Post on 01-Jan-2016
Early Hearing Detection and IntervensionWorkflow Definition (EHDI-WD)
Content Creator
Content Updater
Content ConsumerShare
XDS Source
XDS Registry Facade
Secure XDS
XDS Repository
XDS Consumer
XDS Registry
BPPC Document
• Enforces the BPPC constraints by shielding the actual XDS Registry• Same web service functionality as the XDS Registry• Connects to XDS Sources, Consumers and Repository• Not a registry-implementation, but a front-end around the actual XDS Registry• No data are stored in the XDS Registry Facade
Vince – how do we handle the concent document requirements?
Document Source
Document Repository
Document Registry
Document Consumer
1 – Register document2 – Query Document Set
3 – RetrieveDocument Set
Early Hearing Detection and Intervention - Workflow Definition (EHDI-WD)
Create Hearing Plan of Care
Hearing Plan of Care
Conduct Hearing Screening
Update Hearing Plan of CareOutcome Report|
Care SummaryHearing Plan of Care
Input documents Output documentsTasks (optionality)
Discharge Newborn Care Summary
Hearing Plan of Care | Standing Order
Results Outcome Report
Order Request &Consent
CareSummaryGenerator
Order Placer
ScreeningRequester
Plan of CareManagerBirth
Discharge
CreateHPofCHPofC |
Std Order
Order Request
Outcome Report
UpdateHPofC
Care Summary
UpdateHPofC
After processing a Result document, the Screening Requester decides (based on local jurisdictional rules and other considerations,) if the baby should be screened again or not)
Note: for an XDW workflow, the arrows represent a sharing through XDS*
Consent
Result
Order Request
Result
Create Hearing Plan of Care
COMPLETED
Hearing Plan of Care is created
TBR meeting
Conduct Hearing Screening
READY
Screening is consented and performed
Discharge Newborn
COMPLETED
Update Hearing Plan of Care
COMPLETED
FAILED
CREATEDFAILED IN-PROGRESS COMPLETEDObtained Consent
RequestedOrder
ReturnedResults
RepeatScreening
Outcome ReportIs created
Care Summary is created
FAILED READY IN-PROGRESS
Care Summary arrives before Outcome Results
Updated OutcomeReport
Outcome Report Care Summary
Hearing Plan of Care is Updated
ADT Notification of Birth
EHDI-WD workflow steps (Part 1)
Create Plan of CareStatus: COMPLETED
Create WorkflowDocument
EHDI-WD Document
PH is notified of birth
TaskEvent History
TaskEvent: 1Status: COMPLETEDInput: N/AOutput: Hearing Plan of Care
Create Plan of CareStatus: COMPLETED
Update Workflow Document
EHDI-WD Document
Care Plan is generated with demographic info.
TaskEvent History
TaskEvent: 1Status: COMPLETEDInput: N/AOutput: Hearing Plan of Care
Output: Hearing Plan of Care
EHDI-WD workflow steps (Part 2)
Create Plan of Care
Update Workflow Document
EHDI-WD Document
Consent is obtained.
Output: Signed Consent
Conduct ScreeningStatus: CREATED
TaskEvent History
TaskEvent: 1Status: CREATEDInput: Hearing Plan of CareOutput: Signed Consent
Create Plan of Care
Update Workflow Document
EHDI-WD Document
Screening is requested.
Output: Order Request
Conduct ScreeningStatus: READY
TaskEvent History
TaskEvent: 2Status: READYInput: Signed ConsentOutput: Order Request
TaskEvent: 1
Create Plan of Care
Update Workflow Document
EHDI-WD Document
Screening is performed.
Output: Result
Conduct ScreeningStatus: IN_PROGRESS
TaskEvent History
TaskEvent: 3Status: IN_PROGRESSInput: Order RequestOutput: Result
TaskEvent: 1
TaskEvent: 2
Create Plan of Care
Update Workflow Document
EHDI-WD Document
Screening outcome is assessed.
Output: Outcome Report
Conduct ScreeningStatus: COMPLETED
TaskEvent History
TaskEvent: 4Status: COMPLETEDInput: ResultOutput: Outcome Report
TaskEvent: 1
TaskEvent: 2
TaskEvent: 3
EHDI-WD workflow steps (Part 3)
Update Plan of CareStatus: IN_PROGRESS
Create Plan of Care
Update Workflow Document
EHDI-WD Document
Plan of Care is updated
Output: Hearing Plan of Care
Conduct Screening
TaskEvent History
TaskEvent: 1Status: IN_PROGRESSInput: Outcome ReportOutput: Hearing Plan of Care
Discharge NewbornStatus: COMPLETED
Create Plan of Care
Update Workflow Document
EHDI-WD Document
Plan of Care is updated
Output: Care Summary
Conduct Screening
TaskEvent History
TaskEvent: 1Status: COMPLETEDInput: N/AOutput: Care Summary
Update Plan of CareStatus: COMPLETED
Create Plan of Care
Update Workflow Document
EHDI-WD Document
Plan of Care is updated
Output: Hearing Plan of Care
Conduct Screening
TaskEvent History
TaskEvent: 2Status: COMPLETEDInput: Care SummaryOutput: Hearing Plan of Care
TaskEvent: 1
Update Plan of Care
Discharge Newborn
B
C
A
Workflow Step
The Plan of Care Manager gets birth
notification.
Creation of the Workflow Document
Workflow Document
task: Create Plan of Care Status: COMPLETED Author: EHDI Program Sys Time: date/time/utc Inputs: - Outputs: - EarlyHearingPlanOfCare
The specialist admits the patient and starts the
consultation
Updated of the Workflow Document
Workflow Document
Create Plan Of Care
taskEventHistory
task: Conduct Hearing Screening Status: CREATED Author: EHDI Program Sys Time: date/time/utc Inputs: - EarlyHearingPlanOfCare Outputs: -
TaskEvent: 1 Status: COMPLETED Inputs: -> Outputs: -> EarlyHearingPlanOfCare
The specialist completes the consultation and produce the report
Creation of the Clinical Report
Updated of the Workflow Document
Workflow Document
Create Plan of Care
task: Conduct Hearing Screening Status: READY Author: Ms. Consent Gatherer Time: date/time/utc Inputs: -> Consent Outputs: -> Consent
taskEventHistory
TaskEvent: 1 Status: CREATED Inputs:-EarlyHearingCarePlanOfCare Outputs: Consent
taskEventHistory
TaskEvent: 1
TaskEvent: 2 Status: IN_PROGRESS Inputs: -> Consent Outputs: -> ScreeningRequest