ehealth: improving the delivery of services and patient · pdf fileoffice of the cio |...
TRANSCRIPT
Office of the CIO | Delivering eHealth Ireland
eHealth Improving the delivery of
services and patient care
Richard Corbridge
Chief Information Officer ndash Health Service Executive - Ireland
Chief Executive Officer ndash eHealth Ireland
richardcorbridgehseie
eHealthIrelandie | eHealthIreland R1chardatron
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
The story so farhellip
Office of the CIO | Delivering eHealth Ireland
The IT strategy question
Cross
Setting
Information
Integration
Electronic
Health
Records
National
Support
Systems
Care
Delivery
Enablement
Integrated Patient Centric
Efficient Care Delivery
Health
Service
Insights
Knowledge amp Information Delivery Transformation
Clinical amp Information Governance
Knowledge amp Information Plan
Office of the CIO | Delivering eHealth Ireland
Personalisation vs Contextualisation
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Where are the Gaps
Finance amp
Efficiency
Health amp
Wellbeing
Care amp
Quality
bull Efficiency
bull Savings
bull Affordability
bull Alcohol
bull Diabetes
bull Obesity
bull Patient Exp
bull Personalisation
bull Outcomes
Office of the CIO | Delivering eHealth Ireland
H = Health not Healthcare
Office of the CIO | Delivering eHealth Ireland
Current Projects
Office of the CIO | Delivering eHealth Ireland
ePharmacy Engagement
Office of the CIO | Delivering eHealth Ireland12
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Currenthellip
Office of the CIO | Delivering eHealth Ireland15
Security
Data Quality
Information Governance
Data Dictionary
Office of the CIO | Delivering eHealth Ireland
The lsquofourth utilityrsquo
International eHealth investment Estimates
bull euro158Bn England ndash NPfIT over 10yrs
bull euro16Bn Canada Southwest Ontario ndash 2013-2017
bull euro25Bn ndash USA ndash HITECH Act Meaningful Use
bull euro16Bn ndash Australia ndash predicted over 10yrs
bull euro54Bn ndash NHS ndash predicted in next 5 yrs
The history of technology as it enters industries is that
people say lsquothis is going to transform everything in 2
yearsrsquo And then you put it in and nothing happens and
people say lsquowhy didnrsquot it work the way we expected it
to And then lo and behold after a period of 10
years it begins working
mdash Robert Wachter
UCSF
Technology has transformed hotel
transport retail banking communications
helliphelliphelliphealthcare
More than 80 of US providers
use an EHR
Ireland lags most developed countries but can
learn from the investments and initiatives
elsewhereThe goals of Reform cannot be delivered
without a National EHR
Globally there are
more than 400
EHR vendors on
the market
DENMARK
99 discharge letters
ordersresults
prescriptions are
electronic
FINLAND
100 health centres
with EHRs
NETHERLANDS
All prescriptions
electronic
US ndash VHA
$309Bn in
cumulative net
benefits
US ndash VHA
100 primary
care hospitals
EHR
Office of the CIO | Delivering eHealth Ireland
Overall Blueprint defined as the long term vision for eHealth in Ireland and endorsed by industry ndash Solutions for Hospital Groups identified as a core area
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What is the EHRMoving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
National
Shared
Record
Community
Operational
Systems
Acute
Operational
Systems
Individual Health Identifier
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
eHealth Blueprint
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
tConsumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
PharmacyGP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
The story so farhellip
Office of the CIO | Delivering eHealth Ireland
The IT strategy question
Cross
Setting
Information
Integration
Electronic
Health
Records
National
Support
Systems
Care
Delivery
Enablement
Integrated Patient Centric
Efficient Care Delivery
Health
Service
Insights
Knowledge amp Information Delivery Transformation
Clinical amp Information Governance
Knowledge amp Information Plan
Office of the CIO | Delivering eHealth Ireland
Personalisation vs Contextualisation
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Where are the Gaps
Finance amp
Efficiency
Health amp
Wellbeing
Care amp
Quality
bull Efficiency
bull Savings
bull Affordability
bull Alcohol
bull Diabetes
bull Obesity
bull Patient Exp
bull Personalisation
bull Outcomes
Office of the CIO | Delivering eHealth Ireland
H = Health not Healthcare
Office of the CIO | Delivering eHealth Ireland
Current Projects
Office of the CIO | Delivering eHealth Ireland
ePharmacy Engagement
Office of the CIO | Delivering eHealth Ireland12
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Currenthellip
Office of the CIO | Delivering eHealth Ireland15
Security
Data Quality
Information Governance
Data Dictionary
Office of the CIO | Delivering eHealth Ireland
The lsquofourth utilityrsquo
International eHealth investment Estimates
bull euro158Bn England ndash NPfIT over 10yrs
bull euro16Bn Canada Southwest Ontario ndash 2013-2017
bull euro25Bn ndash USA ndash HITECH Act Meaningful Use
bull euro16Bn ndash Australia ndash predicted over 10yrs
bull euro54Bn ndash NHS ndash predicted in next 5 yrs
The history of technology as it enters industries is that
people say lsquothis is going to transform everything in 2
yearsrsquo And then you put it in and nothing happens and
people say lsquowhy didnrsquot it work the way we expected it
to And then lo and behold after a period of 10
years it begins working
mdash Robert Wachter
UCSF
Technology has transformed hotel
