EMERGENCY ELECTRONIC MEDICAL RECORDS TECHNOLOGY

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EMERGENCY ELECTRONIC MEDICAL RECORDS TECHNOLOGY
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CORANET TECHNOLOGY

• Funded by the Agency for Healthcare Research
  Quality (AHRQ) under SBIR- Phase I
• US Patent Number 7,328,276
• China Patent Number ZL 01820786.3
• Canada Patent Pending
• Platform used developed by the Los Alamos
  National Laboratory
• Interoperable, real time electronic medical
  record

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SIGNIFICANCE OF THE TECHNOLOGY

• CORAnet enables doctors and emergency medical
  personnel to have immediate, secure and
  patient-authorized access to medical files in
  medical emergencies where currently lack of
  timely availability of information regarding
  medical history of patient is a serious problem.
• CORAnet makes patient medical files available to
  the ER while the patient is being transported to
  the hospital

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SIGNIFICANCE OF THE TECHNOLOGY(CONT.)

• CORAnet enables doctors to provide instructions
  to paramedics or other personnel to conduct tests
  or prepare the patient as appropriate before they
  arrive at the ER
• CORAnet can easily be extended to non-emergency
  health care, such as missing persons
  identification, disaster management and secure
  access scenarios.

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KEY CONCEPTS BEHIND CORAnet TECHNOLOGY

• Medical files are recorded in an electronic
  format which can be stored in a small
  password/fingerprint protected card carried by an
  individual
• A platform independent software system that
  allows for password/fingerprint protected access
  of data on this card
• Secure sharing of these files over the Internet
  is enabled, as is access and update of these
  files by medical personnel even when they are not
  physically present at the scene of emergency.

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OBJECTIVES OF THE TECHNOLOGY

• Provide for efficient and timely availability of
  medical files during medical emergencies
  especially when the patient is unconscious and/or
  unidentified
• Provide a means for real-time online
  communication and enable the sharing of medical
  records and information between offsite doctors
  and medical personnel attending to the patient
  which allows for significantly better treatment
  when the patient is not in the hospital

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OBJECTIVES OF THE TECHNOLOGY(cont.)

• Provide a means for consolidation of a persons
  medical profile currently spread across different
  specialists in compliance with emerging standards
  such as HL7, ASTM, HIPAA
• Provide the ability to log events and
  conversation among medical personnel attending to
  a medical emergency, reducing risks of medical
  errors and can be an asset in cases involving
  later legal or audit reviews

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OBJECTIVES OF THE TECHNOLOGY(cont.)

• Reduce healthcare costs electronic bookkeeping
  of handwritten medical transcripts amounts to
  over 30 of healthcare costs. CORAnets standard
  interface capabilities and consolidation of
  medical files and record keeping profiles can
  lead to significant savings in the area of
  medical record update and maintenance

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BENEFICIARIES

• Patients by allowing medical personnel
  immediate access to their medical history, it
  will significantly increase the patients chances
  of receiving appropriate medical treatment
• Doctors by having immediate access to accurate
  medical files, the number of assumptions made are
  reduced when administering certain medications or
  recommending medical procedures

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BENEFICIARIES(cont.)

• Emergency off-site practitioners/medical
  personnel - Offsite practitioners such as
  paramedics will have immediate access to the
  patients medical history and be able to perform
  preliminary emergency tests while enroute to the
  hospital, under the guidance of a doctor, who is
  now well informed of the patients medical
  history.

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BENEFICIARIES(cont.)

• Private and Governmental Health Care
  Organizations Insurance Companies CORAnet
  provides a platform for increasing efficiency in
  handling medical files and service requests,
  promoting easier investigative processing for
  audits and claims

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ENABLING TECHNOLOGIES
Biometrics Fingerprint Reader
CORALinks Card
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ENABLING TECHNOLOGIES
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ENABLING TECHNOLOGIES

• OPEN Emed
• Wireless Web and Multimedia Technologies
• Smart Devices/Microcontrollers and New
  Networking Technologies

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Smart Devices Partial List

• Radio Frequency Identification Device
• GPS Technologies
• Dallas 1-Networking
• iButton Identification
• Systronix JStamp
• These can all be integrated into CORANET to
  provide
• additional integrated software/hardware features
  for
• the CORANET system

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USE CASES - Assumptions

• The assumptions in all the scenarios are the
  following
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• The personnel involved have a basic familiarity
  with computers and the Internet.
• All personnel/facilities have a computer with
  associated hardware capable of loading the
  CORALinks data card that contains medical
  records.
• Not all personnel/facilities have access to
  required hardware and software to read a
  patients fingerprint. When fingerprint reading
  is not possible it is assumed that the patient is
  conscious and can provide the emergency personnel
  with the password to access his/her medical data

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SCENARIOS

• Scenario 1 A Medical Emergency where a skilled
  medical practitioner (paramedic, nurse etc) in an
  ambulance is attending to the patient and can
  contact an ER doctor.
• Scenario 2 A Medical Emergency where a
  skilled/unskilled medical practitioner is
  attending to the patient and can contact a
  doctor.
• Scenario 3 A Medical Emergency where a
  doctor/skilled/unskilled medical practitioner is
  attending to the patient. No ER Doctor is
  involved in this setting
• Scenario 4 Office Consultation with a Doctor