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

IT Infrastructure Planning Committee XDW - Key Elements This proposal focuses on the Cross-Enterprise Workflow for Document Sharing in support of workflow document and status management. Key elements: Managing workflow specific status with relationship to one or more documentsManaging workflow specific status with relationship to one or more documents Tracking the health care entity that change a status associated to a workflow stepTracking the health care entity that change a status associated to a workflow step Tracking the past steps of the workflow related to specific clinical eventTracking the past steps of the workflow related to specific clinical event

IT Infrastructure Planning Committee Necessity: it is now becoming essential by the increase of the use by different sectors of these document sharing related IHE profiles with their different types of documents and information.it is now becoming essential by the increase of the use by different sectors of these document sharing related IHE profiles with their different types of documents and information. Many different worldwide projects have as goals to paperless of documents and digitalization of clinical processes. At the bases of all these projects there is the management of ePrescription and eReferral for theirMany different worldwide projects have as goals to paperless of documents and digitalization of clinical processes. At the bases of all these projects there is the management of ePrescription and eReferral for their –Variuos and structures workflow –Clinical, economic, social and organizational impact values XDW - Necessity

IT Infrastructure Planning Committee Possible developments in national programs Austria Veneto Region Italy France DMP InFSE Italy Electronic Transfer of ePrescription Australia European Project 12 Coutries Projects of the Department of Health and Human Services

IT Infrastructure Planning Committee Use Case ePrescription workflow Placed  In Progress In Progress  Completed Ordered 2-Pharmacy partialy dispenses drugs 1-Visit and production of ePrescription 3-Publication of dispensed document related to the dispensed drug 4-Pharmacy dispenses all drugs 5-Publication of dispensed document related to the dispensed drug

IT Infrastructure Planning Committee XDW infostructure Content Creator Content Consumer Share Content How does XDW fit with XDS infrastructure and with CMPD Pharmacy profile? XDW is a Content Profile

IT Infrastructure Planning Committee Consumer Registry Repository 1. Sources post document packages to the Repository 2. Repository registers the documents metadata and pointer with the Registry 3. Consumers search for documents with specific information 4. Consumers retrieve selected documents from Repository (-ies) XDS Document (Metadata): Class Patient Id Author Facility Date of Service … XDS Document (Metadata): Class Patient Id Author Facility Date of Service … Source of Documents XDS Flow and Interactions Content Creator Content Consumer

IT Infrastructure Planning Committee COMPOSITESTRUCTUREDIAGRAM

XDW in Pharmacy CMPD Prescription Placer Prescription Placer Pharmaceutical Advisor Pharmaceutical Advisor Medication Dispenser Medication Dispenser Repository Registry Community Pharmacy Manager ITI-41 ITI-42 ITI-18 ITI-43 Content Creator Content Creator Content Consumer Content Consumer Content Creator Content Creator Content Consumer Content Consumer Content Creator Content Creator

IT Infrastructure Planning Committee XDW in Pharmacy CMPD Prescription Placer Prescription Placer Pharmaceutical Advisor Pharmaceutical Advisor Medication Dispenser Medication Dispenser Repository Registry Community Pharmacy Manager ITI-41 ITI-42 ITI-18 ITI-43 Content Creator Content Creator Content Consumer Content Consumer Content Creator Content Creator Content Consumer Content Consumer Content Creator Content Creator

IT Infrastructure Planning Committee XDW profile – 2010/2011 program Agenda: IHE Planning Committee October IHE Planning Committee October IHE 1° Technical Committee November IHE 1° Technical Committee November IHE 2° Technical Committee February IHE 2° Technical Committee February IHE 3° Technical Committee May IHE 3° Technical Committee May IHE 4° Technical Committee July IHE 4° Technical Committee July Publish Trial Implementation Profile Specification: August, 2011Publish Trial Implementation Profile Specification: August, 2011 Connectathon with XDW testing:Connectathon with XDW testing:  January, 2012 (North America)  April, 2012 (Europe)