Health Information ExchangeLocal Implementation

Cross Regional Exchange

Supporting and Extending the PCEHR

IHE Supporters

2013 Interoperability Showcase

• Patient journey cancer/mental health supported by Health Information Exchange.• Working demonstration of interoperability:

•Application-to-Application•Within two zones (hospital network and adjacent region)•IHE Showcases are worldwide events

• IHE builds standard connectivity profiles•Uses accepted standards such as DICOM, HL7, IEEE, Oasis - webservices •Focus on Cross Enterprise Document Exchange (XDS) – the engine of the Australian PCEHR

What you will see today

Two Health Information Exchange Communities

Many IT systems

Secure Web Services Secure Web Services

The Cast

Supporter

Step 2: Radiology

CT brain is conducted and reported.

Images and report are sent to the local Health Information Exchange

Step 3: Mental Health Team

Patient’s parents phone crisis line and information lookup occurs. Team creates a mental health care plan

Interoperability 2013 Showcase Tour Guide – Mental HealthThe Showcase is a real life demonstration of how patient care can be improved with effective communication as our patient seeks care in different parts of the “healthcare system”. One of the audience will become the patient and together we track both the care and the information flows. The seven vendors involved have products in the Australian market to support HEALTH INFORMATION EXCHANGE on top of their core functions. Vendors are using the IHE Cross Enterprise Document Share (XDS.b) profile of standards, which is also the underpinning of the Australian eHealth Record (AKA Personally Controlled Electronic Healthcare Record (PCEHR). Local Health Exchange has the potential to add value to the PCEHR.

Step 1: GP

23 y.o. male with history of mental health problems. Headache and recent onset of confusion and rash

Step 5. Emergency Department

Acute psychotic episode, taken to ED by parents. Lookup of patient information, treat and provide discharge summary

Step 7: Infrastructure: How does it work?

Look inside a standard document and image exchanges and how such a system could link to the Australian PCEHR

Step 6: Hospital Radiology

MRI scan taken, with lookup of prior images from community radiology.

Step 4: Dermatologist – tele-health

Views rash and looks up recent drug use as a drug reaction is suspected. Phone advice.

Registry RepositoryIdentity Manager

Cross Community Access

REGIONAL

HOSPITAL

Sponsored by”

INFRASTRUCTURE

Interoperability 2013 Showcase Tour Guide – CANCER CAREThe Showcase is a real life demonstration of how patient care can be improved with effective communication as our patient seeks care in different parts of the “healthcare system”. One of the audience will become the patient and together we track both the care and the information flows. The seven vendors involved have products in the Australian market to support HEALTH INFORMATION EXCHANGE on top of their core functions. Vendors are using the IHE Cross Enterprise Document Share (XDS.b) profile of standards, which is also the underpinning of the Australian eHealth Record (AKA Personally Controlled Electronic Healthcare Record (PCEHR). Local Health Exchange has the potential to add value to the PCEHR.

Step1. Emergency Department

69 y.o. female undergoing chemotherapy for Breast Cancer.

Presents unwell with cough and fever. CXR ordered.

Step 7: Infrastructure: How does it work?

Look inside a standard document and image exchanges and how such a system could link to the Australian PCEHR

Step 2: Hospital Radiology

CXR taken and reported with access to prior image from community radiology

Registry RepositoryIdentity Manager

Cross Community Access

HOSPITAL

Sponsored by”

INFRASTRUCTURE

Step 4: Radiology

CT brain is conducted and reported.

Images and report are sent to the local Health Information Exchange

Step 5: Cancer Team

Review images and ED visit report and Oncology report. Create a care plan

Step 3: Oncology

Consults community oncologist who produces a patient summary. Patient has rash and photo taken. CT scan ordered

O

Step 6: Dermatologist – tele-health

View rash and look up recent drug use as a drug reaction is suspected. Phone advice.

REGIONAL

Finish with an overview of how it works

Secure Web Services Secure Web Services

• IHE Australia• Bernie Crowe

• Yvonne Crowe

• Vince McCauley

• Peter MacIsaac

• Ellen Lindop

• Radlogix• Mat Hudson

• GE Healthcare• Chris Lindop

• Geoff May

• Robin Friedrich

• Kenn Hansen

• Intersystems HealthShare/TrakCare• Andy Robb

• Mat Spielman

• HTR– Xi Xin Li

– Adriene Volcz

• Mach7– Thomas Vargocsky

– Geoff Dike

• DCA– Tim Burne

– Mark Finlay

• Mohawk College– Justin Fyfe

Participants:The participants

http://ihe-australia.wikispaces.com/showcase+2013+handout+about+participants

download QR Reader

www.ihe.net.au www.ihe.net

XDS profile – documentsXDS profile - images

Further information: