ELECTRONIC MEDICAL RECORD MANAGEMENT

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Rafe Harrington
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1 E-Medical Record for International Use PATIENT ORIENTED ELECTRONIC MEDICAL RECORD AND MEDICAL AND HEALTH MANAGEMENT 1

2 Dispersed patient medical documentation Hospitals Physician i Clinics Rehabilitation Consulting Physician Patient Bio-Sensors Laboratories Pharmacy 2

3 Problems of dispersed medical data Is medical information (emergency data) Available when and where needed? From trustworthy sources? If available: relevant & structured? A complete & up to date medical history? Current & past treatments Examination results Medication and related individual reactions Relevant allergies International available? Secure accessible Languange 3

A complete & up to date medical history?

4 Key Objectives Quality of healthcare Enable the delivery of high quality healthcare Networking of healthcare professionals over one open platform Provide the highest quality service 24 / 7 Availability of interactive medical information from trustworthy sources Rationalization of healthcare Allow healthcare professionals to work interactive Tool to avoid redundancy and unnecessary prescriptions 4

Availability of interactive medical information from trustworthy sources Rationalization of

5 Innovative Approach to Health & Medical Management Confidential & secure data exchange point Medical documentation Medically credible trustworthy sources Logical + technical interfaces for medical information Clinics, Laboratories, Radiology, Biosensors, Dentists, etc. Patient profile Dynamic interactive profile changes Case - disease management Using golden standards: EBM for good medical practice 5

information Clinics, Laboratories, Radiology, Biosensors, Dentists, etc.

6 Medical & Health MEDICAL Medical information from all trustworthy sources (detailed exams, tests, medications, treatments etc.) Guidelines for good medical practice (Dynamically adaptable to the changing situation of the patient) Evidence Based Medicine i HEALTH Individuals general health information (history, allergies, immunizations, environment, habits influencing health, etc.) 6

) Guidelines for good medical practice (Dynamically adaptable to the changing situation of the

7 Patient Centric Meta Database Meta Database 7

8 Continuity of healthcare Consulting Physician Patient Physician Second Opinion Hospitals, Clinics Spitex Rehabilitation Integrated Electronic Medical Record Laboratories Dispensed Medication 8

9 Continuity of Healthcare The treating physician, consulting physician, hospital and clinic, dentist, optician, laboratory, therapist and pharmacist can share relevant patient information and documentation. Enabling the rationalisation of the healthcare process Reducing unnecessary medical examinations and presciptions Reduce risk of medication interactions and negative reactions Reducing hospitalization Avoiding delays in treatment Faster and better medical care of higher quality at reduced costs Reduce risk of malpractice 9

Enabling the rationalisation of the healthcare process Reducing unnecessary medical examinations and presciptions Reduce risk of

10 Patient Centric Meta Database Telemedical data (e.g. Bloodsugar, RR) Physician Medical Record Clinical Medical Records Laboratory Results Input Input Dispensed Medication Output Meta Database Output Optic Card Dental Card I E M R Diabetes Profile Implant Register 10

Laboratory Results Input Input Dispensed Medication Output Meta

11 Medical Data Exchange Solution (Cisco & Tiani Spirit) Specialist Hospital 1 PMS Lab System HIS Adapter MDES PACS MDES Adapter PMS MDES General Practitioner Adapter MDES HIS Lab System HIS PACS Platform to connect different medical information systems IHE compliant Middleware Bus system to connect all clinical information systems and archives ehealth Record Patient centric exchange of medical data, -documents and images Economical solution for hospitals and GP networks Rehab Clinic Hospital 2 Scalable to enable ehealth Projects of different sizes 11

Middleware Bus system to connect all clinical information systems and archives ehealth Record Patient centric exchange of medical data,

12 Integrated Electronic Medical Record Intuitively understandable by healthcare professionals worldwide Ergonomically structured t Easy to consult by patient 12

13 Examples of additional applications Specific Excerpts: Optic Card Dental Card Allergy Card Orthopedic Card Cardiology Card Nephrology Card 13

14 Healthcare sectors Medical & Dental Implants Risk Patients Personal Health Management Clinical Studies Integrated Electronic Medical Record Occupational Health 14

15 Management of «Risk Patients» Evidence Based Medecin, EBM Case disease management Interface to bio-sensors Makes telemedcin possible Laboratory interface Specialised medical documentation Orthopedic Cardiology Nephrology 15

Makes telemedcin possible Laboratory interface

16 Medical & Dental Implant Register Tracks and traces to physician & patient Links patient profile to Manufacturer implant data Linked to patient t IEMR Implant procedure, treatment Rehabilitation ti treatment t t and care Post implant incidents and treatments Implant incident reports Post implant tracing and tracking 16

Implant procedure, treatment Rehabilitation ti treatment t t and care Post

17 Medical Data Protection & Security Patient is legal owner of data in IEMR Access rights controlled by patient Patient t can request data to be rectified Data remains private between physician and patient 17

patient Patient t can request data to be rectified

18 Data Protection & Access Management EC Health Card or USB Key access key Patient controls access to record Certain data updated by patient Medical data certified by yphysician All data traced to source Physician can restrict access to data Physician & Patient notified of updates 18

Medical data certified by yphysician All data traced to source

19 24 / 7 access to key medical data in the Integrated Electronic Medical Record, allows a physician to be much more efficient and secure in the treatment of a patient. Unnecessary medical examinations, treatments and the associated risks are minimized 19

and secure in the treatment of a patient.

20 Healthcare Rationalization Patient Greater medical security Improved healthcare treatment Improved quality of healthcare Optimization of healthcare services Worldwide medical hubs as contact points while abroad 20

quality of healthcare Optimization of healthcare

21 Healthcare Rationalization Physician 30% reduction of patient thistory research htime 20% reduction in patient diagnosis time 20% reduction of medical exams and dtestst Hospital & Clinic 50% efficiency of patient admission processing time 20% reduction of medical exams and tests 30% efficiency in diagnosis time for emergencies 21

22 Healthcare Rationalization General Healthcare 20% reduction of disease emergency treatments 25% reduction of medical exams and tests 30% risk reduction of medications 22

23 April 2010 medxchange 2010

24 The patient centric meta database access authorized by patient platform dedicated to healthcare professionals open standard for medical data exchange using existing technologies and investments integrating not replacing current systems 24

ehealth Infrastructure and Medical Data Exchange Agenda

Medical Data Exchange Solution & ehealth Records ehealth Infrastructure and Medical Data Exchange for Health Professionals Med@Tel Luxembourg 14th 16th April, 2010 Joachim Goedecke CEO ehbs GmbH ehealth