health information exchange local implementation cross regional exchange supporting and extending...
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2013 Interoperability Showcase. IHE Supporters. Health Information Exchange Local Implementation Cross Regional Exchange Supporting and Extending the PCEHR. What you will see today. Patient journey cancer/mental health supported by Health Information Exchange. - PowerPoint PPT PresentationTRANSCRIPT
Health Information Exchange
Local ImplementationCross Regional Exchange
Supporting and Extending the PCEHR
IHE Supporters
2013 Interoperability Showcase
• Patient journey cancer/mental health supported by Health Information Exchange.• Working demonstration of interoperability:
•Application-to-Application•Within two zones (hospital network and adjacent region)•IHE Showcases are worldwide events
• IHE builds standard connectivity profiles•Uses accepted standards such as DICOM, HL7, IEEE, Oasis - webservices •Focus on Cross Enterprise Document Exchange (XDS) – the engine of the Australian PCEHR
What you will see today
Two Health Information Exchange Communities
Many IT systems
Secure Web Services Secure Web Services
The Cast
Supporter
Step 2: Radiology
CT brain is conducted and reported.
Images and report are sent to the local Health Information Exchange
Step 3: Mental Health Team
Patient’s parents phone crisis line and information lookup occurs. Team creates a mental health care plan
Interoperability 2013 Showcase Tour Guide – Mental HealthThe Showcase is a real life demonstration of how patient care can be improved with effective communication as our patient seeks care in different parts of the “healthcare system”. One of the audience will become the patient and together we track both the care and the information flows. The seven vendors involved have products in the Australian market to support HEALTH INFORMATION EXCHANGE on top of their core functions. Vendors are using the IHE Cross Enterprise Document Share (XDS.b) profile of standards, which is also the underpinning of the Australian eHealth Record (AKA Personally Controlled Electronic Healthcare Record (PCEHR). Local Health Exchange has the potential to add value to the PCEHR.
Step 1: GP
23 y.o. male with history of mental health problems. Headache and recent onset of confusion and rash
Step 5. Emergency Department
Acute psychotic episode, taken to ED by parents. Lookup of patient information, treat and provide discharge summary
Step 7: Infrastructure: How does it work?
Look inside a standard document and image exchanges and how such a system could link to the Australian PCEHR
Step 6: Hospital Radiology
MRI scan taken, with lookup of prior images from community radiology.
Step 4: Dermatologist – tele-health
Views rash and looks up recent drug use as a drug reaction is suspected. Phone advice.
Registry Repository Identity Manager
Cross Community Access
REGIONAL
HOSPITAL
Sponsored by”
INFRASTRUCTURE
Interoperability 2013 Showcase Tour Guide – CANCER CAREThe Showcase is a real life demonstration of how patient care can be improved with effective communication as our patient seeks care in different parts of the “healthcare system”. One of the audience will become the patient and together we track both the care and the information flows. The seven vendors involved have products in the Australian market to support HEALTH INFORMATION EXCHANGE on top of their core functions. Vendors are using the IHE Cross Enterprise Document Share (XDS.b) profile of standards, which is also the underpinning of the Australian eHealth Record (AKA Personally Controlled Electronic Healthcare Record (PCEHR). Local Health Exchange has the potential to add value to the PCEHR.
Step1. Emergency Department
69 y.o. female undergoing chemotherapy for Breast Cancer.
Presents unwell with cough and fever. CXR ordered.
Step 7: Infrastructure: How does it work?
Look inside a standard document and image exchanges and how such a system could link to the Australian PCEHR
Step 2: Hospital Radiology
CXR taken and reported with access to prior image from community radiology
Registry Repository Identity Manager
Cross Community Access
HOSPITAL
Sponsored by”
INFRASTRUCTURE
Step 4: Radiology
CT brain is conducted and reported.
Images and report are sent to the local Health Information Exchange
Step 5: Cancer Team
Review images and ED visit report and Oncology report. Create a care plan
Step 3: Oncology
Consults community oncologist who produces a patient summary. Patient has rash and photo taken. CT scan ordered
O
Step 6: Dermatologist – tele-health
View rash and look up recent drug use as a drug reaction is suspected. Phone advice.
REGIONAL
Finish with an overview of how it works
Secure Web Services Secure Web Services
• IHE Australia• Bernie Crowe• Yvonne Crowe• Vince McCauley• Peter MacIsaac• Ellen Lindop
• Radlogix• Mat Hudson
• GE Healthcare• Chris Lindop• Geoff May• Robin Friedrich• Kenn Hansen
• Intersystems HealthShare/TrakCare• Andy Robb• Mat Spielman
• HTR– Xi Xin Li– Adriene Volcz
• Mach7– Thomas Vargocsky– Geoff Dike
• DCA– Tim Burne– Mark Finlay
• Mohawk College– Justin Fyfe
Participants:The participants
http://ihe-australia.wikispaces.com/showcase+2013+handout+about+participants
download QR Reader
www.ihe.net.au www.ihe.net
XDS profile – documentsXDS profile - images
Further information: