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Patient Data Exchange BHEPP

Patient Data Exchange BHEPP. BHEPP – Patient Data Exchange. Enabling electronic health record (EHR) exchange when patients are transferred between participating hospitals during a disaster involving mass casualties, for improved patient care. Overview. BHEPP Partnership. Suburban Hospital.

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Patient Data Exchange BHEPP

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  1. Patient Data ExchangeBHEPP

  2. BHEPP – PatientData Exchange Enabling electronic health record (EHR) exchange when patients are transferred between participating hospitals during a disaster involving mass casualties, for improved patient care Overview

  3. BHEPP Partnership Suburban Hospital NIH Clinical Center NNMC • Acute care community hospital • Level II Trauma Center • Community preparedness experience • Decontamination capacity • Clinical research facility • Surge capacity • Sophisticated diagnostic laboratory facilities • Skilled campus HAZMAT & decontamination team • Substantial basic science and specialty/subspecialty expertise • Military hospital • Extensive decontamination capacity • Skilled deployable workforce • Availability of “in-residence” staff • Preparedness training

  4. Disaster Scenario 2 1 Disaster causes mass casualties Non-critical patients are transferred to other hospitals to make space for emergency patients 3 Patient data is transferred electronically to the receiving hospital to aid in patient care

  5. What to share ? Which format / standard ? How to share ? Challenges

  6. Patient Summary Record • Required “Minimum Data Set” • Based on “NHIN Core Content • Specification” for exchange • of Patient Summary Record • Content Modules • Person Information • Support (Emergency Contact Information) • Allergies and Drug Sensitivities Conditions (Problem list) • Medications • Information Source

  7. Patient Summary Record “Data Format - HL7 CDA Standard (XML)” DocumentLevel Constraints Machine readable entry Human readable entry

  8. Patient Summary Record Data Transformation – Suburban EHR XML to CDA Using Adapters

  9. Patient Summary Record Data Transformation – NIH Clinical Center XML to CDA Using Adapters

  10. Patient Data Exchange - Application Features Web Upload Hospital 1 Hospital 2 • Web Upload • Mapping and Translation • Patient Search • Patient View • PDF/XML Download • Admin Module • Integration with Triage Data • (Digital Pen) • Integration with RFID Data • (Future) Suburban Adapter NNMC Adapter Mapping & Translation NLM CC Adapter CDA Receiving Hospital HTML Adapter PDF Adapter Search & View

  11. Patient Data Exchange - Application Technical Specifications • ColdFusion 8.0 Application Server • Apache Web Server 2.2 • HTTPS based for security and encryption • ColdBox (MVC) based framework for easier extensibility • Internationalization and localization

  12. CMAX 2009

  13. Future Directions • Integration with RFID for location tracking during disaster • Integration with “NHIN – National Health Information Network” for nationwide real time Patient Data Exchange • DICOM support for including medical images with Patient Summary Record

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