Care Services Discovery (CSD)A new draft IHE Profile for searching for care services by proximity and availability

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Agenda

Introductions What problem is being solved? What are some key use cases for Care

Services Discovery (CSD)? What approach is being explored for this

profile? Leveraging experience from Australia Leveraging IHE’s Health Provider Directory

(HPD) Next steps for CSD

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Buon pomeriggio

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Care Service Discovery (CSD)

CSD is able to respond to queries regarding when combinations of people and/or services will be available, where these will be provided, and what is their proximity to a specific geographic location.

Who?What?

Where?When?

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Use Case 1: Service Discovery

Mosa is a young pregnant woman who lives in a village in sub-Saharan Africa . Grace is a community health worker in Mosa’s village.

During an antenatal care visit, Grace uses an mHealth application to note that Mosa’s blood pressure is elevated.

Mosa should see a nurse. The mHealth application uses CSD to search for nearby clinics.

Grace receives an SMS listing the closest facility and the day of the next maternal care clinic there.

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Use Case 2: Specialist Discovery

David Lambert sees his family physician, Dr. Black, regarding a recent knee injury.

Dr. Black diagnoses the problem as a torn ACL and decides to refer David to an orthopedic surgeon.

Dr. Black uses his EMR to invoke CSD to search for orthopedic surgeons.

A list is returned sorted by available consult timeslot (soonest to latest) and by proximity to David’s home (closest to farthest).

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How will CSD work?

The approach for CSD is informed by three key interoperability specifications:1. OMG’s Service Directory (ServD) specification

Australian-led project; Expected ballot June, 2013

2. The IHE Health Provider Directory (HPD) ProfileIHE Trial Implementation 2010

3. iCalendar specification (IETF RFC 2445)vFREEBUSY transaction

A set of four actors are defined to execute the transactions

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CSD Consumer CSD Manager CSD Directory

CSD FreeBusy

LDAPDSML

LDAPDSML

iCalendar*optional

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CSD Consumer CSD Manager CSD Directory

CSD FreeBusy

iCalendar*optional

Exploring how ServD and HPD are leveraged.

LDAPDSML

LDAPDSML

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“Top Level” Organization

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Sites (member-of Organization)

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ServiceSite (“Service@Site”, member-of Site)

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Provider

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Provider

member-of Site

member-of ServiceSite

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Provider

3x

4x

BusinessHours

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Provider*FreeBusy

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Find a nearby clinicoffering maternal services

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Ensure they have capacityto see Mosa (*optional)

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Return results to the mHealthapplication.

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Send an SMS to Grace.

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Refer Mosa.

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Mosa will have to walk to obtain care. We use CSD to find the maternal clinic closest to her village and instruct her to attend at the next available clinic day.

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Diagnose torn ACL.

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Search for orthopedic surgeons close to David’s home.

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Within this list, find the earliest available consult slots.

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Collate and return query results to Dr. Black’s EMR.

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Create an eReferral for David.

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David needs to see an orthopedic surgeon. Dr. Black’s EMR invokes a CSD service to find surgeons with the soonest available consult slots who are close to David’s home.

Dr. Black can now use his EMR to book an eReferral for David.

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Next Steps for CSD

Finish drafting Part 1 of the specification Circulate for public comment Reflect comments

Finish complete draft specification (parts 1 & 2) for Trial Implementation Circulate for public comment Reflect comments

Release for Trial Implementation Trial Implementation at 2014

Connectathon

April

June

August

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