Introduction: Health Information Exchange and HL7 รศ .  อาทิตย์ อังกานนท์ คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี มหาวิทยาลัยมหิดล
Agenda <ul><li>Importance of Health Information Exchange </li></ul><ul><li>Importance of standards </li></ul><ul><li>Globa...
How connectivity changes our practice <ul><li>Prior to arrival at clinic </li></ul><ul><ul><li>Worklist sent to 3G enabled...
Practice with connectivity (continue) <ul><li>Relevant data selected for each patient visit </li></ul><ul><li>Prescribing ...
Interoperability D ฏ PAS PACS  นอก Lab  นอก กรมการปกครอง ผู้ป่วยและญาติ Payers รพ .  ในเครือ Enterprise Domains PhIS LIS R...
Loss of connectivity may lead to <ul><li>Duplicate medication </li></ul><ul><li>Duplicate lab orders </li></ul>
 
Benefits of standardization <ul><li>Interoperability for patient care system </li></ul><ul><li>Quality assurance </li></ul...
Cost of Clinical Information System Interface www.neotool.com
How CEN creates a standard <ul><li>Ask ISO to do it </li></ul><ul><li>Adopt a ‘good enough’ standard </li></ul><ul><li>Dra...
Global Healthcare IT Standards Landscape
ISO/TC215
HL7
HL7  คืออะไร <ul><li>ชื่อองค์กรที่จัดทำมาตรฐานกลางสำหรับแลกเปลี่ยนข้อมูลสุขภาพ </li></ul><ul><li>มาตรฐานกลางสำหรับแลกเปลี่...
HL7 mission <ul><li>&quot;To provide (global) standards for the  exchange, management and integration of data  that suppor...
HL7 mission <ul><li>&quot;To provide (global) standards for the  exchange, management and integration of data  that suppor...
HL7 mission <ul><li>&quot;To provide (global) standards for the  exchange, management and integration of data  that suppor...
HL7 standard <ul><li>เริ่มพัฒนาในปี  1987 </li></ul><ul><li>ปัจจุบัน ชื่อ  HL7  เป็นทั้งชื่อของ  standard  และชื่อขององค์ก...
Products of HL7 <ul><li>Messaging Standards: v2.x and v3.0 </li></ul><ul><li>Models: RIM, CMET, XML ITS </li></ul><ul><li>...
Version of HL7 in use www.neotool.com
Why V3? <ul><li>Semantic interoperability </li></ul><ul><li>New concepts of standard development methodology </li></ul><ul...
HL7 v3 RIM
HL7 domains
Collaboration and Harmonization CDA CCR CCD
HL7 International Affiliates
Examples of adoption <ul><li>The Social Insurance Institution of Finland is building a national ePrescribing and patient r...
<ul><li>HL7  เป็น  standards  ไม่ใช่  implementation guide </li></ul><ul><li>ในการ  implement  จะต้องศึกษาให้เข้าใจถึง  st...
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HL7 for TMI November 2009

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Slide บรรยายเรื่อง ประสบการณ์การใช้ HL7 ในรามาธิบดี