transport retail banking communications
helliphelliphelliphealthcare
More than 80 of US providers
use an EHR
Ireland lags most developed countries but can
learn from the investments and initiatives
elsewhereThe goals of Reform cannot be delivered
without a National EHR
Globally there are
more than 400
EHR vendors on
the market
DENMARK
99 discharge letters
ordersresults
prescriptions are
electronic
FINLAND
100 health centres
with EHRs
NETHERLANDS
All prescriptions
electronic
US ndash VHA
$309Bn in
cumulative net
benefits
US ndash VHA
100 primary
care hospitals
EHR
Office of the CIO | Delivering eHealth Ireland
Overall Blueprint defined as the long term vision for eHealth in Ireland and endorsed by industry ndash Solutions for Hospital Groups identified as a core area
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What is the EHRMoving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
National
Shared
Record
Community
Operational
Systems
Acute
Operational
Systems
Individual Health Identifier
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
eHealth Blueprint
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
tConsumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
PharmacyGP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland
The story so farhellip
Office of the CIO | Delivering eHealth Ireland
The IT strategy question
Cross
Setting
Information
Integration
Electronic
Health
Records
National
Support
Systems
Care
Delivery
Enablement
Integrated Patient Centric
Efficient Care Delivery
Health
Service
Insights
Knowledge amp Information Delivery Transformation
Clinical amp Information Governance
Knowledge amp Information Plan
Office of the CIO | Delivering eHealth Ireland
Personalisation vs Contextualisation
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Where are the Gaps
Finance amp
Efficiency
Health amp
Wellbeing
Care amp
Quality
bull Efficiency
bull Savings
bull Affordability
bull Alcohol
bull Diabetes
bull Obesity
bull Patient Exp
bull Personalisation
bull Outcomes
Office of the CIO | Delivering eHealth Ireland
H = Health not Healthcare
Office of the CIO | Delivering eHealth Ireland
Current Projects
Office of the CIO | Delivering eHealth Ireland
ePharmacy Engagement
Office of the CIO | Delivering eHealth Ireland12
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Currenthellip
Office of the CIO | Delivering eHealth Ireland15
Security
Data Quality
Information Governance
Data Dictionary
Office of the CIO | Delivering eHealth Ireland
The lsquofourth utilityrsquo
International eHealth investment Estimates
bull euro158Bn England ndash NPfIT over 10yrs
bull euro16Bn Canada Southwest Ontario ndash 2013-2017
bull euro25Bn ndash USA ndash HITECH Act Meaningful Use
bull euro16Bn ndash Australia ndash predicted over 10yrs
bull euro54Bn ndash NHS ndash predicted in next 5 yrs
The history of technology as it enters industries is that
people say lsquothis is going to transform everything in 2
yearsrsquo And then you put it in and nothing happens and
people say lsquowhy didnrsquot it work the way we expected it
to And then lo and behold after a period of 10
years it begins working
mdash Robert Wachter
UCSF
Technology has transformed hotel
transport retail banking communications
helliphelliphelliphealthcare
More than 80 of US providers
use an EHR
Ireland lags most developed countries but can
learn from the investments and initiatives
elsewhereThe goals of Reform cannot be delivered
without a National EHR
Globally there are
more than 400
EHR vendors on
the market
DENMARK
99 discharge letters
ordersresults
prescriptions are
electronic
FINLAND
100 health centres
with EHRs
NETHERLANDS
All prescriptions
electronic
US ndash VHA
$309Bn in
cumulative net
benefits
US ndash VHA
100 primary
care hospitals
EHR
Office of the CIO | Delivering eHealth Ireland
Overall Blueprint defined as the long term vision for eHealth in Ireland and endorsed by industry ndash Solutions for Hospital Groups identified as a core area
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What is the EHRMoving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
National
Shared
Record
Community
Operational
Systems
Acute
Operational
Systems
Individual Health Identifier
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
eHealth Blueprint
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
tConsumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
PharmacyGP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland
The IT strategy question
Cross
Setting
Information
Integration
Electronic
Health
Records
National
Support
Systems
Care
Delivery
Enablement
Integrated Patient Centric
Efficient Care Delivery
Health
Service
Insights
Knowledge amp Information Delivery Transformation
Clinical amp Information Governance
Knowledge amp Information Plan
Office of the CIO | Delivering eHealth Ireland
Personalisation vs Contextualisation
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Where are the Gaps
Finance amp
Efficiency
Health amp
Wellbeing
Care amp
Quality
bull Efficiency
bull Savings
bull Affordability
bull Alcohol
bull Diabetes
bull Obesity
bull Patient Exp
bull Personalisation
bull Outcomes
Office of the CIO | Delivering eHealth Ireland
H = Health not Healthcare
Office of the CIO | Delivering eHealth Ireland
Current Projects
Office of the CIO | Delivering eHealth Ireland
ePharmacy Engagement
Office of the CIO | Delivering eHealth Ireland12
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Currenthellip
Office of the CIO | Delivering eHealth Ireland15
Security
Data Quality
Information Governance
Data Dictionary
