September, 2005 What IHE Delivers 1 IHE IHE Patient Care Patient Care Coordination Coordination Keith W. Boone Keith W. Boone Interoperability Architect, GE Healthcare Interoperability Architect, GE Healthcare Co-chair, IHE PCC Co-chair, IHE PCC Co-chair, HL7 Structured Documents Co-chair, HL7 Structured Documents Co-chair, HITSP Care Management and Health Records Domain Co-chair, HITSP Care Management and Health Records Domain TC TC
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September, 2005 What IHE Delivers1
IHEIHEPatient Care CoordinationPatient Care Coordination
Keith W. BooneKeith W. BooneInteroperability Architect, GE HealthcareInteroperability Architect, GE Healthcare
Co-chair, IHE PCCCo-chair, IHE PCCCo-chair, HL7 Structured DocumentsCo-chair, HL7 Structured DocumentsCo-chair, HITSP Care Management and Health Records Domain TCCo-chair, HITSP Care Management and Health Records Domain TC
2
Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise
Electronic Health Record
Cardiology
Laboratory
Radiology
Oncology
Future
Domains
IHE
IT Infrastructure
Patient Care Coordination
Patient Care Devices
Pathology
Eye Care
1999
2003
2002
2002
2004
2005
2005
20052005
Over 100 vendors and 20 professional societies involved worldwide5 Technical Frameworks and 40+ integration profiles
Testing at Connectathons and Demonstrations at Major Conferences Worldwide
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Patient Care CoordinationPatient Care Coordination
Established in 2005Established in 2005
ScopeScope
Integration issues that cross providers, patient problems or Integration issues that cross providers, patient problems or time. time.
General clinical care aspects such as General clinical care aspects such as • document exchange, document exchange,
• order processing, order processing,
• coordination with other specialty domains. coordination with other specialty domains.
Address workflows and the integration needs of specialty Address workflows and the integration needs of specialty areas without a separate domain within IHEareas without a separate domain within IHE
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Sponsors and Professional SocietiesSponsors and Professional Societies
SponsorsSponsors
Health Information Management Systems SocietyHealth Information Management Systems Society
American College of PhysiciansAmerican College of Physicians
Participating Professional SocietiesParticipating Professional Societies
American College of Obstetricians and GynecologistsAmerican College of Obstetricians and Gynecologists
American College of Emergency PhysiciansAmerican College of Emergency Physicians
224 Organizational Members of IHE224 Organizational Members of IHE
http://www.ihe.net/governance/member_organizations.cfmhttp://www.ihe.net/governance/member_organizations.cfm
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IHE Participants at HIMSS 2008IHE Participants at HIMSS 2008
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2008 2008 SeasonSeason
IHE– Development cycleIHE– Development cycleDevelopmentDevelopment and and DeploymentDeployment
Proposed ScopeProposed Scope
Approved ScopeApproved Scope
Public CommentPublic Comment
Sponsors announce Sponsors announce Connect-a-thon/Demos with Connect-a-thon/Demos with
set of Implementation set of Implementation ProfilesProfiles
Final Integration Final Integration ProfileProfile
Trial Trial ImplementationImplementation
Connect-a-thon/Demo Connect-a-thon/Demo Vendor Participant Vendor Participant
RegisteredRegistered
Vendor Participant passed Vendor Participant passed ConnectathonConnectathon
Demo &Demo &Education MaterialEducation Material
Vendors release products Vendors release products with IHE Integration with IHE Integration
StatementsStatements
+ 9 ---
- 10 ---
- 7 ---
- 2 ---
0 ---
+ 2 ---
+ 5 ---
+ 6 ---
---
2009 2009 SeasonSeason
tsoutherland
