The Extensia Shared Electronic Health Record - RecordPoint is the first of a new breed of applications that can quickly, securely and cost effectively deliver a shared patient record across the entire health sector.

RecordPoint, is a state-of-the-art, shared electronic health records system that stores and shares summary clinical data and patient care plans and allows authorised clinicians to update the patient record at the point of care.

RecordPoint enables real time access to more comprehensive patient information. RecordPoint will significantly improve the efficiency and quality of health care by enabling truly coordinated ‘care'. This vision is particularly relevant for chronic disease communities where patients receive treatment, over extended time periods and by many, varied health care providers.

RecordPoint supports patients with chronic diseases and assists in care coordination where multiple providers contribute regularly to a patient’s shared record and/or a patient’s care plan. Providers that can contribute to the shared patient record include hospitals (public and private), GP’s, Specialist doctors, Allied Health providers, Pathology labs and State health departments. RecordPoint supports clinical transactions for the major chronic disease areas including diabetes, COPD, CHF and Renal.

RecordPoint provides comprehensive data security, user authentication, access control, and audit trail views suitable for clinicians and patients. RecordPoint can be integrated with existing clinical systems and provides comprehensive web-based access and functionality for quick deployment and scalability. RecordPoint can be deployed locally within communities or organisations, or optionally delivered as a fully-hosted and managed ASP service.

RecordPoint is a Shared EHR technology which:

• enables the translation, storage and transfer of EHR’s between a patient’s various health care providers;
• ensures interoperability between disparate clinical information systems;
• complies with all the major international and Australian standards governing EHR systems, including CEN 13606 (Europe) and ISO 18308 (international);
• is sufficiently scalable to cater for EHR systems on a community, regional, state or national level; and
• is compliant with the strict medico-legal security and privacy requirements.

RecordPoint is comprised of a set of components which enables it to apply the two-level Reference and Archetype model prescribed by openEHR, including:

• Shared EHR clinical repository;
• Sample clinical archetypes covering chronic diseases, assessments and care planning;
• Integration layers / Interface Mappings to enable data flows between desktop applications and legacy systems;
• A web interface for consumers, health care providers, registration and support staff, and administrators;
• An archetype wizard tool to give clinicians or medical analysts the ability to define new types of documents to be stored in the clinical repository;
• A security model to address medic-legal security and privacy requirements; and
• A registration and audit system.

RecordPoint compliments rather than replaces existing systems providing a shared record. This is achieved through integration layers which translate data from existing desktop applications or internal legacy systems. The isolation layers convert the data into the openEHR format and enable interoperability between each of the previously divergent data streams.

TECHNICAL FEATURES

1. Semantic Interoperability for EHR’s – RecordPoint provides a system to create and transfer interoperable EHR’s by applying Archetypes to clinical data. This gives clinicians powerful new functionality to provide more efficient and higher quality health care.
2. Extensibility – RecordPoint has an embedded Archetype builder tool to make the development, amendment and addition of Archetypes to a Shared EHR community easy for any clinician to complete. This puts control back in the hands medical professionals to expand their system as data sharing in the community expands and as medical developments change the clinical data that needs to be captured.
3. Scalability – RecordPoint differs from the traditional approach in that it has been designed specifically to cater for an expanding community of varied health care providers. The ability to scale with a growing community is key for any Shared EHR deployment. In addition, the software scalability has been demonstrated indicating excellent performance on modest server deployments.
4. Compliance with strict security and privacy requirements – RecordPoint has been built from the outset for secure sharing with HeSA location authentication, Care Team based access and Roles based privileges, and is capable of supporting a range of security models for the differing needs of medical communities.
5. Standard Compliance - RecordPoint is compliant with the major international EHR standards being based on the openEHR approach and is consistent with the enunciated direction of the National e-Health Transition Authority.

Through these capabilities, RecordPoint can foster more effective coordinated care; give patients greater access to their own records; improve the speed of record flows; and improve decision making and diagnosis.

SYSTEM INTEGRITY AND SECURITY

RecordPoint enforces different authentication mechanisms based on the type of access. More privileged access attracts additional authentication requirements. The mechanisms used for each type of access are outlined below:

• For an Agent (for example Health Care Professional or Registration Officer), HeSA certificates are used to establish mutual authentication.
• For Consumers, one way authentication is used to validate the RecordPoint server to the user.
• Authentication details (credentials) include ID, passphrase, and (for Agents) the location from the HeSA certificate.
Access to the RecordPoint system is restricted (and privacy protected) at three levels:
• Consumers, Agents and Locations must be registered and active in the system. Immediately on withdrawal, access requests to information in the system related to or by the withdrawn entity are rejected. For example, when a consumer withdraws, Health Care Professionals can no longer see the Shared EHR of the consumer or add any further information to it.
• Consumers explicitly control the locations on their care team. Only Health Care Professionals assigned a role at one of the locations on a consumer’s care team can access the consumer’s Shared EHR. They must also be connecting to the system from that location.
• Users are assigned roles which determine the functionality available to the user. For example whether they can see Shared EHR data, which Event Summaries they can submit etc. All access (including read) is audited by the system. The audit trail can be viewed by the Consumer and Health Care Professionals.

All information exchanged with RecordPoint is protected with the encryption provided by the SSL connections.