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Public Health Data Standards Consortium http://www.phdsc.org. Functional Standards for Electronic Data Exchange between Clinical Care and Public Health WORKING WITH VENDOR COMMUNITY: PHDSC COLLABORATION WITH IHE Anna Orlova, PhD Executive Director.

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Functional Standards for Electronic Data Exchange between Clinical Care and Public Health WORKING WITH VENDOR COMMUNITY:PHDSC COLLABORATION WITH IHEAnna Orlova, PhDExecutive Director

PUBLIC HEALTH DATA STANDARDS CONSORTIUM~ 2007 BUSINESS MEETING OF MEMBERS ~ October 2-3, 2007, Hyattsville, MD


W W W . I H E . N E T Clinical Care and Public Health

Providers and Software Developers

Working Together to Deliver

Interoperable Health Information Systems

in the Enterprise

and Across Care Settings


Integrating the healthcare enterprise ihe overview

Integrating the Healthcare Enterprise (IHE) Overview Clinical Care and Public Health

Presented by Dan Russler, M.D., IHE PCC Co-chair

IHE Workshop – June 19, 2006


Why ihe
Why IHE? Clinical Care and Public Health

  • 1970’s—Mainframe Era--$100,000 per interface

  • 1990’s—HL7 2.x--$10,000 per interface

  • 2000’s—IHE Implementation Profiles—

    Cheaper than a new phone line!

    How? IHE Eliminates Options Found in Published Standards


Who is ihe
Who is IHE? Clinical Care and Public Health

  • IHE is a joint initiative among:

    • American College of Cardiology (ACC)

    • Radiological Society of North America (RSNA)

    • Healthcare Information Management Systems Society (HIMSS)

    • GMSIH, HPRIM, JAHIS (laboratory)

    • American Society of Ophthalmology

    • American College of Physicians (ACP)

    • American College of Clinical Engineering (ACCE)

    • And many more….

  • Began in 1997 in Radiology (RSNA) and IT (HIMSS)

  • International effort: IHE- Europe and IHE-Asia

  • Additional sponsors for Cardiology including ASE, ESC, ASNC, SCA&I, HRS and more


Ihe industry professionals
IHE Industry Professionals Clinical Care and Public Health


IHE 2006 – Nine Active Domains Clinical Care and Public Health

Over 100 vendors involved world-wide,5 Technical Frameworks

37 Integration Profiles, Testing at Connectathons

Demonstrations at major conferences world-wide

15 Active national chapters on 4 continents


IHE Standards-Based Integration Solutions Clinical Care and Public Health

Prof

essional

Societies Sponsorship

Healthcare Providers & Software Developers

Healthcare IT Standards

General IT Standards

HL7, DICOM, etc.

Internet, ISO, etc.

IHE

Process

Interoperable Healthcare IT

Solution Specifications

Interoperable Healthcare IT

IHE Integration Profile

Solution Specifications

Interoperable Healthcare IT

Solution Specifications

IHE Integration Profi

le

Interoperable Healthcare IT

Solution Specifications

IHE Integration Profile

IHE Integration Profile


IHE in 2007 – 18 Month Development Cycles Clinical Care and Public Health

  • First Cycle:

    • Planning Committee Proposals: October, 2007

    • Technical Committee Drafts: June, 2008

    • Public Comment Due: July 2008

    • Trial Implementation Version: August 2008

    • Mesa Tool Test Results Due: December 2008

    • IHE Connectathon: January 2009

    • HIMSS Demo: February 2009

    • Participant Comments Due: March 2009

    • Final Implementation Version: June 2009


Ihe technical frameworks
IHE Technical Frameworks Clinical Care and Public Health

Detailed standards implementation guides


Himss ihe interoperability showcase february 2006 participants

Implementer Level Clinical Care and Public Health

Allscripts

Canon

CapMed

Cardiac Science

CGI-AMS

CompassCare

CPSI

Dictaphone

DR Systems

Eastman Kodak

Eclipsys

Epic Systems

HIPAAT

HX Technologies

INFINITT Technology

Kryptiq

McKesson

MedAccess Plus

Medical Informatics

MediNotes

MNI

National Institute of Sci & Tech

NextGen Healthcare

Philips Medical

ScImage

Witt Biomedical

DMP–French Natl. Personal EHR

Health Level 7 HTP IEEE

Midmark Diagostics Group

HIMSS RHIO Federation

Liberty Alliance

Univ. of Washington

Supporter Level:

Acuo

Bond

Carefx

Clearcube

Organizational participant:

American Coll. of Clinical Eng.

Catholic Healthcare West

US Dept of Defense

US Dept of Veterans Affairs

Dairyland

EMC

Identrus

Intel

Mediserve

Medkey

Motion Comp.

