patient data exchange bhepp
DESCRIPTION
Patient Data Exchange BHEPP. BHEPP – Patient Data Exchange. Enabling electronic health record (EHR) exchange when patients are transferred between participating hospitals during a disaster involving mass casualties, for improved patient care. Overview. BHEPP Partnership. Suburban Hospital. - PowerPoint PPT PresentationTRANSCRIPT
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OverviewOverview
Enabling electronic health record (EHR) Enabling electronic health record (EHR) exchange when patients are transferred exchange when patients are transferred between participating hospitals during a between participating hospitals during a disaster involving mass casualties, for disaster involving mass casualties, for improved patient careimproved patient care
BHEPP – PatientBHEPP – Patient Data ExchangeData Exchange
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Acute care community hospital Level II Trauma Center Community preparedness experience Decontamination capacity
Clinical research facility Surge capacity Sophisticated diagnostic laboratory facilities Skilled campus HAZMAT & decontamination team Substantial basic science and specialty/subspecialty expertise
Military hospital Extensive decontamination capacity Skilled deployable workforce Availability of “in-residence” staff Preparedness training
BHEPP PartnershipBHEPP PartnershipSuburban Hospital NIH Clinical Center NNMC
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Disaster ScenarioDisaster Scenario
Disaster causes mass casualties
Non-critical patients are transferred to other hospitals to make space for emergency patients
Patient data is transferred electronically to the receiving hospital to aid in patient care
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3
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ChallengesChallenges
1.1. What to share ?What to share ?
2.2. Which format / standard ?Which format / standard ?
3.3. How to share ?How to share ?
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Patient Summary Record Patient Summary Record
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• Required “Minimum Data Set”Required “Minimum Data Set”• Based on “Based on “NHIN Core ContentNHIN Core Content SpecificationSpecification” for exchange ” for exchange of Patient Summary Recordof Patient Summary Record• Content ModulesContent Modules
Person Information Support (Emergency Contact Information) Allergies and Drug Sensitivities Conditions (Problem list) Medications Information Source
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Patient Summary Record Patient Summary Record
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““Data Format - HL7 CDA Standard (XML)”Data Format - HL7 CDA Standard (XML)”
Machine readable entry Human readable entry
Document Level
Constraints
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Patient Summary Record Patient Summary Record
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Data Transformation – Suburban EHRData Transformation – Suburban EHR
XML to CDAUsing Adapters
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Patient Summary Record Patient Summary Record
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Data Transformation – NIH Clinical CenterData Transformation – NIH Clinical Center
XML to CDAUsing Adapters
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Patient Data Exchange - ApplicationPatient Data Exchange - Application
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Mapping &
Translation
• Web Upload• Mapping and Translation• Patient Search• Patient View• PDF/XML Download• Admin Module• Integration with Triage Data (Digital Pen)• Integration with RFID Data (Future)
Web Upload
Search&
View
Hospital 1 Hospital 2NNMC Adapter
NLM CC Adapter
Suburban Adapter
CDA
HTML Adapter
PDF Adapter
FeaturesFeatures
ReceivingHospital
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Patient Data Exchange - ApplicationPatient Data Exchange - Application
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• ColdFusion 8.0 Application Server• Apache Web Server 2.2• HTTPS based for security and encryption• ColdBox (MVC) based framework for easier extensibility• Internationalization and localization
Technical SpecificationsTechnical Specifications
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CMAX 2009CMAX 2009
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Future DirectionsFuture Directions
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• Integration with RFID for location tracking during disaster
• Integration with “NHIN – National Health Information Network” for
nationwide real time Patient Data Exchange• DICOM support for including medical images with Patient Summary Record