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  • Unlocking Data in The Indiana Network For Patient Care Through FHIR

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    Titus Schleyer
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    In this presentation, I provide an overview of an ongoing project to integrate data from the Indiana Network for Patient Care (INPC) directly into the workflow in Cerner at IU Health. We are building a FHIR-based app that displays five pieces of data relevant to the diagnosis and management of chest pain in the emergency department. The presentation will discuss the FHIR standard, describe the project and its current status, and open up a discussion of future possibilities for weaving HIE-based information into institution-specific EHRs.

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    Unlocking Data in the Indiana Network for Patient Care Through FHIR

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    In this presentation, I provide an overview of an ongoing project to integrate data from the Indiana Network for Patient Care (INPC) directly into the workflow in Cerner at IU Health. We are building a FHIR-based app that displays five pieces of data relevant to the diagnosis and management of chest pain in the emergency department. The presentation will discuss the FHIR standard, describe the project and its current status, and open up a discussion of future possibilities for weaving HIE-based information into institution-specific EHRs.

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    Download as PPTX, PDF, TXT or read online from Scribd
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    93 views18 pages

    Unlocking Data in The Indiana Network For Patient Care Through FHIR

    Uploaded by

    Titus Schleyer
    In this presentation, I provide an overview of an ongoing project to integrate data from the Indiana Network for Patient Care (INPC) directly into the workflow in Cerner at IU Health. We are building a FHIR-based app that displays five pieces of data relevant to the diagnosis and management of chest pain in the emergency department. The presentation will discuss the FHIR standard, describe the project and its current status, and open up a discussion of future possibilities for weaving HIE-based information into institution-specific EHRs.

    Copyright:

    Attribution Non-Commercial ShareAlike (BY-NC-SA)
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 18

    Unlocking data in the Indiana

    Network for Patient Care through


    FHIR (Fast Healthcare
    Interoperability Resources)
    Titus Schleyer, DMD, PhD and the
    FHIR-on-INPC Implementation Team
    VA Work-in-Progress 9/29/2017
    Youve got chest pain
    The why
    Health information
    should flow like water
    fast, slow, around
    obstacles
    but, ultimately,
    unimpeded.

    Omni Homestead, VA, T. Schleyer, 2016


    Where does information not flow
    like water?
    between healthcare
    systems
    within healthcare
    systems
    between care settings
    (eg EDprimary care)
    pretty much
    everywhere
    Wade Tregaskis, Flickr, 2016
    Project 1: Helping manage chest pain
    System architecture
    App Developer
    2nd year computer science
    undergraduate
    10 week summer Xtern with Techpoint
    Amherst College, Boston, MA
    Project 2: Patient-driven medication
    reconciliation

    help patients create a


    unified, current
    medication list from
    multiple lists spread
    across several health IT
    systems

    T. Schleyer, Regenstrief Institute, 2016


    Main data sources
    sandbox
    sandbox (Indiana Network for Patient Care)
    largest and oldest health information exchange in US
    12+ million patients
    6+ billion observations
    traditional modes of data exchange
    HL7 V2 messages
    CCDs
    PDFs
    granular data exchange challenging
    Demo time!

    https://github.com/bmamlin/org.regenstrief.fhirmedlistweb
    Technical details
    AngularJS application
    out of scope: login, patient search
    Data sources:
    medications: 2 instances
    medication images:
    indications:
    FHIR on the
    Indiana
    Network for
    Patient Care
    (INPC)

    Anderson Valley, California, T. Schleyer, 2016


    FHIR on the INPC
    FHIR access layer on top of IHIE data
    repository
    permits
    standardized way to request and receive
    clinical data
    fine-grained data access (ask for only what
    you need)
    accessible to any FHIR-based application
    Opportunities
    Research Analytical
    Apps Apps

    Clinical
    State Apps
    Apps

    Public Health Insurance


    Apps Apps
    Challenges
    authentication (who you
    are)
    authorization (what you
    can do)
    FHIR a moving target
    content standardization
    (profiles will help)
    scalability (to be
    determined)
    Grand Tetons T. Schleyer, 2016
    FHIR-on-INPC
    Implementation Team
    IHIE Cerner
    Regenstrief
    /IU

    Katherine Mathena Titus Schleyer Keith Kelley David McCallie


    Robert Parr Matthias Jack Evans Jennifer
    Steve Clark Kochmann Brian Lawson Neddenriep
    Phillip Cadle Doug Martin Julie Pinkins Kevin
    Jason Schaffer Jeff Stroup Patrick Meehan Shekleton
    Rex Marling David Taylor David Fifer
    Akeem Williams Becky Learn
    Kristina Knapp Abhishek Venkat
    Tony French
    Thank you! Questions, comments?
    Regenstrief Institute This talk:

    @titusschleyer, @RCBMI

    schleyer@regenstrief.org

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