Interoperability

and Orion Health

James Hardacre

May 25th 2011

Outline

• Orion Health: what we do

• Our 3-pronged approach to interoperability

• Our ITK Proof of Concept experience

• NHS Trust experience: Heart of England

Orion Health Overview

• Specialists in Healthcare Integration for 18 years– Technology is important, experience ensures success

• We integrate best-of-breed health information systems…– Between health IT systems– Between health organizations– On the desktop– With functionality and ease

Mission “Provide Universal Access to Patient Information”

Global presence demands a comprehensive approach to interoperability

– 1993: Founded in New Zealand

– First HL7 project: 1994

– 2011: 8 offices in 6 countries, clients in 30 countries, 470 employees

2

Our 3 approaches for interoperability

• Native support for standards

• Support for international efforts

– Eg. IHE www.ihe.org, HL7

• Local ITK cooperation

Native support for standards

• Health-specific integration products

• Native libraries of common protocols

– HL7 2.x & 3.x , XML, etc. etc.

• Re-useable communication points

• Exportable interface configurations

Support for international efforts

• Rhapsody: now an FDA Class I medical device

• IHE

– Connectathons in Europe and USA

– IHE profiles now in use in France for the national EHR interoperability standard

ITK Activities

• 2009 - ITK Discharge Summary PoC

• ITK Spine Mini-Services Project

– Currently Underway

ITK PoC – Discharge Summary Profile

3 source systems:

Orion Health Clinical Portal

System C

MediSec

SRC BlueWire

Generating CDA XML discharge documents

Receiving Systems:

PCTI & Liquid Logic

Discharge Summary generated in hospital system

Sending confirmation in Rhapsody

Received in target system

But now, over to the real world…

David Hextell,

Head of Systems Development

Heart of England NHS Foundation Trust

THANK YOU