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Patient Safety virtual tour

Patient Safety virtual tour. HL7-IHE Demonstration HIMSS 2004. Thom Kuhn, American College of Physicians. Presented by. High-level animated walkthrough Detailed view Application tools Standards and Profiles. Virtual Tour. Patient Safety Decision Support, Drug Interactions.

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Patient Safety virtual tour

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  1. Patient Safetyvirtual tour HL7-IHE Demonstration HIMSS 2004

  2. Thom Kuhn, American College of Physicians Presented by

  3. High-level animated walkthrough Detailed view Application tools Standards and Profiles Virtual Tour

  4. Patient Safety Decision Support, Drug Interactions HL7 Standards aECG Arden CCOW CDA ODM LDM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS The year is 1999. 74 year old female, recent cardiac valve replacement, taking warfarin. INRs were stable – last was 3.1. Rofecoxib (Vioxx) started by PCP for treatment of osteoarthritis. Two days later she appears at ED complaining of bleeding, weakness, bradycardia, renal insufficiency. Case description

  5. Patient Safety Decision Support, Drug Interactions HL7 Standards aECG Arden CCOW CDA ODM LDM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS Lab Broker PCP ICU Hospital ED Patient admitted to ED; notification broadcast to hospital and labs

  6. Patient Safety Decision Support, Drug Interactions Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF Lab Broker PCP ICU Hospital ED ED establishes CCOW session to query for patient data.

  7. Patient Safety Decision Support, Drug Interactions HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS Lab Broker PCP ICU Hospital ED ED queries primary care provider for patient data

  8. Patient Safety Decision Support, Drug Interactions Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF1 Lab Broker PCP ICU Hospital ED ED orders labs; results returned.

  9. Patient Safety Decision Support, Drug Interactions Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF Lab Broker PCP ICU Hospital ED Patient transferred; receives therapy.

  10. Patient Safety Decision Support, Drug Interactions Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF Lab Broker PCP ICU Hospital ED Hospital orders follow-up labs; results returned.

  11. Patient Safety Decision Support, Drug Interactions Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF Lab Broker PCP ICU Hospital ED Patient improves; patient discharged; patient returns to PCP.

  12. Patient Safety Decision Support, Drug Interactions Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF Lab Broker PCP ICU Hospital ED PCP queries ED system for patient data

  13. Patient Safety Decision Support, Drug Interactions Adobe BerdyMedical Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Medical Systems Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Medical Systems Raining Data Sentillion Siemens SNOMED XIMIS HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF Lab Broker FDA PCP ICU Hospital Pharma ED Patient safety officer alerts FDA; FDA alerts Pharma.

  14. Patient Safety Decision Support, Drug Interactions Adobe BerdyMedical Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Medical Systems Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Medical Systems Raining Data Sentillion Siemens SNOMED XIMIS HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF Lab ACP FDA PCP Hospital Hospital Pharma FDA publishes alert; ACP publishes alert; MLM updates

  15. Patient Safety Decision Support, Drug Interactions Patient admitted to ED; notification broadcast to hospital and labs; RID query of PCP

  16. Patient Safety Decision Support, Drug Interactions ED establishes CCOW session to query for patient data; ED orders labs

  17. Patient Safety Decision Support, Drug Interactions Labs performed; Results returned; Patient transferred.

  18. Patient Safety Decision Support, Drug Interactions Patient treated; Hospital orders follow-up labs; results returned; Patient discharged.

