1. Emergency Responder Patient Care Report (ER-PCR) HIMSS 2009 Interoperability Showcase IHE Patient Care Coordination Lawrence Williams Roadside Telematics Corporation

2. Value Proposition U.S. economic costs of an average roadway fatality are $977,000 and $1.1 million for a critically injured crash survivor (U.S. DOT 2002): 40,000 people (110/day) killed annually 200,000 (500/day) critically injured 750,000 (2,000/day) hospitalized

3. Profile Abstract The ER-PCR Profile computerizes crash victim emergency contact information (ECON) and personal health record (PHR) data, thereby helping on-site Emergency Responders improve post-crash emergency healthcare and outcomes for crash victims

4. Problem Providing time-critical care to an unidentified, unconscious crash victim without knowledge of medical conditions, allergies, medications, nor contact information for an emergency contact / next-of-kin who might be able to provide such data Lack of data threatens the safety, care, and outcome for crash victims

5. Use Case Individual registers emergency contact information (ECON) and vital health data (PHR) data in central data repository for access by Emergency Responders in the event of a crash Following a crash ECON and PHR data is transmitted directly to Emergency Responder patient care reporting (PCR) system Crash victim (PCR) is transmitted to emergency room clinicians

6. Scope Capability to electronically communicate the following type of health information to Emergency Responder patient care reporting (PCR) systems: Emergency Contact Information (ECON) Personal Health Record Data (PHR)

7. Standards Used

8. Key Technical Properties Use of technologies such as: –HTTP –TLS –XML/XSLT Use of an inheritance model with existing IHE profiles Use of a replace/update model Data is both human and machine readable

9. References