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Project Proposal

 

NOTE: The draft document is posted as an attachment and contains a figure that did not transfer. 

AIIM Standards Program

 Project Proposal

Submit completed project proposal to Betsy Fanning at bfanning@aiim.org or via fax to 240-494-2682.

1.  Project Title          

 

PDF/H (Healthcare)

 

2.  Project Introduction

 

The migration of medical records from paper to digital format would benefit from the availability of an easy-to-adopt document encapsulation standard that meets a minimum level of healthcare industry requirements for portability, security and the exchange of information. It is our belief that PDF meets these requirements today.

PDF is a digital format for representing information that is independent of the application software, hardware, and operating system used to create it and of the output device on which it is to be displayed or printed. The independent nature of PDF facilitates the process of creating, managing, securing, collecting and exchanging digital content on diverse platforms and devices.

Adobe Systems Incorporated publishes the PDF Specification which has enabled PDF to become a defacto standard for information exchange among major corporations, government agencies, and educational institutions and today is being used to replace paper-based workflows for the electronic exchange of information and will continue to do so at a rapid pace.

Because of its adoption and acceptance PDF is an ideal format for capturing healthcare information that can contain any combination of text, graphics and images.

 

 

3.  Scope Statement or abstract

 

This standard would specify how to use the Portable Document Format within the healthcare industry to facilitate how healthcare and medical information is captured, exchanged, preserved and protected among consumers, and the rest of the healthcare system.

 

 

4.  Objective

 

The objective is to develop a secure electronic package/container that can store healthcare information that ranges from personal documents, communications, electronic forms, scanned images, photographs, X-Ray films and other information that may be important to maintain and improve health. 

 

 

5.  Need Statement

 

The process in place today for collecting, maintaining and accessing medical information is broken as it is primarily paper driven which is very inefficient and often leads to mistakes and administration of sub-optimal care.

 

In most cases patients do not have access to their own health information and even if they get access they are inundated with collections of paper based records. Information is hard to find, scattered among various locations and in many cases just not there.

 

If patients controlled their health information it would enhance communications between patients and their providers as well as those participating in the healthcare system such as insurance providers, pharmacies, pharmacy benefits management companies and others.

 

Now more than ever it's clear that moving medical information to an electronic environment is necessary. We've seen recent tragedies such as Katrina where victims have lost their entire medical history; they don't know what medications they've been prescribed or vaccinations they've received.

 

Consumers are showing more interest in managing their own health information but in order to so they will need standards and tools available that make it easy for them to collect, control and use their health data. The scope for this data is shown in Figure 1.

 

 

 


Retail Pharmacies

Sure Scripts

PBMs
Rx Hub

 

PIM

RXM

PXM

ACM

Imaging Centers

Laboratories

Remote
Medical
System

Patient
Sourced
Data

PCM

Hospitals w/o EMRs

Physiciansw/o EMRs

Physiciansw/ EMRs

Hospitals w/ EMRs

EDI Clearinghouse

EMR Inter-faces

EDI Clearinghouse

MDM

RDM

Health Plan Informatics

CIM

 

PHRHR

 

Figure 1 - Sources of data feeding a PDF/H File

 

 

 

 

 

 

 

6. Potential Commercial impact or Market Relevance

 

  • a. Will commercial products need to be modified or developed in order for the standard or TR to provide proposed benefits?

 

Unknown at this time

 

  • b. Are current product providers identified and available to participate in developing the standard or TR?

 

Yes - Adobe, Intel and targeting others

 

  • c. Are there any de facto standards available for the same purpose? If so, please identify.

 

While there are a number of standards in the health field focusing on disease codes, drug codes, medical images, etc. we are not aware of any standard for the purpose of compiling multiple file formats, data types, images, etc. into one secure package for healthcare information.

 

7.  Coordination

 

Is there similar work elsewhere?

 

We will coordinate with other standards organization such as HL7, ASTM among others TBD.

 

8.  Resources (Potential participants)

 

Merck, American Academy of Family Physicians, Oregon Health Sciences University, Omnimedix, Greenfield Health, Beth Israel, Sloan Kettering Memorial Cancer Center, Generator and others

 

 

9.  Project Proposed Timeline

 

AIIM Best Practice Guide - approximately 12 months

Simultaneously develop formal standard  24-36 months

 

 

Proposer's Contact Information

 

Adobe Systems Incorporated

Melonie Warfel

Director, WW Standards

8201 Greensboro Drive #1000

McLean, VA 22102

Ph. 703 883-2816

 

Intel

Rick Benoit
Program Manager, Standards
Digital Health Group
cell 503-7045391
office 503-4563347

Attached Files   

PDF H CD v1.rtf bfanning Mar 12, 2006 94 KB
PDF/H Project Proposal