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IHE ProfilesIHE Profiles
Query Modality Worklist [RAD-5]
ADT Order Placer
Register J.Doe
AcquisitionModality
Placer OrderManagement –New [RAD-2]
Patient Reconciliation
Department System Scheduler/Order Filler
Schedule Procedure
Procedure Scheduled [RAD-4]
Modality Procedure Step Completed [RAD-7]J.Doe ->
J.Smith
Patient Update/Merge [RAD-12]
Modality Procedure Step Completed [RAD-7]
PatientRegistration [RAD-1]
Patient Update/
Merge [RAD-12]
Modality Procedure Step In Progress [CARD-1]
Modality Procedure Step In Progress [CARD-1]
Perform Acquisition
Filler Order Mgmt - Status Update [RAD-3]
Filler Order Mgmt - Status Update [RAD-3]
ImageManager/
PPS Manager
Filler Order Management -New [RAD-3]
One or the other methods of creating an order is used
Query Modality Worklist [RAD-5]
ADT Order Placer
Register J.Doe
AcquisitionModality
Placer OrderManagement –New [RAD-2]
Patient Reconciliation
Department System Scheduler/Order Filler
Schedule Procedure
Procedure Scheduled [RAD-4]
Modality Procedure Step Completed [RAD-7]J.Doe ->
J.Smith
Patient Update/Merge [RAD-12]
Modality Procedure Step Completed [RAD-7]
PatientRegistration [RAD-1]
Patient Update/
Merge [RAD-12]
Modality Procedure Step In Progress [CARD-1]
Modality Procedure Step In Progress [CARD-1]
Perform Acquisition
Filler Order Mgmt - Status Update [RAD-3]
Filler Order Mgmt - Status Update [RAD-3]
ImageManager/
PPS Manager
Filler Order Management -New [RAD-3]
One or the other methods of creating an order is used
Detailed standards implementation guides
Actor/Transaction Diagrams
Sequence Diagrams
Pt. Registration [RAD-1] Patient Update [RAD-12]
Pt. Registration [RAD-1] Patient Update [RAD-12]
Placer Order Management [RAD-2] Filler Order Management [RAD-3]
ADT
Query Images [RAD-14] Retrieve Images/Evidence [CARD-4]
Image Display
Modality Image/Evidence Stored [CARD-2]
Storage Commitment
[CARD-3]
Procedure Scheduled [RAD-4]
Procedure Updated [RAD-13]
Query Modality Worklist [RAD-5]
Performed Procedure
Step Manager
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Order Placer
Acquisition Modality
ImageManager
ImageArchive
DSS/ Order Filler
Patient Update [RAD-12]
Modality Image/Evidence Stored [CARD-2]
Storage Commitment
[CARD-3]
Evidence Creator Modality PS in Progress [CARD-1]
Modality PS Completed [RAD-7]
Instance Availability Notification [RAD-49]
Pt. Registration [RAD-1] Patient Update [RAD-12]
Pt. Registration [RAD-1] Patient Update [RAD-12]
Placer Order Management [RAD-2] Filler Order Management [RAD-3]
ADT
Query Images [RAD-14] Retrieve Images/Evidence [CARD-4]
Image Display
Modality Image/Evidence Stored [CARD-2]
Storage Commitment
[CARD-3]
Procedure Scheduled [RAD-4]
Procedure Updated [RAD-13]
Query Modality Worklist [RAD-5]
Performed Procedure
Step Manager
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Modality PS in Progress [CARD-1] Modality PS Completed [RAD-7]
Order Placer
Acquisition Modality
ImageManager
ImageArchive
DSS/ Order Filler
Patient Update [RAD-12]
Modality Image/Evidence Stored [CARD-2]
Storage Commitment
[CARD-3]
Evidence Creator Modality PS in Progress [CARD-1]
Modality PS Completed [RAD-7]
Instance Availability Notification [RAD-49]
Textual Description
8
A content profile is…A content profile is…
A sharable information component that A sharable information component that can be exchanged…can be exchanged… within an HIE or RHIO (XDS)within an HIE or RHIO (XDS) via Media or USB Device (XDM)via Media or USB Device (XDM) via Reliable Messages (XDR)via Reliable Messages (XDR)
Document content using standardsDocument content using standards CDA Release 2.0CDA Release 2.0 ASTM/HL7 Continuity of Care DocumentASTM/HL7 Continuity of Care Document
Library of Reusable PartsLibrary of Reusable Parts
9
PCC Content ProfilesPCC Content ProfilesStandards and Profiles UsedStandards and Profiles Used