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HL7 for TMI November 2009

  1. 1. Introduction: Health Information Exchange and HL7 รศ . อาทิตย์ อังกานนท์ คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี มหาวิทยาลัยมหิดล
  2. 2. Agenda <ul><li>Importance of Health Information Exchange </li></ul><ul><li>Importance of standards </li></ul><ul><li>Global standards landscape </li></ul><ul><li>Introduction to HL7 </li></ul>
  3. 3. How connectivity changes our practice <ul><li>Prior to arrival at clinic </li></ul><ul><ul><li>Worklist sent to 3G enabled device </li></ul></ul><ul><ul><li>New patients listed, with their data </li></ul></ul><ul><ul><ul><li>H&P from prior hospitals, clinics </li></ul></ul></ul><ul><ul><ul><li>Lab data from clinics </li></ul></ul></ul><ul><ul><ul><li>Pathology data from pathologic center </li></ul></ul></ul><ul><ul><ul><li>Clinical decision support system create suggestion from patient’s profile and previous investigation </li></ul></ul></ul><ul><ul><ul><li>Patient’s note </li></ul></ul></ul><ul><ul><ul><li>Home monitoring devices </li></ul></ul></ul><ul><ul><ul><li>All transaction comply to role based system and patient privacy </li></ul></ul></ul>Adapted from http://www.connectingforhealth.org/connectivity/
  4. 4. Practice with connectivity (continue) <ul><li>Relevant data selected for each patient visit </li></ul><ul><li>Prescribing done with decision support system </li></ul><ul><ul><li>Alert </li></ul></ul><ul><ul><li>Reminder </li></ul></ul><ul><ul><li>Guidelines updated automatically from Medical Societies </li></ul></ul><ul><li>Referring patient </li></ul><ul><ul><li>Enable selected provider to access patient’s data </li></ul></ul><ul><ul><li>Writing referral letter </li></ul></ul><ul><li>Claim data sent to payer accordingly </li></ul><ul><li>Quality of care is reported </li></ul><ul><li>Performance reported for pay-for-performance system </li></ul>Adapted from http://www.connectingforhealth.org/connectivity/
  5. 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. 6. Loss of connectivity may lead to <ul><li>Duplicate medication </li></ul><ul><li>Duplicate lab orders </li></ul>
  7. 8. Benefits of standardization <ul><li>Interoperability for patient care system </li></ul><ul><li>Quality assurance </li></ul><ul><li>Public Health issue </li></ul><ul><li>Research issue </li></ul>
  8. 9. Cost of Clinical Information System Interface www.neotool.com
  9. 10. How CEN creates a standard <ul><li>Ask ISO to do it </li></ul><ul><li>Adopt a ‘good enough’ standard </li></ul><ul><li>Draft a new standard </li></ul>
  10. 11. Global Healthcare IT Standards Landscape
  11. 12. ISO/TC215
  12. 13. HL7
  13. 14. HL7 คืออะไร <ul><li>ชื่อองค์กรที่จัดทำมาตรฐานกลางสำหรับแลกเปลี่ยนข้อมูลสุขภาพ </li></ul><ul><li>มาตรฐานกลางสำหรับแลกเปลี่ยนข้อมูลด้านสุขภาพ </li></ul><ul><li>เพื่อให้มี interoperability ระหว่าง computer application </li></ul><ul><ul><li>Functional interoperability </li></ul></ul><ul><ul><li>Semantic interoperability </li></ul></ul>
  14. 15. HL7 mission <ul><li>&quot;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.&quot; </li></ul>
  15. 16. HL7 mission <ul><li>&quot;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.&quot; </li></ul>
  16. 17. HL7 mission <ul><li>&quot;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 .&quot; </li></ul>
  17. 18. HL7 standard <ul><li>เริ่มพัฒนาในปี 1987 </li></ul><ul><li>ปัจจุบัน ชื่อ HL7 เป็นทั้งชื่อของ standard และชื่อขององค์กรที่ดูแล standard นี้ </li></ul><ul><li>Version ที่ใช้กันอยู่ </li></ul><ul><ul><li>Version 2.x </li></ul></ul><ul><ul><li>Version 3.x </li></ul></ul><ul><li>HL7 has achieved ISO status for its standards and is moving toward harmonization with the CEN standards. </li></ul>
  18. 19. Products of HL7 <ul><li>Messaging Standards: v2.x and v3.0 </li></ul><ul><li>Models: RIM, CMET, XML ITS </li></ul><ul><li>Functional specifications </li></ul><ul><li>Documents </li></ul><ul><li>Decision Support: Arden syntax, GELLO, INFObutton </li></ul><ul><li>Regulated Studies: Structured Product Labelling </li></ul><ul><li>CCOW </li></ul>
  19. 20. Version of HL7 in use www.neotool.com
  20. 21. Why V3? <ul><li>Semantic interoperability </li></ul><ul><li>New concepts of standard development methodology </li></ul><ul><li>Less optional fields </li></ul>
  21. 22. HL7 v3 RIM
  22. 23. HL7 domains
  23. 24. Collaboration and Harmonization CDA CCR CCD
  24. 25. HL7 International Affiliates
  25. 26. Examples of adoption <ul><li>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. </li></ul><ul><li>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. </li></ul>
  26. 27. <ul><li>HL7 เป็น standards ไม่ใช่ implementation guide </li></ul><ul><li>ในการ implement จะต้องศึกษาให้เข้าใจถึง standard และเลือกใช้เครื่องมือที่เหมาะสมในการ implement </li></ul><ul><li>ขั้นตอนการ implement ควรเป็นไปตามหลักการ implement IT project ทั่วไป </li></ul>

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