Towar ards ds IHE HE Prof ofiles iles for or e-S e-Suppl - - PowerPoint PPT Presentation

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Towar ards ds IHE HE Prof ofiles iles for or e-S e-Suppl upply in in the he Healt Healthcar hcare e Domain omain Gerd Schneider, Georg Heidenreich, Lasse van de Sand, Jose Teixeira, Alfons Rathmer, Britta Bckmann, Hubert Otten,

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SLIDE 1

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain

  • main

MIE 2014, Istanbul/Turkey 01.09.2014 Gerd Schneider, Georg Heidenreich, Lasse van de Sand, Jose Teixeira, Alfons Rathmer, Britta Böckmann, Hubert Otten, Björn Bergh and Sylvia Thun

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SLIDE 2

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

Agenda

Background & Aim The way towards IHE profiles for e-supply Initial IHE profile candidates Further work

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SLIDE 3

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

Agenda

Background & Aim The way towards IHE profiles for e-supply Initial IHE profile candidates Further work

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SLIDE 4

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

Background & Aim

Provide an implementation guideline for electronically enabled supply processes

  • Procurement and supply are crucial support processes in hospitals
  • Hospital’s internal and external procurement and supply processes are

still not performed seamlessly by information systems

  • Wide variety of electronic standards for procurement and supply
  • Little or no interoperability between participating procurement/supply

systems and hospital/medical information systems

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SLIDE 5

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

Agenda

Background & Aim The way towards IHE profiles for e-supply Initial IHE profile candidates Further work

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SLIDE 6

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

The way towards IHE profiles for e-supply

Identification of available e-standards Questionnaire survey regarding the use of e-standards Process analysis at two German hospitals System analysis at Heidelberg University Hospital Initial IHE profile candidates

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SLIDE 7

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

The way towards IHE profiles for e-supply

Identification of available e-standards (Inventory of standards) (Examples) Identification standards

GLN, GTIN, GS1-128, EAN-8/ EAN-13, OID, PPN, NTIN, GRAI, GSRN, SSCC, HIBC, Eurocode IBLS, UDI, …

Classification standards

eCl@ss, profiCl@ss, ETIM, UNSPSC, GPC, ATC/DDD, ICD, OPS, GMDN, SNOMED CT, UMDNS, LOINC, EDMA, …

Catalog exchange standards

BMECat, PRICAT, cXML, GS1-XML CIN, xCBL, …

Transaction standards

EANCOM (GS1), EDIFICE, ODETTE, HL7, MSV2, openTrans, …

Process standards

SCOR, ebXML, …

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SLIDE 8

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

The way towards IHE profiles for e-supply

Questionnaire survey regarding the use of e-standards (Exemplary results)

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SLIDE 9

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

The way towards IHE profiles for e-supply

Process analysis at two German hospitals (Examples from Heidelberg University Hospital)

  • Point-of-Care Order
  • Order of stock-keeping units
  • Order of non-stock-keeping units
  • Stock management
  • Catalog/master data management
  • Order of investment goods (Assets Invested)
  • Accounting (Claims & Payments)
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SLIDE 10

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

The way towards IHE profiles for e-supply

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SLIDE 11

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

The way towards IHE profiles for e-supply

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SLIDE 12

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

The way towards IHE profiles for e-supply

System analysis at Heidelberg University Hospital (High-level example)

SAP System Core Components

SAP Materials Management (MM) SAP Sales & Distribution (SD) SAP Financial Accounting (FI)

Extensions

Consense - Anforderungsterminal Elektronischer Beschaffungsantrag (ELBA) Bedarfsmelde- und Informationssystem (BISI) MSV2 ATAXX - Arzneimitteltaxe MSV2 Betäubungsmittel - Verwaltung Zytostatika - Anforderung (Zyto) Arzneimittelinformationsdienst (AID) - Klinik SAP FI Accounts Payable (FI-AP) SAP FI Accounts Receivable (FI-AR) Parenteral - Anforderung (Steribase) Consense - Anforderungsterminal - Web Shop Proprietäres MC Format Medical Columbus - Connector (BeLoSys) Proprietäres MC Format IDOC ORDER SAP Business Connector für GHX IDOC ORDER CaseMat ISH/ISH.med SAP Controlling (CO) GHX Monitor IDOC ORDER

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SLIDE 13

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

Agenda

Background & Aim The way towards IHE profiles for e-supply Initial IHE profile candidates Further work

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SLIDE 14

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

Initial IHE profile candidates

Point-of-care order

Order of stock-keeping or non-stock-keeping products performed by an end user like a physician or nurse.