CDA Release 2.0CDA Release 2.0
ASTM/HL7 Continuity of Care DocumentASTM/HL7 Continuity of Care Document
IHE XDS/XDR/XDMIHE XDS/XDR/XDM
Notification of Document AvailabilityNotification of Document Availability
Document Digital SignatureDocument Digital Signature
XHTML 1.0XHTML 1.0
XSLT 1.0XSLT 1.0
10
PCC Content ProfilesPCC Content ProfilesKey Technical PropertiesKey Technical Properties
Human ReadableHuman Readable
Machine processableMachine processable
Digital Signature EnabledDigital Signature Enabled
Can be shared multiple waysCan be shared multiple ways RHIO or HIE (XDS)RHIO or HIE (XDS) CD or USB Media (XDM)CD or USB Media (XDM) Point to Point (XDR)Point to Point (XDR)
11
The PCC Technical Framework The PCC Technical Framework enable both semantic enable both semantic
interoperability and simple viewing !interoperability and simple viewing !
SSttrruuccttuurreedd CCoonntteenntt wwii tthh ccooddeedd sseecctt iioonnss::
Reason for Referral Vital Signs
MMeeddiiccaattiioonn
Studies AAlllleerrggiieess
Social History PPrroobblleemmss
Care Plan
PCC PCC TechnicalTechnical Framework FrameworkHL7 HL7 ClinicalClinical Document Architecture (CDA) Release 2 Document Architecture (CDA) Release 2
Structured and Coded Header Patient, Author, Authenticator, Institution, Time of Service, etc.
Header always structured and coded
Title-coded sections with non-structured nor coded content (text, lists, tables). Simple Viewing (XML Style sheet)
Level 1Level 1
Level 2Level 2
Text StructureEntry
Text Structure Entry
Med, Problems and Allergies as highly structured text. Text easy to import/parse
Text StructureEntry
Level 3Level 3
Med Problems and Allergies have afine-grain structure with optional coding. Coding Scheme explicitly identified.
Coded Section Entry
Coded Section Entry
Coded Section Entry
Level 3Level 3
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IHE PCC ProfilesIHE PCC Profiles
Medical Summaries
ED Referral
ExchangingPHR
Content
AntepartumCare
Summary
EmergencyDepartmentEncounter Summary
FunctionalStatus
Assessments
2005-062005-062006-072006-072007-082007-082008-092008-09
Inte
gra
tio
nC
on
ten
t
Query for Existing Data
Care Management
AntepartumRecord
ClinicalResearch
ImmunizationRegistryContent
CancerRegistryContent
14
Medical SummariesMedical SummariesAbstractAbstract
Define a medical summary format for Define a medical summary format for clinical documents containing:clinical documents containing: Patient DemographicsPatient Demographics ProblemsProblems AllergiesAllergies MedicationsMedications Pointers to other materialPointers to other material
15
Medical SummariesMedical SummariesValue PropositionValue Proposition
Leverages Clinical Documents and OntologyLeverages Clinical Documents and Ontology A common mechanism for transfer of encoded clinical data A common mechanism for transfer of encoded clinical data
embedded in documents (CDA)embedded in documents (CDA)
Enhances Clinical Documents criteria for key use Enhances Clinical Documents criteria for key use cases:cases: Inpatient to Primary Care ProviderInpatient to Primary Care Provider Primary Care Provider to SpecialistPrimary Care Provider to Specialist
HL7 CCD CompatibleHL7 CCD Compatible
16
Emergency Department ReferralEmergency Department ReferralAbstractAbstract
Define a referral format for "heads-up" callDefine a referral format for "heads-up" call Supports Medical Summary ContentSupports Medical Summary Content Special Needs of Emergency DepartmentSpecial Needs of Emergency Department
• Expected Time of ArrivalExpected Time of Arrival• Mode of ArrivalMode of Arrival• Disposition/OrdersDisposition/Orders
17
Exchange of PHR ContentExchange of PHR ContentAbstractAbstract
Manage the interchange of documents Manage the interchange of documents between a PHR System and an EHR System between a PHR System and an EHR System to enable interoperability. to enable interoperability.
