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1 Integrating the Healthcare Integrating the Healthcare Enterprise Enterprise Patient Demographics Query IHE IT Technical and Planning Committee June 15 th – July 15 th 2004 - Public Comment

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Page 1: 1 Integrating the Healthcare Enterprise Patient Demographics Query IHE IT Technical and Planning Committee June 15 th – July 15 th 2004 - Public Comment

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Integrating the Healthcare EnterpriseIntegrating the Healthcare Enterprise

Patient Demographics Query

IHE IT Technical and Planning Committee

June 15th – July 15th 2004 - Public Comment

Page 2: 1 Integrating the Healthcare Enterprise Patient Demographics Query IHE IT Technical and Planning Committee June 15 th – July 15 th 2004 - Public Comment

IT Infrastructure – Patient Demographics Query

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Prof. Societies Sponsorship

Healthcare Providers & Vendors

Healthcare IT Standards HL7, DICOM, etc.

General IT Standards Internet, ISO, etc.

Interoperable Healthcare IT Solution Specifications

IHE Integration Profile Interoperable Healthcare IT

Solution Specifications IHE Integration Profile

Interoperable Healthcare IT Solution Specifications

IHE Integration Profile Interoperable Healthcare IT

Solution Specifications IHE Integration Profile

IHE Process

IHE drives healthcare standards based-integration IHE drives healthcare standards based-integration

Page 3: 1 Integrating the Healthcare Enterprise Patient Demographics Query IHE IT Technical and Planning Committee June 15 th – July 15 th 2004 - Public Comment

IT Infrastructure – Patient Demographics Query

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IHE Organizational StructureIHE Organizational StructureMulti-Domain & Multi-NationalMulti-Domain & Multi-National

Participants

contribute

Global Development:Radiology,IT Infrastructure,Cardiology,Lab, etc.

Delegates

IHE Europe

IHE North America

IHE Asia/Oceania

Regional &NationalDeployment

supervises reports

IHE (International) Strategic Development Committee

SponsorCo-Chairs

Global

Interoperability

IHE Domain-related Planning and

Technical Committees

National Extensions

Page 4: 1 Integrating the Healthcare Enterprise Patient Demographics Query IHE IT Technical and Planning Committee June 15 th – July 15 th 2004 - Public Comment

IT Infrastructure – Patient Demographics Query

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IHE

EHR- Longitudinal Record

IHE Cardiology

IHE Laboratory

IHE Radiology

IHE

Future Domain

IHE

Future Domain

IHE

IT Infrastructure Intra-Enterprise

Cross-Enterprise

14 Integration Profiles

5 Integration Profile

3 Integration Profiles

9 Integration Profiles

IHE 2004 achievements and expanding scope IHE 2004 achievements and expanding scope

Over 80 vendors involved world-wide, 4 Technical Frameworks31 Integration Profiles, Testing at yearly Connectathons,

Demonstrations at major exhibitions world-wide

Provider-Vendor cooperation to accelerate standards adoption

Page 5: 1 Integrating the Healthcare Enterprise Patient Demographics Query IHE IT Technical and Planning Committee June 15 th – July 15 th 2004 - Public Comment

IT Infrastructure – Patient Demographics Query

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IHE ProcessIHE Process Users and vendors work together to identify

and design solutions for integration problems

Intensive process with annual cycles:– Identify key healthcare workflows and integration

problems– Research & select standards to specify a solution– Write, review and publish IHE Technical Framework– Perform cross-testing at “Connectathon”– Demonstrations at tradeshows (HIMSS/RSNA…)

Page 6: 1 Integrating the Healthcare Enterprise Patient Demographics Query IHE IT Technical and Planning Committee June 15 th – July 15 th 2004 - Public Comment

IT Infrastructure – Patient Demographics Query

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A Proven Standards Adoption ProcessA Proven Standards Adoption Process

IHEIntegrationProfiles B

IHEIntegrationProfile A

Easy toIntegrateProducts

IHEConnectathon

ProductWith IHE

IHEDemonstration

User Site

RFPRFP

Standards

IHETechnical

Framework

Product IHE IntegrationProduct IHE IntegrationStatementStatement

IHE IHE ConnectathonConnectathonResultsResults

IHE Integration Profiles at the heart of IHE :– Detailed selection of standards and options each solving a specific integration

problem– A growing set of effective provider/vendor agreed solutions– Vendors can implement with ROI– Providers can deploy with stability

Page 7: 1 Integrating the Healthcare Enterprise Patient Demographics Query IHE IT Technical and Planning Committee June 15 th – July 15 th 2004 - Public Comment

IT Infrastructure – Patient Demographics Query

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More on IHE IT InfrastructureMore on IHE IT Infrastructure

