Notes

Outline

Electronic Patient Records Where can we be? – A Technical Perspective Ramana Reddy CERC, West Virginia University

The Holy Grail Secure, Survivable, Scalable, Distributed, Heterogeneous, Legacy-aware Available – on demand and just-in-time, adapt to the device at hand Integrate with workflow Economically justifiable and legally compliant

The Health Care World

The Web Sparks the Imagination ABC News Report -1996

The Problems - Then Stateless Web Creating Dynamic Webpages

We have come a long way since 1996 But only technically speaking…. Partial implementations only in the top 100 medical facilities (recent wall Street Journal report) Pharmacies have embraced the technology Economic Incentive

XML The new favorite technology that is a solution for any problem!!

Why XML? We can make the  Web information “understandable” to programs (or “agents”) “Semantic Web” is now feasible Just one small detail – we need to develop the complete ontology There is now a plethora of XML derivatives (xXML)

Voice XML Can render pre-recorded speech  or convert text to speech Voice Gateways (e.g. bevocal) When hands and eyes are occupied

V-Architecture

VoiceXML Architecture

Wireless XML Can render patient records on hand-held devices Now ubiquitous wireless phone can become the interface device

WfXML Integration of workflow with patient records An “instant message” can be set to trigger a series of predefined activities (e.g. scheduling appointments)

DOM Document Object Model Patient Record as a special document New Capabilities (e.g. event triggering – lab result filling will trigger notification)

Ad Hoc Networking Wireless “hot spots” provides ubiquitous access to web based information Enterprise/Campus wide access

Unification of Distributed Sources JSP/ASP to create unified pages from diverse sources RMI/CORBA/JINI support distributed computing model Example – virtual unification of pharmacies with hospital data

Mobile Services Mobile Computing Location based services Provider can receive customized information depending on location Supporting mobility of patient and provider (e.g. mobile patient sending periodic readings…)

Searchable  Distributed Patient Record All sources are accessed transparently and isomorphously Access to paper based records are mediated by a person – on demand Embedded language mapping ( with intervention!)

San and Nas Storage Area Nets & Network Attached Storage Technologies Contributing to Survivability

Conclusion The revolution technology promises hasn’t come yet. Economic incentive is the most potent driver Learn from legislation driven advancements such as CAFÉ in Auto Industry Make the Impossible Possible!!!