  19. Patient Safety Decision Support, Drug Interactions PCP queries ED system for patient data

  20. Patient Safety Decision Support, Drug Interactions FDA, Pharma revise SPL

  21. Patient Safety Decision Support, Drug Interactions FDA publishes alert; ACP revises PIER Guidelines

  22. Patient Safety Decision Support, Drug Interactions ACP publishes new MLM; Vendors download, install, and test MLM

  23. Special thanks to • Mallinckrodt Institute of Radiology • Patient Identifier Cross Referencing (PIX) server • Fred Behlen, Laitek Technologies • DICOM SR to CDA transformation • The SIMI Group • State Department of Health application • Michael Palmer, Zurich Biotech • SAS to ODM conversion • NorthEast Monitoring • Corelab software integrating aECGs • CSS Informatics • FDA Patient Profile Viewer • AMPS • FDA aECG Viewer • Amnon Shabo, IBM Haifa • Sample CDA Botulism Case Report • Data Conversion Labs • Sample Structured Product Labeling transformation

  24. Demo Executive Committee • HL7 • Karen Van Hentenryck, HL7 Associate Director • Landen Bain, Co-chair, HL7 Marketing Committee • IHE • Joyce Sensmeier, HIMSS • Chris Carr, RSNA

  25. Invitation to Tour • Guided Tours start on the quarter hour • Self-guided Tours anytime • Maps available at Reception • Complete a tour, win a prize • Get each location initialled by participant • Go to reception with completed map • Enter a business card to win • HL7 Working Group Registration (drawing 1/day) • HIMSS 2005 Registration (drawing 1/week)

  26. Start Start Continuity of Care Tour Start Clinical Trials Tour Patient Safety Tour Public Health Tour Start PIX Patient Identifier Cross Referencing (V2)1, 11 PSA Patient Synchronized Application (CCOW) 1, 14, 18,28, 29, 30, RID Retrieve Information for Display1,8, 10,11,15,18,29, 30 RIM Reference Information Model (V3)2, 4,6, 7, 9, 10, 11, 12, 13, 16,19,20,21, 22, 23, 24, 25, 26, 27,32 SDS Submissions Data Standard (CDISC)20, 21 SPL Structured Product Label (CDA)19 SWF Scheduled Work Flow (V2, DICOM)1,2,3,29,31 V2 Version 2 messaging1,5,6, 8, 9,11,12,17,18,22,25,26,32 V3 Version 3 messaging 4,9,10,11,16,19,20,21,22,24,27,32 aECG Annotated ECG (V3)4, 16, 19, 20,21, 27 Arden Arden Syntax Medical Logic Modules 17, 19, 26 CCOW Clinical Context Object Workgroup1,14, 15, 17, 18, 28, 29, 30 CDA Clinical Document Architecture (RIM)2, 6, 7, 9, 10, 11, 12, 13, 20, 22, 23, 24, 25, 26, 32 CT Integration Profile for Consistent Time1, 2, 18, 30 EUA Enterprise User Authentication (Kerberos)1, 2, 14, 18, 28, 30 Integration Profiles: 1, 2, 3, 6, 8, 10, 11, 14, 15, 18, 28, 29, 30, 31 LDM Lab Data Model (V3, CDISC)20 ODM Operational Data Model (CDISC)20, 21 Walking Tour Tour Guide HL7-IHE Interoperability Demonstration Booth 4638 GE CWeb • Take A Tour, Win A Prize! • Get a stamp at every stop on a tour • Take stamped Tour Guide to receptionist • Enter to win a Prize! • -HL7 Registration or • -HIMSS 2005 Registration GE RA600 1 2 Kodak Carefx/GE 3 4 GE Solar Mortara ACP/FDA 19 15 14 5 GE MUSE DigitalInfuzion Misys 16 Guided tours on the quarter hour; Self-guided tours any time 20 18 17 AISLE 6 MS InfoPath Dictaphone GE ED Eclipsys 7 C L A S S R O O M DCRI 8 21 Berdy SNOMED Soarian Siemens OL T H E A T E R Philips Adobe 9 CommerceNet 13 CDC/UCDavis MS BTS 23 24 25 26 27 Kryptiq 22 12 10 31 32 30 29 28 Raining Data 11 Ximis Epic NIST Sentillion INFINITT GE CPortal AISLE

  27. Thank you • Questions? • Tours starting now • This presentation available on www.rsna.org/IHE/hl7ihedemo

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