&beyond_

National priorities

Clinical coding at point of care

Record locator service

Patient portals

This tree represents the solution space

4

Maternity data set

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

1 501 1001 1501 2001 2501 3001 3501 4001

Series1

Bay of PlentyRead-coded emergency

visits, 2010-12

Code set size versus coding rate

Code as you go

SNOMED for emergency care

9

SNOMED for ambulance clinical impressions

10

SNOMED for procedures and body sites

CWS +ED whiteboard +ePRF portal view

ePRF shared at handover to hospital

CDR

How we tend to support transfer of care

Registrations of interestEvaluated Oct 2013

Two vendors shortlisted

One index over n repositories

Single instance

Software as a service

National contract

Inter-regional governance

Early adopter

Comprehensive clinical assessments for older people

17

10043 CDA Common Templates 10041.1 Discharge Summaries

10047 Assessments10052 Ambulance ePRF

GP2GP / NZePS

Prescriptions and dispensing

CDR

Managed list

Referrals for hospital services

Faster cancer treatment

Cancer registry

Acute coronary syndrome

Cardiac surgery

Spinal cord impairment

Conditions, interventions and outcomes data

What’s the ideal care pathway for the patient?

SELF CARE PORTAL

Real Me user identity

Linked to NHI number

Robust and secure

Cross browser support

Government web standards

CDR interfaces

CDA and other content types

NZPOCS v 2.0Haematology coded and reviewed

Biochemistry coded and review underway

Microbiology coded

Immunology coded

Blood service coding underway

Toxicology results next to be coded

Orders coding underway all specialties

Thanks for your time