Supports a variety of transmission Supports a variety of transmission mechanisms.mechanisms.
Addresses PHR Update IssuesAddresses PHR Update Issues
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Exchange of PHR ContentExchange of PHR ContentValue PropositionValue Proposition
Supports interchange of PHR InformationSupports interchange of PHR Information DemographicsDemographics Insurance InformationInsurance Information Medications, Problems, AllergiesMedications, Problems, Allergies Health HistoryHealth History Other InformationOther Information
Supports information described inSupports information described in AHIMA PHR Common Data ElementsAHIMA PHR Common Data Elements HL7 PHR Functional ModelHL7 PHR Functional Model
HL7 CCD CompatibleHL7 CCD Compatible
19
Antepartum SummaryAntepartum SummaryScopeScope
Transmission of Prenatal Flowsheet Transmission of Prenatal Flowsheet information between Perinatal, ambulatory information between Perinatal, ambulatory and inpatient EHR systemsand inpatient EHR systems
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Over 4 million live births per year in US Over 4 million live births per year in US
Obstetric patients must have a complete Obstetric patients must have a complete summary of antepartum care available for summary of antepartum care available for all care providers and at admission for all care providers and at admission for labor and delivery. labor and delivery.
Incomplete information can be a danger to Incomplete information can be a danger to the mother and child and result in injury, the mother and child and result in injury, inadequate treatment or undesirable inadequate treatment or undesirable outcome.outcome.
Antepartum SummaryAntepartum SummaryValue PropositionValue Proposition
21
Functional Status AssessmentFunctional Status AssessmentScopeScope
The Institute of Medicine has determined that a high risk for The Institute of Medicine has determined that a high risk for errors occurs during the transfer of care. errors occurs during the transfer of care.
The Functional Status Assessment Profile (FSA) supports The Functional Status Assessment Profile (FSA) supports the handoff of assessment information between the handoff of assessment information between practitioners during transfers of care, cross-enterprise or practitioners during transfers of care, cross-enterprise or intra-enterprise.intra-enterprise.
Physician documentation provides medical assessment, Physician documentation provides medical assessment, diagnosis and treatment information. diagnosis and treatment information.
Nursing documentation provides assessment and Nursing documentation provides assessment and treatment of human response (psychosocial, physiologic, treatment of human response (psychosocial, physiologic, emotional and spiritual) of patient/family to changing emotional and spiritual) of patient/family to changing conditions.conditions.
22
Functional Status AssessmentFunctional Status AssessmentValue PropositionValue Proposition
Early intervention by practitioners viewing EHR minimizes Early intervention by practitioners viewing EHR minimizes complications and reduces length of stay. complications and reduces length of stay.
Ensure pertinent data is available at the time of transfer without Ensure pertinent data is available at the time of transfer without concern about lost data.concern about lost data.
Complete information about patient’s clinical or home status Complete information about patient’s clinical or home status promotes safety, adequate after-care, improved outcomes and promotes safety, adequate after-care, improved outcomes and patient satisfaction.patient satisfaction.
Admitting nurse can plan for appropriate staffing resources based Admitting nurse can plan for appropriate staffing resources based on patient acuity. (Resource maximization)on patient acuity. (Resource maximization)
Continuity of interdisciplinary plan of care promotes early Continuity of interdisciplinary plan of care promotes early discharge and increased patient satisfaction.discharge and increased patient satisfaction.
