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Interoperability Shining Across a Connected Nation

Interoperability Shining Across a Connected Nation. HL7-IHE Demonstration HIMSS 2004. Brought to you by…. Health Level Seven Model-based standards for healthcare Integrating the Healthcare Enterprise Integration Profiles for healthcare. Participants.

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Interoperability Shining Across a Connected Nation

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  1. InteroperabilityShining Across a Connected Nation HL7-IHE Demonstration HIMSS 2004

  2. Brought to you by… • Health Level Seven • Model-based standards for healthcare • Integrating the Healthcare Enterprise • Integration Profiles for healthcare

  3. Participants • Members of HL7 & IHE participants fielding technical applications

  4. Partners • Supporting organizations providing expertise, technology and guidance

  5. Sponsors • Members of HL7 & IHE providing financial support

  6. What is it? • A laboratory and a test-bed for standards development and implementation • An opportunity to deploy and debug new and emerging standards-based solutions • A vehicle to communicate to industry how standards have evolved, what problems they solve and what work remains to be done

  7. How is the demo created? • Open participation • Membership in HL7 &/or IHE required • Supported by participation fees and host organizations • Design criteria • Participants choose what to put into play • Must utilize an HL7 standard, draft standard or IHE Integration Profile

  8. How is it all put together? • Virtual healthcare IT community by the numbers: • 10k+ conference call minutes • 100+ Email listserver • 5-day January 2004 Connectathon • 4-member Demo Executive Committee from HL7 & IHE • 2-day September 2003 workshop • 1 very patient Technical Manager • 1/2 overworked Project Director

  9. What is there to see? • Standards & Profiles in support of: • Continuity of Care • Patient Safety • Public Health • Clinical Trials • Each of these illustrated in a scenario based on actual case or protocol

  10. How are the scenarios developed? • Careful planning • Written by physicians drawing from actual cases • Participants volunteer to support aspects of one or more scenarios plus… • Spontaneous combustion • brokered claims attachments • third party document discovery, retrieval • Incendiary actions • hyperlinking documents and PACS images • distributed repositories, central registry

  11. The Scenarios • Continuity of Care • Clinical Trials • Patient Safety • Public Health

  12. Continuity of Care • Follows a patient from primary care through surgery and back again • Traces outpatient, inpatient and consulting radiologists’ reports, the surgeon’s note and the pathologist’s report • Path report becomes a cancer registry tumor report

  13. Clinical Trials • Patients enrolled in an ECG clinical trial are monitored wherever they receive care • Data collected at multiple sites • heterogeneous applications • annotated onsite or • submitted for annotation at the core lab • sponsor monitoring for adverse events gets background information on blinded study subjects through a third-party broker

  14. Patient Safety • Adverse drug-drug interaction caught using online guidelines • Reported to the FDA • contraindication can be published on the product insert and • incorporated into decision support modules. • Further harm averted when Web-based Medical Logic Modules incorporated into clinical systems • Clinical systems coordinated by patient context management for continuity across ED and inpatient settings

  15. Public Health • Patient presents at ED with acute respiratory difficulty • Botulism suspected • Physician observations and laboratory results trigger release of anti-toxin by state health officials • Case is confirmed and reported to the Centers for Disease Control and Prevention

  16. Highlights • From liora’s press conference slides and/or press release copy

  17. Report Card • tbs

  18. Special thanks to • Mallinckrodt Institute of Radiology • Patient Identifier Cross Referencing (PIX) server • Fred Behlen, Laitek Technologies • DICOM SR to CDA transformation • The SIMI Group • State Department of Health application • Michael Palmer, Zurich Biotech • SAS to ODM conversion • NorthEast Monitoring • Corelab software integrating aECGs • CSS Informatics • FDA Patient Profile Viewer • AMPS • FDA aECG Viewer • Amnon Shabo, IBM Haifa • Sample CDA Botulism Case Report • Data Conversion Labs • Sample Structured Product Labeling transformation

