Community Learning Space

The infraNET Project and 
The Education Program for Health Informatics Professionals (EPHIP)
University of Waterloo

present ...

Integrating the Health Record 


Andrew Szende
Electronic Child Health Network (eCHN)
The Hospital for Sick Children


Pat Billard
IBM Global Healthcare Solutions

Wednesday, October 16, 2002
3:00 p.m. - 4:30 p.m.

Davis Centre, Room 1302
University of Waterloo

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The electronic Child Health Network (eCHN) is an example of an electronic health record (EHR). Optimal patient care requires that information about a person's health and dealings with the health care system must be available to the appropriate people when and where it is needed. Information about current tests and interventions needs to be available as soon as possible, both for better patient care and for the efficient use of the clinician's time. It must be available to the appropriate clinicians wherever they and the patient may be during a given episode of care. This could be in a doctor's office, clinic, long term care, rehab or chronic care facility. 

A properly designed, comprehensive EHR system meets these requirements and has a number of other benefits as well. EHRs are composed of the information that heretofore would have made up a patient's paper charts, possibly at different institutions and offices, but stored in digital form on a computer. Most information is usually in the form of digital report or text data, but can also include diagnostic images, multimedia objects like ultrasound clips with sound, or static or full motion images.

This presentation provides a case study of the construction of an integrated and shared EHR from multiple systems at multiple sites for the benefit of the patient and the clinician. 

Andrew Szende
Andrew Szende is Chief Executive Officer of eCHN, the electronic Child Health Network, and Assistant Professor in the Department of Health Policy, Evaluation and Management, Faculty of Medicine, University of Toronto. He has a management and communications background in the private and public sectors. As a management consultant, he facilitated the creation of the Rouge Valley Health System. Earlier, he served as Assistant Deputy Minister of Health, Associate Secretary of the Cabinet, and Ontario's chief economic and trade representative in Hong Kong.

Pat Billard
Pat Billard is a Solution Architect in Health Network Solutions of IBM Global Healthcare Solutions. Pat was involved in the building and deployment of eCHN from the beginning ― more than four years ago. He has been with IBM for more than 20 years.

For more information

Shirley Fenton
The infraNET Project
Computer Systems Group, University of Waterloo
(519) 888-4074

Seminar Hosts

This seminar is hosted by the Education Program for Health Informatics Professionals (EPHIP) and The infraNET Project, University of Waterloo.

The infraNET Project, initiated by the University of Waterloo in 1996, is a partnership to advance Web and Internet technologies. Its founding partners are: LivePage (now part of Siebel), MKS, Open Text, RIM, Sybase (Waterloo) and Waterloo Maple.

We also gratefully acknowledge the assistance of the Institute for Computer Research, University of Waterloo.