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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.
The Transcript is below
Programming Healthcare Silos – Presentation Transcript
- Vaibhav Bhandarivaibhavb@microsoft.com(Microsoft, Health Solutions Group)
across
Programming Healthcare Silos
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@vaibhavb#oscon #silostalk- Agenda
Challenges of Health IT
Standards exist but..
Open Solutions Exist
Opportunities in Health IT- Silos of Health Information
- 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- 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- Meaningful Use
ICD-9 to ICD-10 Translation
SNOMED-CT
Master Patient Index
EMR/EHR
IHE
HL7- 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|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- 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- 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~
Lab
Emergency
EMR
Health Plan- 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- Jim’s Ready to Go Home
Lab
Emergency
EMR
Health Plan- CCR For Jim’s Visit
Lab
Emergency
EMR
Health Plan- CCD or C32
- HealthVault Interaction
- Direct To Clinical
- Data In Jim’s Account
Jim
Lab
Emergency
EMR
Health Plan
Jim- 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
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- 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 You
Be Well. Be Protected.
