Health Information Exchange Local Implementation Cross Regional Exchange

1. 2013 Interoperability Showcase IHE Supporters Health Information Exchange Local Implementation Cross Regional Exchange Supporting and Extending the PCEHR

2. What you will see today 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

3. Two Health Information Exchange Communities

4. Many IT systems Secure Web Services Secure Web Services

5. The Cast Supporter

6. Interoperability 2013 ShowcaseTour Guide – Mental Health The Showcase is a real life demonstration of how patient care can be improved with effective communication as our patient 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 to support HEALTH INFORMATION EXCHANGE on top of their core functions. Vendors are using the IHE Cross 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. Sponsored by” Step 1: GP 23 y.o. male with history of mental health problems. Headache and recent onset of confusion and rash 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 Step 4: Dermatologist – tele-health Views rash and looks up recent drug use as a drug reaction is suspected. Phone advice. REGIONAL INFRASTRUCTURE Cross Community Access Registry Repository Identity Manager Step 6: Hospital Radiology MRI scan taken, with lookup of prior images from community radiology. Step 7: Infrastructure: How does it work? Look inside a standard document and image exchanges and how such a system could link to the Australian PCEHR HOSPITAL Step 5. Emergency Department Acute psychotic episode, taken to ED by parents. Lookup of patient information, treat and provide discharge summary

7. Interoperability 2013 ShowcaseTour Guide – CANCER CARE The Showcase is a real life demonstration of how patient care can be improved with effective communication as our patient 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 to support HEALTH INFORMATION EXCHANGE on top of their core functions. Vendors are using the IHE Cross 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. Sponsored by” Step1. Emergency Department 69 y.o. female undergoing chemotherapy for Breast Cancer. Presents unwell with cough and fever. CXR ordered. Step 2: Hospital Radiology CXR taken and reported with access to prior image from community radiology Step 7: Infrastructure: How does it work? Look inside a standard document and image exchanges and how such a system could link to the Australian PCEHR HOSPITAL INFRASTRUCTURE Cross Community Access Registry Repository Identity Manager Step 3: Oncology Consults community oncologist who produces a patient summary. Patient has rash and photo taken. CT scan ordered O Step 4: Radiology CT brain is conducted and reported. Images and report are sent to the local Health Information Exchange Step 5: Cancer Team Review images and ED visit report and Oncology report. Create a care plan Step 6: Dermatologist – tele-health View rash and look up recent drug use as a drug reaction is suspected. Phone advice. REGIONAL

8. Finish with an overview of how it works Secure Web Services Secure Web Services

9. Participants: The participants Intersystems HealthShare/TrakCare Andy Robb Mat Spielman HTR Xi Xin Li Adriene Volcz Mach7 Thomas Vargocsky Geoff Dike DCA Tim Burne Mark Finlay Mohawk College Justin Fyfe • IHE Australia • Bernie Crowe • Yvonne Crowe • Vince McCauley • Peter MacIsaac • Ellen Lindop • Radlogix • Mat Hudson • GE Healthcare • Chris Lindop • Geoff May • Robin Friedrich • Kenn Hansen

10. Further information: http://ihe-australia.wikispaces.com/showcase+2013+handout+about+participants download QR Reader www.ihe.net.auwww.ihe.net XDS profile – documents XDS profile - images