Office of the CIO | Delivering eHealth Ireland
The lsquofourth utilityrsquo
International eHealth investment Estimates
bull euro158Bn England ndash NPfIT over 10yrs
bull euro16Bn Canada Southwest Ontario ndash 2013-2017
bull euro25Bn ndash USA ndash HITECH Act Meaningful Use
bull euro16Bn ndash Australia ndash predicted over 10yrs
bull euro54Bn ndash NHS ndash predicted in next 5 yrs
The history of technology as it enters industries is that
people say lsquothis is going to transform everything in 2
yearsrsquo And then you put it in and nothing happens and
people say lsquowhy didnrsquot it work the way we expected it
to And then lo and behold after a period of 10
years it begins working
mdash Robert Wachter
UCSF
Technology has transformed hotel
transport retail banking communications
helliphelliphelliphealthcare
More than 80 of US providers
use an EHR
Ireland lags most developed countries but can
learn from the investments and initiatives
elsewhereThe goals of Reform cannot be delivered
without a National EHR
Globally there are
more than 400
EHR vendors on
the market
DENMARK
99 discharge letters
ordersresults
prescriptions are
electronic
FINLAND
100 health centres
with EHRs
NETHERLANDS
All prescriptions
electronic
US ndash VHA
$309Bn in
cumulative net
benefits
US ndash VHA
100 primary
care hospitals
EHR
Office of the CIO | Delivering eHealth Ireland
Overall Blueprint defined as the long term vision for eHealth in Ireland and endorsed by industry ndash Solutions for Hospital Groups identified as a core area
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What is the EHRMoving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
National
Shared
Record
Community
Operational
Systems
Acute
Operational
Systems
Individual Health Identifier
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
eHealth Blueprint
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
tConsumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
PharmacyGP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland
Personalisation vs Contextualisation
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Where are the Gaps
Finance amp
Efficiency
Health amp
Wellbeing
Care amp
Quality
bull Efficiency
bull Savings
bull Affordability
bull Alcohol
bull Diabetes
bull Obesity
bull Patient Exp
bull Personalisation
bull Outcomes
Office of the CIO | Delivering eHealth Ireland
H = Health not Healthcare
Office of the CIO | Delivering eHealth Ireland
Current Projects
Office of the CIO | Delivering eHealth Ireland
ePharmacy Engagement
Office of the CIO | Delivering eHealth Ireland12
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Currenthellip
Office of the CIO | Delivering eHealth Ireland15
Security
Data Quality
Information Governance
Data Dictionary
Office of the CIO | Delivering eHealth Ireland
The lsquofourth utilityrsquo
International eHealth investment Estimates
bull euro158Bn England ndash NPfIT over 10yrs
bull euro16Bn Canada Southwest Ontario ndash 2013-2017
bull euro25Bn ndash USA ndash HITECH Act Meaningful Use
bull euro16Bn ndash Australia ndash predicted over 10yrs
bull euro54Bn ndash NHS ndash predicted in next 5 yrs
The history of technology as it enters industries is that
people say lsquothis is going to transform everything in 2
yearsrsquo And then you put it in and nothing happens and
people say lsquowhy didnrsquot it work the way we expected it
to And then lo and behold after a period of 10
years it begins working
mdash Robert Wachter
UCSF
Technology has transformed hotel
transport retail banking communications
helliphelliphelliphealthcare
More than 80 of US providers
use an EHR
Ireland lags most developed countries but can
learn from the investments and initiatives
elsewhereThe goals of Reform cannot be delivered
without a National EHR
Globally there are
more than 400
EHR vendors on
the market
DENMARK
99 discharge letters
ordersresults
prescriptions are
electronic
FINLAND
100 health centres
with EHRs
NETHERLANDS
All prescriptions
electronic
US ndash VHA
$309Bn in
cumulative net
benefits
US ndash VHA
100 primary
care hospitals
EHR
Office of the CIO | Delivering eHealth Ireland
Overall Blueprint defined as the long term vision for eHealth in Ireland and endorsed by industry ndash Solutions for Hospital Groups identified as a core area
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What is the EHRMoving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
National
Shared
Record
Community
Operational
Systems
Acute
Operational
Systems
Individual Health Identifier
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
eHealth Blueprint
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
tConsumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
PharmacyGP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Where are the Gaps
Finance amp
Efficiency
Health amp
Wellbeing
Care amp
Quality
bull Efficiency
bull Savings
bull Affordability
bull Alcohol
bull Diabetes
bull Obesity
bull Patient Exp
bull Personalisation
bull Outcomes
Office of the CIO | Delivering eHealth Ireland
H = Health not Healthcare
Office of the CIO | Delivering eHealth Ireland
Current Projects
Office of the CIO | Delivering eHealth Ireland
ePharmacy Engagement
Office of the CIO | Delivering eHealth Ireland12
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Currenthellip
Office of the CIO | Delivering eHealth Ireland15
Security
Data Quality
Information Governance
Data Dictionary
Office of the CIO | Delivering eHealth Ireland
The lsquofourth utilityrsquo
International eHealth investment Estimates
bull euro158Bn England ndash NPfIT over 10yrs
