High Level Interoperability

Alot of people see healthcare technology as being a magical land where information is shared seamlessly between applications.  In some cases this is true.  Where standards exist and are adhered to, exchange can be very beneficial to both patients and physicians.  Until all the physical connections are available however, seamless interoperability is still fiction.

Take a look at a post by a Microsoft employee explaining how Microsoft’s Health Vault can play a role in interoperability.

Programming Healthcare Silos

The Transcript is below

Programming Healthcare Silos – Presentation Transcript

1. Vaibhav Bhandarivaibhavb@microsoft.com(Microsoft, Health Solutions Group)
   across
   Programming Healthcare Silos
   ^
   ?
   @vaibhavb#oscon #silostalk
2. Agenda
   Challenges of Health IT
   Standards exist but..
   Open Solutions Exist
   Opportunities in Health IT
3. Silos of Health Information
4. Silos in the Enterprise – “On the Floor”
   Electronic Medical Record
   Nursing Workflow/ Documentation
   Clinical Notes
   Emergency Department
   Procedure Documentation
   ICU/Critical Care
   OR Management
   Dictation
   Pharmacy
   CPOE
   Advanced Analytics
   Cardiology
   Labs
   Medication Administration
   Hemodynamics
   Pathology
   Imaging
   Charting
   Medication Dispensing
   RIS
   Orders
   Image Distribution
   PACS
   Mobile Data
5. Silos in the Enterprise – “Behind the Scenes”
   Contract Management
   Enterprise Scheduling
   Claims Management
   Financial/ERP
   Business Decision Support
   Inventory
   Medical Records Coding
   Purchasing
   Revenue Management
   Document Imaging
   Bed Management
   Registration
   Transcription
   Call Management
   Staff/Nurse Scheduling
   Outcomes Management
   Physician Practice
   Access Management
6. Meaningful Use
   ICD-9 to ICD-10 Translation
   SNOMED-CT
   Master Patient Index
   EMR/EHR
   IHE
   HL7
7. Meet Jim
8. Jim’s ER visit..
9. Lab
   Emergency
   EMR
   HL7 Lab Order
   MSH|^~&|EMERGENCYEMR|RC90|INSIGHT.LAB|GUH.ER|20080114085834||ORU^R01|H20010816374944.7274|P|2.1|1
   PID|01||1430043|1572c552-f02b-49bf-b7e2-acc74765cb3e|SMITH^JIM||19790127|F||1||||||||cfd9ce6b-dc81-459d-9415-7913eb4635ec|804171277
   PV1|01|O|TPC||||331|||||||HIS|||331|O||||||||||||||||||||||||||20060721|19990921
   OBR|1||1234^LAB|88304
10. Lab
    Emergency
    EMR
    Lab Result
    MSH|^~&|EMERGENCYEMR|RC90|INSIGHT.LAB|GUH.ER|20080114085834||ORU^R01|H20010816374944.7274|P|2.1|1
    PID|01||1430043|1572c552-f02b-49bf-b7e2-acc74765cb3e|SMITH^JIM||19790127|F||1||||||||cfd9ce6b-dc81-459d-9415-7913eb4635ec|804171277
    PV1|01|O|TPC||||331|||||||HIS|||331|O||||||||||||||||||||||||||20060721|19990921
    OBR|1||1234^LAB|88304
    OBX|1|CE|88304|1|T57000^GALLBLADDER^SNM OBX|2|TX|88304&MDT|1|MICROSCOPIC EXAM SHOWS HISTOLOGICALLY NORMAL GALLBLADDER TISSUE
11. Creating & Processing Lab Order
    HAPI HL7 Parsing Library
    http://hl7api.sourceforge.net
12. 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~
    Lab
    Emergency
    EMR
    Health Plan
13. 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~
    …
    Lab
    Emergency
    EMR
    Health Plan
14. Jim’s Ready to Go Home
    Lab
    Emergency
    EMR
    Health Plan
15. CCR For Jim’s Visit
    Lab
    Emergency
    EMR
    Health Plan
16. CCD or C32
17. HealthVault Interaction
18. Direct To Clinical
19. Data In Jim’s Account
    Jim
    Lab
    Emergency
    EMR
    Health Plan
    Jim
20. NHIN-D
    @ HealthVault address
    Easy integration through SMTP S-MIME
    Exciting Future
21. HealthVault Medical Imaging
    • Applications can upload large files to a users’ HealthVault record
    • http://bit.ly/hv-medical-imaging
22. HealthVault Client & Mobile Applications
    Client Applications
    http://bit.ly/HV-client-app
23. Leaving the Clinical Silo
    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
    Lab
    Emergency
    EMR
    Health Plan
24. 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
25. 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
26. Takeaway
    Lots of opportunity to bridge the silos and empower the patient with open technologies and platforms!

Thank You
Be Well. Be Protected.