Patient Safety virtual tour HL7-IHE Demonstration HIMSS 2004.

Patient Safetyvirtual tour

HL7-IHE DemonstrationHIMSS 2004

Presented by

• Thom Kuhn, American College of Physicians

Virtual Tour

• High-level animated walkthrough

• Detailed view– Application tools– Standards and Profiles

AdobeBerdyCarefxCommerceNetDCRIDictaphoneDigital InfuzionEclipsysEpicGE HeartlabIBMINFINITTKodakKryptiqMicrosoftMisysMortaraNISTPhilipsRaining DataSentillionSiemensSNOMEDXIMIS

HL7 Standards

aECG ArdenCCOW

CDA ODMLDMRIM

SDMSPLV2V3

IHE ProfilesCT

EUAPIX

PSARID

SWF

Patient SafetyDecision Support, Drug Interactions

Case description

The year is 1999.

74 year old female, recent cardiac valve replacement, taking warfarin.

INRs were stable – last was 3.1.

Rofecoxib (Vioxx) started by PCP for treatment of osteoarthritis.

Two days later she appears at ED complaining of bleeding, weakness, bradycardia, renal insufficiency.


HL7 Standards

aECG ArdenCCOW

CDA ODMLDMRIM

SDMSPLV2V3

IHE ProfilesCT

EUAPIX

PSARID

SWF

Hospital

PCP

Lab


ICU

ED

Broker

Patient admitted to ED; notification broadcast to hospital and labs


Hospital

PCP

Lab


ICU

ED

Broker

ED establishes CCOW session to query for patient data.

HL7 Standards

aECG ArdenCCOW

CDA ODMRIM

SDMSPLV2V3

IHE ProfilesCT

EUAPIX

PSARID

SWF


Hospital

PCP

Lab


ICU

ED

Broker

ED queries primary care provider for patient data

HL7 Standards

aECG ArdenCCOW

CDA ODMRIM

SDMSPLV2V3

IHE ProfilesCT

EUAPIX

PSARID

SWF


Hospital

PCP

Lab


ICU

ED

ED orders labs; results returned.

Broker

HL7 Standards

aECG ArdenCCOW

CDA ODMRIM

SDMSPLV2V3

IHE ProfilesCT

EUAPIX

PSARID

SWF1


Hospital

PCP

Lab


ICU

ED

Patient transferred; receives therapy.

Broker

HL7 Standards

aECG ArdenCCOW

CDA ODMRIM

SDMSPLV2V3

IHE ProfilesCT

EUAPIX

PSARID

SWF


Hospital

PCP

Lab


ICU

ED

Hospital orders follow-up labs; results returned.

Broker

HL7 Standards

aECG ArdenCCOW

CDA ODMRIM

SDMSPLV2V3

IHE ProfilesCT

EUAPIX

PSARID

SWF


Hospital

PCP

Lab


ICU

ED

Patient improves; patient discharged; patient returns to PCP.

Broker

HL7 Standards

aECG ArdenCCOW

CDA ODMRIM

SDMSPLV2V3

IHE ProfilesCT

EUAPIX

PSARID

SWF


Hospital

PCP

Lab


ICU

ED

Broker

PCP queries ED system for patient data

HL7 Standards

aECG ArdenCCOW

CDA ODMRIM

SDMSPLV2V3

IHE ProfilesCT

EUAPIX

PSARID

SWF

AdobeBerdy MedicalCarefxCommerceNetDCRIDictaphoneDigital InfuzionEclipsysEpicGE Medical SystemsHeartlabIBMINFINITTKodakKryptiqMicrosoftMisysMortaraNISTPhilips Medical SystemsRaining DataSentillionSiemensSNOMEDXIMIS

Patient safety officer alerts FDA; FDA alerts Pharma.