bull euro16Bn Canada Southwest Ontario ndash 2013-2017
bull euro25Bn ndash USA ndash HITECH Act Meaningful Use
bull euro16Bn ndash Australia ndash predicted over 10yrs
bull euro54Bn ndash NHS ndash predicted in next 5 yrs
The history of technology as it enters industries is that
people say lsquothis is going to transform everything in 2
yearsrsquo And then you put it in and nothing happens and
people say lsquowhy didnrsquot it work the way we expected it
to And then lo and behold after a period of 10
years it begins working
mdash Robert Wachter
UCSF
Technology has transformed hotel
transport retail banking communications
helliphelliphelliphealthcare
More than 80 of US providers
use an EHR
Ireland lags most developed countries but can
learn from the investments and initiatives
elsewhereThe goals of Reform cannot be delivered
without a National EHR
Globally there are
more than 400
EHR vendors on
the market
DENMARK
99 discharge letters
ordersresults
prescriptions are
electronic
FINLAND
100 health centres
with EHRs
NETHERLANDS
All prescriptions
electronic
US ndash VHA
$309Bn in
cumulative net
benefits
US ndash VHA
100 primary
care hospitals
EHR
Office of the CIO | Delivering eHealth Ireland
Overall Blueprint defined as the long term vision for eHealth in Ireland and endorsed by industry ndash Solutions for Hospital Groups identified as a core area
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What is the EHRMoving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
National
Shared
Record
Community
Operational
Systems
Acute
Operational
Systems
Individual Health Identifier
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
eHealth Blueprint
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
tConsumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
PharmacyGP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland
Where are the Gaps
Finance amp
Efficiency
Health amp
Wellbeing
Care amp
Quality
bull Efficiency
bull Savings
bull Affordability
bull Alcohol
bull Diabetes
bull Obesity
bull Patient Exp
bull Personalisation
bull Outcomes
Office of the CIO | Delivering eHealth Ireland
H = Health not Healthcare
Office of the CIO | Delivering eHealth Ireland
Current Projects
Office of the CIO | Delivering eHealth Ireland
ePharmacy Engagement
Office of the CIO | Delivering eHealth Ireland12
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Currenthellip
Office of the CIO | Delivering eHealth Ireland15
Security
Data Quality
Information Governance
Data Dictionary
Office of the CIO | Delivering eHealth Ireland
The lsquofourth utilityrsquo
International eHealth investment Estimates
bull euro158Bn England ndash NPfIT over 10yrs
bull euro16Bn Canada Southwest Ontario ndash 2013-2017
bull euro25Bn ndash USA ndash HITECH Act Meaningful Use
bull euro16Bn ndash Australia ndash predicted over 10yrs
bull euro54Bn ndash NHS ndash predicted in next 5 yrs
The history of technology as it enters industries is that
people say lsquothis is going to transform everything in 2
yearsrsquo And then you put it in and nothing happens and
people say lsquowhy didnrsquot it work the way we expected it
to And then lo and behold after a period of 10
years it begins working
mdash Robert Wachter
UCSF
Technology has transformed hotel
transport retail banking communications
helliphelliphelliphealthcare
More than 80 of US providers
use an EHR
Ireland lags most developed countries but can
learn from the investments and initiatives
elsewhereThe goals of Reform cannot be delivered
without a National EHR
Globally there are
more than 400
EHR vendors on
the market
DENMARK
99 discharge letters
ordersresults
prescriptions are
electronic
FINLAND
100 health centres
with EHRs
NETHERLANDS
All prescriptions
electronic
US ndash VHA
$309Bn in
cumulative net
benefits
US ndash VHA
100 primary
care hospitals
EHR
Office of the CIO | Delivering eHealth Ireland
Overall Blueprint defined as the long term vision for eHealth in Ireland and endorsed by industry ndash Solutions for Hospital Groups identified as a core area
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What is the EHRMoving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
National
Shared
Record
Community
Operational
Systems
Acute
Operational
Systems
Individual Health Identifier
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
eHealth Blueprint
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
tConsumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
PharmacyGP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland
H = Health not Healthcare
Office of the CIO | Delivering eHealth Ireland
Current Projects
Office of the CIO | Delivering eHealth Ireland
ePharmacy Engagement
Office of the CIO | Delivering eHealth Ireland12
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Currenthellip
Office of the CIO | Delivering eHealth Ireland15
Security
Data Quality
Information Governance
Data Dictionary
Office of the CIO | Delivering eHealth Ireland
The lsquofourth utilityrsquo
International eHealth investment Estimates
bull euro158Bn England ndash NPfIT over 10yrs
bull euro16Bn Canada Southwest Ontario ndash 2013-2017
bull euro25Bn ndash USA ndash HITECH Act Meaningful Use
bull euro16Bn ndash Australia ndash predicted over 10yrs
bull euro54Bn ndash NHS ndash predicted in next 5 yrs
The history of technology as it enters industries is that
people say lsquothis is going to transform everything in 2
yearsrsquo And then you put it in and nothing happens and
people say lsquowhy didnrsquot it work the way we expected it
to And then lo and behold after a period of 10
years it begins working