To learn more about IHE IT Infrastructure

Integrating the Healthcare Enterprise:

www.himss.org/ihe

Read the IHE Brochurehttp://www.himss.org/content/files/IHE_newsletter_final.pdf

Page 8: 1 Integrating the Healthcare Enterprise Patient Demographics Query IHE IT Technical and Planning Committee June 15 th – July 15 th 2004 - Public Comment

IT Infrastructure – Patient Demographics Query

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Patient Demographics QueryPatient Demographics QueryAbstract/ScopeAbstract/Scope

Allow quick retrieval of common patient name, identifier, contact, and visit information

Enable selection of correct patient when full identification data may not be available

Limits access to only a subset of demographic and visit information

Page 9: 1 Integrating the Healthcare Enterprise Patient Demographics Query IHE IT Technical and Planning Committee June 15 th – July 15 th 2004 - Public Comment

IT Infrastructure – Patient Demographics Query

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Patient Demographics QueryPatient Demographics QueryValue PropositionValue Proposition

Enables access on demand to diverse systems and devices that do not need continual synchronization of patient registration information

Allow search on full or partial data

Retrieve information from any domain to which the client has query access

May use matching algorithm (e.g., soundex) to find near matches

Page 10: 1 Integrating the Healthcare Enterprise Patient Demographics Query IHE IT Technical and Planning Committee June 15 th – July 15 th 2004 - Public Comment

IT Infrastructure – Patient Demographics Query

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Patient Demographics QueryPatient Demographics QueryKey Technical PropertiesKey Technical Properties

Employs HL7 Conformance Based Queries– Defined in HL7 Version 2.5, Chapter 5– Profiles Query by Parameter with Segment Pattern

Response

User enters identifiers or visit information (e.g., room/bed number) for patients of interest

Server returns demographic (and, optionally, visit) information in HL7 segments

Page 11: 1 Integrating the Healthcare Enterprise Patient Demographics Query IHE IT Technical and Planning Committee June 15 th – July 15 th 2004 - Public Comment

IT Infrastructure – Patient Demographics Query

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Patient Demographics QueryPatient Demographics QueryTransaction DiagramTransaction Diagram

A departmental system that is connected on demand to the registration system.

Diverse systems including bedside monitors, physician office systems, lab applications, mobile blood bank registries; might be any system at the point of contact.

Page 12: 1 Integrating the Healthcare Enterprise Patient Demographics Query IHE IT Technical and Planning Committee June 15 th – July 15 th 2004 - Public Comment

IT Infrastructure – Patient Demographics Query

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Patient Demographics QueryPatient Demographics QueryKey Technical Properties (cont’d)Key Technical Properties (cont’d)

Patient Demographics Query: User enters full/partial identifiers or visit

information for patients of interest in a domain Server returns HL7 message with list of

matches Demographic information in HL7 PID and PD1 segments

Application builds pick list from which user may select

Page 13: 1 Integrating the Healthcare Enterprise Patient Demographics Query IHE IT Technical and Planning Committee June 15 th – July 15 th 2004 - Public Comment

IT Infrastructure – Patient Demographics Query

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Patient Demographics QueryPatient Demographics QueryKey Technical Properties (cont’d)Key Technical Properties (cont’d)

Patient Demographics and Visit Query User enters full/partial identifiers or visit

information (e.g., room/bed number) for patients of interest in a domain

Server returns HL7 message with list of matches

Demographic information in HL7 PID and PD1 segments Visit information in PV1 and PV2 segments

Application builds pick list from which user may select

Page 14: 1 Integrating the Healthcare Enterprise Patient Demographics Query IHE IT Technical and Planning Committee June 15 th – July 15 th 2004 - Public Comment

IT Infrastructure – Patient Demographics Query

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More information….More information…. Web sites: www.himss.org/ihe

www.rsna.org/ihewww.ihe-europe.org

– IHE IT Infrastructure Technical Framework for 2003-IHE IT Infrastructure Technical Framework for 2003-2004 - V 1.0 Final Text2004 - V 1.0 Final Text

– IHE IT Infrastructure Technical Framework Supplements IHE IT Infrastructure Technical Framework Supplements for 2004-2005 – Public Commentsfor 2004-2005 – Public Comments

– Comments atComments at http://forums.rsna.org, IHE forum, http://forums.rsna.org, IHE forum,IT Infrastructure sub-forum, IT Infrastructure sub-forum, until July 15until July 15thth, 2004., 2004.

Non-Technical Brochures :Non-Technical Brochures :– IHE Brochure, IHE Fact Sheet IHE Brochure, IHE Fact Sheet – IHE Connectathon ResultsIHE Connectathon Results– IHE Products Integration StatementsIHE Products Integration Statements