IBM Interoperable Healthcare Information Infrastructure (IHII) Overview. China October 2006 IBM

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1 Interoperable Healthcare Information Infrastructure (IHII) Overview China October 2006 Rick Stevens Senior Technical Staff Member Healthcare and Life Science Solutions IHE IT Infrastructure Technical Committee Member 2006 Corporation

2 Topics Describe s Interoperable Healthcare Information Infrastructure (IHII) solution What is IHII Current IHII components Using IHII to establish an IHE-based healthcare information exchange infrastructure IHII Use Case: U.S. National Healthcare Information Network project Eclipse Open Healthcare Framework Open source tools to link applications into an IHE-based network Summary 2 Copyright

3 Standard Healthcare Infrastructure: Benefit to Hospitals and Clinics Discharge Summaries Lab Results Emergency Dept Referral History & Physical Standards-based Healthcare IT Infrastructure Lower cost Multi-vendor Open Hospital Community Clinic Using a standards-based healthcare IT infrastructure for sharing patient information has a number of benefits to hospitals and clinics Less time and cost required to deploy a healthcare information exchange solution More choice in vendors for each component of the solution Avoid being locked into a given vendor s proprietary architecture 3 Copyright

4 Standard Healthcare Infrastructure: Benefit to Healthcare Solution Vendors Discharge Summaries Lab Results Emergency Dept Referral History & Physical Standards-based Healthcare IT Infrastructure Standard interface Reduced time/cost Open source Hospital Community Clinic Building solutions on a standards-based IT infrastructure has a number of benefits for healthcare solution vendors One set of standard interfaces for dealing with other vendor components of the solution Reduced time and cost to develop and deploy new solutions Opportunity to take advantage of open source, standard solution components 4 Copyright

5 What is IHII? IHII Interoperable Healthcare Information Infrastructure solution supporting an IHE-based healthcare information network infrastructure Implementation of IHE infrastructure on proven, middleware technology IHII includes the following components of an IHE-based infrastructure solution: 5 XDS Document Registry XDS Document Repository ATNA Audit Repository PIX Patient Identifier Cross Reference Manager PDQ Patient Demographics Supplier Copyright

6 Current IHII Components XDS Document Registry Full implementation of the Document Registry defined within the IHE XDS profile Searchable index of documents being shared within a healthcare provider network Based on: WebSphere Application Server DB2 Universal Database XDS Document Repository 6 Full implementation of the Document Repository defined within the IHE XDS profile Data repository for clinical documents being shared within a healthcare provider network Based on: WebSphere Application Server Multiple data storage models supported File system DB2 Content Manager DB2 purexml database Copyright

7 Current IHII Components ATNA Audit Record Repository Audit record repository that is fully compliant with the IHE ATNA profile Collection point for audit events generated by systems within a healthcare provider network Based on: WebSphere Application Server DB2 Universal Database Data Discovery and Query Builder (for building audit event queries) PIX/PDQ Server Fully implements: IHE PIX Patient Identity Cross Reference Manager IHE PDQ Patient Demographics Supplier Supports lookup of patient information based on patient demographics Maintains linkage of multiple patient identifiers for the same person Based on: empi (Enterprise Master Patient Index) 7 Copyright

8 IHII Use Within an IHE-Based Healthcare Network PIX or PDQ Query Patient Demographics Supplier PIX or PDQ Query Patient Identity XRef Mgr A87631 M M PMS L-716 Physician Office L-716 A87631 ED Application Document Registry Document Repository PACS Query Document (using Patient ID) PACS Register Document (using Patient ID) EHR System Document Repository Retrieve Document Lab Info. System Record Audit Community Clinic Event Provide & Register Teaching Hospital Audit record repository ATNA 8 Record Audit Event Copyright

9 U.S. National Healthcare Information Network Project U.S. government sponsored project Community 1 Design and demonstrate a standardsbased healthcare network prototype Demonstrate the ability to share information across 3 healthcare communities Live data, live systems 2 competing hospitals, 2 primary care facilities, at least 1 safety net provider per community Network to be operational by December 29, 2006 Community 2 Cross Community Data Sharing Community 3 1 of 4 vendors awarded the contract 9 Copyright

10 IHII Use Within U.S. Nationwide Healthcare Information Network NHIN Community Architecture XDS Documents KEY IHE Components Other Components * 1 per community Security and Privacy XDS Documents XDS Documents Critical Data* PIX/PDQ Data* HL7 Adapters PIX/PDQ MPI* Data Transforms Auditing Document Search/Retrieve Terminology Portal Patient Consent Biosurveillance NHIN Interface Community XDS XDS Registry* Documents Between Communities Request Response QoS Security Auditing Logging Clinicians 10 Patients Copyright

11 Eclipse OHF Open Source Project Eclipse Open Healthcare Framework Project sponsored by the Eclipse open source community Focused on: Improving interoperability between applications and systems within and across healthcare organization By implementing extensible frameworks and tools supporting pervasive healthcare and IT standards Used by vendors and integrators to build workstation applications, gateways and server applications which build upon standard healthcare information exchange infrastructures Eclipse OHF makes it easier for healthcare solution vendors to create new and adapt existing solutions to work within a standards-based healthcare information network 11 Copyright

12 Eclipse OHF Details Eclipse OHF provides a number of plugins for Java-based healthcare applications, supporting a number of IHE profiles: XDS document consumer XDS document source PIX consumer PDQ consumer ATNA audit client Eclipse OHF bridge provides a Web Service interface for these same functions 12 Enable non-java applications to integrate with an IHE-based network Copyright

13 Eclipse OHF Bridge Architecture 13 Copyright

14 More Information on Eclipse OHF Main project page: OHF public Wiki: Documentation on the OHF Bridge: Documentation on the OHF IHE Clients: Public Demo of the OHF Bridge: 14 Copyright

15 Summary IHII solution provides a complete, standards-based foundation for healthcare information exchange solutions Based on IHE infrastructure profiles Used within U.S. National Healthcare Information Network project Available on the internet for healthcare vendor testing and demonstration Eclipse OHF project is an open source on ramp for healthcare solution vendors to integrate healthcare applications into an IHE-based healthcare network 15 Reduces effort required to build and deploy healthcare application that support sharing of patient information across multiple hospitals and clinics Copyright