Patient Data Exchange BHEPP
description
Transcript of Patient Data Exchange BHEPP
OverviewOverview
Enabling electronic health record (EHR) Enabling electronic health record (EHR) exchange when patients are transferred exchange when patients are transferred between participating hospitals during a between participating hospitals during a disaster involving mass casualties, for disaster involving mass casualties, for improved patient careimproved patient care
BHEPP – PatientBHEPP – Patient Data ExchangeData Exchange
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
BHEPP PartnershipBHEPP PartnershipSuburban Hospital NIH Clinical Center NNMC
Disaster ScenarioDisaster Scenario
Disaster causes mass casualties
Non-critical patients are transferred to other hospitals to make space for emergency patients
Patient data is transferred electronically to the receiving hospital to aid in patient care
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ChallengesChallenges
1.1. What to share ?What to share ?
2.2. Which format / standard ?Which format / standard ?
3.3. How to share ?How to share ?
Patient Summary Record Patient Summary Record
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• Required “Minimum Data Set”Required “Minimum Data Set”• Based on “Based on “NHIN Core ContentNHIN Core Content SpecificationSpecification” for exchange ” for exchange of Patient Summary Recordof Patient Summary Record• Content ModulesContent Modules
Person Information Support (Emergency Contact Information) Allergies and Drug Sensitivities Conditions (Problem list) Medications Information Source
Patient Summary Record Patient Summary Record
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““Data Format - HL7 CDA Standard (XML)”Data Format - HL7 CDA Standard (XML)”
Machine readable entry Human readable entry
Document Level
Constraints
Patient Summary Record Patient Summary Record
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Data Transformation – Suburban EHRData Transformation – Suburban EHR
XML to CDAUsing Adapters
Patient Summary Record Patient Summary Record
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Data Transformation – NIH Clinical CenterData Transformation – NIH Clinical Center
XML to CDAUsing Adapters
Patient Data Exchange - ApplicationPatient Data Exchange - Application
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Mapping &
Translation
• 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)
Web Upload
Search&
View
Hospital 1 Hospital 2NNMC Adapter
NLM CC Adapter
Suburban Adapter
CDA
HTML Adapter
PDF Adapter
FeaturesFeatures
ReceivingHospital
Patient Data Exchange - ApplicationPatient Data Exchange - Application
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• 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
Technical SpecificationsTechnical Specifications
CMAX 2009CMAX 2009
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Future DirectionsFuture Directions
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• 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