23
ED Encounter SummaryED Encounter SummaryScopeScope
Emergency Department Information Emergency Department Information Systems (EDIS)Systems (EDIS)
Inpatient EHR SystemsInpatient EHR Systems
Ambulatory EHR SystemsAmbulatory EHR Systems
24
The Centers for Disease Control and Prevention (CDC) The Centers for Disease Control and Prevention (CDC) estimates that there were over 110 million emergency estimates that there were over 110 million emergency department visits in 2004department visits in 2004
ED visits account for as much as 40% of hospital ED visits account for as much as 40% of hospital admissionsadmissions
The ED Chart is the most common medical summary in use The ED Chart is the most common medical summary in use todaytoday
This profile supports sharing of the clinical information in This profile supports sharing of the clinical information in the ED chart with inpatient care providers and the patient's the ED chart with inpatient care providers and the patient's primary care physician.primary care physician.
ED Encounter SummaryED Encounter SummaryValue PropositionValue Proposition
Query for Existing DataQuery for Existing DataAbstractAbstract
Exchange of information between Data Exchange of information between Data Repositories and Clinical Data Consumers for:Repositories and Clinical Data Consumers for: Drug SafetyDrug Safety Public Health, Biosurveillance and Disease RegistriesPublic Health, Biosurveillance and Disease Registries Identifying Qualifying PatientsIdentifying Qualifying Patients
• Clinical TrialsClinical Trials• Disease ManagementDisease Management
Quality ReportingQuality Reporting Claims SubmissionClaims Submission
26
Query for Existing DataQuery for Existing DataScopeScope
Problems and AllergiesProblems and Allergies Disease Registries, EHR SystemsDisease Registries, EHR Systems
Vital SignsVital Signs Monitoring Systems, EHR SystemsMonitoring Systems, EHR Systems
Diagnostic ResultsDiagnostic Results Laboratory and Radiology Information Systems, EHR SystemsLaboratory and Radiology Information Systems, EHR Systems
MedicationsMedications Pharmacy, EHR SystemsPharmacy, EHR Systems
ImmunizationsImmunizations Immunization Registries, EHR SystemsImmunization Registries, EHR Systems
Professional ServicesProfessional Services Practice Management SystemsPractice Management Systems
Decision Support SystemsDecision Support Systems
27
Web Services and SOA ArchitectureWeb Services and SOA Architecture
Use of one standard for all queriesUse of one standard for all queries
Reuse of PCC Technical Framework Reuse of PCC Technical Framework TemplatesTemplates
Compatibility with ASTM/HL7 CCDCompatibility with ASTM/HL7 CCD
Query for Existing DataQuery for Existing DataKey Technical PropertiesKey Technical Properties
28
Query for Existing DataQuery for Existing DataValue PropositionValue Proposition
Typical institutions have a large number of Typical institutions have a large number of interfaces (30 – 60 or more) to manage, at interfaces (30 – 60 or more) to manage, at a cost of $10,000 to $20,000 per year per a cost of $10,000 to $20,000 per year per interface. Few HL7 Version 2.X interfaces interface. Few HL7 Version 2.X interfaces provide any query capabilities.provide any query capabilities.
Supporting a single standard to query Supporting a single standard to query clinical information is expected to reduce clinical information is expected to reduce the overall costs of hooking together the overall costs of hooking together discrete clinical information systems.discrete clinical information systems.
