1. Patient Safety virtual tour HL7-IHE Demonstration HIMSS 2004

2. Presented by Thom Kuhn, American College of Physicians

3. Virtual Tour High-level animated walkthrough Detailed view –Application tools –Standards and Profiles

4. Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS HL7 Standards aECG Arden CCOW CDA ODM LDM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF Patient Safety Decision Support, Drug Interactions Case description The year is 1999. 74 year old female, recent cardiac valve replacement, taking warfarin. INRs were stable – last was 3.1. Rofecoxib (Vioxx) started by PCP for treatment of osteoarthritis. Two days later she appears at ED complaining of bleeding, weakness, bradycardia, renal insufficiency.

5. Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS HL7 Standards aECG Arden CCOW CDA ODM LDM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF Hospital PCP Lab Patient Safety Decision Support, Drug Interactions ICU ED Broker Patient admitted to ED; notification broadcast to hospital and labs

6. Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS Hospital PCP Lab Patient Safety Decision Support, Drug Interactions ICU ED Broker ED establishes CCOW session to query for patient data. HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF

7. Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS Hospital PCP Lab Patient Safety Decision Support, Drug Interactions ICU ED Broker ED queries primary care provider for patient data HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF

8. Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS Hospital PCP Lab Patient Safety Decision Support, Drug Interactions ICU ED ED orders labs; results returned. Broker HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF1

9. Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS Hospital PCP Lab Patient Safety Decision Support, Drug Interactions ICU ED Patient transferred; receives therapy. Broker HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF

10. Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS Hospital PCP Lab Patient Safety Decision Support, Drug Interactions ICU ED Hospital orders follow-up labs; results returned. Broker HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF

11. Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS Hospital PCP Lab Patient Safety Decision Support, Drug Interactions ICU ED Patient improves; patient discharged; patient returns to PCP. Broker HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF

12. Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS Hospital PCP Lab Patient Safety Decision Support, Drug Interactions ICU ED Broker PCP queries ED system for patient data HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF

13. Adobe Berdy Medical Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Medical Systems Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Medical Systems Raining Data Sentillion Siemens SNOMED XIMIS Patient safety officer alerts FDA; FDA alerts Pharma. Hospital PCP Lab Patient Safety Decision Support, Drug Interactions ICU ED BrokerFDA Pharma HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF

14. Adobe Berdy Medical Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Medical Systems Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Medical Systems Raining Data Sentillion Siemens SNOMED XIMIS FDA publishes alert; ACP publishes alert; MLM updates PCP Lab Patient Safety Decision Support, Drug Interactions FDA Pharma Hospital ACP HL7 Standards aECG Arden CCOW CDA ODM RIM SDM SPL V2 V3 IHE Profiles CT EUA PIX PSA RID SWF

16. Patient Safety Decision Support, Drug Interactions Patient admitted to ED; notification broadcast to hospital and labs; RID query of PCP

17. Patient Safety Decision Support, Drug Interactions ED establishes CCOW session to query for patient data; ED orders labs

18. Patient Safety Decision Support, Drug Interactions Labs performed; Results returned; Patient transferred.

19. Patient Safety Decision Support, Drug Interactions Patient treated; Hospital orders follow-up labs; results returned; Patient discharged.

20. Patient Safety Decision Support, Drug Interactions PCP queries ED system for patient data

21. Patient Safety Decision Support, Drug Interactions FDA, Pharma revise SPL

22. Patient Safety Decision Support, Drug Interactions FDA publishes alert; ACP revises PIER Guidelines

23. ACP publishes new MLM; Vendors download, install, and test MLM Patient Safety Decision Support, Drug Interactions

24. Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS HL7 aECG Arden CCOW CDA ODM LDM RIM SDM SPL V2 V3 IHE CT EUA PIX PSA RID SWF Special thanks to Mallinckrodt Institute of Radiology –Patient Identifier Cross Referencing (PIX) server Fred Behlen, Laitek Technologies –DICOM SR to CDA transformation The SIMI Group –State Department of Health application Michael Palmer, Zurich Biotech –SAS to ODM conversion NorthEast Monitoring –Corelab software integrating aECGs CSS Informatics –FDA Patient Profile Viewer AMPS –FDA aECG Viewer Amnon Shabo, IBM Haifa –Sample CDA Botulism Case Report Data Conversion Labs –Sample Structured Product Labeling transformation

25. Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS HL7 aECG Arden CCOW CDA ODM LDM RIM SDM SPL V2 V3 IHE CT EUA PIX PSA RID SWF Demo Executive Committee HL7 –Karen Van Hentenryck, HL7 Associate Director –Landen Bain, Co-chair, HL7 Marketing Committee IHE –Joyce Sensmeier, HIMSS –Chris Carr, RSNA

26. Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS HL7 aECG Arden CCOW CDA ODM LDM RIM SDM SPL V2 V3 IHE CT EUA PIX PSA RID SWF Invitation to Tour Guided Tours start on the quarter hour Self-guided Tours anytime –M–Maps available at Reception Complete a tour, win a prize –G–Get each location initialled by participant –G–Go to reception with completed map –E–Enter a business card to win HL7 Working Group Registration (drawing 1/day) HIMSS 2005 Registration (drawing 1/week)

27. Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS HL7 aECG Arden CCOW CDA ODM LDM RIM SDM SPL V2 V3 IHE CT EUA PIX PSA RID SWF GE RA600 Guided tours on the quarter hour; Self-guided tours any time Take A Tour, Win A Prize! Get a stamp at every stop on a tour Take stamped Tour Guide to receptionist Enter to win a Prize! -HL7 Registration or -HIMSS 2005 Registration Continuity of Care Tour Clinical Trials Tour Patient Safety Tour Public Health Tour aECG Annotated ECG (V3) 4, 16, 19, 20,21, 27 Arden Arden Syntax Medical Logic Modules 17, 19, 26 CCOW Clinical Context Object Workgroup 1,14, 15, 17, 18, 28, 29, 30 CDA Clinical Document Architecture (RIM) 2, 6, 7, 9, 10, 11, 12, 13, 20, 22, 23, 24, 25, 26, 32 CT Integration Profile for Consistent Time 1, 2, 18, 30 EUA Enterprise User Authentication (Kerberos) 1, 2, 14, 18, 28, 30 Integration Profiles: 1, 2, 3, 6, 8, 10, 11, 14, 15, 18, 28, 29, 30, 31 LDM Lab Data Model (V3, CDISC) 20 ODM Operational Data Model (CDISC) 20, 21 PIX Patient Identifier Cross Referencing (V2) 1, 11 PSA Patient Synchronized Application (CCOW) 1, 14, 18,28, 29, 30, RID Retrieve Information for Display 1,8, 10,11,15,18,29, 30 RIM Reference Information Model (V3) 2, 4,6, 7, 9, 10, 11, 12, 13, 16,19,20,21, 22, 23, 24, 25, 26, 27,32 SDS Submissions Data Standard (CDISC) 20, 21 SPL Structured Product Label (CDA) 19 SWF Scheduled Work Flow (V2, DICOM) 1,2,3,29,31 V2 Version 2 messaging 1,5,6, 8, 9,11,12,17,18,22,25,26,32 V3 Version 3 messaging 4,9,10,11,16,19,20,21,22,24,27,32 Start GE CWeb Kodak GE Solar Carefx/GE Mortara GE ED Eclipsys DigitalInfuzion DCRI CDC/ UCDavis Philips Adobe Epic GE CPortal Sentillion INFINITT Ximis Kryptiq CommerceNet MS InfoPath GE MUSE ACP/FDA NIST Start Berdy MS BTS Raining Data Dictaphone Soarian SNOMED Siemens OL 1 2 3 T H E A T E R C L A S S R O O M Misys 4 5 6 7 8 9 13 10 12 11 232425 2627 282930 31 32 21 22 14 15 1817 16 19 20 AISLE Tour Guide HL7-IHE Interoperability Demonstration Booth 4638 Walking Tour

28. Adobe Berdy Carefx CommerceNet DCRI Dictaphone Digital Infuzion Eclipsys Epic GE Heartlab IBM INFINITT Kodak Kryptiq Microsoft Misys Mortara NIST Philips Raining Data Sentillion Siemens SNOMED XIMIS HL7 aECG Arden CCOW CDA ODM LDM RIM SDM SPL V2 V3 IHE CT EUA PIX PSA RID SWF Thank you Questions? Tours starting now This presentation available on www.rsna.org/IHE/hl7ihedemo