Cardiac Care & Tribal Health

Participating Organizations: Baxter, Epic, Peraton, Qvera

Anthony is a Native American and a Veteran. He has historical medical records in both the Indian Health Service Resource and Patient Management System which are used by the local tribal health centers and the Veterans Affairs (VA) VistA system at the nearby VA hospital. Anthony has chest pains and visits a cardiologist. The cardiologist performs diagnostic imaging and schedules the patient for interventional radiology in the hospital. The hospital care team, informed by the outside interventional radiology images, performs cardiac catheterization and stenting. Due to undiagnosed kidney disease, Anthony has an adverse reaction to the IV contrast solution used in placing the stent and becomes hemodynamically unstable with severe Acute Kidney Injury. Anthony is prescribed continuous renal replacement therapy on a system that sends auto-documentation of treatment data to the EMR. Anthony is also prescribed insulin delivered via a syringe pump using auto-programming and auto-documentation interoperability to achieve normal glucose levels without contributing to patient fluid overload. After recovery, Anthony later follows up with his cardiologist for additional imaging on progress. By leveraging interoperability standards such as HL7® FHIR® and DICOM, this demonstration achieves “care without boundaries” with shared medical records and continuity of care across technical, organizational, and geographic boundaries.