Integrating the Healthcare Enterprise

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Integrating the Healthcare Enterprise

• IHE Update

Charles Parisot, GE Healthcare IHE IT
Infrastructure Technical Committee Co-chair
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IHE IT Infrastructure 2004-2005
Patient Synchronized Applications
Synchronize multiple applications on a desktop to
the same patient
Patient Identifier Cross-referencing for MPI
Patient Identifier Cross-referencing for MPI
Map patient identifiers across independent
identification domains
Map patient identifiers across independent
identification domains
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Sharing and accessing Documents
Documents Registry
EHR-LRLongitudinal Recordas usedacross-encount
ers
Long Term Care
Acute Care (Inpatient)
Other Specialized Careor Diagnostics Services
PCPs and Clinics (Ambulatory)
EHR-CR Care Record systemssupporting care
delivery
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Standards selection for IHE XDS No single
standard can addressCross-enterprise Document
Sharing
Internet Standards HTML, HTTP,ISO, PDF, JPEG,
etc.
Electronic BusinessStandards ebXML Registry,
SOAP, etc.
HealthcareContent Standards HL7 CDA, CEN
EHRcomASTM CCRDICOM, etc.
Marriage of healthcare standards facilitates
implementation and leverages complementary
technologies (e.g. security privacy).
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HIMSS 2005 Interoperability Showcases

• HIMSS leverages its sponsorship of IHE to
  demonstrate practical interoperability in two
  large Showcase Exhibits
• cross-enterprise sharing of health information in
  the acute care (18 vendors) and ambulatory (14
  vendors).
• HIMSS Showcase exhibits linked with vendor booths
  (10 vendors) show-wide.
• Show-wide interactive environment demonstrating
  attendees patient record in a HIMSS RHIO.
  Uses IHE Cross-enterprise Document Sharing
• Around a central document registry
• Distributed document repositories
• 17 EHR that publish/share documents (CCR, CDA,
  HL7-lab, PDF)

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HIMSS 2005 Interoperability Showcases
HIMSS sponsors the testing and demonstration of
IHE interoperability in two large Showcase
Exhibits

• cross-enterprise sharing of health information in
  the acute care, 18 vendors
• Cedara GE Healthcare Mortara Instruments
• Dictaphone IDX NIST
• Eastman Kodak InterSystems Novell
• Eclipsys Infinitt Technology Open Text
• Emageon Kryptiq Sentillion
• EPIC MedCommons Siemens
• ambulatory sharing of health information, 14
  vendors
• Allscripts GE Healthcare MidMark
• CapMed/SanDisk Healthramp Misys
• Cerner IDX NextGen
• Eclipsys Krytiq WebMD
• ETIAM MediNotes

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HIMSS Highlights
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HIMSS IHE Highlights

• HIMSS 700 Exhibitors - 23,000 Attendees
• Over 2000 visited the IHE Booth.
• 49 participants in IHE Interoperability booth
• 15 vendors participated in XDS from their booth
• 732 Attendees registered for their own EHR
• 7,772 Documents registered in XDS Registry
• 40,984 Queries to XDS Registry
• US National IT Coordinator (Dr Brailer) held his
  press conference in IHE Booth and thanked IHE.
  50 members of press toured.

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HIMSS 2005 Show-Wide Interoperability
Vendor System
Allscripts Eclipsys GE Healthcare
Healthramp IDX Infinitt InterSystems MedCommons
Novell OpenText Siemens
HIMSS RHIO with Cross-enterprisedoc sharing
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IHE Profiles for a Regional Health Info
OrganizationWhat are the gaps to be filled in
2005 ?
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Infrastructure and Interoperability

• Cross-Enterprise Document Sharing (XDS) minimizes
  clinical data management by the infrastructure.
  Transparency Ease of Evolution, increase
  efficiencies.
• XDS needs other IHE Integration Profiles
• Audit Trail and Node Authentication (ATNA)
• Patient Id Cross-referencing (PIX)
• Patient Demographics Query (PDQ)
• In 2005, IHE plans to complement a set of
  integration profiles to build a RHIO, candidates
• Security Identity Management Info for Access
  Control
• Content Profiles Core CCR, HL7-CDA, HL7-Lab, PDF
  (legacy)
• Provider Notification (with doc reference) and
  Point-to-point Transfer
• Dynamic Clinical Data Mgt (Allergy lists, Problem
  Lists)
• ? Prioritization of Candidate Integration
  Profiles November-December 2004. Technical
  development January-July 2005. Open to all.

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IHE Radiology Integration Profiles


Scheduled Workflow

-
Patient Info. Recon-ciliation
Post-Processing Workflow
Basic Security


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Laboratory IHE Integration Profiles
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IHE Cardiology 2004-2005
New
Retrieve ECG for Display
Provide high-quality ECG and related reports to
the enterprise and outside in a ready-to-display
format
New
Cardiac Catheterization Workflow
New
Scheduled unscheduled acquisition and
management of cathlab information, notification
of completed steps.
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ACC 2005 IHE Demonstration
ACC sponsors the testing and demonstration of IHE
interoperability in their exhibit March 2005

• 11 vendors
• Agfa GE Healthcare Schiller
• Camtronics Heartlab Philips
• Cerner IDX Toshiba
• Emageon Medcon
• Scenario
• Emergency Cath, Change of Lab mid-procedure
• Scheduled EchoMobile Modality, Stress Echo
• Echo demo planned for ASE (Boston June 2005)
• Full demonstration planned for ESC (August 2005)