Transcript PPT3
Integrating the Healthcare Enterprise IHE Update Charles Parisot, GE Healthcare IHE IT Infrastructure Technical Committee Co-chair http://medical.nema.org/Dicom/minutes/Committee/2005/2005-03-31/Reports/IHE-Update.ppt March 30, 2005 1 IHE Update IHE IT Infrastructure 2004-2005 New Cross-Enterprise Document Sharing Registration, distribution and access across health enterprises of clinical documents forming a patient electronic health record New Retrieve Retrieve Information Information for Display for Display Access Accessa apatient’s patient’sclinical clinical information and documents in in a information and documents formataready be presented formattoready to be to the requesting presented user to the requesting user New Audit Trail & Node Authentication Patient Identifier Patient Identifier Cross-referencing for Cross-referencing MPI for MPI Map patient identifiers Map patient identifiers across independent across independent identification domains identification domains March 30, 2005 Centralized privacy audit trail and node to node authentication to create a secured domain. Consistent Time Coordinate time across networked systems 2 Personnel White Page Access to workforce contact information Patient Demographics Query New Patient Synchronized Applications Synchronize multiple applications on a desktop to the same patient Enterprise User Enterprise User Authentication Authentication Provide users a single name and centralized authentication process across all systems IHE Update Sharing and accessing Documents EHR-LR: Longitudinal Record as used across-encounters Documents Registry Long Term Care Acute Care (Inpatient) Document Repository Other Specialized Care or Diagnostics Services PCPs and Clinics (Ambulatory) EHR-CR: Care Record systems supporting care delivery Submission of Document References Retrieve of selected Documents March 30, 2005 3 IHE Update Standards selection for IHE XDS No single standard can address Cross-enterprise Document Sharing Electronic Business Standards ebXML Registry, SOAP, etc. Internet Standards HTML, HTTP, ISO, PDF, JPEG, etc. Healthcare Content Standards HL7 CDA, CEN EHRcom ASTM CCR DICOM, etc. Marriage of healthcare standards facilitates implementation and leverages complementary technologies (e.g. security & privacy). March 30, 2005 4 IHE Update HIMSS 2005 Interoperability Showcases HIMSS leverages its sponsorship of IHE to demonstrate practical interoperability in two large Showcase Exhibits: cross-enterprise sharing of health information in the acute care (18 vendors) and ambulatory (14 vendors). HIMSS Showcase exhibits linked with vendor booths (10 vendors) show-wide. Show-wide interactive environment demonstrating attendees “patient” record in a “HIMSS RHIO”. Uses IHE Cross-enterprise Document Sharing: Around a central document registry Distributed document repositories 17 EHR that publish/share documents (CCR, CDA, HL7-lab, PDF) March 30, 2005 5 IHE Update HIMSS 2005 Interoperability Showcases HIMSS sponsors the testing and demonstration of IHE interoperability in two large Showcase Exhibits: cross-enterprise sharing of health information in the acute care, 18 vendors: Cedara Dictaphone Eastman Kodak Eclipsys Emageon EPIC GE Healthcare IDX InterSystems Infinitt Technology Kryptiq MedCommons Mortara Instruments NIST Novell Open Text Sentillion Siemens ambulatory sharing of health information, 14 vendors: Allscripts CapMed/SanDisk Cerner Eclipsys ETIAM March 30, 2005 GE Healthcare Healthramp IDX Krytiq MediNotes 6 MidMark Misys NextGen WebMD IHE Update HIMSS Highlights March 30, 2005 7 IHE Update HIMSS IHE Highlights HIMSS: 700 Exhibitors - 23,000 Attendees Over 2000 visited the IHE Booth. 49 participants in IHE Interoperability booth 15 vendors participated in XDS from their booth 732 Attendees registered for their own EHR 7,772 Documents registered in XDS Registry 40,984 Queries to XDS Registry US National IT Coordinator (Dr Brailer) held his press conference in IHE Booth and thanked IHE. 50 members of press toured. March 30, 2005 8 IHE Update HIMSS 2005 – Show-Wide Interoperability Vendor System Cross-enterprise Showcase Booth Radiology IT Infrastructure & Lab Vendor Booth Vendor Booth Allscripts In-Patient/Out-patient Eclipsys GE Healthcare Vendor Booth Healthramp Cardiology IDX Radiology Vendor Booth HIMSS “RHIO” with Infinitt Cross-enterprise InterSystems Vendor Booth doc sharing