Connected Health Framework Architecture and Design .2 Connected Health Framework Architecture and

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Connected Health Framework Architecture and Design Blueprint A Stable Foundation for Agile Health and Social Care

Part 2 Business Framework

Second Edition Published March 2009 Rev April 2011

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Connected Health Framework Architecture and Design Blueprint Part 2 Business Framework

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2009 Microsoft Corporation. All rights reserved.

Part #098-106615

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Connected Health Framework Architecture and Design Blueprint Part 2 Business Framework

Contents

THE VISION ........................................................................................................................................................ 6 HEALTH AND SOCIAL CARE IS A COMPLEX BUSINESS ...................................................................................................................... 6 CONNECTED HEALTH AND SOCIAL CARE THE VISION ................................................................................................................... 8

Seamless or Just Joined Up?.................................................................................................................................................... 8 Seamless and Interoperable ........................................................................................................................................................ 13 Application Integration or Joined-Up Systems .......................................................................................................................... 13 The Microsoft Value Proposition for Health and Social Care ........................................................................................................ 14

THE BUSINESS ENVIRONMENT ............................................................................................................................... 15 HEALTH AND SOCIAL CARE DOMAIN CONCEPTS .......................................................................................................................... 16

What Is a Care Record? ............................................................................................................................................................... 16 What Are Health and Care Subjects? ........................................................................................................................................... 17 What are Care Pathways? ........................................................................................................................................................... 17 What is a Clinical or Caring Process? ........................................................................................................................................... 19 What Is a Patient or Client Journey? ............................................................................................................................................ 19 What Are Consents and Permissions? ......................................................................................................................................... 19 Joined-Up Data ........................................................................................................................................................................... 21

A BUSINESS ARCHITECTURE FOR HEALTH AND SOCIAL CARE ......................................................................................................... 22

THE CONSUMERS OF HEALTH AND SOCIAL CARE SYSTEMS ............................................................................................ 27 WHO ARE THE PLAYERS? ....................................................................................................................................................... 27 RELATIONSHIPS AND INTERACTIONS ......................................................................................................................................... 28 INFORMATION FLOWS ........................................................................................................................................................... 32

ACHIEVING A SEAMLESS USER EXPERIENCE ............................................................................................................... 34 THE USER EXPERIENCE ........................................................................................................................................................... 35

Using Portals............................................................................................................................................................................... 36 Establishing Identity .................................................................................................................................................................... 42 Ensuring Privacy and Confidentiality ........................................................................................................................................... 43 Using Mobile Devices .................................................................................................................................................................. 44

INFORMATION DELIVERY TOWARDS HEALTH 2.0 ..................................................................................................................... 46 APPLICATION INTEGRATION BUILDING COMPOSITE APPLICATIONS .............................................................................................. 47

The Emerging Application Paradigm ........................................................................................................................................... 47

SERVICE ORIENTED ARCHITECTURE FOR BUSINESS ...................................................................................................... 51 SERVICES, WEB SERVICES, SERVICE-ORIENTATION, AND SOA ....................................................................................................... 51

The Structure of a Service-Oriented Application .......................................................................................................................... 53 The Enterprise Service Bus........................................................................................................................................................... 57

DEFINING BUSINESS SERVICES ................................................................................................................................................. 60 The Role of Component-Based Development ............................................................................................................................... 60 The Role of Object-Orientation .................................................................................................................................................... 60 The Role of Business Process Engineering .................................................................................................................................... 61

WHAT SERVICES DO I NEED? .................................................................................................................................................. 61 A Method for Service and Application Definition ........................................................................................................................