Transcript Slide 1

Use Case 5
Care Theme: Transitions of Care
Use Case: Ensuring Safe Patient Care Across Ambulatory Settings with Drug Safety Reporting
& Radiation Exposure Monitoring
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 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.
IHE Profiles & Actors
Domain
IT Infrastructure (ITI)
Profile
Actors
ATNA, CT
Optum, Wellogic
PIX, PIXv3
Optum, EMC,
Wellogic, Aware
Manager, Consumer, Identity Source
XCA
Optum, EMC
Initiating Gateway, Responding Gateway
XCPD
Optum, EMC
Initiating Gateway, Responding Gateway
XDS
Wellogic, Vitera,
Allscripts, Endosoft,
Aware
Consumer, Source, Registry, Repository
Vitera, Allscripts,
Endosoft
Consumer, Creator
XDS-I
Endosoft, Dell
Consumer, Source, Registry, Repository
REM
Aware
Register, Reporter, Consumer
Patient Care Coordination (PCC) XPHR
Radiology (RAD)
Vendors
Repository, Secure Application, Time Client, Time
Server
Use Case 5
Care Theme: Transitions of Care
Use Case: Ensuring Safe Patient Care Across Ambulatory Settings with Drug Safety Reporting
& Radiation Exposure Monitoring
Clinical Workflow:
1- Lab Analyzer
2- PCP
Broncho
scopy
Image
6- Bronchoscopy Suite
3- Imaging Center
4- PCP
5- Pulmonologist
Rx safety
image
7- Drug Safety Reporting
8.PCP
9. Home
1. The patient visits an outpatient lab using a Lab Analyzer
2. The patient visits a PCP using an EHR system
3. The patient is sent to an imaging center that uses an Acquisition Modality, PACS and reports radiation dosing
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
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