29
PCC Activities for 2008-2009PCC Activities for 2008-2009
Care ManagementCare Management Chronic Disease ManagementChronic Disease Management Immunization RegistriesImmunization Registries Cancer RegistriesCancer Registries
Clinical ResearchClinical Research
Antepartum RecordAntepartum Record
Medical HomeMedical Home
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Care ManagementCare ManagementAbstractAbstract
The Care Management Profile supports The Care Management Profile supports the exchange of information used between the exchange of information used between HIT systems and applications used to HIT systems and applications used to manage care for specific conditionsmanage care for specific conditions
31
Care ManagementCare ManagementScopeScope
EMR SystemsEMR Systems
PHR SystemsPHR Systems
Chronic Disease Management SystemsChronic Disease Management Systems
Immunization RegistriesImmunization Registries
Cancer RegistriesCancer Registries
Home Health Monitoring SystemsHome Health Monitoring Systems
Imaging SystemsImaging Systems
Laboratory SystemsLaboratory Systems
32
Care ManagementCare ManagementValue PropositionValue Proposition
Easily configure data capture data for:Easily configure data capture data for: Chronic Disease ManagementChronic Disease Management
• Diabetes, CHF, COPD, Hypertension, Obesity…Diabetes, CHF, COPD, Hypertension, Obesity…
Immunization ReportingImmunization Reporting Tumor ReportingTumor Reporting
33
Care ManagementCare ManagementKey Technical PropertiesKey Technical Properties
Support for exchange of information using Support for exchange of information using evidence based guidelines to drive data evidence based guidelines to drive data capturecapture
Compatible with HL7 V2 and V3 Compatible with HL7 V2 and V3 messagingmessaging
34
Clinical ResearchClinical ResearchAbstractAbstract
Exchange data needed for Clinical Trials Exchange data needed for Clinical Trials research between EMR systems and research between EMR systems and Electronic Data Capture SystemsElectronic Data Capture Systems
35
Clinical ResearchClinical ResearchScopeScope
Electronic Medical Records (EMR) Electronic Medical Records (EMR)
Electronic Data Capture (EDC) systemsElectronic Data Capture (EDC) systems
Clinical Data Management Systems (CDMS)Clinical Data Management Systems (CDMS)
Data Archiving systemsData Archiving systems
Biopharmaceutical sponsor protocol systemsBiopharmaceutical sponsor protocol systems
36
Clinical ResearchClinical ResearchValue PropositionValue Proposition
Pre-population of commonly used data Pre-population of commonly used data fields for Clinical Trialsfields for Clinical Trials
37
Clinical ResearchClinical ResearchKey Technical PropertiesKey Technical Properties
Supports separate storage of Clinical and Supports separate storage of Clinical and Research dataResearch data
Communicates using appropriate Communicates using appropriate standardsstandards HL7 V3/CDA for Communication from EMRHL7 V3/CDA for Communication from EMR CDISC for Communication to EDCCDISC for Communication to EDC
Integrates Clinical Research data access Integrates Clinical Research data access into EMRinto EMR
38
Antepartum RecordAntepartum RecordAbstractAbstract
The Antepartum Record continues the description of The Antepartum Record continues the description of the content structures for the ACOG Antepartum the content structures for the ACOG Antepartum Record Forms as begun in the Antepartum Record Forms as begun in the Antepartum Summary Profile. Summary Profile.
1.1. Forms A&B - The initial assessment and physical Forms A&B - The initial assessment and physical 2.2. Form D - Laboratory Evaluations Form D - Laboratory Evaluations 3.3. Form E - Education Assessment Form E - Education Assessment
This profile defines the implementation of HL7 CDA This profile defines the implementation of HL7 CDA documents to represent the data elements from documents to represent the data elements from forms A, B, D, and E, along with the XDS, XDR and forms A, B, D, and E, along with the XDS, XDR and XDM bindings. This profile also defines mechanisms XDM bindings. This profile also defines mechanisms to group them into a single logical folder. to group them into a single logical folder.
39
Antepartum RecordAntepartum RecordScopeScope
EMR Systems within Ambulatory/Obstetric EMR Systems within Ambulatory/Obstetric officesoffices
Labor and Delivery Departmental SystemsLabor and Delivery Departmental Systems
Hospital HIS SystemsHospital HIS Systems
EMR Systems within Pediatric officesEMR Systems within Pediatric offices
RHIO and/or HIE SystemsRHIO and/or HIE Systems
40
Antepartum Record Antepartum Record Value PropositionValue Proposition
Share Prenatal Visit Information with Share Prenatal Visit Information with Delivery LocationsDelivery Locations
Capability to electronically communicate Capability to electronically communicate all pertinent patient history, treatment, lab all pertinent patient history, treatment, lab and imaging information collected over and imaging information collected over the course of a pregnancy to care the course of a pregnancy to care providers and institutions (ambulatory, providers and institutions (ambulatory, hospital, specialist, etc.) via perinatal, hospital, specialist, etc.) via perinatal, ambulatory and inpatient EHR systems.ambulatory and inpatient EHR systems.