mdash Robert Wachter
UCSF
Technology has transformed hotel
transport retail banking communications
helliphelliphelliphealthcare
More than 80 of US providers
use an EHR
Ireland lags most developed countries but can
learn from the investments and initiatives
elsewhereThe goals of Reform cannot be delivered
without a National EHR
Globally there are
more than 400
EHR vendors on
the market
DENMARK
99 discharge letters
ordersresults
prescriptions are
electronic
FINLAND
100 health centres
with EHRs
NETHERLANDS
All prescriptions
electronic
US ndash VHA
$309Bn in
cumulative net
benefits
US ndash VHA
100 primary
care hospitals
EHR
Office of the CIO | Delivering eHealth Ireland
Overall Blueprint defined as the long term vision for eHealth in Ireland and endorsed by industry ndash Solutions for Hospital Groups identified as a core area
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What is the EHRMoving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
National
Shared
Record
Community
Operational
Systems
Acute
Operational
Systems
Individual Health Identifier
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
eHealth Blueprint
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
tConsumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
PharmacyGP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland
Current Projects
Office of the CIO | Delivering eHealth Ireland
ePharmacy Engagement
Office of the CIO | Delivering eHealth Ireland12
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Currenthellip
Office of the CIO | Delivering eHealth Ireland15
Security
Data Quality
Information Governance
Data Dictionary
Office of the CIO | Delivering eHealth Ireland
The lsquofourth utilityrsquo
International eHealth investment Estimates
bull euro158Bn England ndash NPfIT over 10yrs
bull euro16Bn Canada Southwest Ontario ndash 2013-2017
bull euro25Bn ndash USA ndash HITECH Act Meaningful Use
bull euro16Bn ndash Australia ndash predicted over 10yrs
bull euro54Bn ndash NHS ndash predicted in next 5 yrs
The history of technology as it enters industries is that
people say lsquothis is going to transform everything in 2
yearsrsquo And then you put it in and nothing happens and
people say lsquowhy didnrsquot it work the way we expected it
to And then lo and behold after a period of 10
years it begins working
mdash Robert Wachter
UCSF
Technology has transformed hotel
transport retail banking communications
helliphelliphelliphealthcare
More than 80 of US providers
use an EHR
Ireland lags most developed countries but can
learn from the investments and initiatives
elsewhereThe goals of Reform cannot be delivered
without a National EHR
Globally there are
more than 400
EHR vendors on
the market
DENMARK
99 discharge letters
ordersresults
prescriptions are
electronic
FINLAND
100 health centres
with EHRs
NETHERLANDS
All prescriptions
electronic
US ndash VHA
$309Bn in
cumulative net
benefits
US ndash VHA
100 primary
care hospitals
EHR
Office of the CIO | Delivering eHealth Ireland
Overall Blueprint defined as the long term vision for eHealth in Ireland and endorsed by industry ndash Solutions for Hospital Groups identified as a core area
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What is the EHRMoving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
National
Shared
Record
Community
Operational
Systems
Acute
Operational
Systems
Individual Health Identifier
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
eHealth Blueprint
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
tConsumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
PharmacyGP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland
ePharmacy Engagement
Office of the CIO | Delivering eHealth Ireland12
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Currenthellip
Office of the CIO | Delivering eHealth Ireland15
Security
Data Quality
Information Governance
Data Dictionary
Office of the CIO | Delivering eHealth Ireland
The lsquofourth utilityrsquo
International eHealth investment Estimates
bull euro158Bn England ndash NPfIT over 10yrs
bull euro16Bn Canada Southwest Ontario ndash 2013-2017
bull euro25Bn ndash USA ndash HITECH Act Meaningful Use
bull euro16Bn ndash Australia ndash predicted over 10yrs
bull euro54Bn ndash NHS ndash predicted in next 5 yrs
The history of technology as it enters industries is that
people say lsquothis is going to transform everything in 2
yearsrsquo And then you put it in and nothing happens and
people say lsquowhy didnrsquot it work the way we expected it
to And then lo and behold after a period of 10
years it begins working
mdash Robert Wachter
UCSF
Technology has transformed hotel
transport retail banking communications
helliphelliphelliphealthcare
More than 80 of US providers
use an EHR
Ireland lags most developed countries but can
learn from the investments and initiatives
elsewhereThe goals of Reform cannot be delivered
without a National EHR
Globally there are
more than 400
EHR vendors on
the market
DENMARK
99 discharge letters
ordersresults
prescriptions are
electronic
FINLAND
100 health centres
with EHRs
NETHERLANDS
All prescriptions
electronic
US ndash VHA
$309Bn in
cumulative net
benefits
US ndash VHA
100 primary
care hospitals
EHR
Office of the CIO | Delivering eHealth Ireland
Overall Blueprint defined as the long term vision for eHealth in Ireland and endorsed by industry ndash Solutions for Hospital Groups identified as a core area
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What is the EHRMoving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
National
Shared
Record
Community
