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&beyond_
National priorities
Clinical coding at point of care
Record locator service
Patient portals
This tree represents the solution space
4
Maternity data set
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
1 501 1001 1501 2001 2501 3001 3501 4001
Series1
Bay of PlentyRead-coded emergency
visits, 2010-12
Code set size versus coding rate
Code as you go
SNOMED for emergency care
9
SNOMED for ambulance clinical impressions
10
SNOMED for procedures and body sites
CWS +ED whiteboard +ePRF portal view
ePRF shared at handover to hospital
CDR
How we tend to support transfer of care
Registrations of interestEvaluated Oct 2013
Two vendors shortlisted
One index over n repositories
Single instance
Software as a service
National contract
Inter-regional governance
Early adopter
Comprehensive clinical assessments for older people
17
10043 CDA Common Templates 10041.1 Discharge Summaries
10047 Assessments10052 Ambulance ePRF
GP2GP / NZePS
Prescriptions and dispensing
CDR
Managed list
Referrals for hospital services
Faster cancer treatment
Cancer registry
Acute coronary syndrome
Cardiac surgery
Spinal cord impairment
Conditions, interventions and outcomes data
What’s the ideal care pathway for the patient?
SELF CARE PORTAL
Real Me user identity
Linked to NHI number
Robust and secure
Cross browser support
Government web standards
CDR interfaces
CDA and other content types
NZPOCS v 2.0Haematology coded and reviewed
Biochemistry coded and review underway
Microbiology coded
Immunology coded
Blood service coding underway
Toxicology results next to be coded
Orders coding underway all specialties
Thanks for your time