Transcript Showcase Welcome 2013

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.
• 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
Two Health Information
Exchange Communities
Many IT systems
Secure Web Services
Secure Web Services
The Cast
Supporter
Interoperability 2013 ShowcaseTour Guide – Mental Health
The 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.
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Step 1: GP
Step 2: Radiology
23 y.o. male with
history of mental
health problems.
Headache and recent
onset of confusion
and rash
CT brain is conducted and
reported.
Images and report are sent
to the local Health
Information Exchange
Sponsored by”
Step 3: Mental Health
Team
Step 4: Dermatologist –
tele-health
Patient’s parents phone
crisis line and
information lookup
occurs. Team creates a
mental health care plan
Views rash and looks up
recent drug use as a drug
reaction is suspected.
Phone advice.
INFRASTRUCTURE
Cross Community
Access
H
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Step 5. Emergency Department
Acute psychotic episode, taken to
ED by parents. Lookup of
patient information, treat and
provide discharge summary
Registry
Repository
Identity
Manager
Step 6: Hospital Radiology
Step 7: Infrastructure: How does it work?
MRI scan taken, with lookup
of prior images from
community radiology.
Look inside a standard document and
image exchanges and how such a system
could link to the Australian PCEHR
Interoperability 2013 ShowcaseTour Guide – CANCER CARE
The 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.
H
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P
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T
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Sponsored by”
Step1. Emergency Department
Step 2: Hospital Radiology
Step 7: Infrastructure: How does it work?
69 y.o. female undergoing
chemotherapy for Breast
Cancer.
Presents unwell with cough and
fever. CXR ordered.
CXR taken and reported with
access to prior image from
community radiology
Look inside a standard document and
image exchanges and how such a system
could link to the Australian PCEHR
INFRASTRUCTURE
Cross Community
Access
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Registry
Repository
Step 3: Oncology
Step 4: Radiology
Step 5: Cancer Team
Consults community
oncologist who
produces a patient
summary. Patient
has rash and photo
taken. CT scan
ordered
CT brain is conducted and
reported.
Review images and ED
visit report and
Oncology report. Create
a care plan
O
Images and report are sent
to the local Health
Information Exchange
Identity
Manager
Step 6: Dermatologist –
tele-health
View rash and look up
recent drug use as a drug
reaction is suspected.
Phone advice.
Finish with an overview
of how it works
Secure Web Services
Secure Web Services
The participants
Participants:
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IHE Australia
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Radlogix
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Bernie Crowe
Yvonne Crowe
Vince McCauley
Peter MacIsaac
Ellen Lindop
Chris Lindop
Geoff May
Robin Friedrich
Kenn Hansen
Intersystems HealthShare/TrakCare
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Thomas Vargocsky
Geoff Dike
DCA
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–
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Xi Xin Li
Adriene Volcz
Mach7
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Andy Robb
Mat Spielman
HTR
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Mat Hudson
GE Healthcare
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Tim Burne
Mark Finlay
Mohawk College
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Justin Fyfe
Further information:
http://ihe-australia.wikispaces.com/showcase
+2013+handout+about+participants
download QR Reader
www.ihe.net.au
www.ihe.net
XDS profile – documents
XDS profile - images