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Patient Data Exchange BHEPP. 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. Overview. BHEPP Partnership. Suburban Hospital.

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Presentation Transcript
overview

BHEPP – PatientData Exchange

Enabling electronic health record (EHR) exchange when patients are transferred between participating hospitals during a disaster involving mass casualties, for improved patient care

Overview

slide3

BHEPP Partnership

Suburban Hospital

NIH Clinical Center

NNMC

  • Acute care community

hospital

  • Level II Trauma Center
  • Community preparedness

experience

  • Decontamination

capacity

  • Clinical research facility
  • Surge capacity
  • Sophisticated diagnostic

laboratory facilities

  • Skilled campus HAZMAT

& decontamination team

  • Substantial basic science

and specialty/subspecialty

expertise

  • Military hospital
  • Extensive decontamination

capacity

  • Skilled deployable workforce
  • Availability of “in-residence”

staff

  • Preparedness training
disaster scenario
Disaster Scenario

2

1

Disaster causes mass casualties

Non-critical patients are transferred to other hospitals to make space for emergency patients

3

Patient data is transferred electronically to the receiving hospital to aid in patient care

challenges

What to share ?

Which format / standard ?

How to share ?

Challenges

patient summary record
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
patient summary record1
Patient Summary Record

“Data Format - HL7 CDA Standard (XML)”

DocumentLevel Constraints

Machine readable entry

Human readable entry

patient summary record2
Patient Summary Record

Data Transformation – Suburban EHR

XML to CDA

Using Adapters

patient summary record3
Patient Summary Record

Data Transformation – NIH Clinical Center

XML to CDA

Using Adapters

patient data exchange application
Patient Data Exchange - Application

Features

Web

Upload

Hospital 1

Hospital 2

  • Web Upload
  • 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

Mapping

&

Translation

NLM CC Adapter

CDA

Receiving

Hospital

HTML Adapter

PDF Adapter

Search

&

View

patient data exchange application1
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
future directions
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