Regional Health Care Exchange


Regional Health Exchange Model

The Regional Health Exchange model may apply to governments health departments, large healthcare organizations with many clinics and regional health collaboratives. It is intended to describe use cases where there are numerous source systems and many data consumers all working against a longitudinal data set. Typically, these solutions have a form of centralized governance and data sharing that enables the many engaged parties to access clinical records without having to establish peer relationships with all of the participants in the environment.

Central Repository of Data

There may be one or more health databases in a the regional healthcare exchange ecosystem. Sometimes this is a result of organizational differences, other times they are structured this way as a consequence of governance. In order to achieve maximum benefit from relational queries, it is desirable to coalesce these systems into a a single central repository. Smile CDR provides a solution that supports both distributed systems and data centralization.

Centrally Governed Solution

Centrally governed solutions such as jurisdictionally mandated health information exchanges benefit from Smile CDR. It is designed to receive feeds from a wide variety of health systems and store the information in a central repository that is fully searchable. Once the data is in Smile CDR the rich FHIR query API can be used to retrieve data for both clinical and secondary use.

Managed Infrastructure

Smile CDR is fully supported and managed services are available. The central repository can be installed within the jurisdiction's datacentres or it can be hosted in the cloud as a platform service. Smile CDR works with a wide variety of of back end databases, both commercial and open source. The entire solution is installed and configured as part of the initial engagement. The deployment is rapid and is fully functional out of the box.

Many Sources of Data

Designed to support many data sources, Smile CDR enables the creation of longitudinal record sets. Data import is supported using older protocols, file transfer and FHIR, giving the regional service maximum flexibility to aggregate the data.

Many Requesting Systems

Using a federated or local authentication services, client systems can query Smile CDR using FHIR. The queries can be focused on patient records, statistical data, research needs or any other data set that has value to the repository owner.

Data Sharing Between Organizations

This approach enables extensive data sharing across previously isolated systems. Because full clinical records can be extracted from health systems using the ETL approach, this query strategy supports full inter-operability instead of the reduced set of searches often provided by the more traditional clinical systems.

Patient Centric

The shared central repository provides a patient focused approach to quality care. All of the providers that the patient interacts with have a clear view of the full health record and can determine treatment accordingly. This approach also leads to reduction in Lab duplication and reduced adverse drug events.

Easy Integration with other Systems

Support multiple participating organizations

Smile CDR does not require that all records come from a single organization. Record sources are tracked and this information can be used as part of the workflow or security configuration.

Support Multiple Modalities

Records can come from a variety of modalities, containing data from multiple domains. Smile CDR supports the full spectrum of health data.

Support Multiple Input Spec

We support multiple input specifications and mappings. Data could be in HL7v2 from one source and file based ETL from another while a third could transmit native FHIR data. All these data would be supported and retrievable as part of the longitudinal record.