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

    Part 1 – Introduction and Overview

    Second Edition Published March 2009 Rev April 2011

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    Connected Health Framework Architecture and Design Blueprint Part 1 – Introduction and Overview

    The information contained in this document (a) represents the current view of Microsoft Corporation on the issues discussed as of the date of publication and is subject to change at any time without notice to you, and (b) should not be interpreted as an offer or commitment on the part of Microsoft. The information presented here is “AS IS” and Microsoft does not guarantee the accuracy of any information presented and assumes no liability arising from your use of the information. MICROSOFT MAKES NO WARRANTIES, EXPRESS, IMPLIED OR STATUTORY, IN THIS DOCUMENT.

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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 1 – Introduction and Overview

    Contents PREFACE TO THE SECOND EDITION ............................................................................................................................ 5 HEALTH AND SOCIAL CARE – AN INTRODUCTION FOR ARCHITECTS .................................................................................... 7

    LIFELONG WELL-BEING AND THE CONTINUUM OF CARE ................................................................................................................. 7 On Lifelong Well-Being … .............................................................................................................................................................. 7 The Continuum of Care ................................................................................................................................................................. 8

    WHAT DO WE MEAN BY HEALTH AND SOCIAL CARE? ................................................................................................................... 9 What do we mean by Healthcare? ................................................................................................................................................ 9 What Do We Mean by Social Care? ............................................................................................................................................... 9

    WHAT ARE E-HEALTH AND E-CARE? ........................................................................................................................................ 11 What Is e-Health? How Are These Related? ................................................................................................................................ 11 What Is e-Care? .......................................................................................................................................................................... 12 How Are e-Health and e-Care Related? ....................................................................................................................................... 12 Who Are the Players? .................................................................................................................................................................. 12 e-Health and e-Care – Scope and Types of Solutions.................................................................................................................... 15 e-Health and e-Care – A Maturity Model ..................................................................................................................................... 16

    HEALTH AND SOCIAL CARE AS AN INDUSTRY .............................................................................................................................. 20 Business Models for Health and Social Care ................................................................................................................................ 20 The Funding Model – Who Pays Whom? ..................................................................................................................................... 21 Expenditure................................................................................................................................................................................. 23 What Do Consumers Want? ........................................................................................................................................................ 25

    HEALTH AND SOCIAL CARE DIRECTIONS .................................................................................................................................... 30 Mandates and Directives ............................................................................................................................................................ 30 Trends, Aspirations, and Realities................................................................................................................................................ 30 Knowledge Driven Health ............................................................................................................................................................ 33

    HEALTH AND SOCIAL CARE NEEDS ........................................................................................................................................... 36 Challenges and Opportunities ..................................................................................................................................................... 36 Knowledge Driven Health ............................................................................................................................................................ 38 Benefits from the Common e-Health Infrastructure ..................................................................................................................... 39

    INTEGRATION AND INTEROPERABILITY IN HEALTH AND SOCIAL CARE .............................................................................................. 41 Semantic or Data Integration ...................................................................................................................................................... 41 Application or Systems Integration.............................................................................................................................................. 44

    HEALTH AND SOCIAL CARE – SUMMARY OF REQUIREMENTS ......................................................................................................... 45 Summary of Business Requirements ............................................................................................................................................ 45 Summary of Technical Requirements .......................................................................................................................................... 46

    AN OVERVIEW OF THE CONNECTED HEALTH FRAMEWORK............................................................................................ 48 THE VISION – “SEAMLESS” HEALTH AND SOCIAL CARE ................................................................................................................ 48 WHAT IS THE CONNECTED HEALTH FRAMEWORK? ..................................................................................................................... 48

    Guiding Principles ....................................................................................................................................................................... 50 Aims and Objectives .......................................................................................................