1 / 25

Integrating the Healthcare Enterprise (IHE) Approach and Patient Summary

Integrating the Healthcare Enterprise (IHE) Approach and Patient Summary. Presented by Charles Parisot, IHE Europe IT Infrastructure Planning Committee co-Chair eHealth interoperability ad hoc group January 17, 2007. Agenda. IHE, a proven multi-stakeholder process

bairn
Download Presentation

Integrating the Healthcare Enterprise (IHE) Approach and Patient Summary

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Integrating the Healthcare Enterprise (IHE)Approach and Patient Summary Presented by Charles Parisot, IHE Europe IT Infrastructure Planning Committee co-Chair eHealth interoperability ad hoc groupJanuary 17, 2007

  2. Agenda • IHE, a proven multi-stakeholder process • IHE, what can be leveraged • IHE Medical Summaries, a solid base, potential for European national extensions

  3. What is Integrating the Healthcare Enterprise? • It implements a methodology which enables users and suppliers to work together to obtain clinical interoperability • IHE tailors existing standards to fit the IT requirements for specific clinical tasks • The IHE Technical Framework document specifies clinical tasks and how to use profiles of existing standards to support them • Annual test sessions enable suppliers to test their application software for conformance with the IHE Technical Framework • Purchasers can buy systems that are known to interoperate

  4. What is IHE?

  5. Who is IHE? IHE (International) Strategic Development Committee SponsorsCo-Chairs Global reports supervises Interoperability IHE NorthAmerica IHE Europe IHE Domain-related Planning and Technical Committees IHE Asia/Oceania Global Development:IT Infrastructure,Radiology,Cardiology,Lab, etc. Regional &NationalDeployment Delegates contribute Participants

  6. IHE-EUR countries and participants • Denmark • France • Germany • Israel • Italy • Netherlands • Norway • Spain • Sweden • United Kingdom Users, HC Authorities 40% local vendors60% international vendors Example: IHE-Netherlands

  7. IHE Global Developments Integration Profiles – Solutions to Real-World Interoperability Needs & Problems: • Within Clinical Departments e.g.: • Radiology • Cardiology • Lab • ... • Across Departmental &Institutional Boundaries – XDS • Regional/national Healthcare Information Exchange • HIT Enablers Veterinarian Endoscopy (1) Eye Care / (3) Ophthalmology Year 7 (2005) Year 1 (1999) Year 2 (2000) Year 3 (2001) Year 4 (2002) Year 5 (2003) Year 6 (2004) Year 8 (2006) Evolution of IHE Domains Pharmacy Pathology (1) Patient Care Devices (1) Patient Care Coordination (5) Radiation Oncology (1) Laboratory (6) Cardiology (7) IT Infrastructure for Healthcare (17) Radiology (18)

  8. Installation on site Demonstration(National shows) Multi-vendorstest at the annualConnect-a-thon Clinicians identifyclinical problems to be addressed Vendors implementthe profile in theirproducts Choice of relevantstandards (HL7, CEN, DICOM, W3C, Oasis…) Engineers from vendors collaborate to define technical specification IHE, Annual CycleProven Standards Adoption Process

  9. IHE Technical Framework • Detailed standards implementation guides • Cardiology • IT Infrastructure • Laboratory • Radiology • …..

  10. IHE Connectathon • Open invitation to the Software Developer Community • Advance testing tools (MESA) applied • Compliance Testing organized and supervised by the sponsors of IHE • Thousands of cross-system tests performed IHE-EURConnectathon

  11. IHE Connectathon, Barcelona April 2006 • 300+ participants, 120+ systems • 60+ systems developers • 2006 Focus: Cardiology, IT Infrastructure, Patient Care Coordination, Laboratory, Radiology • 2800+ monitored test cases

  12. Regional and National EHR Projects Many EHR projects world-wide, Some country-wide, some regional, Different stages of implementation,…

  13. IHE based Regional and National EHR Projects Operational and planned Toronto, Quebec, Alberta, BCCanada Infoway MA-Share – MA New York HIE Austria FranceDMP Philadelphia HIE THINC- New York NCHICA – N. Carolina Italy (Conto Corrente Salute) CHINA-MoH Lab results sharing

  14. Agenda • IHE, a proven multi-stakeholder process • IHE, what can be leveraged • IHE Medical Summaries, a solid base, potential for European national extensions

  15. IHE Integration Profiles for Health Info NetsWhat is available and has been added in 2005 and is for 2006 Patient Identifier Cross-referencing 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 Centralized privacy audit trail and node to node authentication to create a secured domain. StoredQueries Consistent Time Notification of Document Availability Notification of a remote provider/ health enterprise Coordinate time across networked systems Info Exchange Security Id Mgt Content Emergency Referrals PHR Extracts Format of the Document Content and associated coded vocabulary ECG Report Document Cross-enterprise User Authentication Format of the Document Content and associated coded vocabulary V3Option Lab Results Document Content Format of the Document Content and associated coded vocabulary Authentication & Auditing: Enhanced Access Control Scanned Documents Format of the Document Content and associated coded vocabulary Format of the Document Content Request Formfor Data Capture External form with custom import/export scripting Cross-enterpriseDocument Interchange Media-CD/USB & e-mail push

  16. Cross Enterprise Document Sharing • Prototyped in 2003, matured in 2004-2005 • HL7 and IHE Joint Demonstration at HIMSS 2004 • ISO 15000 (ebRS) and tracks Web Services & SOA. Further step with WS-I in 2007. • Implemented by 20+ Vendors • Available Commercially in US, Europe and now in Asia • Open Source Communities • O3 (Univ Trieste & Padova) • RIDE EU Project • IHEOS • Eclipse Open Healthcare Framework • Named in Specifications by more than 5 countries • Appears in more than 10 regional and national projects underway.

