Your SlideShare is downloading. ×
HL7 for TMI November 2009
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×

Introducing the official SlideShare app

Stunning, full-screen experience for iPhone and Android

Text the download link to your phone

Standard text messaging rates apply

HL7 for TMI November 2009

953
views

Published on

Slide บรรยายเรื่อง ประสบการณ์การใช้ HL7 ในรามาธิบดี

Slide บรรยายเรื่อง ประสบการณ์การใช้ HL7 ในรามาธิบดี


0 Comments
2 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
953
On Slideshare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
0
Comments
0
Likes
2
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Introduction: Health Information Exchange and HL7 รศ . อาทิตย์ อังกานนท์ คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี มหาวิทยาลัยมหิดล
  • 2. Agenda
    • Importance of Health Information Exchange
    • Importance of standards
    • Global standards landscape
    • Introduction to HL7
  • 3. How connectivity changes our practice
    • Prior to arrival at clinic
      • Worklist sent to 3G enabled device
      • New patients listed, with their data
        • H&P from prior hospitals, clinics
        • Lab data from clinics
        • Pathology data from pathologic center
        • Clinical decision support system create suggestion from patient’s profile and previous investigation
        • Patient’s note
        • Home monitoring devices
        • All transaction comply to role based system and patient privacy
    Adapted from http://www.connectingforhealth.org/connectivity/
  • 4. Practice with connectivity (continue)
    • Relevant data selected for each patient visit
    • Prescribing done with decision support system
      • Alert
      • Reminder
      • Guidelines updated automatically from Medical Societies
    • Referring patient
      • Enable selected provider to access patient’s data
      • Writing referral letter
    • Claim data sent to payer accordingly
    • Quality of care is reported
    • Performance reported for pay-for-performance system
    Adapted from http://www.connectingforhealth.org/connectivity/
  • 5. Interoperability D ฏ PAS PACS นอก Lab นอก กรมการปกครอง ผู้ป่วยและญาติ Payers รพ . ในเครือ Enterprise Domains PhIS LIS RIS PACS HIS Orders Billing Drug information Workflow CDSS
  • 6. Loss of connectivity may lead to
    • Duplicate medication
    • Duplicate lab orders
  • 7.  
  • 8. Benefits of standardization
    • Interoperability for patient care system
    • Quality assurance
    • Public Health issue
    • Research issue
  • 9. Cost of Clinical Information System Interface www.neotool.com
  • 10. How CEN creates a standard
    • Ask ISO to do it
    • Adopt a ‘good enough’ standard
    • Draft a new standard
  • 11. Global Healthcare IT Standards Landscape
  • 12. ISO/TC215
  • 13. HL7
  • 14. HL7 คืออะไร
    • ชื่อองค์กรที่จัดทำมาตรฐานกลางสำหรับแลกเปลี่ยนข้อมูลสุขภาพ
    • มาตรฐานกลางสำหรับแลกเปลี่ยนข้อมูลด้านสุขภาพ
    • เพื่อให้มี interoperability ระหว่าง computer application
      • Functional interoperability
      • Semantic interoperability
  • 15. HL7 mission
    • "To provide (global) standards for the exchange, management and integration of data that supports clinical patient care and the management , delivery and evaluation of healthcare services. Specifically, to create flexible, cost effective approaches, standards, guidelines, methodologies and enable healthcare information system interoperability and sharing of electronic health records."
  • 16. HL7 mission
    • "To provide (global) standards for the exchange, management and integration of data that supports clinical patient care and the management , delivery and evaluation of healthcare services. Specifically, to create flexible , cost effective approaches, standards, guidelines, methodologies and enable healthcare information system interoperability and sharing of electronic health records."
  • 17. HL7 mission
    • "To provide (global) standards for the exchange, management and integration of data that supports clinical patient care and the management , delivery and evaluation of healthcare services. Specifically, to create flexible , cost effective approaches, standards, guidelines, methodologies and enable healthcare information system interoperability and sharing of electronic health records ."
  • 18. HL7 standard
    • เริ่มพัฒนาในปี 1987
    • ปัจจุบัน ชื่อ HL7 เป็นทั้งชื่อของ standard และชื่อขององค์กรที่ดูแล standard นี้
    • Version ที่ใช้กันอยู่
      • Version 2.x
      • Version 3.x
    • HL7 has achieved ISO status for its standards and is moving toward harmonization with the CEN standards.
  • 19. Products of HL7
    • Messaging Standards: v2.x and v3.0
    • Models: RIM, CMET, XML ITS
    • Functional specifications
    • Documents
    • Decision Support: Arden syntax, GELLO, INFObutton
    • Regulated Studies: Structured Product Labelling
    • CCOW
  • 20. Version of HL7 in use www.neotool.com
  • 21. Why V3?
    • Semantic interoperability
    • New concepts of standard development methodology
    • Less optional fields
  • 22. HL7 v3 RIM
  • 23. HL7 domains
  • 24. Collaboration and Harmonization CDA CCR CCD
  • 25. HL7 International Affiliates
  • 26. Examples of adoption
    • The Social Insurance Institution of Finland is building a national ePrescribing and patient record archival service based on HL7 CDA R2 and V3 messages. Phased deployment is scheduled for 2008-2011.
    • AORTA is the Dutch national infrastructure for the exchange of data between healthcare providers. AORTA uses HL7 version 3 messages and documents as its core mechanism for information exchange.
  • 27.
    • HL7 เป็น standards ไม่ใช่ implementation guide
    • ในการ implement จะต้องศึกษาให้เข้าใจถึง standard และเลือกใช้เครื่องมือที่เหมาะสมในการ implement
    • ขั้นตอนการ implement ควรเป็นไปตามหลักการ implement IT project ทั่วไป