The Interoperability Proving Ground has been archived and is no longer actively maintained. All information identified as archived is provided for reference, research or recordkeeping purposes.

Interoperability Proving Ground (IPG) submissions within the ONC Tech Lab are submitted by healthcare, technology and development organizations that are invested in Health IT and Interoperability and want to share, learn and collaborate with similar stakeholders in the US, and around the world.

To view all submissions, please view the IPG link located within the ONC Techlab.

Integration of health information exchange (HIE) data with the Cerner electronic health record (EHR)

Description 
Our software application (the "App") integrates selected information from the Indiana Health Information Exchange's clinical data repository—the Indiana Network for Patient Care (INPC)—with the Cerner EHR system at Indiana University Health (IUH) Methodist. The App allows clinicians in the emergency department at IUH Methodist to view health information about their patients from outside of the IUH system. The App is currently implemented for the conditions of chest pain, abdominal pain, arrhythmia, dyspnea, pregnancy, back/flank pain, and weakness/dizziness/headache. The App is integrated with the Cerner EHR in such a way that most users do not realize they are interacting with an external application. 

A basic demonstration of the App (limited to the chief complaint of chest pain) is available at https://gallery.smarthealthit.org/app/chest-pain-application. The App is supported by a collaboration among the Regenstrief Institute (informatics research), the Indiana Health Information Exchange (health information exchange), and IU Health (clinical care).
Start Date 
12/15/2017
Projected End Date 

    

  





  

    Project Tags
    
  • EHR
  • EHR Integration
  • Emergency Medicine
  • FHIR
  • HIE

  

  

    Project Point of Contact:
    schleyerremove@removeregenstrief.org  






  

    Project Results
    
Preliminary findings from a mixed-methods evaluation of the App demonstrated that use of the INPC’s data at Methodist increased compared to EDs without the App (see https://regenstrief.in/chest-pain-dash). This finding was supported by qualitative interviews with clinicians (1). A FHIR-based solution such as the App may offer promising approaches to encourage greater accessibility and use of HIE data.

(1)	Schleyer TKL, Rahurkar S, Baublet AM, Kochmann M, Ning X, Martin DK, et al. Preliminary evaluation of the Chest Pain Dashboard, a FHIR-based approach for integrating health information exchange information directly into the clinical workflow. AMIA Informatics Summit 2019. San Francisco, CA.