Sustainable and Extensible National EHR Network:
New tools are required, which can enhance the ability of the
national EHR network to effectively integrate complex, evolving
health information accumulated over a patient’s lifetime and to
support rapidly emerging clinical and wellness knowledge. New
types of health information must be integrated to reflect new
medical knowledge (e.g. images and genetics) and new types of
health care delivery (e.g. home care or consultations with
Pharmacists). Patient consent must be implemented and access
to health records audited. Issues of scale, complexity of
information, evolution of data standards,
semantic interoperability, effective data summarisation for
clinical purposes, querying for "secondary" uses, privacy and
trust all need to be addressed.
Chronic Disease and Wellness Management: A number of
consumer-centric health technologies are needed, including
personalised views of health record information using commonly
understood concepts in place of medical concepts, tools to
support self help and independent living, management of chronic
disease, wellness management program development and
monitoring, and individualised health education based on best
practice clinical pathways. These technologies will personalise
the delivery of information and services, using context gained
from family history, genetic data, localised evidence, and
relevant lifestyle and health status data. Intensive planning
tools are required for the definition of long-term care plans.
Point-of-Care Services: Delivery systems are needed
which provide the right information at the right time at the
point-of-care. Such systems will support context-sensitive
views, repurposing existing information, and managing rich data
such as diagnostic imaging and genomic data. Point-of-care
services must provide flexible cross-organisational workflows
based on clinical pathways, to guide data capture, to track
deviation from best practice, and to enable inter-service
coordination and collaboration.