1. 1 Integrating the Healthcare Enterprise Patient Demographics Query IHE IT Technical and Planning Committee June 15 th – July 15 th 2004 - Public Comment

2. IT Infrastructure – Patient Demographics Query 2 IHE drives healthcare standards based-integration

3. IT Infrastructure – Patient Demographics Query 3 IHE Organizational Structure Multi-Domain & Multi-National Participants contribute Global Development: Radiology, IT Infrastructure, Cardiology, Lab, etc. Delegates IHE Europe IHE North America IHE Asia/Oceania Regional & National Deployment supervises reports IHE (International) Strategic Development Committee Sponsor Co-Chairs Global Interoperability IHE Domain-related Planning and Technical Committees National Extensions

4. IT Infrastructure – Patient Demographics Query 4 IHE 2004 achievements and expanding scope Over 80 vendors involved world-wide, 4 Technical Frameworks 31 Integration Profiles, Testing at yearly Connectathons, Demonstrations at major exhibitions world-wide Provider-Vendor cooperation to accelerate standards adoption

5. IT Infrastructure – Patient Demographics Query 5 IHE Process Users and vendors work together to identify and design solutions for integration problems Intensive process with annual cycles: – Identify key healthcare workflows and integration problems – Research & select standards to specify a solution – Write, review and publish IHE Technical Framework – Perform cross-testing at “Connectathon” – Demonstrations at tradeshows (HIMSS/RSNA…)

6. IT Infrastructure – Patient Demographics Query 6 A Proven Standards Adoption Process IHE Integration Profiles B IHE Integration Profile A Easy to Integrate Products IHE Connectathon Product With IHE IHE Demonstration User Site RFP Standards IHE Technical Framework Product IHE Integration Statement IHE Connectathon Results IHE Integration Profiles at the heart of IHE : – Detailed selection of standards and options each solving a specific integration problem – A growing set of effective provider/vendor agreed solutions – Vendors can implement with ROI – Providers can deploy with stability

7. IT Infrastructure – Patient Demographics Query 7 More on IHE IT Infrastructure To learn more about IHE IT Infrastructure Integrating the Healthcare Enterprise: www.himss.org/ihe Read the IHE Brochure http://www.himss.org/content/files/IHE_newsletter_final.pdf

8. IT Infrastructure – Patient Demographics Query 8 Patient Demographics Query Abstract/Scope Allow quick retrieval of common patient name, identifier, contact, and visit information Enable selection of correct patient when full identification data may not be available Limits access to only a subset of demographic and visit information

9. IT Infrastructure – Patient Demographics Query 9 Patient Demographics Query Value Proposition Enables access on demand to diverse systems and devices that do not need continual synchronization of patient registration information Allow search on full or partial data Retrieve information from any domain to which the client has query access May use matching algorithm (e.g., soundex) to find near matches

10. IT Infrastructure – Patient Demographics Query 10 Patient Demographics Query Key Technical Properties Employs HL7 Conformance Based Queries – Defined in HL7 Version 2.5, Chapter 5 – Profiles Query by Parameter with Segment Pattern Response User enters identifiers or visit information (e.g., room/bed number) for patients of interest Server returns demographic (and, optionally, visit) information in HL7 segments

11. IT Infrastructure – Patient Demographics Query 11 Patient Demographics Query Transaction Diagram A departmental system that is connected on demand to the registration system. Diverse systems including bedside monitors, physician office systems, lab applications, mobile blood bank registries; might be any system at the point of contact.

12. IT Infrastructure – Patient Demographics Query 12 Patient Demographics Query Key Technical Properties (cont’d) Patient Demographics Query: User enters full/partial identifiers or visit information for patients of interest in a domain Server returns HL7 message with list of matches Demographic information in HL7 PID and PD1 segments Application builds pick list from which user may select

13. IT Infrastructure – Patient Demographics Query 13 Patient Demographics Query Key Technical Properties (cont’d) Patient Demographics and Visit Query User enters full/partial identifiers or visit information (e.g., room/bed number) for patients of interest in a domain Server returns HL7 message with list of matches Demographic information in HL7 PID and PD1 segments Visit information in PV1 and PV2 segments Application builds pick list from which user may select

14. IT Infrastructure – Patient Demographics Query 14 More information…. Web sites: www.himss.org/ihewww.himss.org/ihe www.rsna.org/ihe www.ihe-europe.org – IHE IT Infrastructure Technical Framework for 2003- 2004 - V 1.0 Final Text – IHE IT Infrastructure Technical Framework Supplements for 2004-2005 – Public Comments – Comments at http://forums.rsna.org, IHE forum, IT Infrastructure sub-forum, until July 15 th, 2004. Non-Technical Brochures : Non-Technical Brochures : – IHE Brochure, IHE Fact Sheet – IHE Connectathon Results – IHE Products Integration Statements