Cross-enterprise Document Workflow (XDW) F2F IHE-Pharmacy Luca Zalunardo, Arianna Cocchiglia April, 12 th 2011

Cross-enterprise Document WorkflowCross-enterprise Document Workflow(XDW)(XDW)

F2F IHE-PharmacyF2F IHE-Pharmacy

Luca Zalunardo, Arianna CocchigliaLuca Zalunardo, Arianna CocchigliaApril, 12April, 12thth 2011 2011

IT Infrastructure Planning CommitteeIT Infrastructure Planning Committee

XDW - Key Elements

This proposal focuses on the Cross-Enterprise Workflow for This proposal focuses on the Cross-Enterprise Workflow for Document Sharing in support of workflow document and Document Sharing in support of workflow document and status management.status management.

Key elements:Key elements:• Managing workflow specific status with relationship to one or Managing workflow specific status with relationship to one or

more documentsmore documents• Tracking the health care entity that change a status Tracking the health care entity that change a status

associated to a workflow stepassociated to a workflow step• Tracking the past steps of the workflow related to specific Tracking the past steps of the workflow related to specific

clinical eventclinical event


Necessity:Necessity:• it is now becoming essential by the increase of the use by it is now becoming essential by the increase of the use by

different sectors of these document sharing related IHE different sectors of these document sharing related IHE profiles with their different types of documents and profiles with their different types of documents and information.information.

• Many different worldwide projects have as goals to Many different worldwide projects have as goals to paperless of documents and digitalization of clinical paperless of documents and digitalization of clinical processes. At the bases of all these projects there is the processes. At the bases of all these projects there is the management of ePrescription and eReferral for theirmanagement of ePrescription and eReferral for their– Variuos and structures workflowVariuos and structures workflow– Clinical, economic, social and organizational impact valuesClinical, economic, social and organizational impact values

XDW - Necessity


Possible developments in national programs

Austria

Veneto RegionItaly

FranceDMP

InFSEItaly

Electronic Transfer of

ePrescriptionAustralia

European Project

12 Coutries

Projects of the Department of

Health and Human Services


Use CaseePrescription workflow

PlacedPlacedIn ProgressIn Progress

In ProgressIn ProgressCompletedCompleted

OrderedOrdered 2-Pharmacy 2-Pharmacy partialy dispenses partialy dispenses

drugsdrugs1-Visit and 1-Visit and

production of production of ePrescriptionePrescription

3-Publication of 3-Publication of dispensed dispensed

document related document related to the dispensed to the dispensed

drugdrug

4-Pharmacy 4-Pharmacy dispenses all dispenses all

drugsdrugs

5-Publication of 5-Publication of dispensed dispensed

document related document related to the dispensed to the dispensed

drugdrug


XDW infostructure

Content CreatorContent Creator

Content Consumer

Content Consumer

Share ContentShare

Content

How does XDW fit with XDS infrastructure and with How does XDW fit with XDS infrastructure and with CMPD Pharmacy profile?CMPD Pharmacy profile?

XDW is a Content ProfileXDW is a Content Profile


ConsumerConsumerRegistryRegistry

RepositoryRepository

11. Sources post . Sources post document packages document packages to the Repositoryto the Repository

22. Repository registers . Repository registers the documents the documents metadata and pointer metadata and pointer with the Registrywith the Registry

33. Consumers search . Consumers search for documents with for documents with specific informationspecific information

44. Consumers retrieve . Consumers retrieve selected documents selected documents from Repository (-ies)from Repository (-ies)

XDS Document (Metadata):

ClassPatient IdAuthorFacilityDate of Service…

XDS Document (Metadata):

ClassPatient IdAuthorFacilityDate of Service…

Source Source of of DocumentsDocuments

XDS Flow and Interactions

Content CreatorContent Creator

Content Consumer

Content Consumer


CCOOMMPPOOSSIITTEE

SSTTRRUUCCTTUURREE

DDIIAAGGRRAAMM


XDW in Pharmacy CMPD

Prescription Placer

Prescription Placer

PharmaceuticalAdvisor


MedicationDispenserMedicationDispenser


RegistryRegistry

Community Pharmacy Manager


ITI-41

ITI-42

ITI-18

ITI-43

ContentCreatorContentCreator

ContentConsumer

ContentConsumer


ContentConsumer

ContentConsumer



XDW in Pharmacy CMPD

Prescription Placer

Prescription Placer



MedicationDispenserMedicationDispenser


RegistryRegistry



ITI-41

ITI-42

ITI-18

ITI-43


ContentConsumer

ContentConsumer


ContentConsumer

ContentConsumer



XDW profile – 2010/2011 program

Agenda:Agenda:• IHE Planning Committee October 18-21 2010IHE Planning Committee October 18-21 2010• IHE 1° Technical Committee November 17-19 2010IHE 1° Technical Committee November 17-19 2010• IHE 2° Technical Committee February 7-10 2011IHE 2° Technical Committee February 7-10 2011• IHE 3° Technical Committee May 02-06 2011IHE 3° Technical Committee May 02-06 2011• IHE 4° Technical Committee July 18-22 2011IHE 4° Technical Committee July 18-22 2011• Publish Trial Implementation Profile Specification: August, Publish Trial Implementation Profile Specification: August,

20112011• Connectathon with XDW testing:Connectathon with XDW testing:

January, 2012 (North America)January, 2012 (North America) April, 2012 (Europe)April, 2012 (Europe)