Patient Safety virtual tour HL7-IHE Demonstration HIMSS 2004.
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Transcript of 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.
AdobeBerdyCarefxCommerceNetDCRIDictaphoneDigital InfuzionEclipsysEpicGE HeartlabIBMINFINITTKodakKryptiqMicrosoftMisysMortaraNISTPhilipsRaining DataSentillionSiemensSNOMEDXIMIS
HL7 Standards
aECG ArdenCCOW
CDA ODMLDMRIM
SDMSPLV2V3
IHE ProfilesCT
EUAPIX
PSARID
SWF
Hospital
PCP
Lab
Patient SafetyDecision Support, Drug Interactions
ICU
ED
Broker
Patient admitted to ED; notification broadcast to hospital and labs
AdobeBerdyCarefxCommerceNetDCRIDictaphoneDigital InfuzionEclipsysEpicGE HeartlabIBMINFINITTKodakKryptiqMicrosoftMisysMortaraNISTPhilipsRaining DataSentillionSiemensSNOMEDXIMIS
Hospital
PCP
Lab
Patient SafetyDecision Support, Drug Interactions
ICU
ED
Broker
ED establishes CCOW session to query for patient data.
HL7 Standards
aECG ArdenCCOW
CDA ODMRIM
SDMSPLV2V3
IHE ProfilesCT
EUAPIX
PSARID
SWF
AdobeBerdyCarefxCommerceNetDCRIDictaphoneDigital InfuzionEclipsysEpicGE HeartlabIBMINFINITTKodakKryptiqMicrosoftMisysMortaraNISTPhilipsRaining DataSentillionSiemensSNOMEDXIMIS
Hospital
PCP
Lab
Patient SafetyDecision Support, Drug Interactions
ICU
ED
Broker
ED queries primary care provider for patient data
HL7 Standards
aECG ArdenCCOW
CDA ODMRIM
SDMSPLV2V3
IHE ProfilesCT
EUAPIX
PSARID
SWF
AdobeBerdyCarefxCommerceNetDCRIDictaphoneDigital InfuzionEclipsysEpicGE HeartlabIBMINFINITTKodakKryptiqMicrosoftMisysMortaraNISTPhilipsRaining DataSentillionSiemensSNOMEDXIMIS
Hospital
PCP
Lab
Patient SafetyDecision Support, Drug Interactions
ICU
ED
ED orders labs; results returned.
Broker
HL7 Standards
aECG ArdenCCOW
CDA ODMRIM
SDMSPLV2V3
IHE ProfilesCT
EUAPIX
PSARID
SWF1
AdobeBerdyCarefxCommerceNetDCRIDictaphoneDigital InfuzionEclipsysEpicGE HeartlabIBMINFINITTKodakKryptiqMicrosoftMisysMortaraNISTPhilipsRaining DataSentillionSiemensSNOMEDXIMIS
Hospital
PCP
Lab
Patient SafetyDecision Support, Drug Interactions
ICU
ED
Patient transferred; receives therapy.
Broker
HL7 Standards
aECG ArdenCCOW
CDA ODMRIM
SDMSPLV2V3
IHE ProfilesCT
EUAPIX
PSARID
SWF
AdobeBerdyCarefxCommerceNetDCRIDictaphoneDigital InfuzionEclipsysEpicGE HeartlabIBMINFINITTKodakKryptiqMicrosoftMisysMortaraNISTPhilipsRaining DataSentillionSiemensSNOMEDXIMIS
Hospital
PCP
Lab
Patient SafetyDecision Support, Drug Interactions
ICU
ED
Hospital orders follow-up labs; results returned.
Broker
HL7 Standards
aECG ArdenCCOW
CDA ODMRIM
SDMSPLV2V3
IHE ProfilesCT
EUAPIX
PSARID
SWF
AdobeBerdyCarefxCommerceNetDCRIDictaphoneDigital InfuzionEclipsysEpicGE HeartlabIBMINFINITTKodakKryptiqMicrosoftMisysMortaraNISTPhilipsRaining DataSentillionSiemensSNOMEDXIMIS
Hospital
PCP
Lab
Patient SafetyDecision Support, Drug Interactions
ICU
ED
Patient improves; patient discharged; patient returns to PCP.
Broker
HL7 Standards
aECG ArdenCCOW
CDA ODMRIM
SDMSPLV2V3
IHE ProfilesCT
EUAPIX
PSARID
SWF
AdobeBerdyCarefxCommerceNetDCRIDictaphoneDigital InfuzionEclipsysEpicGE HeartlabIBMINFINITTKodakKryptiqMicrosoftMisysMortaraNISTPhilipsRaining DataSentillionSiemensSNOMEDXIMIS
Hospital
PCP
Lab
Patient SafetyDecision Support, Drug Interactions
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
Patient SafetyDecision Support, Drug Interactions
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
Patient SafetyDecision Support, Drug Interactions
FDA
Pharma
Hospital
Hospital
ACP
HL7 Standards
aECG ArdenCCOW
CDA ODMRIM
SDMSPLV2V3
IHE ProfilesCT
EUAPIX
PSARID
SWF
Patient SafetyDecision Support, Drug Interactions
Patient admitted to ED; notification broadcast to hospital and labs; RID query of
PCP
Patient SafetyDecision Support, Drug Interactions
ED establishes CCOW session to query for patient data; ED orders labs
Patient SafetyDecision Support, Drug Interactions
Labs performed; Results returned; Patient transferred.
Patient SafetyDecision Support, Drug Interactions
Patient treated; Hospital orders follow-up labs; results returned; Patient discharged.
Patient SafetyDecision Support, Drug Interactions
PCP queries ED system for patient data
Patient SafetyDecision Support, Drug Interactions
FDA, Pharma revise SPL
Patient SafetyDecision Support, Drug Interactions
FDA publishes alert; ACP revises PIER Guidelines
ACP publishes new MLM; Vendors download, install, and test MLM
Patient SafetyDecision Support, Drug Interactions
AdobeBerdyCarefxCommerceNetDCRIDictaphoneDigital InfuzionEclipsysEpicGE HeartlabIBMINFINITTKodakKryptiqMicrosoftMisysMortaraNISTPhilipsRaining DataSentillionSiemensSNOMEDXIMIS
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
AdobeBerdyCarefxCommerceNetDCRIDictaphoneDigital InfuzionEclipsysEpicGE HeartlabIBMINFINITTKodakKryptiqMicrosoftMisysMortaraNISTPhilipsRaining DataSentillionSiemensSNOMEDXIMIS
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
AdobeBerdyCarefxCommerceNetDCRIDictaphoneDigital InfuzionEclipsysEpicGE HeartlabIBMINFINITTKodakKryptiqMicrosoftMisysMortaraNISTPhilipsRaining DataSentillionSiemensSNOMEDXIMIS
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)
AdobeBerdyCarefxCommerceNetDCRIDictaphoneDigital InfuzionEclipsysEpicGE HeartlabIBMINFINITTKodakKryptiqMicrosoftMisysMortaraNISTPhilipsRaining DataSentillionSiemensSNOMEDXIMIS
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
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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
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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
AdobeBerdyCarefxCommerceNetDCRIDictaphoneDigital InfuzionEclipsysEpicGE HeartlabIBMINFINITTKodakKryptiqMicrosoftMisysMortaraNISTPhilipsRaining DataSentillionSiemensSNOMEDXIMIS
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