  17. DocumentRepository Query for Document References Submission of Document References Retrieve of selected Documents Profile example in a region: XDS (Document Sharing) Documents Registry Longitudinal Recordas usedacross-encounters Long Term Care Acute Care (Inpatient) Other Specialized Careor Diagnostics Services PCPs and Clinics (Ambulatory)

  18. Which registry holds records for a patient ? Documents Registry Documents Registry Documents Registry RegistryLocator service Longitudinal Recordas usedacross-encounters Longitudinal Recordas usedacross-encounters Longitudinal Recordas usedacross-encounters National Network A Long Term Care Long Term Care Long Term Care National or Regional Network B Acute Care (Inpatient) Acute Care (Inpatient) Acute Care (Inpatient) Other Specialized Careor Diagnostics Services Other Specialized Careor Diagnostics Services Other Specialized Careor Diagnostics Services Non-IHE National EHR PCPs and Clinics (Ambulatory) PCPs and Clinics (Ambulatory) PCPs and Clinics (Ambulatory) Cross-Domain Bridge IHE Transactions Cross-Domain Bridge Cross-Domain Bridge DocumentRepository DocumentRepository DocumentRepository RegistryLocator service National Network C IHE based Sub-Networks Non-IHE Sub-Net Integrated Delivery Network XDS Affinity Domain (NHIN sub-network) XDS Affinity Domain (NHIN sub-network) Federation of XDS and non-XDS DomainsLeverage Cross-Community Sharing Architecture • National or Regional Networks not required to be IHE-based • Mapping to & from IHE Transactions performed by X-Domain bridges • Mapping practical as most European projects use variants of structured document sharing

  19. Agenda • IHE, a proven multi-stakeholder process • IHE, what can be leveraged • IHE Medical Summaries, a solid base, potential for European national extensions

  20. Medical Summaries • EU Stakeholder group study (Rossi Mori) has confirmed • There is a significant variety of “medical summaries” (in use or in plan) across the European countries. Some of the differences are: • scope/use case driven • due to national specificities • from the technical standard used • IHE Patient Care Coordination: • Is well engaged with the scope/use case driven differences • Plan to address national specificities based on the stakeholder WG analysis, and the interest of the countries  2007 is the year IHE-Europe has set to finalize a “family” of patient summaries for several European countries with a common core.

  21. Care Coordination Content Profiles XDS-MS Lab Report Consent MedicalDocuments MedicalSummaries CareAssessments AntenatalCareSummary History andPhysical Referral DischargeSummary PreprocedureHistory andPhysical PHR Extract 2005-20062006-20072007-2008 EmergencyDepartmentNote EmergencyDepartmentReferral PHR Update Includes data needed to support emergency data setand prescription/medication history

  22. Structured and Coded Header Patient, Aut hor, Authenticator, Institution, etc. S t r u c t u r e d C o n t e n t w i t h c o d e d S t r u c t u r e d C o n t e n t w i t h c o d e d s e c t i o n s : s e c t i o n s : · · R e a s o n f o r R e f e r r a l R e a s o n f o r R e f e r r a l · · V i t a l S i g n s V i t a l S i g n s · · M e d i c a t i o n M e d i c a t i o n Structured Text Section Coded Section Entries · · S t u d i e s S t u d i e s · · A l l e r g i e s A l l e r g i e s Structured Text Section Coded Section · · S o c i a l H i s t o r y S o c i a l H i s t o r y Entries · · P r o b l e m s P r o b l e m s Structured Text Section Coded Section · C a r e P l a n C a r e P l a n Entries Rossi-Mori EU survey mapping to XDS-MS

  23. IHE flexibility in leveraging standards for Document Format • Content Format leverages Specific Standards • HL7 CDA Release 2.0 • HL7/ASTM Continuity of Care Document • CEN 13606 • LOINC, SNOMED (if applicable) • Others as Needed (e.g. PDF) • IHE is defining a library of Reusable Parts • Document Types • Sections (only title is coded) • Entries (clinical info semantically coded)

  24. In Conclusion • IHE is a user & vendor driven initiative. • IHE is dedicated to interoperability of IT systems in healthcare with proven methodology. • IHE Integration and Content Profiles are already usedin Europe and world-wide. • IHE is experienced with patient summaries. IHE ready to engage in fostering a consistent family of patient summary documents and a sharing infrastructure between countries and regions in Europe.

  25. WWW.IHE-EUROPE.ORG

More Related