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Patient Data Exchange BHEPP Overview BHEPP – Patient Data Exchange Enabling electronic health record (EHR) exchange when patients are transferred between participating hospitals during a disaster involving mass casualties, for improved patient care BHEPP Partnership Suburban Hospital Acute care community hospital Level II Trauma Center Community preparedness experience Decontamination capacity NIH Clinical Center Clinical research facility Surge capacity Sophisticated diagnostic laboratory facilities Skilled campus HAZMAT & decontamination team Substantial basic science and specialty/subspecialty expertise NNMC Military hospital Extensive decontamination capacity Skilled deployable workforce Availability of “in-residence” staff Preparedness training Disaster Scenario 2 1 Disaster causes mass casualties 3 Patient data is transferred electronically to the receiving hospital to aid in patient care Non-critical patients are transferred to other hospitals to make space for emergency patients Challenges 1. 2. 3. What to share ? Which format / standard ? How to share ? Patient Summary Record • Required “Minimum Data Set” • Based on “NHIN Core Content Specification” for exchange of Patient Summary Record • Content Modules Person Information Support (Emergency Contact Information) Allergies and Drug Sensitivities Conditions (Problem list) Medications Information Source 6 Patient Summary Record “Data Format - HL7 CDA Standard (XML)” Document Level Constraints Machine readable entry Human readable entry 7 Patient Summary Record Data Transformation – Suburban EHR XML to CDA Using Adapters 8 Patient Summary Record Data Transformation – NIH Clinical Center XML to CDA Using Adapters 9 Patient Data Exchange - Application Features • Web Upload Web Upload Hospital 1 • Mapping and Translation • Patient Search • Patient View • PDF/XML Download • Admin Module • Integration with Triage Data (Digital Pen) • Integration with RFID Data (Future) Suburban Adapter NNMC Adapter Hospital 2 Mapping & Translation NLM CC Adapter CDA HTML Adapter PDF Adapter Receiving Hospital Search & View 10 Patient Data Exchange - Application Technical Specifications • ColdFusion 8.0 Application Server • Apache Web Server 2.2 • HTTPS based for security and encryption • ColdBox (MVC) based framework for easier extensibility • Internationalization and localization 11 CMAX 2009 12 Future Directions • Integration with RFID for location tracking during disaster • Integration with “NHIN – National Health Information Network” for nationwide real time Patient Data Exchange • DICOM support for including medical images with Patient Summary Record 13