Data Dictionary
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GE Healthcare eHealth Solutions Data Dictionary February 22, 2012 1 AGENDA Architecture / Data Sources Data Types: Demographics & Clinical Monthly Metrics HIE Data Dictionary 2 GE eHealth Information Exchange Key Components Document Repositories PRIMARY CARE PHYSICIANS PATIENT Patient ID Manager • Practice Management • Personal Health Records • EMR Document Registry LAB • Results PAYERS PUBLIC HEALTH • Claim Data • Registries HOSPITAL 2 PHARMACY/PBMs • RX History • EMR/PM’s SPECIALTY PRACTICE HOSPITAL 1 • Practice Management • Lab • EMR • PACS Archive • EMR/PM’s • Lab • PACS Archive 3 Patient Identity Feed IHE PIX Patient ID Manager PRIMARY CARE PHYSICIANS PHYSICIANS Name Site MRN % • Practice Practice Management Management John Doe PCP 111 99 John Doe Specialty 222 99 J. Dow Hospital 2 333 30 PATIENT • Personal Health Records • EMR MRN 111 LAB • Results MRN 333 PAYERS MRN 222 PUBLIC HEALTH • Claim Data • Registries HOSPITAL 22 PHARMACY/PBMs • RX History • EMR/PM’s EMR/PM’s SPECIALTY PRACTICE HOSPITAL 1 • Practice Practice Management Management • Lab • EMR • PACS Archive • EMR/PM’s • Lab Lab • PACS Archive 4 Patient Identity Cross-Reference IHE PIX Patient ID Manager PRIMARY CARE PHYSICIANS Name Site MRN % • Practice Management John Doe PCP 111 99 John Doe Specialty 222 99 J. Dow Hospital 2 333 30 PATIENT • Personal Health Records • EMR PIX RESPONSE: MRN 222 LAB • Results PIX QUERY: MRN 111 PAYERS PUBLIC HEALTH • Claim Data • Registries HOSPITAL 2 PHARMACY/PBMs • RX History • EMR/PM’s SPECIALTY PRACTICE HOSPITAL 1 • Practice Practice Management Management • Lab • EMR • PACS Archive • EMR/PM’s • Lab • PACS Archive 5 Publish Documents IHE PIX REGISTER DOCUMENT PRIMARY CARE PHYSICIANS PHYSICIANS PATIENT Patient ID Manager • Practice PracticeManagement Management • Personal Health Records • EMR Document Registry LAB • Results PUBLISH CCD • Allergies • Problems • Meds • Etc, Etc. PAYERS PUBLIC HEALTH • Claim Data • Registries HOSPITAL 2 PHARMACY/PBMs • RX History • EMR/PM’s SPECIALTY PRACTICE HOSPITAL 1 • Practice Management • Lab • EMR • PACS Archive • EMR/PM’s • Lab • PACS Archive 6 Query for Documents IHE PIX PRIMARY CARE PHYSICIANS • Practice Management Patient ID Manager RETRIEVE PATIENT • Personal Health Records • EMR Document Registry REQUEST LAB RETRIEVE DOCUMENT 1 • Results PUBLIC HEALTH CCD • Allergies • Problems • Meds • Etc, Etc. • Registries • Claim Data HOSPITAL 2 PHARMACY/PBMs • RX History PAYERS REQUEST DOCUMENT 1 • EMR/PM’s SPECIALTY PRACTICE HOSPITAL 1 • Practice Practice Management Management • Lab • EMR • PACS Archive • EMR/PM’s • Lab • PACS Archive 7 Technical Diagram of Data Sources ADT MDM ORU ADT MDM ORU 8 AGENDA Architecture / Data Sources Data Types: Demographics & Clinical Monthly Metrics HIE Data Dictionary 9 Data Type Patient Demographics “R” Required 10 Document Example XD*LAB 11 Document Example XDS*SD 12 AGENDA Architecture / Data Sources Data Types: Demographics & Clinical Monthly Metrics HIE Data Dictionary 13 Monthly Metrics: # of Patients 14 Monthly Metrics: # of Clinical Documents 15 AGENDA Architecture / Data Sources Data Types: Demographics & Clinical Monthly Metrics HIE Data Dictionary 16 