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Michael Kotuba

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  • OS17 - Sharing Clinical Information: Successes and Challenges (ID 23)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical
    • Presentations: 1
    • Coordinates: 6/06/2017, 01:00 PM - 02:00 PM, Room 203AB
    • OS17.03 - Sharing Immunization Data Between Family Doctors and Public Health Units (ID 45)

      Michael Kotuba, BORN Ontario; Ottawa/CA

      • Abstract
      • Slides

      Purpose/Objectives: Better Outcomes Registry and Network (BORN) Ontario is developing a common Digital Health Exchange Service (DHEX) in partnership with the Digital Health Solutions and Innovation (DHSI) Branch and the eHealth Strategy and Investment Branch (HSIB) of the Ministry of Health and Long-Term Care (MOHLTC). DHEX has three primary objectives: 1. Design, plan and implement a proof of concept with Electronic Medical Record (EMR) vendors to allow submission and retrieval of immunization records with Public Health Units (PHUs) via the Ontario Digital Health Immunization Repository (DHIR). 2. Implement a general exchange mechanism, based on HL7-FHIR, between the BORN Information System (BIS) and the DHIR to synchronize immunization and demographic data. 3. Support current EMR integration initiatives at BORN.

      Methodology/Approach: Provide Ontario PHUs more complete immunization records by delivering immunization information from EMRs for children up to 18 years of age. Develop an updated and simple EMR submission (DHEX) approach using HL7-FHIR to enable providers to easily and securely submit and retrieve immunization administrations to PHUs via the DHIR. Develop a working proof of approach/technology to finalize the HL7-FHIR specifications and reference implementations that will allow EMRs to submit and query the DHIR, providing EMR primary care providers with a mechanism to both submit and view an immunization record (at the record level), encouraging the adoption of the DHIR immunization dataset by EMR vendors. Develop a proof of concept for an enhanced HL7-FHIR based mechanism for BIS integration with EMRs and upgrade the security integration with the current eHealth Ontario ONE ID Single Sign On project. Equip health care providers with enhanced information, tools and support

      Finding/Results: The project will provide the MOHLTC with: • Timely access to the largest EMR vendors in the province in support of Immunization 2020 goals • Further refinement and endorsement of the IHR (Immunization Health Record) specification • A single EMR transmission solution in support of provincial expansion for initiatives supported by BORN This project will provide EMR Vendors with: • A simplified and unified approach to interoperability HL7-FHIR • Simplified development and technology tools, lowering barrier to entry • Input to the specifications and development of the proposed solution • Input to create broader auxiliary data services that can be leveraged for other initiatives This project will provide health care providers with: • EMR access to patient level immunization records, including forecaster data, which will alert to upcoming or improperly administered vaccinations • Ability to provide PHUs with up to date immunization records, seamlessly embedded within the EMR, in support of proposed immunization reporting legislation and improved clinic workflow

      Conclusion/Implication/Recommendations: This project supports the goals and objectives of Immunize 2020, the MOHLTC’s strategic framework to modernize Ontario’s publicly funded immunization program (MOHLTC, 2015). It also supports the development of a common provider solution that allows for immunization data from EMRs to be transmitted to PHUs via the DHIR. This would occur seamlessly, in near real-time, avoiding the need for clinicians to implement new clinic workflows or processes to support proposed legislative requirements.

      140 Character Summary: Development of a common provider solution that allows for immunization data from EMRs to be transmitted to PHUs via the Digital Health Immunization Repository.

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