Draft Concept of Operations Feedback Analysis Report
4.4 Information model
containing this theme
|Breakdown of submissions containing this theme by group|
4.4.1 DescriptionThroughout the body of submissions the third most common theme related to the PCEHR System’s information model. These included a considerable number of requests for further detail and clarification regarding the collection of information and the architecture and structure of the information model. The submissions highlighted a wide range of points from individual consumer details to the overarching data quality standards required.
4.4.2 Key points1. Collection of information
- Questions were raised concerning the standardisation and completeness of the data that is collected
- Some submissions noted that not all demographics had been considered in the data collection model
- Concerns were raised over the quality of entered data, in particular in relation to patient entered data
- A number of submissions questioned the appropriateness of some of the Nominated Providers who would be responsible for creating and updating Shared Health Summaries
- Several submissions listed the critical importance of some fields being included in the PCEHR and the Shared Health Summary (e.g. allergies)
- A number of submissions raised questions regarding the level of detail of the information to be collected for the Event Summary, Shared Health Summary and the Consolidated View
- Requests for additional clarification were received regarding the functionality, completeness and logistics of the Event Summary, Shared Health Summary, Consolidated View and the supporting national repositories
- Clarification was sought of the guidelines and the quality assurance relating to the creation and modification of structured and unstructured data
4.4.3 PCEHR program positionBased on the feedback received during the public consultation process the following changes have been applied to the ConOps:
- Clarification on the PCEHR System information model – A section elaborating on the information model for the PCEHR System has been added to the ConOps, and includes clarification concerning:
i. Information flows between the PCEHR System and clinical systems
ii. Conformance levels required for clinical documents
iii. Assurance mechanisms for data quality, including support for validation, implementation assistance around improving data quality in feeder systems and reporting tools to help monitor data quality in the PCEHR System.
iv. Managing changes to clinical documents, including the handling of errors and removal of clinical documents.
v. Retention of records, including policies for different parties, such as the PCEHR System Operator, Conformant Repositories, Clinical Systems and other systems.
- Refinements to the information model – The ConOps has been updated to reflect a number of suggestions, including:
- Refinement of the description of the purpose and function of the consolidated view.
- Revision of information detailing withdrawal and re–activation of a PCEHR to give a clear understanding of how this will function, and the impact of doing so.
- The scope of demographic information about the individual and other contacts has been refined. This information now includes information about the custodian of the individual’s advance care directive (if they have one) and information about interpreter requirements.
- The proposed model for approving release of pathology result reports to a consumer’s PCEHR has been extended to include any healthcare provider who receives the result report, not just the provider who requested the pathology test.
- Diagnostic Imaging has been pushed back to a future release item until more consultation can be done with the sector on agreeing a preferred model.