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

Agenda Introductions What problem is being solved? What are some key use cases for Care Services Discovery (CSD)? What approach is being explored for this profile? Leveraging experience from Australia Leveraging IHEs Health Provider Directory (HPD) Next steps for CSD 2

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Care Service Discovery (CSD) CSD is able to respond to queries regarding when combinations of people and/or services will be available, where these will be provided, and what is their proximity to a specific geographic location. Who? What? Where? When? 4

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Use Case 1: Service Discovery Mosa is a young pregnant woman who lives in a village in sub-Saharan Africa. Grace is a community health worker in Mosas village. During an antenatal care visit, Grace uses an mHealth application to note that Mosas blood pressure is elevated. Mosa should see a nurse. The mHealth application uses CSD to search for nearby clinics. Grace receives an SMS listing the closest facility and the day of the next maternal care clinic there. 6

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Use Case 2: Specialist Discovery David Lambert sees his family physician, Dr. Black, regarding a recent knee injury. Dr. Black diagnoses the problem as a torn ACL and decides to refer David to an orthopedic surgeon. Dr. Black uses his EMR to invoke CSD to search for orthopedic surgeons. A list is returned sorted by available consult timeslot (soonest to latest) and by proximity to Davids home (closest to farthest). 8

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How will CSD work? The approach for CSD is informed by three key interoperability specifications: 1.OMGs Service Directory (ServD) specification Australian-led project; Expected ballot June, The IHE Health Provider Directory (HPD) Profile IHE Trial Implementation iCalendar specification (IETF RFC 2445) vFREEBUSY transaction A set of four actors are defined to execute the transactions 10

CSD ConsumerCSD ManagerCSD Directory CSD FreeBusy LDAP DSML LDAP DSML iCalendar *optional 11

CSD ConsumerCSD ManagerCSD Directory CSD FreeBusy iCalendar *optional Exploring how ServD and HPD are leveraged. LDAP DSML LDAP DSML 12

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Top Level Organization 15

Sites (member-of Organization) 16

ServiceSite member-of Site) 17

Provider 18

Provider member-of Site member-of ServiceSite 19

Provider 3x 4x Business Hours 20

Provider *FreeBusy 21

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Find a nearby clinic offering maternal services 26

Ensure they have capacity to see Mosa (*optional) 27

Return results to the mHealth application. 28

Send an SMS to Grace. 29

Refer Mosa. 30

Mosa will have to walk to obtain care. We use CSD to find the maternal clinic closest to her village and instruct her to attend at the next available clinic day. 31

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Diagnose torn ACL. 35

Search for orthopedic surgeons close to Davids home. 36

Within this list, find the earliest available consult slots. 37

Collate and return query results to Dr. Blacks EMR. 38

Create an eReferral for David. 39

David needs to see an orthopedic surgeon. Dr. Blacks EMR invokes a CSD service to find surgeons with the soonest available consult slots who are close to Davids home. Dr. Black can now use his EMR to book an eReferral for David. 40

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Next Steps for CSD Finish drafting Part 1 of the specification Circulate for public comment Reflect comments Finish complete draft specification (parts 1 & 2) for Trial Implementation Circulate for public comment Reflect comments Release for Trial Implementation Trial Implementation at 2014 Connectathon April June August 42

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