Operational
Systems
Acute
Operational
Systems
Individual Health Identifier
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
eHealth Blueprint
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
tConsumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
PharmacyGP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland12
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Currenthellip
Office of the CIO | Delivering eHealth Ireland15
Security
Data Quality
Information Governance
Data Dictionary
Office of the CIO | Delivering eHealth Ireland
The lsquofourth utilityrsquo
International eHealth investment Estimates
bull euro158Bn England ndash NPfIT over 10yrs
bull euro16Bn Canada Southwest Ontario ndash 2013-2017
bull euro25Bn ndash USA ndash HITECH Act Meaningful Use
bull euro16Bn ndash Australia ndash predicted over 10yrs
bull euro54Bn ndash NHS ndash predicted in next 5 yrs
The history of technology as it enters industries is that
people say lsquothis is going to transform everything in 2
yearsrsquo And then you put it in and nothing happens and
people say lsquowhy didnrsquot it work the way we expected it
to And then lo and behold after a period of 10
years it begins working
mdash Robert Wachter
UCSF
Technology has transformed hotel
transport retail banking communications
helliphelliphelliphealthcare
More than 80 of US providers
use an EHR
Ireland lags most developed countries but can
learn from the investments and initiatives
elsewhereThe goals of Reform cannot be delivered
without a National EHR
Globally there are
more than 400
EHR vendors on
the market
DENMARK
99 discharge letters
ordersresults
prescriptions are
electronic
FINLAND
100 health centres
with EHRs
NETHERLANDS
All prescriptions
electronic
US ndash VHA
$309Bn in
cumulative net
benefits
US ndash VHA
100 primary
care hospitals
EHR
Office of the CIO | Delivering eHealth Ireland
Overall Blueprint defined as the long term vision for eHealth in Ireland and endorsed by industry ndash Solutions for Hospital Groups identified as a core area
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What is the EHRMoving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
National
Shared
Record
Community
Operational
Systems
Acute
Operational
Systems
Individual Health Identifier
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
eHealth Blueprint
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
tConsumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
PharmacyGP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland
Connected Health
Office of the CIO | Delivering eHealth Ireland
Currenthellip
Office of the CIO | Delivering eHealth Ireland15
Security
Data Quality
Information Governance
Data Dictionary
Office of the CIO | Delivering eHealth Ireland
The lsquofourth utilityrsquo
International eHealth investment Estimates
bull euro158Bn England ndash NPfIT over 10yrs
bull euro16Bn Canada Southwest Ontario ndash 2013-2017
bull euro25Bn ndash USA ndash HITECH Act Meaningful Use
bull euro16Bn ndash Australia ndash predicted over 10yrs
bull euro54Bn ndash NHS ndash predicted in next 5 yrs
The history of technology as it enters industries is that
people say lsquothis is going to transform everything in 2
yearsrsquo And then you put it in and nothing happens and
people say lsquowhy didnrsquot it work the way we expected it
to And then lo and behold after a period of 10
years it begins working
mdash Robert Wachter
UCSF
Technology has transformed hotel
transport retail banking communications
helliphelliphelliphealthcare
More than 80 of US providers
use an EHR
Ireland lags most developed countries but can
learn from the investments and initiatives
elsewhereThe goals of Reform cannot be delivered
without a National EHR
Globally there are
more than 400
EHR vendors on
the market
DENMARK
99 discharge letters
ordersresults
prescriptions are
electronic
FINLAND
100 health centres
with EHRs
NETHERLANDS
All prescriptions
electronic
US ndash VHA
$309Bn in
cumulative net
benefits
US ndash VHA
100 primary
care hospitals
EHR
Office of the CIO | Delivering eHealth Ireland
Overall Blueprint defined as the long term vision for eHealth in Ireland and endorsed by industry ndash Solutions for Hospital Groups identified as a core area
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What is the EHRMoving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
National
Shared
Record
Community
Operational
Systems
Acute
Operational
Systems
Individual Health Identifier
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
eHealth Blueprint
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
tConsumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
PharmacyGP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland
Currenthellip
Office of the CIO | Delivering eHealth Ireland15
Security
Data Quality
Information Governance
Data Dictionary
Office of the CIO | Delivering eHealth Ireland
The lsquofourth utilityrsquo
International eHealth investment Estimates
bull euro158Bn England ndash NPfIT over 10yrs
bull euro16Bn Canada Southwest Ontario ndash 2013-2017
bull euro25Bn ndash USA ndash HITECH Act Meaningful Use
bull euro16Bn ndash Australia ndash predicted over 10yrs
bull euro54Bn ndash NHS ndash predicted in next 5 yrs
The history of technology as it enters industries is that
people say lsquothis is going to transform everything in 2
yearsrsquo And then you put it in and nothing happens and
people say lsquowhy didnrsquot it work the way we expected it
to And then lo and behold after a period of 10
years it begins working
mdash Robert Wachter
UCSF