Order Placer Order Responder Item Checker Order Reviewer

New Order [SUP-3] Order Status [SUP-4] Check Item [SUP-1] Review Order [SUP6] Order Details [SUP-7]

(responds synchronously)

Update Order [SUP-5] Result List [SUP-47] Query Order [SUP-46]

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SLIDE 15

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

Initial IHE profile candidates

Stock management

Reorder of stock-keeping products and stock control.

Items Handler Resupply

Refill [SUP-13] Refill Update [SUP-16]

Resupply

Refill [SUP-13] Refill Update [SUP-16] Refill Status [SUP-15] Refill Status [SUP-15]

Items Handler

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SLIDE 16

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

Initial IHE profile candidates

Catalog management

Management and distribution of product-related information.

Item Consumer Rule Consumer Catalog Source

Can be played by: Order Placer, Order Responder, Item Checker Can be played by: Order Placer, Order Responder , Order Reviewer Rule Update [SUP-11] Item Update [SUP-9]

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SLIDE 17

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

Initial IHE profile candidates

Additional profile candidates

  • Claims and payments
  • Assets invested
  • Supply chain intelligence
  • Logistics and distribution
  • Medical reasoning and lookup
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SLIDE 18

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

Agenda

Background & Aim The way towards IHE profiles for e-supply Initial IHE profile candidates Further work

slide-19
SLIDE 19

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

Further work

  • Questionnaire survey should be broadened to multiple countries
  • Presented profiles are just an initial step
  • Refinement is necessary
  • Especially refinement of the transactions
  • Further alignment with IHE domain Pharmacy
  • Establish an official IHE process regarding e-supply
  • Prototypical implementation of selected profiles
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SLIDE 20

Towar ards ds IHE HE Prof

  • files

iles for

  • r e-S

e-Suppl upply in in the he Healt Healthcar hcare e Domain,

  • main, MIE 2014,

2014, Istanbul/ anbul/Tur urkey ey

Further work

Point ¡of ¡Care

Order ¡Placer

Distributor / ¡Supplier

Resupply Shipment

Hospital Procurement

Resupply Items ¡Handler

Refill [SUP-­‑13] Refill ¡Status [SUP-­‑15] Refill ¡Update [SUP-­‑16]

Acceptor

Logistics ¡Query ¡[SUP-­‑36]

Hospital ¡Stock ¡& Pharmacy

Order ¡ Responder Order ¡Handler Releaser Items ¡Handler

Inventory ¡& ¡Shipping

Stock

Assign ¡ ¡ [SUP-­‑42] Ship ¡ [SUP-­‑44] Refill ¡ [SUP-­‑13] Refill ¡Status [SUP-­‑15] Refill ¡Update ¡[SUP-­‑16] Release ¡Notification ¡[SUP-­‑40] Release ¡Query ¡[SUP-­‑39] Update ¡Order ¡[SUP-­‑5] New ¡Order ¡[SUP-­‑3] Order ¡Status ¡[SUP-­‑4]

Hospital ¡IT

Item ¡Checker Item ¡Consumer

Check ¡Item ¡ [SUP-­‑1]

Order ¡Reviewer Rule ¡Consumer

Review ¡Order ¡[SUP-­‑6] Order ¡Details ¡ [SUP-­‑7]

Catalogue ¡ Source

Item ¡Update ¡ ¡[SUP-­‑9] Rule ¡Update ¡[SUP-­‑11]

Overview ¡& ¡ System ¡Architecture ¡Example

Vision/Future?

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SLIDE 21

For

  • r ad

addit ditional ional inf infor

  • rma

mation ion pleas please e vis isit it: : ht http:/ p://www.s .standar andard-ecg.de d-ecg.de

Thank hank you

  • u !

!

Gerd Schneider, M.Sc. Heidelberg University Hospital

Center for Information Technology & Medical Engineering (ZIM)

Speyererstraße 4 | 69115 Heidelberg | Germany

Mail gerd.schneider@med.uni-heidelberg.de Fon +49 6221 56 35194