Connecting health care providers to better patient care.
  • Sharing medical imaging for radiology and clinical photography
  • Supporting data extraction and synthesis - IBM Watson case study
  • Medical Devices connecting to E.M.R.
  • Securing medical devices from attack and ransomware
  • FHIR use in IHE standards

This workshop is held in conjunction with the HIC 2017. Make the most of your time and trip to Brisbane


Sunday 6th August, Brisbane Convention Centre


8.30 - 10
Registration, coffee

9 – 10
Update on Standards: HL7, FHIR, IHE and AMT terminology
Vince McCauley - Chair IHE Australia
Chris Lindop - IHE using FHIR
Jason Steen - Chair HL7 Australia
10 - 12.30
Diagnostic Imaging and Medical Photography image exchange
Chris Lindop - IHE Radiology TC
Thomas Vargocski - IBM Watson
12.30 - 1
IBM Watson - standards supporting medical data extraction and synthesis
Thomas Vargocski - IBM Watson
1 - 2
Lunch, demonstrations, discussion with vendors attending meeting

2 - 5
Medical Devices - connecting to EMR
Chris Lindop - IHE Radiology TC

Infusion pumps - connecting to electronic orders and reporting
Dan Pettus - BD

Security - medical devices and EMR connectivity
Trish Williams - Flinders University

HL7 FHIR - use in EMR integration and security
Graeme Grieve - HL7 International FHIR

There will be breaks for morning tea at 11:00am and afternoon tea at 3:30pm

Make the most of your trip to Brisbane for HIC 17 – warm up with IHE on the Sunday.
This workshop covers a range of topics related to electronic health communication and standardisation relevant to health providers, managers and IT industry. The unifying theme is building on and purchasing medical devices and EMR systems with an understanding of how they integrate using health communication standards. IHE profiles integrate standards with clinical workflows - end to end. The workshop will commence with an introduction and update on major health IT standards such as HL7, SNOMED-CT and Australian Medicines Terminology, and IHE. And as with all conferences it is as much about who you meet as what you learn

1. Diagnostic Imaging exchange
Australia is still grappling with how to support the electronic exchange of diagnostic imaging to support patient care, during transfers between hospitals, and to make community and hospital diagnostic images available to medical specialists. IHE has developed the standards for imaging on CDs, and there is increasing use of “portals” to provide image access, however these types of solutions are targeted at imaging for the referrer and do not support easy wider access to images. With DI reports starting to appear in the national MyHealthRecord, the potential to link to images is appealing. The MyEHR technology uses products based on IHE’s document exchange architecture and standards (XDS-I), which were extended many years ago to include access to images and this has been successfully achieved in the UK and Canada. This part of the workshop will explore options for widespread Diagnostic Imaging exchange in Australia.

2. Managing and exchanging clinical images with and between organisations
Digital clinical images and photographs are widely used in healthcare delivery. The potential for ad hoc and planned medical photography to support patient care and monitor outcomes is being increasingly recognised with the widespread use of mobile phone cameras and messaging images in clinical settings. Clinician led developments are often ahead of the capacity of IT system and information governance to deal with them and create potential privacy and medical documentation issues. This session will examine options for storage and exchange of clinical imaging, potentially extending existing image archive technologies and using IHE image management profiles originally developed for radiology.

3. Standardised data extraction for synthesis by IBM Watson
One of the workshop's informatics case studies will examine the process for standards based query of various EMR and diagnostic information systems, to extract data that Watson will process to provide an automated clinical summary. During the lunch break there will be an opportunity see a demonstration and receive an update on Watson progress.

4. HL7 FHIR and DICOM Web – emerging standards for communication
While communication standards such as HL7v2, CDA and IHE profiles are widely used, industry is ready to adopt some new standards for communication such as Restful services and Json and incorporate these into mainstream standards. HL7 FHIR is taking that forward and in the imaging world DICOM Web is doing likewise. A significant number of IHE profiles are now on the HL7 FHIR and DICOM Web pathway. While this is a technical subject, health IT professionals and managers need to know about HL7 FHIR as vendors are now starting to talk about it in their marketing and ultimately the use of standards is driven by customer request - so it is worth knowing what this means. This is not intended to be a highly technical session as HL7 Australia provides regular events for vendors and implementors.

5. Medical Device Connectivity – linking monitors, infusion pumps and other medical devices to the EHR including management of Alerts.
With increasing adoption of EMR in hospitals, and emerging home care strategies, the potential to move data from medical monitoring devices (e.g. vital signs, cardiology implantable devices, infusion pumps) to EMR is becoming a reality. When collected in real time such data can be processed to identify patient deterioration – “outside the flags” and better manage machine alerts. Alert management - medical devices can now communicate with "alarm management services" to provide a layer of decision support to provide a higher level of analysis potentially to filter out false alarms, predict patient deterioration and use systems such as SMS or paging and escalation of alarms if not responded.
Hospitals need to consider how to move integration of vital signs from the ICU to ED and the wards, along with connection with therapeutic devices such as infusion pumps and emerging integrated e-medication management. The monitors and medical equipment purchased today have long lifespans and will need to connect to tomorrows EHRs - thinking standards could be a smart choice.

6. Medical Device Security
With the increasing use of computer based devices, the issue of how to maintain and update these devices and prevent them from being the “open door” for security breach has to be addressed. The recent infection of devices and Health IT systems by the Wannacry malware and related viruses along with required mitigations will be discussed along with general standards based approaches to device security.

IHE working with core machine communication standards organisations has developed a set of Integration profiles covering the core integration scenarios.
Vendors of EMR, middleware and medical device products will be invited to demonstrate standards based and proprietary solutions to medical device integration

Who are IHE – Integrating Healthcare Enterprises?
IHE is an international healthcare integration standards organisation working with key players such as HL7, DICOM, IEEE and healthcare professional organisations to put standard systems into practice. The IHE Patient Care Device (PCD) domain was formed in 2005 to address the integration of medical devices into the healthcare enterprise. IHE Australia is a member of the Australian health information systems standards development community.

Who should attend; EMR, middleware and medical device vendors, hospital information systems and medical engineering professionals, CIOs, clinical informaticians, health system architects, physicians, nurses, aged care facilities, home health services.

Speakers



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Vincent McCauley
Chris Lindop
Trish Williams
Grahame Grieve
Chair IHE Australia
Co-Chair IHE Radiology
Cisco Chair Health Informatics
HL7 FHIR
Chief Medical Officer
Emerging Systems/Telstra Health
Imaging & informatics
Consultant
Flinders University
Health Intersections



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Jason Steen

Thomas Vargocsky
Dan Pettus
Chair HL7 Australia

IBM - Watson Health Imaging
& Merge Healthcare
Vice President HIT
Sales - Medication Management
Solution Architect

Leader, Asia Pacific
Becton, Dickinson and Company (BD)


Registration and Online PaymentThe below registration fees will allow you to register for the Pre HIC Workshop only. If you wish to register for HIC as well

RATES
HISA/IHE/HL7 Member
$170
Non-member
$220
seR
Registration via the HIC 2017 site - book now and register for HIC 17

Contact
For information about workshop and vendor interest in workshop involvement, demonstrations or sponsorship

Peter MacIsaac (IHE Australia) **admin@ihe.net.au** +61411403462
conference (excludes Affiliate members. Please contact hic@hisa.org.au if you are an Affiliate ember).
This workshop is supported by:


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