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Integrating the Healthcare Enterprise

Patient Administration Management (PAM) Profile

Mike Henderson
Eastern Informatics, Inc.

June 28-29, 2005

IHE Interoperability Workshop

IHE IT Infrastructure 5 Integration Profiles (UPDATE ME!)


Retrieve Information for Display
Access a patients clinical information and documents in a format ready to be presented to the requesting user

Patient Synchronized Applications


Synchronize multiple applications on a desktop to the same patient

Enterprise User Authentication

Patient Identifier Cross-referencing for MPI


Map patient identifiers across independent identification domains

Consistent Time

Provide users a single name and centralized authentication process across all systems

Coordinate time across networked systems

June 28-29, 2005

IHE Interoperability Workshop

Patient Administration Management Abstract / Scope


Coordinates exchange of patient registrations, updates, and movements for all clinical areas
Information may be received and processed by consumer applications in any clinical domain Optionally allows unambiguous updating of historic patient movement events

Demographic and encounter tracking works in both inpatient and ambulatory care settings
June 28-29, 2005

IHE Interoperability Workshop

Patient Administration Management Value Proposition


Optional support levels allow products to offer light or rich functionality Aligns legacy IHE Radiology and IT Infrastructure transactions with the latest HL7 standard
Permits robust error reporting and automated exception

processing

Standardizes on HL7 conformance structures


Reduces variance among vendor and implementor

specification formats
June 28-29, 2005

IHE Interoperability Workshop

Patient Administration Management Transaction Diagram

Patient Demographics Source

Patient Identity Feed [ITI-030]

Patient Demographics Consumer

Patient Encounter Source

Patient Encounter Management [ITI-031]

Patient Encounter Consumer

June 28-29, 2005

IHE Interoperability Workshop

Patient Administration Management Actor Grouping Requirements

Patient Demographics Consumer Patient Identity Feed [ITI-030]

Patient Encounter Source Patient Demographics Source

Patient Encounter Management [ITI-031]

Patient Encounter Consumer

OR
Patient Identity Feed [ITI-030] Patient Encounter Source Patient Demographics Consumer Patient Encounter Management [ITI-031]

Patient Demographics Source

Patient Encounter Consumer

June 28-29, 2005

IHE Interoperability Workshop

Patient Administration Management Standards Used


HL7 Version 2.5
ADT Registration, Update, and Patient Movement Trigger

Events

Admission/registration Merge, update, link/unlink Movement management

June 28-29, 2005

IHE Interoperability Workshop

Patient Administration Management Actors


Patient Demographics Source
Definition

Responsible for maintaining demographics (name, address, etc.) about patient and related persons Supplies new and updated information to Patient Demographics Consumer Patient Identity Feed [ITI-30] (as sender)

Transaction Supported - Required

June 28-29, 2005

IHE Interoperability Workshop

Patient Administration Management Actors


Patient Demographics Consumer
Definition

Uses demographic information provided by the Patient Demographics Source about a patient

Transaction Supported Required

Patient Identity Feed [ITI-30] (as receiver)

June 28-29, 2005

IHE Interoperability Workshop

Patient Administration Management Actors


Patient Encounter Source
Definition

Responsible for maintaining encounter information about a patient Supplies new and updated information to the Patient Encounter Consumer Must be grouped with either Patient Demographics Source or Patient Demographics Consumer Patient Encounter Management [ITI-31] (as sender)

Transaction Supported - Required

June 28-29, 2005

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IHE Interoperability Workshop

Patient Administration Management Actors


Patient Encounter Consumer
Definition

Uses patient encounter information provided by Patient Encounter Source

Transaction Supported - Required

Patient Encounter Management [ITI-31] (as receiver)

June 28-29, 2005

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IHE Interoperability Workshop

Patient Administration Management Transactions


Patient Identity Feed [ITI-30]
Definition

Patient Demographics Source registers or updates patient Forwards ID, address, NOK, guarantor, etc., to other systems implementing Patient Demographics Consumer Merge Link/Unlink

Options

June 28-29, 2005

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IHE Interoperability Workshop

Patient Administration Management Transactions


Patient Encounter Management [ITI-31] Definition

Patient Encounter Source registers or updates an encounter Forwards encounter information to other systems implementing Patient Encounter Consumer
Location Providers Dates, times, etc.

Options

Inpatient/Outpatient Encounter Management Pending Event Management Advanced Encounter Management Temporary Patient Transfer Tracking Historic Movement Management
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IHE Interoperability Workshop

June 28-29, 2005

Patient Administration Management Encounter Management Options


Inpatient/Outpatient Encounter Management
HL7 Trigger Events

Admit inpatient (A01/A11) Register outpatient (A04/A11) Discharge patient (A03/A13) Update patient information (A08) Pre-admit patient (A05/A38) Change outpatient to inpatient (A06) Change inpatient to outpatient (A07) Transfer patient (A02/A12)

June 28-29, 2005

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IHE Interoperability Workshop

Patient Administration Management Encounter Management Options


Pending Event Management
Additional HL7 Trigger Events

Pending admit (A14/A27) Pending transfer (A15/A26) Pending discharge (A16/A25)

June 28-29, 2005

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IHE Interoperability Workshop

Patient Administration Management Encounter Management Options


Advanced Encounter Management
Additional HL7 Trigger Events

Change attending doctor (A54/A55) Leave of absence (A21/A52) Return from leave of absence (A22/A53) Move account information (A44) Merge patient ID list (A40)

June 28-29, 2005

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IHE Interoperability Workshop

Patient Administration Management Encounter Management Options


Temporary Patient Transfers Tracking
Additional HL7 Trigger Events

Patient departing tracking (A09/A33) Patient arriving tracking (A10/A32)

June 28-29, 2005

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IHE Interoperability Workshop

Patient Administration Management Encounter Management Options


Historic Movement Management
Uses trigger events of any of the above options that have

been adopted Adds ZBE segment to contain a unique identifier for the movement

Standard segment pending adoption by HL7

Adds Z99 trigger event to allow update of any movement

information, based on unique ID in ZBE segment

Standard trigger event pending adoption by HL7

June 28-29, 2005

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IHE Interoperability Workshop

More information.
IHE Web site:
http://www.IHE.net

Technical Frameworks:

ITI V1.1, RAD V5.5, LAB V1.1

Technical Framework Supplements - Trial Implementation


May 2004: Radiology August 2004: Cardiology, IT Infrastructure

Non-Technical Brochures :

Calls for Participation IHE Fact Sheet and FAQ IHE Integration Profiles: Guidelines for Buyers IHE Connect-a-thon Results Vendor Products Integration Statements
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IHE Interoperability Workshop

June 28-29, 2005

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