EPDVision a Fully Paperless and Integrated Electronic Health Record System

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EPD-Visiona Fully Paperless and Integrated
Electronic Health Record System

• Enno van der Velde, Medical PhysicistDouwe
  Atsma, Cardiologist
• Tom Witteman, Hylke Foeken, Freek de
  Bruijn,software development
• Department Cardiology
• Leiden University Medical Center

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Background

• 1995 start development CARIS (cathlab
  registration)
• 1998 various modules available
• 2001 start development clinical modules
• 2004 first version clinical modules
• 2004 goal complete cardiologic EHR EPD-Vision
  digitization of the complete clinical process
• feb 2006 dept Cardiology, incl. nursing,
  completely paperless
• dec 2006 dept Thoracic Surgery completely
  paperless
• Dec2006 All patient-related information anywhere
  available, also from home

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• Completely Paperless and integrated EHR

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Support for the complete Clinical Workflow
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• EPD-Vision group

Software development en technical support Tom
Witteman Hylke Foeken Freek de
Bruijn Management and supervision Enno van der
Velde, MSEE, PhD (medical physicist)Prof M.J.
Schalij, MD, PhD (cardiologist)Douwe Atsma,
MD,PhD (cardiologist)
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EPD Visiontechnical background

• Windows 32 application (also via Citrix)
• Development environment Delphi 2007
• Client/server setup with object-oriënted software
• Software version management with CVS

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EPD VisionTechnical Background

• Database Oracle 10g
• Two production servers (Intel Xeon dual core 3
  GHz, 4 Gb), one test/development server
• Backup production server in separate location,
  simple switching
• Continuous copying of archive files to backup
  server daily backup to SAN and tape

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• Systems
• Data exchange

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Systems Data exchange
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Systems Data exchange
ECGs
X-ray images
Lab results
Echo report and results
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Systems Data exchange
ECGs
Angio beelden
Lab results
Echo verslag en meetresultaten
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Systems Data exchange
ECGs
Cathlab images
Lab data
Echo verslag en meetresultaten
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Systems Data exchange
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Systems Data exchange
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Connections
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Systems Data exchange
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Systems Data exchange
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Systems Data exchange
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Systems Data exchange
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Systems Data exchange
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Systems Data exchange
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Systems Data exchange
Centralized communication met externe systemen
(GLIMS, Medicator, MetaVision, Echopac) via
generic business objects.
EPD-Vision application (client)
GLIMS database
Echo database
EPD-Vision database
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Specific Measures
Nursing shift meeting using screen instead of on
paper
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Specific Measures
Indication that patient is included in specific
study
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Future plans

• Smartcard authentication on ward
• Integration with clinical guidelines
• -gt Diagnosis entered -gt Check
• Data exchange with other hospitals
• Order management

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EPD-Vision 2008

• Focus patient
• EPD-Vision patient portal
• My-EPD (www.mijn-epd.nl)
• Patiënt can create or change appointments

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Patiënten portaal
Mijn EPDWelkom, mevr. De Vries, op het patient
portaal van het LUMC (www.mijn-epd.nl) Er zijn
gegevens van u als patient beschikbaar in het
Elektronisch Patienten Dossier bij de volgende
afdelingen
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Patiënten portaal
Mijn EPDbeveiligde toegang
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EPD-Vision technical background

• gtgt Connectivity, part2