SpiritEHR (Electronic Health Record)
This product is a new generation patient folder. The days of fever charts, heavy report folders, and unwieldy X-ray film are over. With SpiritEHR you can comfortably search for patients and their data, and based on the guidelines developed by the IHE (Integrating the Healthcare Enterprise), they can be found swiftly.
Using these standards it is possible to file data, including lab reports, medical history, and radiological and other images, in one or even several different repositories. Metadata (information about what is saved where) are written to the appropriate patient registry, making the data accessible from anywhere. The documents released for access (reports, images, etc.) can be viewed, depending on the access rights.
The greatest advantage of the SpiritEHR:
a fully standard-based technology
With the Medical Data Exchange Solution, or MDES, patient data from different systems can be presented in a single patient folder in a federated approach. This means that the date is stored where it was originally produced and is readily available from any location that has access to it. The MDES uses industry standard IHE compliant formats. IHE means Integrate the Healthcare Enterprise and is a framework of healthcare standards ensuring the secure and ease access of medical records. When communication is easily accessible and clearly presented the patient will receive better care. Tiani Spirit’s software application is part of Cisco's Medical Data Exchange Solution to enable access to patient records across a multisite or a multi-organisational environment via the IHE cross-document-sharing XDS and XDS-I profiles. IHE frameworks are used to organize data around the patient, to translate between different versions of HL7, DICOM, ebXML, SAML and other protocols. Additional characteristics are patient indexing feature, master patient index and cross community access XCA to cross-reference a patients record at multiple institution. The Spirit software is a fully IHE base connector between multiple healthcare information systems and includes a browser for an IHE-based electronic patient record viewing. The entire application runs on a Cisco Integrated Service Router. It connects physician’s systems, clinical and hospital information systems utilizing the network as a platform for interoperable patient data exchange.
With Tiani’s SpritEHR as part of MDES the access to patient data is improved enhancing the patient’s experience and satisfaction. This is because patients don't need to keep track of their medical history multiple times. Having a broader access to medical data from multiple systems can improve the timeliness and quality of diagnosis. Repetitive tests can be reduced or eliminated. This means that the patient's time in front of the physician is used more efficiently. Transferring medical data records using fax or CD requires a significant amount of time and money. The MDES helps reduce these costs by enabling the access to any patient information from anywhere. Records are transferred electronically rather than incurring the average costs of $10 (per record) [RM1] for each record for manual copying and transport.
Cisco’s MDES and Tiani’s SpiritEHR are based on a federated standards approach that avoids copying all data centrally but keeps the data where it was originally produced. Patient data such as documents, reports, PDFs, CDAs and significant image data like key images is accessed using local MDES appliances whether the data is at a physician's office, clinic or hospital. Data is stored locally as well as regionally for redundancy purposes. The communication between regions and countries happens with the IHE cross reference manager. This manager references all data that belongs to the same patient but keeps it in different levels. The data can be accessed without the need to store it multiple times.
Let's create an imaginary example to show just how the Medical Data Exchange Solution works. Hospital ABC was previously two independent and different hospitals. Recently the two hospitals merged. Both hospitals have completely independent IT systems. This means different healthcare information systems, different PACS and different labs systems. After the regrouping of the hospitals the need for a patient centric solution grew because it was impossible to log in to all different systems to search for important exams and patient data. So how exactly does Cisco's MDES fit in? Regardless of the different systems data can be easily stored, accessed and viewed. With less time being spent hunting for data more time can be spent caring for the patient.
All accesses are logged in an audit file, providing a record of who accessed the data when and where. With the required permissions, patient data may be viewed with a web browser.
The SpiritEHR is designed according to IHE guidelines and offers an all-encompassing interoperability with software from many providers of hospital information systems. This guarantees that hospital patient data can be used by other clinics or by practitioners.
Because of the availability of these data, duplicate tests are avoided and follow-up appointments can be more effective. Should further medical care be necessary, the patient can go to the hospital or to his or her family practitioner without having to search for old reports, X-rays, or other data. At the hospital or doctor's office the patient can be treated according to his or her previous medical care history.
The IHE integration profiles, with the accompanying actors, are practically applied in the SpiritEHR. These are tested biannually at the international IHE compatibility test, the Connectathon. This testing ensures quality and provides investment security. The results are open to the public.