Statewide eHealth Interoperability Maturity Model

The Statewide eHealth Interoperability Maturity Model (SEIMM) is an incremental framework that supports and guides the current Department of Health direction toward standards and interoperability for information sharing across health organisations. 

The model encourages continuity of care across health entities while ensuring that Victorian health organisations maintain overall responsibility for the suite of ICT solutions that have organisational best fit.

The SEIMM is aligned with the international Health Information and Management System Society (HIMSS) model and with a five-tiered interoperability capability scale that has been researched and established by Digital Design.

The purpose of this framework is to provide the health sector with an interactive model that guides and supports health organisations to achieve a higher standard of EMR and other key application capability, therefore enabling inter-organisation interoperability that is underpinned by standards, principles and governance.

Digital Design, in conjunction with international research organisations, health organisations and major stakeholders including the Victorian health service CIOs, the Health Design Forum (HDF) and the Health Sector ICT Ministerial Advisory Council, has worked collaboratively to guide and validate the development of the model.

In order to gain full insight into the model, it is recommended that the SEIMM is read in conjunction with the following Digital Design documentation:

  • Health Design Forum publications
    • EMR core and models
    • Continuity of care
    • Benefits realisation
    • Clinical decision support
    • National Identifiers and the Personally Controlled Electronic Health Record (PCEHR)
    • Change and adoption / SEIMM

Statewide eHealth Interoperability Maturity Model

Digital Design Unified Implementation Guide

The Digital Design Unified Implementation Guide is intended to assist health services with definitive usage of the HL7 2.4 Standard for applications that send HL7 messages to, and receive HL7 messages from, Digital Design applications. Digital Design hosts the core financial, human resources, patient management, client management and clinical applications used by a number of public health services in Victoria.

The guide is generic in its purpose, and although Digital Design specific products are nominated, this is also a foundation level interoperability guide for a number of standardised interfaces, e.g: Pathology and Imaging Orders and Results, Medication Orders, Patient Administration, Emergency Department, Discharge Summary and general Clinical Systems interfaces.

The guide supports the design and implementation of broadly accepted and standards based HL7 2.4 interfaces between vendor applications. This guide forms the basis on which standard interfaces should be designed and implemented, with any potential variations to the guide being agreed in consultation with Digital Design.

Digital Design Unified Standard

Statewide Pathology and Imaging Catalogues

The VPHS has defined a state wide pathology and imaging catalogue. This catalogue was created through Digital Design, and by the Pathology and Imaging Clinical System Working Group. This group includes representation from health services across Victoria. A Victorian catalogue was created for use across Victoria and contains substantial input from NeHTA and specifically designed to move towards a national catalogue once this catalogue becomes available. Should you wish to use the catalogues for implementation purposes, please contact Digital Design for the latest version and further advice.

Pathology Results Catalogue
Radiology Results Catalogue
Pathology Orders Catalogue
Radiology Orders Catalogue

Medications Management Interface Specification

The VPHS has defined a state wide medications management interface specification. This specification was created through Digital Design, in consultation with health services and vendors.

This document has been specifically designed for third party providers to illustrate the proposed orders integration model for medication orders and electronic medication administration in relation to a clinical system. The focus of this document is medication orders and electronic medication administration only. It is not intended to be a detailed specification of requirements.

Medications Interfacing Specification (Generic)

Clinical Information System/EMR Requirements

Digital Design is currently engaged to provide assistance to a number of Victorian public health services looking to implement new clinical information systems, typically with Electronic Medical Records (EMR) capability. Digital Design guides health ICT initiatives towards an interoperable future ehealth environment through the use of well established standards, best practice guides, methodologies and principles.

The information attached below includes a list of high level principles and representative requirements that should be included in any tender for a CIS / EMR or similar.

Digital Design CIS Standards

Patient Administration System Requirements

Digital Design is currently engaged to provide assistance to a number of Victorian public health services looking to implement patient administration systems.

Digital Design guides health ICT initiatives towards an interoperable future ehealth environment through the use of well established standards, best practice guides, national considerations methodologies and principles.

The information attached below includes a list of high level principles and representative requirements that should be included in any tender for a Patient Administration System or similar.

Patient Administration System / EMR Requirements

Queue Management Requirements

Digital Design is currently engaged to provide assistance to a number of Victorian public health services looking to implement queue management systems.

Digital Design guides health ICT initiatives towards an interoperable future ehealth environment through the use of well established standards, best practice guides, national considerations methodologies and principles.

The information attached below includes a list of high level principles and representative requirements that should be included in any tender for a Queue Management System or similar.

Queue Management and Patient Administration Systems Interfacing/Integration Principles

National Health Service Directory - Governance and Usage

The National Health Service Directory (NHSD) is a national provider services directory of health practice and practitioner information which includes electronic identifiers for electronic messaging distribution. This directory is formerly known as the Victorian Human Services Directory (HSD) or General Practitioners Directory Victoria (GPDV).

The NHSD is the accepted source of data for provider information (general practitioner and specialist) in Victoria. Best practice suggests health organisation systems should source information from the NHSD, rather than manage local directories of information.

Digital Design guides health ICT initiatives towards an interoperable future ehealth environment through the use of well established standards, best practice guides, national consideration methodologies and principles.

Digital Design has developed an HL7 Master File Notification message (MFN^M02) from the NHSD in order to notify health organisations of changes to provider information so that local healthcare systems can be updated with NHSD content.

Governance and the use of National Health Service Directory data

Solution Architecture

The document below provides health service chief information officers (CIOs) and other health service stakeholders with ICT responsibility an overview of the Digital Design application solution design principles and approach. A specific focus is applied to the Digital Design application suite and their interaction with other health service applications.

Design Authority Application Solution Design

Reference Architecture

Digital Design has developed a reference architecture for its supported products and applications. For access to this information please contact Digital Design by emailing hda@dhhs.vic.gov.au.

Contact details

  • Digital Design - Health Technology

    Department of Health & Human Services

    Digital Design provides a range of knowledge, education, advice and guidance to health services and Department of Health & Human Services staff.