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HIE Standards

This PPT explains about how to provide better and cost effective patient care one needs to exchange, healthcare information. For more information visit: http://www.transformhealth-it.org/<br>

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HIE Standards

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  1. HIE Standards Prof. Suptendra Nath Sarbadhikari, MBBS, PhDProject Director, Centre for Health Informatics National Health PortalNIHFW, Munirka, New Delhi 110 067supten@gmail.com

  2. Goal: To provide better and cost effective patient care one needs to exchange healthcare information. Standard: Ability of two or more systems or components to exchange information and to use the information that has been exchanged [IEEE Standards Computer Dictionary] Introduction

  3. Health Concept Triangle from: SCOTT, P., MACISAAC, P. SAAD, P., et al. An introduction to health terminologies. Brisbane: NCCH, 2002.

  4. Vocabulary Content Exchange Transport Privacy, Security and Confidentiality Broad Categories

  5. ICD-9, 10, 11 (WHO) SNOMED-CT (IHTSDO) LOINC (Regenstrief Institute Inc.) CPT-5 (AMA, USA) ICHI (WHO, based on ICD-10-AM) ICD-10 CPS RxNorm (NLM, USA) Common Vocabularies

  6. HL7 v2.x, v3.0, FHIR HL7 CDA R2.0 CDA + CCR (ASTM) = CCD DICOM Content Exchange Standards

  7. SOAP (Simple Object Access Protocol) XML (W3C) Transport Standards

  8. A symmetric 128 bit fixed-block cipher algorithm capable of using a 128, 192, or 256 bit encryption key An encrypted and integrity protected link to be implemented (e.g., TLS, IPv6, IPv4 with IPsec). Security

  9. HL7 is an ANSI-accredited Standards Development Organization (SDO) operating in the healthcare arena. HL7 v2.x: Communication layer (Interaction and Messagemodels) HL7 v3: Objects layer (Information model – RIM and Document– CDA) HL7 FHIR: Fast Health Interoperable Resources What is Health Level Seven (HL7)?

  10. How to Harmonize different standards – e.g., HL7 and DICOM? • HL7communicates Clinical and Administrative (ADT) data between HIS and RIS • DICOM communicates between RIS and PACS for images and DICOM modality work list query • So there needs to be a Broker to communicate between HL7 and DICOM • IHEScheduled Workflow (SWF) integrates the ordering, scheduling, imaging acquisition, storage and viewing activities associated with radiology exams.

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