Technical Framework

People, Process and Technology

ppt

This approach is aligned to UK Government Design Principles in particular.

  • Technical Frameworks are based on existing common patterns in use in health and care (Design with data) which support clinical pathways and processes (Start with user needs) which spread over several care settings (Understand context)
  • Existing services (Design with data) may indicate a mix of interoperability standards (solutions/frameworks may not be HL7 FHIR based)
  • Care Coordination will take a pragmatic approach to the data model, this is likely to lead to a simple data model (Do less)
  • We need to be open to health and care providers issues, and provide support, we should not be hiding our support (Do the hard work to make it simple and Make things open: it makes things better)
  • This will not be delivered in one go and may take time (Iterate. Then iterate again)
  • We aim to improve consistency, not standards Be consistent, not uniform

Principles

  • Data is shared as default, data is not sent. This allows all people involved in a patients care to view records, sending is typically between one or two providers.
  • Pragmatic. Frameworks will focus on practicality, it will not focus solely of data standards which have often been complex.
  • Generic and Pathway focused. Frameworks will align to common requirements or issues on multiple pathways.
  • Open and Collaborative.
  • Start Small and Evolve.

Evolve

elaboration

IHE Technical Framework Map

Selected ITI interactions:

IHE ITI Volume 1
Use Case		 IHE ITI Volume 2
Technical Framework		 NHS England Technical Framework
Cross-Enterprise Document Sharing (XDS.b)
Mobile Health Document Sharing (MHDS)		 Registry Stored Query [ITI-18]
Retrieve Document Set [ITI-43]		 Shared Clinical Documents Get Document List
Patient Administration Management (PAM) Patient Identity Management [ITI-30] HL7 v2 Events and Ad Hoc FHIR RESTful Events
Patient Administration Management (PAM) Patient Encounter Management [ITI-31] HL7 v2 Events and Ad Hoc FHIR RESTful Events
Retrieve Form for Data Capture (RFD) Retrieve Form [ITI-34] Structured Data Capture
Retrieve Form for Data Capture (RFD) Submit Form [ITI-35] Structured Data Capture
Cross-Community Access (XCA) Cross Gateway Query [ITI-38] Federated Document API
Cross-Enterprise Document Sharing (XDS.b)
Mobile Health Document Sharing (MHDS)		 Provide and Register Document Set-b [ITI-41]
Simplified Publish [ITI-105] 
Provide Document Bundle [ITI-65]		 Shared Clinical Documents Put Document
Cross-Enterprise Document Sharing (XDS.b)
Mobile Health Document Sharing (MHDS)		 Register Document Set-b [ITI-42] Shared Clinical Documents Register Document
Cross-Enterprise Document Sharing (XDS.b)
Mobile Health Document Sharing (MHDS)		 Retrieve Document Set [ITI-43]
Retrieve Document [ITI-68]		 Shared Clinical Documents Get Document
Patient Administration Management (PAM) Patient Identity Feed HL7 V3 [ITI-44]
Patient Identity Feed FHIR [ITI-104]
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Patient Demographics Query (PDQ) Patient Demographics Query [ITI-21]
Patient Demographics Query HL7 V3 [ITI-47]
Mobile Patient Demographics Query [ITI-78]		 Patient Demographic Queries
Sharing of IPS (sIPS)
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Cross-Enterprise Document Workflow Content Profile (XDW) FHIR Workflow
(note this is primarily resource focused)