  19. Participants • logos

  20. Invitation to Tour • Guided Tours start on the quarter hour • Self-guided Tours anytime • Maps available at Reception • Complete a tour, win a prize • Get each location initialled by participant • Go to reception with completed map • Enter a business card to win • HL7 Working Group Registration (drawing 1/day) • HIMSS 2005 Registration (drawing 1/week)

  21. Start Start Continuity of Care Tour Start Clinical Trials Tour Patient Safety Tour Public Health Tour Start PIX Patient Identifier Cross Referencing (V2)1, 11 PSA Patient Synchronized Application (CCOW) 1, 14, 18,28, 29, 30, RID Retrieve Information for Display1,8, 10,11,15,18,29, 30 RIM Reference Information Model (V3)2, 4,6, 7, 9, 10, 11, 12, 13, 16,19,20,21, 22, 23, 24, 25, 26, 27,32 SDS Submissions Data Standard (CDISC)20, 21 SPL Structured Product Label (CDA)19 SWF Scheduled Work Flow (V2, DICOM)1,2,3,29,31 V2 Version 2 messaging1,5,6, 8, 9,11,12,17,18,22,25,26,32 V3 Version 3 messaging 4,9,10,11,16,19,20,21,22,24,27,32 aECG Annotated ECG (V3)4, 16, 19, 20,21, 27 Arden Arden Syntax Medical Logic Modules 17, 19, 26 CCOW Clinical Context Object Workgroup1,14, 15, 17, 18, 28, 29, 30 CDA Clinical Document Architecture (RIM)2, 6, 7, 9, 10, 11, 12, 13, 20, 22, 23, 24, 25, 26, 32 CT Integration Profile for Consistent Time1, 2, 18, 30 EUA Enterprise User Authentication (Kerberos)1, 2, 14, 18, 28, 30 Integration Profiles: 1, 2, 3, 6, 8, 10, 11, 14, 15, 18, 28, 29, 30, 31 LDM Lab Data Model (V3, CDISC)20 ODM Operational Data Model (CDISC)20, 21 Tour Guide HL7-IHE Interoperability Demonstration Booth 4638 GE CWeb • Take A Tour, Win A Prize! • Get a stamp at every stop on a tour • Take stamped Tour Guide to receptionist • Enter to win a Prize! • -HL7 Registration or • -HIMSS 2005 Registration GE RA600 1 2 Kodak Carefx/GE 3 4 GE Solar Mortara ACP/FDA 19 15 14 5 GE MUSE DigitalInfuzion Misys 16 Guided tours on the quarter hour; Self-guided tours any time 20 18 17 AISLE 6 MS InfoPath Dictaphone GE ED Eclipsys 7 C L A S S R O O M DCRI 8 21 Berdy SNOMED Soarian Siemens OL T H E A T E R Philips Adobe 9 CommerceNet 13 CDC/UCDavis MS BTS 23 24 25 26 27 Kryptiq 22 12 10 31 32 30 29 28 Raining Data 11 Ximis Epic NIST Sentillion INFINITT GE CPortal AISLE

  22. The theatre: Monday Welcome/Intro every half-hour • 2:10 Virtual Tour: Clinical Trials Scenario • 2:40 Commentary: Demo Highlights and Report Card • 3:10 Virtual Tour: Patient Safety Scenario • 3:40 Commentary: The HL7-IHE Demo as an Electronic Health Record Implementation, Ed Larsen, HIMSS • 4:10 Virtual Tour: Continuity of Care Scenario • 4:40 Commentary: Continuity of Care, a Physician’s Perspective, Dr. Thomas Sullivan, Massachusetts Medical Society • 5:10 Virtual Tour: Public Health Scenario, Dr. Cecil Lynch, UC Davis • 5:40 Commentary: Standards for Public Health Reporting, a CDC Perspective, Dr. Daniel Pollock

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