41
Antepartum Record Antepartum Record Key Technical PropertiesKey Technical Properties
Use of IHE XDS, XDM or XDR to share recordsUse of IHE XDS, XDM or XDR to share records
Use of Folders to store all information needed for Use of Folders to store all information needed for each pregnancyeach pregnancy
Use of HL7 Clinical Document Architecture to Use of HL7 Clinical Document Architecture to store document informationstore document information
SNOMED and LOINC to code resultsSNOMED and LOINC to code results
Based on standardized forms used for Perinatal Based on standardized forms used for Perinatal CareCare
42
IHE PCC Nursing SubcommitteeIHE PCC Nursing Subcommittee
PCC Approved the formation of a Nursing PCC Approved the formation of a Nursing Subcommittee in November 2008Subcommittee in November 2008 Membership open to any IHE MemberMembership open to any IHE Member
• See See www.ihe.net/governance Call for Co-chair Nominations occurring soonCall for Co-chair Nominations occurring soon
Initial FocusInitial Focus Review of ALL IHE Activities involving NursingReview of ALL IHE Activities involving Nursing Leading development of Nursing specific profilesLeading development of Nursing specific profiles Liaison with other IHE DomainLiaison with other IHE Domain
43
Categories of Healthcare Communication ServicesCategories of Healthcare Communication Services
Security
DocumentSharing
Patient and Provider ID Mgt
DynamicInformation
Access
WorkflowManagement
Source persisted and attested health
records
Specific info snapshot
provided on demand
2 or more entitiessynchronize
a task
e.g. access to last 6 months historical
labs and encounter summaries
e.g. order a lab test, track status and receive results
e.g. get a current list of allergies or med list from a source
HospitalsHIEs and RHIOs
44
Use of a shared XDS InfrastructureUse of a shared XDS Infrastructure
HospitalHospital
Ambulatory or Ambulatory or Specialty CenterSpecialty CenterHomeHome
Between Providers and :Between Providers and :• SpecialistsSpecialists• PatientsPatients
45
Document Exchange Integration ProfilesDocument Exchange Integration Profiles
DocumentDocument SharingSharing
XDSXDS
MediaMediaInterchangeInterchange
XDMXDM
Reliable Pt-PtReliable Pt-PtInterchangeInterchange
XDRXDR
Doc Content Profiles Doc Content Profiles (Semantics content)(Semantics content)
Scanned DocScanned Doc
XDS-SDXDS-SD
Discharge &Discharge &ReferralsReferrals
XDS-MSXDS-MS
ImagingImaging
XDS-IXDS-I
ConsentConsent
BPPCBPPCEmergencyEmergency
EDREDRED EncounterED Encounter
SummarySummary
EDESEDES
Functional Status Functional Status AssessmentAssessment
FSAFSA
LaboratoryLaboratory
XD*-LabXD*-LabPHR PHR
ExchangeExchange
XPHRXPHR
Combining IHE ProfilesCombining IHE ProfilesDocument Content & Modes of Document ExchangeDocument Content & Modes of Document Exchange
46
IHE, global standards-based profiles adopted by IHE, global standards-based profiles adopted by several national & regional projectsseveral national & regional projects
Quebec, Toronto,Alberta, British Columbia
Canada Infoway
Denmark (Funen)Italy (Veneto)Spain (Aragon)
THINC- New YorkNCHICA – N. Carolina
Italy (Conto Corrente
Salute)
Boston Medical
Center - MA
FranceDMP
UK CfH(Radiology WF)
Philadelphia HIE
CHINA-MoHLab results sharing
CPHIC – Pennsylvani
a
CHINA-ShanghaiImaging Info Sharing
JAPAN-NagayaImaging Info Sharing
South Africa
Malaysia
VITL-Vermont
CareSpark – TN & VA
NetherlandAmsterdam
LowerAustria
Austria
47
As a Provider or Vendor ContributorAs a Provider or Vendor Contributor
Offer Clinical Use Case Input to Drive IHE Profile DevelopmentOffer Clinical Use Case Input to Drive IHE Profile Development