Picis

Pulse

Sentillion

HIMSS IHE Interoperability ShowcaseFebruary 2006 Participants

Leadership Level

Blue Ware

Cerner

GE Healthcare +IDX

IBM

Initiate Systems

InterSystems

MiSys Healthcare

Quovadx

Siemens


IHE Connectathon, January 2006 Clinical Care and Public Health

  • 300+ participants, 120+ systems

  • 60+ systems developers

  • Four Domains: Cardiology, IT Infrastructure, Patient Care Coordination, Radiology

  • 2800+ monitored test cases


  • Results Clinical Care and Public Health

    • Over 3000 attendees visited the HIMSS RHIO Showcase

    • 37 vendors demonstrated 48 systems

    • 700 attendees created and tracked their own health record

    • 63 educational sessions were presented

    • 5 International delegations

    • 3 VIP tours

    • 16 clinical scenarios were demonstrated


IHE Integration Profiles for Health Info Nets Clinical Care and Public Health What is available and has been added in 2005 and is for 2006

Scanned Documents

Lab Results Document Content

ECG Report Document

Emergency Referrals

PHR Extracts/Updates

Basic Patients Privacy Consents

Format of the Document Content and associated coded vocabulary

Format of the Document Content and associated coded vocabulary

Format of the Document Content and associated coded vocabulary

Format of the Document Content and associated coded vocabulary

Format of the Document Content

Patient Identifier Cross-referencing

Establish Consents & Enable Access Control

Cross-Enterprise Document Sharing

Map patient identifiers across independent identification domains

Imaging Information

Registration, distribution and access across health enterprises of clinical documents forming a patient electronic health record

Patient Demographics Query

Medical Summary

(Meds, Allergies, Pbs)

Format of the Document Content and associated coded vocabulary

Document Digital Signature

Audit Trail & Node Authentication

Format of the Document Content

and associated coded vocabulary

Attesting “true-copy and origin

Request Formfor Data Capture

Centralized privacy audit trail and node to node authentication to create a secured domain.

External form with custom import/export scripting

Consistent Time

Notification of Document Availability

Cross-enterprise Document Point-Point Interchange

Notification of a remote provider/ health enterprise

Coordinate time across networked systems

Media-CD/USB & e-mail push

Clinical and PHRContent

Security

Patient Id Mgt

Health Data Exchange

Other


AHIC-ONC BIO Consolidated Use Case Clinical Care and Public Health

Transaction Package

Consumer/Patient Id X-ref

Component

Lab Report Document

Component

Lab Terminology

Component

Anonymize

Biosurveillance

Patient-Level Data to Public Health

Document-based Submission

HITSP

Biosurveillance – Patient-level and Resource Utilization Interoperability Specification

Transaction Package

Manage Sharing of Docs

Document-based

Scenario

Transaction

Notif of Doc Availability

Base

Std

HL7QBP^Q23

RSP^K23

Transaction

Pseudonymize

IHEXDS

IHEPIXPDQ

IHE

XDS-I

IHE

NAV

IHE

XDS-MS

IHE

XDS-LAB

Terminology

Standards

Base

Std

HL7CDA r2

Base

Std

ISO

DTS/

25237

Base

Std

ISO 15000ebRS 2.1/3.0

Base

Std

HL7 V2.5

Base

Std

DICOM

Base

Std

LOINC

HCPCS

HL7 V3

CPT

HL7 V2.5

SNOMED-CT

CCC

HIPAA

ICD 9/10

LOINC

SNOMED-CT

DICOM

NCCLS

UCUM

UB-92

URL

FIPS 5-2

HAVE


PHDSC was Invited to Form Clinical Care and Public Health

Public Health Domain at IHE

Providers and Software Developers

Working Together to Deliver

Interoperable Health Information Systems

in the Enterprise

and Across Care Settings


2007 phdsc activities at ihe
2007 PHDSC Activities at IHE Clinical Care and Public Health

May – October

  • PHDSC-IHE Task Force to Develop a White Paper on Building a Roadmap for Interoperability for Public Health

    Over 60 participants from public health and clinical communities


2007 2008 phdsc activities at ihe
2007-2008 PHDSC Activities at IHE Clinical Care and Public Health

To be presented at the IHE Planning Meeting in October

  • Public Health Profile Proposal

    • Public Health Registry

      • Examples of Cancer and Immunization Domains

  • IHE Profile Change Proposal

    • Extended PDQ (Patient Data Query) for demographic information exchanges with public health systems

      • Examples of Cancer and Immunization Domains

  • IHE White Paper on Public Health Decision Support

    • Examples of Cancer and Immunization Domains


JOIN THE PHDSC-IHE Clinical Care and Public Health

TASK FORCE

E-mail to Anna Orlova, PHDSC at

[email protected]


PHDSC was Invited to Form Clinical Care and Public Health

A Public Health Domain at IHE

Providers, PUBLIC HEALTH and

Software Developers

Working Together to Deliver

Interoperable Health Information Systems

in the Enterprise

and Across Care Settings


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