Newborn Screening Issues and Answers Workshop: Laboratory Health Information Exchange November 1-2, Utah Department of Health

Transcription

1 Newborn Issues and Answers Workshop: Laboratory Health Information Exchange November 1-2, 2010

2 User Group Access Method Query / Display Software IHC HELP2 Webkids in HELP2, querying directly and displaying results in webpage Authorized NBS Hearing Histories No Yes Yes UMD Yes No* Yes Imm. Histories Physician who are subscribers No Yes Yes Physician who are subscribers -to- Transfer (via ) followed by query / EMR display Yes Yes Yes * May change to a yes

3 authorized by NBS Hearing authorized by results via a (XML) (HL7)

4 authorized by NBS Hearing authorized by results via a (Child-Health Advanced Record Management) is a health information exchange that integrates a number of child-health systems, including LIM and (XML) provides secure and confidential access to newborn metabolic screening results, hearing screening results, immunizations, et birth II record information, and much more can watch for certain additions PMS or changes with to data in any of itself (HL7) participating programs and et automatically II push that new or changed data to other systems, such as

5 authorized by NBS (XML) LIMS is an information system for managing lab results, including newborn metabolic screenings will monitor the data in LIMS for new screening results and initiate their transfer out the Also, some users will retrieve metabolic screening results on demand via the (HL7) Hearing authorized by results via a

6 authorized by NBS is an information system for tracking hearing screenings and their results will monitor the data in for new or updated screening results and initiate their transfer out the Some users will also hearing screening results on demand via the or other systems connected to (XML) (HL7) Hearing authorized by results via a

7 authorized by NBS (XML) The is responsible for exchanging results via messages a with systems that are outside the UDOH It performs a series of actions including data Help conversions, 2 id mapping, and routing of messages to the appropriate destinations (HL7) Hearing authorized by

8 authorized by NBS Hearing authorized by results via a (XML) is a secure message routing system. The can use to send results to the or directly to other systems that subscribe to (HL7)

9 LIMS The (Clinic Health Information Exchange) is a system for storing and providing electronic health/medical information It has a build-in master patient index that can correlate separate pieces of information for a single individual into a Hearing virtual health record Subscribers to the can access the virtual health records for their patients (after completing an attestation), via or an -enabled EMR Some subscribers can also submit data to the authorized by NBS authorized by results via a (XML) (HL7)

10 authorized by NBS End-user s: The - is a UDOH-provided website that allows authorized users to query directly for child-health information. HELP2 is website accessible to end users employed by or affiliated with Intermountain Health Care. HELP2 reuses some of the UDOH s WebKids website to query for hearing screening data elite is a website provided by that allows Hearing subscribers to query their patients virtual health records (XML) -enabled EMR can query the directly for virtual health records, and integrate that data into their own database. Users of these EMRs have to be authorized subscribers. (HL7) The may send screening result to them directly through to other PMS systems authorized by results via a

11 authorized by NBS Hearing Information about a newborn is added to, including the results of its first hearing screening. authorized by results via a

12 authorized by NBS Hearing authorized by results via a detects the additional and automatically executes a Hearing query for the new child.

13 authorized by NBS Hearing authorized by results via a then automatically publishes the data from the data to

14 The converts the message to an HL7 message, substitutes Hearing the s ID for the child with a UDOH ID, determines that the message needs to go to, and then send it there Help via 2 authorized by NBS authorized by results via a

15 The hearing screening result are received by the and stored there for up to three years. Hearing authorized by NBS authorized by results via a

16 Used for sending out of UDOH, e.g., Gateway to the Standards HL ORU Newborn Hearing Combined NBS and Hearing

17 has been in operation since 2006 Hearing results currently accessible to participating programs First three access mechanisms for NBS results are in testing is in the process of coming on-line operational currently being populated from several key data sources Individual physicians are starting to subscribe is progressing HL ORU message codification specifications being written