Become a member of relevant domain’s Planning or Technical Become a member of relevant domain’s Planning or Technical CommitteesCommittees
Become a member of relevant Regional/National CommitteesBecome a member of relevant Regional/National Committees
Help to shape IHE’s future directionHelp to shape IHE’s future direction
As a Vendor ParticipantAs a Vendor Participant
Respond to Public Comments of Domain SupplementsRespond to Public Comments of Domain Supplements
Attend the June Educational WorkshopAttend the June Educational Workshop
Participate in Connect-a-thons and DemonstrationsParticipate in Connect-a-thons and Demonstrations
As a Provider/Consultant ParticipantAs a Provider/Consultant Participant
Respond to Public Comments of Domain SupplementsRespond to Public Comments of Domain Supplements
Attend the June Educational Workshop Attend the June Educational Workshop
Attend Demonstrations and include IHE Integration Profiles in your RFPs Attend Demonstrations and include IHE Integration Profiles in your RFPs and Integration Projects.and Integration Projects.
How can I participate?How can I participate?
48
What can you do?What can you do?
Attend the IHE Domain specific sessions in these Attend the IHE Domain specific sessions in these Theaters during HIMSS 2007 (Orange sessions)Theaters during HIMSS 2007 (Orange sessions)
Learn about IHE, Learn about IHE, www.ihe.net
Insist on relevant IHE profiles compliance in your Insist on relevant IHE profiles compliance in your RFPs and contract documents:RFPs and contract documents:
Select Integration Profiles, and Appropriate Actor(s) Select Integration Profiles, and Appropriate Actor(s)
Ask vendors for their products “IHE Integration Ask vendors for their products “IHE Integration Statements”.Statements”.
Need more interoperability ? Need more interoperability ?
Contribute to IHE CommitteesContribute to IHE Committees
49
Development ScheduleDevelopment ScheduleTechnical Committee Face to Face:Technical Committee Face to Face: March 2008March 2008Technical Committee Face to Face:Technical Committee Face to Face: May 2008May 2008Issue Public Comment version: Issue Public Comment version: June 2008June 2008Public Comment Due:Public Comment Due: July 2008July 2008Technical Committee Face to Face:Technical Committee Face to Face: July 2008July 2008Issue Trial Implementation version: Issue Trial Implementation version: August 2008August 2008Planning Committee:Planning Committee: October 2008October 2008Technical Committee:Technical Committee: November 2008November 2008Planning Committee Decision:Planning Committee Decision: December 2008December 2008IHE Connectathon: IHE Connectathon: February 2009February 2009HIMSS Demo: HIMSS Demo: April 2009April 2009
Patient Care Coordination Patient Care Coordination Schedule for 2008 - 2009Schedule for 2008 - 2009
50
IHE Web site:IHE Web site: www.IHE.netwww.IHE.net Frequently AskedFrequently Asked QuestionsQuestions
Integration Profiles in Technical Frameworks: Integration Profiles in Technical Frameworks: http://www.ihe.net/Technical_Framework/index.cfm
CardiologyCardiology Eye CareEye Care IT InfrastructureIT Infrastructure LaboratoryLaboratory Patient Care CoordinationPatient Care Coordination Patient Care DevicesPatient Care Devices PathologyPathology QualityQuality Radiation Oncology Radiation Oncology RadiologyRadiology
Connectathon Results: Connectathon Results: http://ihe.univ-rennes1.fr/con_result
Vendor Integrations: Vendor Integrations: http://www.ihe.net/Resources/ihe_integration_statements.cfm
September, 2005 What IHE Delivers51
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