Technology has transformed hotel
transport retail banking communications
helliphelliphelliphealthcare
More than 80 of US providers
use an EHR
Ireland lags most developed countries but can
learn from the investments and initiatives
elsewhereThe goals of Reform cannot be delivered
without a National EHR
Globally there are
more than 400
EHR vendors on
the market
DENMARK
99 discharge letters
ordersresults
prescriptions are
electronic
FINLAND
100 health centres
with EHRs
NETHERLANDS
All prescriptions
electronic
US ndash VHA
$309Bn in
cumulative net
benefits
US ndash VHA
100 primary
care hospitals
EHR
Office of the CIO | Delivering eHealth Ireland
Overall Blueprint defined as the long term vision for eHealth in Ireland and endorsed by industry ndash Solutions for Hospital Groups identified as a core area
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What is the EHRMoving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
National
Shared
Record
Community
Operational
Systems
Acute
Operational
Systems
Individual Health Identifier
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
eHealth Blueprint
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
tConsumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
PharmacyGP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland15
Security
Data Quality
Information Governance
Data Dictionary
Office of the CIO | Delivering eHealth Ireland
The lsquofourth utilityrsquo
International eHealth investment Estimates
bull euro158Bn England ndash NPfIT over 10yrs
bull euro16Bn Canada Southwest Ontario ndash 2013-2017
bull euro25Bn ndash USA ndash HITECH Act Meaningful Use
bull euro16Bn ndash Australia ndash predicted over 10yrs
bull euro54Bn ndash NHS ndash predicted in next 5 yrs
The history of technology as it enters industries is that
people say lsquothis is going to transform everything in 2
yearsrsquo And then you put it in and nothing happens and
people say lsquowhy didnrsquot it work the way we expected it
to And then lo and behold after a period of 10
years it begins working
mdash Robert Wachter
UCSF
Technology has transformed hotel
transport retail banking communications
helliphelliphelliphealthcare
More than 80 of US providers
use an EHR
Ireland lags most developed countries but can
learn from the investments and initiatives
elsewhereThe goals of Reform cannot be delivered
without a National EHR
Globally there are
more than 400
EHR vendors on
the market
DENMARK
99 discharge letters
ordersresults
prescriptions are
electronic
FINLAND
100 health centres
with EHRs
NETHERLANDS
All prescriptions
electronic
US ndash VHA
$309Bn in
cumulative net
benefits
US ndash VHA
100 primary
care hospitals
EHR
Office of the CIO | Delivering eHealth Ireland
Overall Blueprint defined as the long term vision for eHealth in Ireland and endorsed by industry ndash Solutions for Hospital Groups identified as a core area
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What is the EHRMoving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
National
Shared
Record
Community
Operational
Systems
Acute
Operational
Systems
Individual Health Identifier
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
eHealth Blueprint
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
tConsumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
PharmacyGP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland
The lsquofourth utilityrsquo
International eHealth investment Estimates
bull euro158Bn England ndash NPfIT over 10yrs
bull euro16Bn Canada Southwest Ontario ndash 2013-2017
bull euro25Bn ndash USA ndash HITECH Act Meaningful Use
bull euro16Bn ndash Australia ndash predicted over 10yrs
bull euro54Bn ndash NHS ndash predicted in next 5 yrs
The history of technology as it enters industries is that
people say lsquothis is going to transform everything in 2
yearsrsquo And then you put it in and nothing happens and
people say lsquowhy didnrsquot it work the way we expected it
to And then lo and behold after a period of 10
years it begins working
mdash Robert Wachter
UCSF
Technology has transformed hotel
transport retail banking communications
helliphelliphelliphealthcare
More than 80 of US providers
use an EHR
Ireland lags most developed countries but can
learn from the investments and initiatives
elsewhereThe goals of Reform cannot be delivered
without a National EHR
Globally there are
more than 400
EHR vendors on
the market
DENMARK
99 discharge letters
ordersresults
prescriptions are
electronic
FINLAND
100 health centres
with EHRs
NETHERLANDS
All prescriptions
electronic
US ndash VHA
$309Bn in
cumulative net
benefits
US ndash VHA
100 primary
care hospitals
EHR
Office of the CIO | Delivering eHealth Ireland
Overall Blueprint defined as the long term vision for eHealth in Ireland and endorsed by industry ndash Solutions for Hospital Groups identified as a core area
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What is the EHRMoving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
National
Shared
Record
Community
Operational
Systems
Acute
Operational
Systems
Individual Health Identifier
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
eHealth Blueprint
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
tConsumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
PharmacyGP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland
Overall Blueprint defined as the long term vision for eHealth in Ireland and endorsed by industry ndash Solutions for Hospital Groups identified as a core area
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What is the EHRMoving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
