IT Infrastructure (Security, patient Ids, user authentication)

Ordering, Scheduling, Referral

Charge Posting Billing

Areas of Cardiology Integration

Cardiac Longitudinal Record, Dissemination & Disease Mgt

EKGLab

EchoLab

Cath& EPLab

LabNuc.Lab

OtherCardiacProcedures

Echo1. Echo WF+PIR (incl. MWL, gaps: physician scheduling

mgt, not always HIS ordered, counter-indication/clinical decision, multi-stage tests)

2. Echo measurements with image links to reporting

3. Outbound Reports (states) with selected images Export (archiving images + report ?).

4. Lab Test Access

CathLab and EP1. Access of Echo, Nuc, ECG, MR, CT, EP, Post-

processing output (images, reports, measurements)2. Lab Test Access 3. Cath WF-prep/collect + PIR (incl MWL, gaps: worse !, pre-

cath, intra-cath, post-cath, NCDR input.

4. Cath WF-event log-tracking, time-synch5. EP measurements, waveform6. Cath WF-Reporting (define report content-Help

from SCAI-ACC-ESC).7. Access to previous Cath output8. Outbound Reports (states) with selected images Export

(archiving images + report ?) to Longitudinal record

ECG Lab1. Access of ECG and reports enterprise wide

and external to enterprise (status)

2. Time Synch

3. Scheduled and unordered, post acq ordering WF, Patient Info Reconciliation

4. Critical value notification, clinical context, audit trail.

5. Charge capture (save a buck)

IT Infrastructure1. Enterprise User Authentication (single sign-on, multiple

systems and enterprise access)

2. Patient ID Cross-referencing (patient ID/MRN linkage between hospitals, small practices).

3. Retrieve Info for Display(RID) - Inbound and Outbound (quick simple view, non-cardiac reports, still images, documents).

4. Retrieve motion images for Display (Inbound and outbound, non-diagnostic ?)

5. Consistent Time + special cardiac care episode events usage definition.

6. Patient Synchronised Apps (local and server)7. Audit Trail (for Privacy, cross-domain, modality, central

repository)

8. Consistency of PIR across verticals

Scheduling, Ordering, Referral

1. Multi-ordering patient care plan mgt, order external (rad, lab, drugs, transfer, etc.) + Discharge mgt.

2. Prerequisite checking (labs, drugs, insurance)

3. Patient location/tracking/transport

4. Inventory management (from Cath, Nuc.EP,)

5. Room/equipment availability (link to ordering)

6. Physician & staff tracking, notification.

7. Referral communication/authorization with/from referring physician

Longitudinal Record1. Critical value notification, clinical context, audit

trail.2. Episode definition and linkages (integration with specific

WF)

3. Cross-episode/encounter linkage and filtering query/retrieve from LR

4. Feeding in LR patient info from practices5. Feeding/exporting with Media Interchange6. Feeding in LR patient info from inpatient cardio

7. Quality, Guidelines Mgt - Retrieve Pocket Guidelines for Display

8. Export to national outcome registries

Short List1. Echo WF+PIR (incl. MWL, gaps: physician scheduling mgt,

not always HIS ordered, counter-indication/clinical decision, multi-stage tests)

2. Cath WF-prep/collect + PIR (incl MWL, gaps: worse !, pre-cath, intra-cath, post-cath, NCDR input.

3. Access of ECG and reports enterprise wide and external to enterprise (status)

4. Patient ID Cross-referencing (patient ID/MRN linkage between hospitals, small practices).

5. Retrieve Info for Display (RID) - Inbound and Outbound (quick simple view, non-cardiac reports, still images, documents).

6. Retrieve Pocket Guidelines for Display7. Audit Trail + Consistent Time (for Privacy, cross-

domain, modality, central repository)