Hospital

PCP

Lab


ICU

ED

Broker FDA

Pharma

HL7 Standards

aECG ArdenCCOW

CDA ODMRIM

SDMSPLV2V3

IHE ProfilesCT

EUAPIX

PSARID

SWF

AdobeBerdy MedicalCarefxCommerceNetDCRIDictaphoneDigital InfuzionEclipsysEpicGE Medical SystemsHeartlabIBMINFINITTKodakKryptiqMicrosoftMisysMortaraNISTPhilips Medical SystemsRaining DataSentillionSiemensSNOMEDXIMIS

FDA publishes alert; ACP publishes alert; MLM updates

PCP

Lab


FDA

Pharma

Hospital

Hospital

ACP

HL7 Standards

aECG ArdenCCOW

CDA ODMRIM

SDMSPLV2V3

IHE ProfilesCT

EUAPIX

PSARID

SWF


Patient admitted to ED; notification broadcast to hospital and labs; RID query of

PCP


ED establishes CCOW session to query for patient data; ED orders labs


Labs performed; Results returned; Patient transferred.


Patient treated; Hospital orders follow-up labs; results returned; Patient discharged.


PCP queries ED system for patient data


FDA, Pharma revise SPL


FDA publishes alert; ACP revises PIER Guidelines

ACP publishes new MLM; Vendors download, install, and test MLM



HL7 aECG ArdenCCOW

CDA ODMLDMRIM

SDMSPLV2V3

IHECT

EUAPIX

PSARID

SWF

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


HL7 aECG ArdenCCOW

CDA ODMLDMRIM

SDMSPLV2V3

IHECT

EUAPIX

PSARID

SWF

Demo Executive Committee

• HL7– Karen Van Hentenryck, HL7

Associate Director– Landen Bain, Co-chair, HL7

Marketing Committee

• IHE– Joyce Sensmeier, HIMSS– Chris Carr, RSNA


HL7 aECG ArdenCCOW

CDA ODMLDMRIM

SDMSPLV2V3

IHECT

EUAPIX

PSARID

SWF

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)


HL7 aECG ArdenCCOW

CDA ODMLDMRIM

SDMSPLV2V3

IHECT

EUAPIX

PSARID

SWF

GE

RA600

Guided tours on the quarter hour; Self-guided tours any time

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

Continuity of Care Tour

Clinical Trials Tour

Patient Safety Tour

Public Health Tour

aECG Annotated ECG (V3) 4, 16, 19, 20,21, 27

Arden Arden Syntax Medical Logic Modules 17, 19, 26

CCOW Clinical Context Object Workgroup 1,14, 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 Time 1, 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

PIX Patient Identifier Cross Referencing (V2) 1, 11

PSA Patient Synchronized Application (CCOW) 1, 14, 18,28, 29, 30,

RID Retrieve Information for Display 1,8, 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 messaging 1,5,6, 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

Start

Start

Start

GE CW

eb

Kodak

GE Solar

Carefx/G

E

Mortara

GE ED

Eclipsy

s

Digita

lInfu

zion

DCRI

CDC/

UCDavisPhilip

s

Adobe

Epic

GE CPortal

Sentillio

n

INFIN

ITTXim

is

Kryptiq

CommerceNet

MS InfoPath

GE MUSE ACP/F

DA

NIST

Start

Berdy

MS BTS

Raining Data

Dictaphone

Soarian

SNOMED

Siemens O

L

1 2

3

T H E A T E R

C L

A S

S R

O O

M

Misys

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913

1012

11

23 24 25 26 27

2829303132

21

22

14 15

18 17

1619

20

AIS

LE

AISLE

Tour Guide

HL7-IHE Interoperability Demonstration

Booth 4638

Walking Tour


HL7 aECG ArdenCCOW

CDA ODMLDMRIM

SDMSPLV2V3

IHECT

EUAPIX

PSARID

SWF

Thank you

• Questions?

• Tours starting now

• This presentation available on www.rsna.org/IHE/hl7ihedemo

Patient Safety virtual tour HL7-IHE Demonstration HIMSS 2004.

Documents

drug interactions icuedpatient

year old female

ed notification broadcast

presented bythom kuhn

renal insufficiency

ccow session

treatment of osteoarthritis

rofecoxib vioxx