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The BHEPP initiative focuses on enabling seamless electronic health record (EHR) exchange among participating hospitals during mass casualty disasters. This advanced system allows for the efficient transfer of critical patient data to ensure optimal care continuity when non-critical patients are moved to other facilities. Key features include adherence to HL7 CDA standards, integration capabilities with triage and RFID data, and a robust data transformation process. The collaboration with Suburban Hospital, NIH Clinical Center, and NNMC enhances preparedness and response efforts during emergencies, significantly improving patient outcomes.
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BHEPP – PatientData Exchange Enabling electronic health record (EHR) exchange when patients are transferred between participating hospitals during a disaster involving mass casualties, for improved patient care Overview
BHEPP Partnership Suburban Hospital NIH Clinical Center NNMC • Acute care community hospital • Level II Trauma Center • Community preparedness experience • Decontamination capacity • Clinical research facility • Surge capacity • Sophisticated diagnostic laboratory facilities • Skilled campus HAZMAT & decontamination team • Substantial basic science and specialty/subspecialty expertise • Military hospital • Extensive decontamination capacity • Skilled deployable workforce • Availability of “in-residence” staff • Preparedness training
Disaster Scenario 2 1 Disaster causes mass casualties Non-critical patients are transferred to other hospitals to make space for emergency patients 3 Patient data is transferred electronically to the receiving hospital to aid in patient care
What to share ? Which format / standard ? How to share ? Challenges
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
Patient Summary Record “Data Format - HL7 CDA Standard (XML)” DocumentLevel Constraints Machine readable entry Human readable entry
Patient Summary Record Data Transformation – Suburban EHR XML to CDA Using Adapters
Patient Summary Record Data Transformation – NIH Clinical Center XML to CDA Using Adapters
Patient Data Exchange - Application Features Web Upload Hospital 1 Hospital 2 • Web Upload • 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 Mapping & Translation NLM CC Adapter CDA Receiving Hospital HTML Adapter PDF Adapter Search & View
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
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