us case 5 pulmonologist referral with lab, radiation-exposure-monitored imaging, and drug safety...
Post on 24-Dec-2015
216 Views
Preview:
TRANSCRIPT
Us Case 5
Pulmonologist Referral with Lab,Radiation-Exposure-Monitored Imaging, and Drug Safety Reporting Interchange
Care Theme: Transitions of Care
Use Case 5
Interoperability ShowcaseIn collaboration with IHE
Primary Goal: To demonstrate the cross-community coordination of treatment of a patient with a focus on lab and radiology work, the patient’s exposure to radiation, and coordination of drug reaction reporting during the diagnostic process.
Key Points: The demonstration will use a host of IHE profiles – including PIX, XDS, XDS-I, XCA, XCPD, ATNA, XPHR, and others – in combination with the NwHIN Direct protocol to demonstrate how a patient’s medical history, including images, are shared across multiple providers in multiple communities, and later made available for the patient to review at home. Additionally, the demonstration highlights a new IHE profile, REM, which focuses on measuring a patient’s exposure to radiation during diagnostic procedures.
Meaningful Use Relevance (MU Objectives):
• Improving quality, safety, efficiency, and reducing health disparities• Engage patients and families in their healthcare• Improve care coordination• Ensure adequate privacy and security protections for personal health information
Clinical Workflow:
This scenario begins with a patient visit to a lab for blood work, then a visit to the PCP to investigate fatigue and shortness of breath. After imaging and other diagnostic work, the PCP refers the patient to a Pulmonologist for specialty care. Upon completing a Pulmonary study, the patient is diagnosed , sent back to the PCP for follow-up, and finally sent back home to rest and review his/her condition in more detail via a PHR.
Care Theme: Transitions of CareUse Case 5: Pulmonologist Referral with Lab, Radiation-Exposure-Monitored Imaging, and Drug Safety Reporting Interchange
1- The patient visits an outpatient lab using a LIS system
2- The patient visits a PCP using EHR system
3- The patient is sent to an imaging center that uses a RIS, Acquisition Modality, and PACS
4- The patient reviews his images with his PCP, who uses an EHR system
5- The patient is referred to a Pulmonologist, who also uses an EHR system
6- The patient goes home and reviews the information on his PHR system
7- The patient returns to his PCP, for a follow-up visit
Care Theme: Transitions of CareUse Case 5: Cardiologist Referral with Lab and Radiation-Exposure-Monitored Imaging Interchange
1- Laboratory 2- PCP 3- Imaging Center 4- PCP
5- Pulmonologist 6- Home 7- PCP
Clinical Workflow:
1- The patient visits an outpatient lab using a LIS system
2- The patient visits a PCP using EHR system
3- The patient is sent to an imaging center that uses a RIS, Acquisition Modality, and PACS
4- The patient reviews his images with his PCP, who uses an EHR system
5- The patient is referred to a Pulmonologist, who also uses an EHR system
6- The patient is sent to a Bronchoscopy Suite, who uses separate documentation application
7- The patient’s adverse drug reaction is reported to a adverse drug reporting application
8- The patient returns to his PCP, for a follow-up visit
9- The patient goes home and reviews the information on his PHR system
Care Theme: Transitions of CareUse Case 5: Cardiologist Referral with Lab and Radiation-Exposure-Monitored Imaging Interchange
1- Laboratory 2- PCP 3- Imaging Center 4- PCP 5- Pulmonologist
Clinical Workflow:
6- Bronchoscopy Suite 7- Drug Safety Reporting 8.PCP 9. Home
Bronchoscopy Image
Rx safety image
Domain Profile Actors
IT Infrastructure (ITI)
ATNA Repository, Secure Application
CT Time Client, Time Server
HPD Consumer, Source, Directory
PIX, PIXv3 Manager, Consumer, Identity Source
XCA Initiating Gateway, Responding Gateway
XCPD Initiating Gateway, Responding Gateway
XDR Source, Recipient
XDS Consumer, Source, Registry, Repository
XDS-SD Consumer, Creator
Patient Care Coordination (PCC) XPHR Consumer, Creator
Radiology (RAD)XDS-I Consumer, Source, Registry, Repository
REM Register, Reporter, Consumer
Care Theme: Transitions of CareUse Case 5: Pulmonologist Referral with Lab, Radiation-Exposure-Monitored Imaging, and Drug Safety Reporting Interchange
Visit the IHE Product Registry at: ihe.net/registry
IHE Profiles & Domains:
top related