Transcript Showcase Virtual Tour 2013 - IHE Australia

2013 Interoperability Showcase
IHE Supporters
Health Information Exchange
Local Implementation
Cross Regional Exchange
Supporting and Extending the PCEHR
Chris Lindop
– IHE International
The 2013 HIC 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
The Cast
Supporter
Showcase 13 Adelaide
HIC 2013: Two Health Information
Exchange Communities
• 8 booths
• 2 Scenarios
– Cancer
– Mental Health
• Patient Journey
• Demonstrate
standards based
connectivity
Interoperability 2013 ShowcaseTour – MENTAL HEALTH
The Showcase is a real life demonstration of how patient care can be improved with effective communication as
consumers 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 capable of support for HEALTH INFORMATION EXCHANGE. Vendors are using the IHE Cross
Enterprise Document Share (XDS.b) profile of standards, which is also the underpinning of the Australian eHealth Sponsored by”
Record (AKA Personally Controlled Electronic Healthcare Record (PCEHR). Local Health Exchange has the
potential to add value to the PCEHR.
.
Step 1: GP
Step 2: Radiology
Step 3: Mental Health
Step 4: Dermatologist –
R
E
G
I
O
N
A
L
Patient with history
of mental health
problem, 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
Team
tele-health
Patient’s parents phone
crisis line and
information lookup
occurs. Team creates a
mental health care plan
View rash and looks up
recent drug use as a drug
reaction is suspected.
Phone advice.
INFRASTRUCTURE
Cross Community
Access
H
O
S
P
I
T
A
L
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 exchangs and how such a system
could link to the Australian PCEHR
Interoperability 2013 ShowcaseTour - CANCER CARE
The Showcase is a real life demonstration of how patient care can be improved with effective communication as
consumers 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 capable of support for HEALTH INFORMATION EXCHANGE. Vendors are using the IHE Cross Sponsored by”
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
O
S
P
I
T
A
L
Step1. Emergency Department
Step 2: Hospital Radiology
Step 7: Infrastructure: How does it work?
Patient undergoing chemotherapy
for Lymphoma. 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
R
E
G
I
O
N
A
L
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.
Step 1: GP
Patient with history of
mental health problem,
headache and recent
onset of confusion and
rash
GP Summary
Clinical
Photography
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
Uploaded to regional
HIE
Step 4: Dermatologist –
tele-health
View rash and looks up
recent drug use as a drug
reaction is suspected.
Phone advice.
Step 5. Emergency
Department
Acute psychotic episode,
taken to ED by parents.
Lookup of patient
information, treat and
provide discharge
summary
Step 6: Hospital
Radiology
MRI scan taken, with
lookup of prior
images from
community
radiology.
Many IT systems
Secure Web Services
Secure Web Services
Working with the PCeHR
Health Identifier Service
Regional Health Information Exchange
XDS Flow and Interactions
XDS Document
(Metadata):
Type
Patient
Author
Facility
Authenticator
…
Registry
2. Repository registers
the documents
metadata and pointer
with the Registry
Origin of
Documents
Package
1. Sources post
document packages
to the Repository
Repository
3. Consumers
search for
documents with
specific information
4. Consumers retrieve
documents from
Repository (-ies)
Consumer
Health Info Exchange - So what!
• Open method for sharing information within
health organisations and cross community
• Local flexibility to meet local needs
– Extended Functions – care coordination, analytics
– Information included and standard formats
– Governance, consent and engagement
• Compatible & supportive, but not dependent,
on PCEHR and eHealth infrastructure
• Vendor flexibility, competition, compliance and
conformance framework
The participants
Participants:
•
IHE Australia
•
•
•
•
•
•
Radlogix
•
•
Bernie Crowe
Yvonne Crowe
Vince McCauley
Peter MacIsaac
Ellen Lindop
Chris Lindop
Geoff May
Robin Friedrich
Kenn Hansen
Intersystems HealthShare/TrakCare
•
•
•
•
Thomas Vargocsky
Geoff Dike
DCA
–
–
•
Xi Xin Li
Adriene Volcz
Mach7
–
–
•
Andy Robb
Mat Spielman
HTR
–
–
Mat Hudson
GE Healthcare
•
•
•
•
•
Tim Burne
Mark Finlay
Mohawk College
–
Justin Fyfe
Further information:
http://ihe-australia.wikispaces.com/showcase
+2013+handout+about+participants
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www.ihe.net.au
www.ihe.net
XDS profile – documents
XDS profile - images