IHE – die neuen Integrationprofile Und ihr Bezug auf HBA und eGK Germany United Kingdom Switzerland Ireland Netherlands Hong Kong Andreas Kassner Marco Eichelberg
TOREX GAP GmbH Am Exerzierplatz 14 68167 Mannheim
[email protected] www.torex.com
bIT4Health - Konzept
bIT4Health - Komponenten
bIT4Health - Konzept
IHE 2003 Ziele und Erweiterungen >80 Hersteller weltweit, 4 Technical Frameworks 25 Integration Profiles, jährlich 2 Connectathons, Demonstrationen auf allen relevanten Messen
Cross-Enterprise Intra-Enterprise
IHE EHR- Longitudinal Record IHE IT Infrastructure
IHE Radiology
5 Integration Profiles
12 Integration Profiles
7 Integration Profiles
IHE Future Domain
IHE Laboratory 1 Integration Profile
IHE Cardiology
IHE Future Domain
IHE IT Infrastructure - 5 Integrations Profile Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user
Web/HL7-CDA/PDF/JPG
Patient Synchronized Applications Synchronize multiple applications on a desktop to the same patient
HL7 CCOW v1.4
Patient Identifier Cross-referencing for MPI
Consistent Time
Map patient identifiers across independent identification domains
Coordinate time across networked systems
HL7 2.x ADT/ Query
Enterprise User Authentication
NTP (RFC 1305)
Provide users a single name and centralized authentication process across all systems
Kerberos (RFC1510) / CCOW
Enterprise User Authentication Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user
Patient Synchronized Applications
Enterprise User Authentication
Synchronize multiple applications on a desktop to the same patient
Patient Identifier Cross-referencing for MPI
Consistent Time
Map patient identifiers across independent identification domains
Coordinate time across networked systems
Provide users a single name and centralized authentication process across all systems
Enterprise User Authentication
• Problem:
– Mehrmaliges Anmelden an verschiedenen Applikationen – Fehlende zentrale Benutzerverwaltung
• Lösung: – Etablierung eines Logins zur An- und Abmeldung an allen Applikationen und am Arbeitsplatz – Automatisches Login bei Anmeldung an einer Applikation – zentrales Usermanagement möglich
Patient-Synchronized Applications Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user
Patient Synchronized Applications
Enterprise User Authentication
Synchronize multiple applications on a desktop to the same patient
Patient Identifier Cross-referencing for MPI
Consistent Time
Map patient identifiers across independent identification domains
Coordinate time across networked systems
Provide users a single name and centralized authentication process across all systems
Patient-Synchronized Applications
• Problem:
– Mehrmalige Patientenauswahl in heterogenen Multisystem-Umgebungen – Hiermit verbunden à Fehleingaben, Verwechslung – Bei Domänenübergreifenden Konzepten bisher keine Lösung
• Lösung: – Synchronisation der Patientenauswahl zwischen den Applikationen am Arbeitsplatz, bidirektional – Web- und Windowstauglich
PIX-Patient Identity CrossReferencing Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user
Patient Identifier Cross-referencing for MPI Map patient identifiers across independent identification domains
Patient Synchronized Applications
Enterprise User Authentication
Synchronize multiple applications on a desktop to the same patient
Consistent Time
Coordinate time across networked systems
Provide users a single name and centralized authentication process across all systems
PIX-Patient Identity CrossReferencing
• Problem:
– Getrennte Patientenstämme im Haus und im Verbundnetz (àintegrierte Versorgung) – Kein Zugriff auf externe Behandlungsdaten, Briefe, Bilder – Patientenzusammenführung von Standorten und Systemen – Sich überschneidende Nummernkreise
• Lösung: – Netzdienst zur Abfrage des “Patientenpools”, Rückgabe eindeutige
PIX-Patient Identity CrossReferencing Patient Identification Domain C
Patient Identity Cross-reference Manager
Patient Identity Feed
Patient Identity Source Internal Domain transactions
Patient Identification Cross-reference Domain
Patient Identity Feed & Patient Identity References
Patient Identity Cross References
Patient Identity Consumer
Other IHE Actor
Patient Identification Domain A
Patient Identity Feed
Patient Identity Source Internal Domain transactions
Patient Identity Cross References
Patient Identity Consumer
Other IHE Actor
Patient Identification Domain B
Retrieve Information to Display Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user
Patient Synchronized Applications
Enterprise User Authentication
Synchronize multiple applications on a desktop to the same patient
Patient Identifier Cross-referencing for MPI
Consistent Time
Map patient identifiers across independent identification domains
Coordinate time across networked systems
Provide users a single name and centralized authentication process across all systems
Retrieve Information to Display
• Problem:
– Kein Zugriff auf externe Behandlungsdaten, Briefe, Bilder
• Lösung: – Webbasierte Abfrage klinischer Daten • Allergien, Medikation, Entlassdaten • Befunde, Bilder
– Synergie mit User Authentication und PIX
Retrieve Information to Display Retrieve Information for Display Access a patient’s clinical information and documents in a format ready to be presented to the requesting user
Patient Synchronized Applications
Enterprise User Authentication
Synchronize multiple applications on a desktop to the same patient
Consistent Time Patient Identifier Cross-referencing for MPI Coordinate time across networked systems Map patient identifiers across independent identification domains
Provide users a single name and centralized authentication process across all systems
Consistent Time Profile • Problem: – Unterschiedliche Systemzeit in den Systemen – Zugriffsrechte an Systemzeit gekoppelt
• Lösung: – Systemübergreifende Synchronisation der Uhrzeit (mittlere Abweichung
