Transcript Slide 1

Use Case 1
Care Theme: Transitions of Care, Medical Device Integration
Use Case Managing Trauma via Intra-facility Care Coordination Leveraging Medical Devices and Imaging
Primary Goal: To demonstrate the ability to provide efficient and accurate transitional care, from the hospital OR suite, to the
radiology department and finally the ICU, showing interoperability of patient data across multiple hospital settings. Patient data is
collected during surgery and a report is sent to the patients PCP.
Key Points:
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All OR patient care devices for the surgery are linked to the hospital EHR, so that data is readily available to hospital staff.
The perioperative information system gathers all the data and creates a report for the PCP.
Patient’s infusion pumps have five rights support and associated alarms are connected to report status and issues.
Following surgery the patient is taken for an MRI where he is continuously monitored by an MRI patient monitor connected by HL7 to
the EHR and the images are viewed on the radiology control room PACS system
• Patient data moves seamlessly between departments and the patient is transferred to the ICU.
Meaningful Use Relevance:
• Coordination of Care as evidenced by movement of patient data between separate hospital departments and PCP.
• Device data is continuous added to the patients chart recording vitals signs.
IHE Profiles & Actors
Domain
IT Infrastructure (ITI)
Patient Care
Coordination (PCC)
Patient Care Device
(PCD)
Radiology (RAD)
Profile
Vendors
PIX, PIXv3
ALERT
XDS.b
XDS-MS
(Periop Report)
XDS-MS
ALERT
Actors
Manager, Consumer, Identity Source,
Repository
Registry, Repository
GE
Content Creator
Greenway
Content Consumer
DEC, IPEC, PIV
Baxter, iSirona, Mindray,
Philips, GE, ALERT
Device Obs. Consumer, Device Obs.
Reporter
ACM
Philips, Baxter
IOCM
Infinitt
Alarm Reporter, Alarm Manager, Alarm
Communicator
Image Manager, Image Display, Image
Document Consumer
Care Theme: Transitions of Care, Medical Device Integration
Use Case: Managing Trauma via Intra-facility Care Coordination Leveraging Medical Devices and Imaging
Clinical Workflow:
1 – Trauma OR
5 – Interface System
2 – Anesthesia
6 – Hospital EHR
3 – Monitoring Devices
7 – MRI Monitoring
4 – Infusion Pump & Alarms
8 – PACS
9 – PCP
1. A 22 year old male patient is emergently admitted to the OR following multiple gunshot wounds to the abdomen
2. The patient is immediately put under anesthesia for trauma surgery and is maintained with the anesthetic machine. Data from
the anesthesia system including measurements, settings and modes are sent to the perioperative system and EHR.
3. An exploratory laparotomy is performed to assess and repair injury within the abdominal cavity. During surgery the patient is
constantly monitored through a physiological monitor and data is streamed directly to the EHR in custom time increments.
4. The patient is found to have multiple bowel injuries and a liver laceration. The patient is requiring multiple units of blood and
each time the current infusing unit nears empty, the pump alerts the blood bank to send another unit to the OR.
5. The interface system receives information from multiple monitoring devices and updates the information in the EHR.
Conforming systems can send data directly to the EHR
6. All of the data from the medical devices operating in the OR is being populated in the patients EHR.
7. The patient goes for an MRI study to assess secondary injuries while a MRI patient monitor reports data to the EHR.
8. Images are viewed during the MRI by the radiologist through the PACS system.
9. The patient is transferred to the ICU to begin recovery from his primary injuries and awaits further surgeries.
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