Making life easier at bedside

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Making life easier at bedside

• November 11, 2004
• Harri Ollikainen
• Project Manager
• GE Healtcare ITPS, Nordic

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GE HealthcareClinical Information Management
Systems
In Finland

• Globally

Departmental
Departmental

• Lab
• Pharmacy
• OR
• ICU
• Emergency
• Labour and delivery
• Cardiology
• PACS

• OR
• ICU
• Emergency
• Anesthesia

20 sites
4000 sites
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Product portfolio in Finland

• Critical Care and Emergency
• CENTRICITY CLINISOFT
• Development centers Kuopio and Helsinki
• 12 installations in Finland
• Anesthesia
• CENTRICITY ANESTHESIA and AIM
• Development centers Kuopio and Helsinki
• 7 AIM installations in Finland
• OR Management
• OPERA
• RD CHCA Inc, Canada
• first implementation in Finland ongoing

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Successful CIS system integration requires

• Good Products
• Well defined system interfaces
• Support for standards
• Product enhancements through RD
• Good team
• Skills in local GE team (e.g. in Nordic level in
  Helsinki) or utilising European GE ITPS
  integration group
• Good Imagination
• Local development e.g. CDA/XML

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Centricity Anesthesia Platform- new approach to
integration

• Presentation Layer
• Client view
• Supports different data formats
• Java GUI (Applications)
• HTML
• HL7, XML (System interfaces)
• TCP/IP, RS-232 (Device interfaces)

• Application Layer
• Business rules and application logic for
  presentation layer views
• Part of the application logic is executed in EJB
  Application server
• Platform services

• Persistence Layer
• Data storage
• EJB Application server takes care of data
  fetching and storing through JDBC

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Open and flexible system interfacing

• Bi-directional data interfacing
• Utilizing HL/7 messaging
• Open XML data interface client
• equal with graphical user interface (no limits
  for interfaceable data items)
• enables building additional presentation on top
  of the interface
• XML based data interfacing
• XSL transformation offers powerful message
  handling capabilities
• Commercial interfacing engine
• multiple communication protocols and message data
  formats

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System Interface engine deioInfoway i.e. Orions
Rhapsody embedded

• Database and Database Insertion
• Directory
• E-mail Client
• Execute Command
• FTP Client
• HTTP Client and Server
• HylaFAX client
• JavaScript Client and Server
• JMS
• Kermit over Serial (RS/232)
• MSMQ
• Notification
• RMI Server
• Sink
• TCP Client and Server
• X/Y Modem over Serial (RS/232)

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Data integration
HL7, XML, JMS, TCP/IP, RS-232
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How open is an open CIS?
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Level 1-Care station is Industry Standard

• Running on
• WIN platforms
• open network
• Other Windows applications can be run on the same
  desktop workstation concurrently e.g. access
  laboratory system from the bedside or read e-mail
• Advantage of open desktop
• visual integration
• easy access to information of different sources

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LEVEL 2- ICU or OR Care Portal

• Departement specific care manuals can be created
  and they can be accessed from the care station
  simply by using Help menu
• Hyperlinks
• Links to drug catalogue to specific drug
• Chat forums
• Advantages of portals
• Non-invasive
• updating easy
• no errors
• Finding information easy
• direct links
• Easy to implement

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Level 3- Real Time data exchange at bedside

• With HIS and consultation services
• Requests and reviewal of examination results
• Minimizes transcription
• Minimizes omisissions
• Advantages of interfacing
• Transparent for user
• Easy to use
• No extra log ins
• On-linegtgt minimizes response time
• Data available in the patient record
• Data available in various calculations
• Data available in statistics

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