MedCommons PCP Novell OpenText Vendor Booth Diag Center Siemens Home Multispecialty Clinic Vendor Booth Ambulatory Showcase Booth March 30, 2005 Vendor Booth 9 IHE Update IHE Profiles for a “Regional Health Info Organization” What are the gaps to be filled in 2005 ? Patient Demographics Query Imaging Information SimpleContent Document Format of the Document Content Content and associated coded vocabulary For Display Document Format of the Document Content Content and associated coded vocabulary Lab Results Document Format of the Document Content Content Continuity of Care Format of the Document Content Document Content and associated coded vocabulary Cross-Enterprise Notification Notification of a remote provider/ health enterprise Map patient identifiers across independent identification domains Audit Trail & Node Authentication Personnel White Page Format of the Document Content and associated coded vocabulary Cross-Enterprise Document Sharing Registration, distribution and access across health enterprises of clinical documents forming a patient electronic health record Centralized privacy audit trail and node to node authentication to create a secured domain. Consistent Time Coordinate time across networked systems March 30, 2005 Patient Identifier Cross-referencing 10 Access to workforce contact information User Identity, Authentication and Permissions Enable Basic Access Control IHE Update Infrastructure and Interoperability Cross-Enterprise Document Sharing (XDS) minimizes clinical data management by the infrastructure. Transparency = Ease of Evolution, increase efficiencies. XDS needs other IHE Integration Profiles: Audit Trail and Node Authentication (ATNA) Patient Id Cross-referencing (PIX) Patient Demographics Query (PDQ) In 2005, IHE plans to complement a set of integration profiles to build a RHIO, candidates: Security: Identity Management + Info for Access Control Content Profiles: Core CCR, HL7-CDA, HL7-Lab, PDF (legacy) Provider Notification (with doc reference) and Point-to-point Transfer Dynamic Clinical Data Mgt (Allergy lists, Problem Lists) Prioritization of Candidate Integration Profiles November-December 2004. Technical development January-July 2005. Open to all. March 30, 2005 IHE Update 11 IHE Radiology Integration Profiles Charge Posting Extensions Scheduled Workflow - Patient Info. Reconciliation Presentation of Grouped Procedures PostProcessing Workflow Reporting Workflow New NM Image Consistent Presentation of Images Evidence Docs Key Image Notes Simple Image & Numeric Reports Access to Radiology Information New Portable Data for Imaging Basic Security March 30, 2005 12 IHE Update Laboratory IHE Integration Profiles In Dev. Laboratory Scheduled Workflow (LSWF) Laboratory Point Of Care Testing (LPOCT) Completed in 2003 In Process –TI Nov 2004 Tests performed by a laboratory for an identified inpatient or outpatient Tests performed on point of care or patient’s bedside In Dev. Laboratory Patient Information Reconciliation (LPIR) In Process Tests performed on an unidentified or misidentified patient Laboratory Device Automation (LDA) In Process –TI Nov 2004 Laboratory Code Set Distribution (LCSD) In Process In Dev. Sharing the batteries and tests code sets throughout the enterprise March 30, 2005 In Dev. 13 Pre-analytic process, analysis and post-analytical treatment IHE Update IHE Cardiology 2004-2005 New Retrieve ECG for Display Provide high-quality ECG and related reports to the enterprise and outside in a ready-to-display format New Retrieve Information EchoCardiography for Display Worklflow Cardiac Catheterization Workflow Access a patient’s clinical information and Admit, order, schedule, acquire documents in a format ready to be images, notify of completed steps, presented on fixed and mobile user stress echo to the requesting Scheduled & unscheduled acquisition and management of cathlab information, notification of completed steps. March 30, 2005 New modalities. 14 IHE Update ACC 2005 IHE Demonstration ACC sponsors the testing and demonstration of IHE interoperability in their exhibit – March 2005 11 vendors: Agfa Camtronics Cerner Emageon GE Healthcare Heartlab IDX Medcon Schiller Philips Toshiba Scenario: Emergency Cath, Change of Lab mid-procedure Scheduled Echo+Mobile Modality, Stress Echo Echo demo planned for ASE (Boston June 2005) Full demonstration planned for ESC (August 2005) March 30, 2005 15 IHE Update