Schemas / Tables / Data Elements 1 2 Schemas (HIE+MPI has ~5), plus POL, CDT, CCD, etc Column Definitions Tables each schema has 11 to 168 tables Columns = Data Elements 3 Each table has ~10 columns (or data elements) 17 Sample Data Elements 18 Data Dictionary: Example #1 19 Data Dictionary: Example #2 20 HIE Standards: HITSP/IHE standards-based HIE Publish Lab Result HL7 2.x ORU (FH & OH) Transformer Service (GE) HITSP/IHE XD*Lab (GE) MSH|^~\&|QDXPT|OH||STJOHMC.3|20091115205600||ORU^R01|R31061680326.3.2|P|2.2 PID|1||401017564||TESTS^PATIENTS^K^^^||19750103|F|||1313 Mockingbird Lane^^LONGVIEW^ WA^98632||""|||||80897339|572-12868 PV1|1|E|ED NANA|E|||31543^TRAN^MIMI^^^^MD||26837^MELGAR^GERARDO^R^^^MD||||||||31543^TRAN^MIMI^^^^MD|PH||||||||||||||||||||||||||20091115 ORC||8257603248^PLW-OIF|||||||||||||||^SJMC^^SJMC OBR|1|8257603248^PLWOIF|LA93264515|31305^OML|S|200911152015|200911152015|||KENDUL||||200911152026|GNL^BLD|31543||||LA93264515|SJMC^PeaceH ealth Lower Columbia Region^Clinical Laboratory S|200911152056||HM|F||^^^200911152015^^S|||||||||200911152008 OBX|1|TX|300500^GLUCOSE|1|103|mg/dL|70-99|H|||F||||SJMC|WANBRU OBX|2|TX|300600^UREA NITROGEN (BUN)|1|22|mg/dL|6-20|H|||F||||SJMC|WANBRU OBX|3|TX|300700^CREATININE|1|0.7|mg/dL|0.44-1.03||||F||||SJMC|WANBRU OBX|4|TX|310100^SODIUM|1|139|mEq/L|135-145||||F||||SJMC|WANBRU OBX|5|TX|310200^POTASSIUM|1|4.2|mEq/L|3.5-5.2||||F||||SJMC|WANBRU OBX|6|TX|310300^CHLORIDE|1|107|mEq/L|95-109||||F||||SJMC|WANBRU OBX|7|TX|310400^CO2 CONTENT|1|26|mEq/L|22-32||||F||||SJMC|WANBRU OBX|8|TX|301100^CALCIUM|1|9.0|mg/dL|8.6-10.2||||F||||SJMC|WANBRU OBX|9|TX|312000^SGOT(AST)|1|24|IU/L|15-41||||F||||SJMC|WANBRU OBX|10|TX|310900^ALBUMIN|1|3.7|g/dL|3.5-5.0||||F||||SJMC|WANBRU OBX|11|TX|311700^ALKALINE PHOS|1|92|IU/L|30-110||||F||||SJMC|WANBRU OBX|12|TX|311400^BILIRUBIN,TOTAL|1|0.2|mg/dL|0.1-1.2||||F||||SJMC|WANBRU OBX|13|TX|310800^PROTEIN,TOTAL|1|6.8|g/dL|6.2-8.4||||F||||SJMC|WANBRU 21 HIE Standards: HITSP/IHE standards-based HIE Lab Result HL7 2.x ORU Transformer Service HITSP/IHE XD*Lab Consume 22 HIE & Analytics REGISTER DOCUMENT Labs Allergies ANALYTICS CDR Problems PRIMARY CARE PHYSICIANS PHYSICIANS Patient ID Manager • Practice PracticeManagement Management • EMR Parsed PATIENT • Personal Health Records Document Registry (DRR) LAB • Results PUBLISH CCD • Allergies • Problems • Meds • Etc, Etc. CCD • Allergies • Problems • Meds • Etc, Etc. PAYERS PUBLIC HEALTH NOTE: • Claim Data • Registries The CFRHIO HIE Architecture allows for secure document exchange (“document” is a generic HOSPITAL 2 term to describe payloads that may contain freetext or discrete data (Labs, CCDs) or images PHARMACY/PBMs • EMR/PM’s (PDF, JPG, DICOM)) between authorized parties (the HIE enforces the consent policy). • RX History • Lab SPECIALTY PRACTICE HOSPITAL 1 • EMR/PM’s • PACS Archive Policy Questions: • Lab • Practice Management • PACS • EMR 1. Does Patient Consent / Authorization allow for data to be Archive used for research? 2. Does it need to be De-Identified or Pseud-onomized (which can limit its value)? 3. Who owns the aggregated data (and assumes risks / benefits)? 23 GE Healthcare eHealth Solutions Bill Howard eHealth Solutions Software Architecture 802.310.2780 Bill.Howard@GE.com 24
