Decision Support Service Brief Profile Proposal for 2008/09 presented to the IT Infrastructure Planning Committee Alean Kirnak Anna Orlova October 2, 2008

IT Infrastructure Planning Committee The Problem What problem is this profile proposal hoping to address?What problem is this profile proposal hoping to address? –Fills out the public health use case –Provide a SOA interface for decision support Identify any existing IHE profile gaps/overlaps that this proposal will improve uponIdentify any existing IHE profile gaps/overlaps that this proposal will improve upon –Public health use case requires decision support –Companion proposals are being made to PCC and PHRQ What is the market readiness for this IHE profile proposal?What is the market readiness for this IHE profile proposal? –Vaccine forecast decision support service is already deployed in the field What is the risk of this proposal not being undertaken this cycle?What is the risk of this proposal not being undertaken this cycle? –IHE and HSSP will progress separately – this is an opportunity to work together

IT Infrastructure Planning Committee Use Case: IHE Public Health Proposal 2008 Public Health HIEs Provider Current EHRs Immunization Doc Repository Existing and New EHRs may coexist (HL7 V2.3.1 and XDS+CDA Immunization Document) 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. Current Immun. Registry HL7V2.3.1 ( CDC profile) Provider New EHRs Provide & Reg. (Immun. CDA) Doc Registry Register Doc Provider New EHRs Query for Docs (returns immunization and others) Retrieve Doc Set (immunization) Gateway CDS Internal CDS: Vaccine Forecast

IT Infrastructure Planning Committee IHE Public Health Proposal – Alternate View Public Health Provider Current EHRs Current Immunization Registry HL7V2.3.1 ( CDC profile) Provider New EHRs Provide & Reg. (Immun. CDA) Consumer Provider, PHR Query for Docs (returns immunization and others) Retrieve (immunization) Gateway Decision Support PIX Manager Immunization Doc Repository Doc Registry Current Immunization Registry Other Public Health Registry…. Other Doc Repository

IT Infrastructure Planning Committee IHE Public Health Proposal – HSSP View Public Health Provider Current EHRs Current Immunization Registry HL7V2.3.1 ( CDC profile) Provider New EHRs Update (RLUS) Consumer Provider, PHR Locate (RLUS) Retrieve (RLUS) Enterprise Service Bus Decision Support Service (DSS) Entity Identification Service (EIS) Immunization Doc Repository Doc Registry Current Immunization Registry Other Public Health Registry…. Other Repository

IT Infrastructure Planning Committee Proposed Standards & Systems What standards and/or systems should be considered in addressing this proposal?What standards and/or systems should be considered in addressing this proposal? –HSSP Decision Support Service –Immunization Content –Service-Aware PIX/PDQ and XDS.c proposals This might constitute a joint effort with HSSPThis might constitute a joint effort with HSSP

IT Infrastructure Planning Committee Discussion What level of effort do you foresee in developing this profile?What level of effort do you foresee in developing this profile? –Medium –Need to clearly define scope InterfaceInterface PayloadPayload RulesRules Is there someone who is willing to act as profile editor? Please provide the name, organization, Is there someone who is willing to act as profile editor? Please provide the name, organization, –Alean Kirnak –Anna Orlova –May be able to recruit from HSSP DSS group