National
Shared
Record
Community
Operational
Systems
Acute
Operational
Systems
Individual Health Identifier
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
eHealth Blueprint
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
tConsumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
PharmacyGP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland
What is the EHRMoving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
National
Shared
Record
Community
Operational
Systems
Acute
Operational
Systems
Individual Health Identifier
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
eHealth Blueprint
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
tConsumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
The Individual Health Identifier
Programme is a key enabler that
allows information to be shared about
a patient
PharmacyGP Systems
Private
Hospitals
Other healthcare providers will
access and contribute to the National
Shared Record through the
Integration Capability
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland
National EHR Registries and Domains
Stakeholders
Clinical Management Point of Care Environment
National EHR Integration and Access Layer
Communication Layer
Core Capabilities
IAAALayer
Prov
ider
Hea
lth P
orta
l
National EHR RegistriesClient Registry Provider Registry Location Registry
National EHR DomainsMedical Imaging Laboratory Results Pharmaceutical
HistoryClinical Document
RepositoryEncounter History
Message Queuing
Message Data amp Transformation
Message Encoding
Service Management
Identity Management
Authentication Access Secure Audit
Single Sign On Exception Handling Context Management Terminology ServicesRecord Locator Services
Orchestration ETL PrivacyCertification and Integration Toolkit
Secure Messaging
Logging
Immunization History
Infectious Disease History
National AnalyticsPerformance Management
Population Based Analytics
Business Intelligence
Registration
National eHealth Blueprint
Healthcare Providers Patients Corporate Administrators and Managers
Legitimate Relationship Services (LRS)
Corporate Setting
Fina
nce
Man
agem
ent
Proc
urem
ent
Hum
an R
esou
rces
and
Pa
yrol
l Man
agem
ent
Ass
et M
anag
emen
t
Hea
lth amp
Saf
ety
Cont
ract
Man
agem
ent
Faci
litie
s M
anag
emen
t
Rost
erin
g Ti
me
Reco
rdin
g
Prog
ram
Man
agem
ent
Cust
omer
Rel
atio
nshi
p M
anag
emen
t
Consumer Health amp Wellbeing
Patie
nt to
Pro
vide
r Se
cure
Mes
sagi
ng
Self-
Hea
lth
Man
agem
ent
Sche
dulin
g an
d A
dmin
istr
atio
n
Nat
iona
l Pat
ient
Po
rtal
Virt
ual C
are
Educ
atio
n amp
A
war
enes
s
Community Healthcare Organisations
Patie
nt A
dmin
istr
atio
n
Case
Man
agem
ent
Elec
tron
ic D
ocum
ent
Man
agem
ent
Clin
ical
Not
es a
nd R
ecor
ds
Patie
nt T
est
Resu
lts
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Refe
rral
Man
agem
ent
Mob
ile C
linic
al M
anag
emen
t
Popu
lati
on H
ealth
M
anag
emen
t
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
ePre
scri
bing
Hospital Groups
Hos
pita
l Pat
ient
A
dmin
istr
atio
n
Hos
pita
l Med
ical
Imag
ing
Hos
pita
l Lab
orat
ory
Hos
pita
l Pha
rmac
euti
cals
Case
Man
agem
ent
Dis
ease
Man
agem
ent
Care
Pat
hway
s an
d D
ecis
ion
Supp
ort
Com
pute
rize
d Ph
ysic
ian
Ord
er
Entr
y
Refe
rral
Man
agem
ent
Popu
lati
on H
ealth
M
anag
emen
t
Elec
tron
ic D
ocum
ent
Man
agem
ent
ePre
scri
bing
Elec
tron
ic C
linic
al N
otes
and
Re
cord
s
Community
Operational
Systems
Acute
Operational
Systems
National
Shared
Record
Integration
Moving from paper records
locked in organisations to a
digital patient record shared
across care settings
4 Components
Examples
bull Order Communications
Results Reporting
bull Medicines Management
bull Clinical Notesstems
The ldquogluerdquo that binds all this together
and maintains integrity and security
across the system
Examples
bull Single MPI
bull Scheduling
bull Clinical Notes Records
bull Screening amp Surveillance
eHealth Blueprint
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland
5 Years 10 Years
Cri
tic
al Ta
cti
ca
l
So
luti
on
s
Inn
ova
tive
Sp
ec
iali
st
So
luti
on
s
National Solutions
PAS
Replacement
Initial National Shared
Record
Haemophilia
Lighthouse Project
Epilepsy
Lighthouse Project
BiPolar Lighthouse
Project
Portal
(Organisation)
Other Future
Projects
OrderComms
Other Future
Projects
NCH Implementation Other
Single
Solution Set
Evolving to a single
solution set will require
agility and a governance
approach that supports a
dynamic environment
Other Future
Projects
National Shared Record Development
MEDLis
MN-CMS
NICIS
Acute Operational Components ndash Phased Implementation in HGrsquos
Community Operational Components ndash Phased Implementation in CHOrsquos
NIMIS
National Solutions
Other
Other
eHealth Blueprint - EHR
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland
What can eHealth Do
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland 22
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland 23
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland 24
Epilepsy All patients on the EHR Patient mobile application
Population health analysis GP access and image reviews IHI
Genomic sequencing for under 5s
Haemophilia National Integration to hospital PAS Open
source platform Open Data pilot Patient mobile application
IHI Secure clinical communicator Next generation solution
Bipolar Disorder Secure clinical communicator Information
integration regardless of setting Open Source solution
Innovation led approach Clinical support tool
Office of the CIO | Delivering eHealth Ireland
Office of the CIO | Delivering eHealth Ireland