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Immunization Information Management A Generic Approach

Immunization Information Management A Generic Approach. Joint IHE ITI, PCC, QPRH – July 2008. Immunization Mgt Stakeholders Classical Situation. Immunization Registry. Consumer. On-line. Provider. Manual. Schools. HIEs. Immunization Mgt Stakeholders Future Situation. Public Health.

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Immunization Information Management A Generic Approach

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  1. Immunization Information ManagementA Generic Approach Joint IHE ITI, PCC, QPRH – July 2008

  2. Immunization Mgt StakeholdersClassical Situation Immunization Registry Consumer On-line Provider Manual Schools HIEs

  3. Immunization Mgt StakeholdersFuture Situation Public Health Provider Other Registries IRs EHRs Consumer On-line Schools PHRs HIEs • Design Interoperability to: • evolve from “two party” to true sharing interchange of immunization • Enable public health to integrate its information silos (IR is just one of them)

  4. Immunization Mgt Data FlowsProposed Transactions Retrieve Doc Set(immunization) Query for Docs (returns immunization and others) Retrieve Retrieve Query Retrieve Doc Repository Query Public Health Provider EHRs Consumer Provide & Reg. (Immun. CDA) Provider Immunization Doc Repository EHRs Register Doc HIEs Doc Registry Schools PHRs NHIN Access (XCA-other States IRs) • Immunization event: Create CDA. XDS: Provide and register, register Quet doc list, retrieve doc set, receiveraggregate. • EHRs and Public Health access immunization docs and other docs in the same way. • PHRs get docs that may be “attested” and forwarded.

  5. Immunization Mgt Data Flows Coexistence Current and Future Public Health Provider Current EHRs HL7V2.3.1 (CDC profile) Current Immun. Registry Gateway Provider Provide & Reg. (Immun. CDA) New EHRs Immunization Doc Repository Gateway Provider Retrieve Doc Set(immunization) Register Doc New EHRs HIEs Query for Docs (returns immunization and others) Doc Registry • Existing and New EHRs may coexist (HL7 V2.3.1 and XDS+CDA Immun Doc) • Public health owns the Immunization events created Doc Repository. • Public Health or HIE provides gateways and XDS Registry. • Public Health Doc Repository may support any type of documents.

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