Early Hearing Detection and Intervension Workflow Definition (EHDI-WD)

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