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

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. IT Infrastructure Planning Committee COMPOSITESTRUCTUREDIAGRAM

9. 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

10. 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

11. IT Infrastructure Planning Committee XDW profile – 2010/2011 program 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, 2011Publish Trial Implementation Profile Specification: August, 2011 Connectathon with XDW testing:Connectathon with XDW testing:  January, 2012 (North America)  April, 2012 (Europe)