the
SNOMED NZ Edition will be released next month.

A
timeline shows SNOMED will become mandatory in Emergency
Departments from July 2021 and Read Codes will be withdrawn
from primary care in July 2020.

Under the theme
‘unblocking access to data’ the doucment says that,
“for consumers to have access to their own information and
for clinicians to have all relevant information about the
patient, the data held at source must be readily
accessible.”

However, currently consumers often have
to retell their information at every encounter and
information systems are fragmented, making it difficult for
clinicians to get a coherent view of a patient’s health
status.

The roadmap says HiSO will drive an open
standards and open source approach to interoperability and
build an API infrastructure as part of the digital health
ecosystem, mainly using the FHIR standard.

It will
require APIs on all new systems and retrofit APIs to
renewable existing systems, including key national
systems.

Next month, HiSO will publish a draft open
API participation agreement to promote investment in APIs
and an API marketplace and this will be finalised in April
next year.

The fourth key area focuses on joining up
services around the consumer. This will involve defining
standards for e-referral, transfer of care and shared care
plans, with finalised specifications due by October next
year.

Also, collaborating with other agencies on
joined up health and social services.

The roadmap says
interoperability is key to enabling healthy futures for
Māori as “we can ensure that insights and evidence are
used to identify inequity and protect and build the
knowledge base for Māori health and wellness, including
mātauranga Māori”.

The steps outlined will “need
to be progressed in partnership with the networks, projects
and communities that have responsibility and authority in
different functional areas,” it says.

“Consumers,
health professionals and other end users will need to be
fully part of
this.”

© Scoop Media

 



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