Transcript NLM PowerPoint - Blue template - Bethesda Hospitals` Emergency

Patient Data Exchange
BHEPP
Overview
BHEPP – Patient Data Exchange
Enabling electronic health record (EHR)
exchange when patients are transferred
between participating hospitals during a
disaster involving mass casualties, for
improved patient care
BHEPP Partnership
Suburban Hospital
 Acute care community
hospital
 Level II Trauma Center
 Community preparedness
experience
 Decontamination
capacity
NIH Clinical Center
 Clinical research facility
 Surge capacity
 Sophisticated diagnostic
laboratory facilities
 Skilled campus HAZMAT
& decontamination team
 Substantial basic science
and specialty/subspecialty
expertise
NNMC
 Military hospital
 Extensive decontamination
capacity
 Skilled deployable workforce
 Availability of “in-residence”
staff
 Preparedness training
Disaster Scenario
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1
Disaster causes mass
casualties
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Patient data is transferred electronically to the
receiving hospital to aid in patient care
Non-critical patients are
transferred to other
hospitals to make space
for emergency patients
Challenges
1.
2.
3.
What to share ?
Which format / standard ?
How to share ?
Patient Summary Record
• Required “Minimum Data Set”
• Based on “NHIN Core Content
Specification” for exchange
of Patient Summary Record
• Content Modules

Person Information
 Support (Emergency Contact
Information)
 Allergies and Drug Sensitivities
Conditions (Problem list)
 Medications
 Information Source
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Patient Summary Record
“Data Format - HL7 CDA Standard (XML)”
Document
Level
Constraints
Machine readable entry
Human readable entry
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Patient Summary Record
Data Transformation – Suburban EHR
XML to CDA
Using Adapters
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Patient Summary Record
Data Transformation – NIH Clinical Center
XML to CDA
Using Adapters
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Patient Data Exchange - Application
Features
• Web Upload
Web
Upload
Hospital 1
• Mapping and Translation
• Patient Search
• Patient View
• PDF/XML Download
• Admin Module
• Integration with Triage Data
(Digital Pen)
• Integration with RFID Data
(Future)
Suburban
Adapter
NNMC
Adapter
Hospital 2
Mapping
&
Translation
NLM CC
Adapter
CDA
HTML
Adapter
PDF
Adapter
Receiving
Hospital
Search
&
View
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Patient Data Exchange - Application
Technical Specifications
• ColdFusion 8.0 Application Server
• Apache Web Server 2.2
• HTTPS based for security and encryption
• ColdBox (MVC) based framework for easier
extensibility
• Internationalization and localization
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CMAX 2009
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Future Directions
• Integration with RFID for location
tracking during disaster
• Integration with “NHIN – National
Health Information Network” for
nationwide real time Patient Data
Exchange
• DICOM support for including
medical images with Patient
Summary Record
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