programming healthcare silos
TRANSCRIPT
Programming Healthcare Silos
Vaibhav [email protected]
(Microsoft, Health Solutions Group)
across^
@vaibhavb#oscon #silostalk
?
Agenda
• Challenges of Health IT– Standards exist but..
• Open Solutions Exist• Opportunities in Health IT
Silos of Health Information
Hemodynamics
Electronic Medical Record
Mobile Data
Labs
Imaging
Clinical Notes
Pharmacy
Medication Administration
Procedure Documentation
Orders
Medication Dispensing
CPOE
Pathology
Dictation
Charting
Nursing Workflow/ Documentation
Cardiology
OR Management
Emergency Department
ICU/Critical Care
RIS
PACS Image Distribution
Advanced Analytics
Silos in the Enterprise – “On the Floor”
Registration
Document Imaging
Bed Management
Business Decision Support
Financial/ERPClaims
Management
Contract Management
Enterprise Scheduling
Medical Records Coding
Staff/Nurse Scheduling
Transcription
Revenue Management
Call Management
Access Management
Purchasing
Inventory
Physician PracticeOutcomes
Management
Silos in the Enterprise – “Behind the Scenes”
Meaningful UseICD-9 to ICD-10 TranslationSNOMED-CTHL7IHEMaster Patient IndexEMR/EHR
Meet Jim
Jim’s ER visit..
Lab
Emergency EMR
HL7 Lab Order
MSH|^~\&|EMERGENCYEMR|RC90|INSIGHT.LAB|GUH.ER|20080114085834||ORU^R01|H20010816374944.7274|P|2.1|1PID|01||1430043|1572c552-f02b-49bf-b7e2-acc74765cb3e|SMITH^JIM||19790127|F||1||||||||cfd9ce6b-dc81-459d-9415-7913eb4635ec|804171277PV1|01|O|TPC||||331|||||||HIS|||331|O||||||||||||||||||||||||||20060721|19990921OBR|1||1234^LAB|88304
Emergency EMR
Lab
Lab Result
MSH|^~\&|EMERGENCYEMR|RC90|INSIGHT.LAB|GUH.ER|20080114085834||ORU^R01|H20010816374944.7274|P|2.1|1PID|01||1430043|1572c552-f02b-49bf-b7e2-acc74765cb3e|SMITH^JIM||19790127|F||1||||||||cfd9ce6b-dc81-459d-9415-7913eb4635ec|804171277PV1|01|O|TPC||||331|||||||HIS|||331|O||||||||||||||||||||||||||20060721|19990921OBR|1||1234^LAB|88304OBX|1|CE|88304|1|T57000^GALLBLADDER^SNM OBX|2|TX|88304&MDT|1|MICROSCOPIC EXAM SHOWS HISTOLOGICALLY NORMAL GALLBLADDER TISSUE
Creating & Processing Lab Order
• HAPI HL7 Parsing Library – http://hl7api.sourceforge.net
X12 Message for Eligibility Request
ST*270*1234*005010X203~
BHT*0022*13*10001234*20060501*1319~
HL*1**20*1~
NM1*PR*2*ABC COMPANY*****PI*842610001~
HL*2*1*21*1~
NM1*1P*2*EMERGENCY CLINIC*****SV*2000035~
HL*3*2*22*0~
TRN*1*93175-012547*9877281234~
NM1*IL*1*SMITH*JIM****MI*11122333301~
DMG*D8*19430519~
DTP*291*D8*20060501~
EQ*30~
SE*13*1234~
Emergency EMR
Health Plan
Lab
X12 Response for Eligibility Request
ST*271*1234*005010X203~
BHT*0022*13*10001234*20060501*1319~
HL*1**20*1~
NM1*PR*2*ABC COMPANY*****PI*842610001~
HL*2*1*21*1~
NM1*1P*2*EMERGENCY CLINIC*****SV*2000035~
HL*3*2*22*0~
TRN*1*93175-012547*9877281234~
NM1*IL*1*SMITH*JIM****MI*11122333301~
DMG*D8*19430519~
DTP*346*D8*20060101~
EB*1**30**GOLD 123PLAN~
…
Emergency EMR
Health Plan
Lab
Jim’s Ready to Go Home
Emergency EMR
Health Plan
Lab
CCR For Jim’s Visit
Emergency EMR
Health Plan
Lab
CCD or C32
HealthVault Interaction
Direct To Clinical
Data In Jim’s Account
Emergency EMR
Health Plan
Jim
LabJim
• NHIN-D–@ HealthVault address– Easy integration through SMTP S-MIME
Exciting Future
HealthVault Medical Imaging
• Applications can upload large files to a users’ HealthVault record• http://bit.ly/hv-medical-imaging
HealthVault Client & Mobile Applications
• Client Applications– http://bit.ly/HV-client-app
Leaving the Clinical Silo
• While in enterprise your application need to comply with HIPAA 5010
• When Jim log’s in to HealthVault then the data is flowing in to consumer domain
Emergency EMR
Health Plan
Lab
Clinical Silo
HealthVault Open Source Resources
• Community Promise• Open Source SDKs– Java : CodePlex– Ruby : RubyForge– Python : Google Code– PHP: SourceForge
• Reference License .NET SDK– http://msdn.microsoft.com/healthvault
Connected Health Platform Open Source Resources
• Microsoft Health Common User Interface (MSCUI)• Microsoft Public License (MS-PL): http://mscui.codeplex.com/license • Main site: http://www.mscui.net • Toolkit: http://mscui.codeplex.com
• IHE Cross-Enterprise Document Sharing XDS.b • Microsoft Public License (MS-PL): http://ihe.codeplex.com/license • Main site: http://www.microsoft.com/HealthICT • Toolkit: http://ihe.codeplex.com
• Clinical Documentation Solution Accelerator (CDSA) • Reference License for CDSA Toolkit: http://
code.msdn.microsoft.com/cdsa/Project/License.aspx • Main site: http://www.mscui.net/CDSA.htm• Toolkit: http://code.msdn.microsoft.com/cdsa
Takeaway
• Lots of opportunity to bridge the silos and empower the patient with open technologies and platforms!
THANK YOUBe Well. Be Protected.
@vaibhavb#oscon #silostalk
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