Скачать презентацию Collaboration The Key to Interoperability Chuck Meyer Chair Скачать презентацию Collaboration The Key to Interoperability Chuck Meyer Chair

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Collaboration The Key to Interoperability Chuck Meyer Chair, HL 7 Collaboration The Key to Interoperability Chuck Meyer Chair, HL 7

Interoperability Collaborative The Interoperability Collaborative coordinates member activities to overcome obstacles in the progression Interoperability Collaborative The Interoperability Collaborative coordinates member activities to overcome obstacles in the progression towards global interoperability. It encompasses: • Healthcare informatics standards (HL 7) • Standards adoption/implementation (IHE) • Product delivery and tools for interoperability (EHRVA) 2

Interoperability Collaborative HL 7 = Standards Development • Develops healthcare informatics standards for messaging Interoperability Collaborative HL 7 = Standards Development • Develops healthcare informatics standards for messaging and document exchange; key components of IHE integration profiles • Meets national use cases • Ensures international consensus 3

Interoperability Collaborative IHE = Integration • Identifies critical use cases • Specifies integration profiles Interoperability Collaborative IHE = Integration • Identifies critical use cases • Specifies integration profiles • Publishes technical framework • Tests implementation via Connectathons • Engages vendors via product integration statements 4

Interoperability Collaborative EHRVA = Advocacy and Tools • Offers the Interoperability Roadmap • Supports Interoperability Collaborative EHRVA = Advocacy and Tools • Offers the Interoperability Roadmap • Supports development of: – Standards – Integration Profiles • Fosters member awareness and development of interoperable products 5

The EHRVA Interoperability Roadmap Security and Identity Persistent Info Documents Dynamic Information Access Workflow The EHRVA Interoperability Roadmap Security and Identity Persistent Info Documents Dynamic Information Access Workflow Quality HL 7 Reference Information Model Document Sharing HIS to NHIN Problems Notificatio ns Allergies Medications Clinical Specialties Scanned Document Access Control Radiology Patient and Provider ID Mgmt Lab Results HIS to HIS Medical Summaries Clinical Content Dynamic Information Management (e. Prescribin g, Lab Ordering etc. ) Quality & Public Health Reporting Transactions Resource Locator Services Internet 6

Linking the EHRVA Roadmap to Profiles and Standards Security and Identity Persistent Info Documents Linking the EHRVA Roadmap to Profiles and Standards Security and Identity Persistent Info Documents HL 7 V 2, V 3 HL 7 Consent Patient Admin Docs Dynamic Information Access Workflow Quality HL 7 Reference Information Model HIS to NHIN Document Sharing Problems Notificatio ns Allergies Medications Clinical Specialties IHE CT, ATNA, XUA Scanned Document Access Control Radiology Patient and Provider ID Mgmt IHE Axs Consent Lab Results HIS to HIS Medical Summaries Clinical Content IHE PIX, PDQ Dynamic Information Management (e. Prescribin g, Lab Ordering etc. ) Quality & Public Health Reporting Transactions Resource Locator Services Internet 7

Linking the EHRVA Roadmap to Profiles and Standards Persistent Info Documents HL 7 CDA Linking the EHRVA Roadmap to Profiles and Standards Persistent Info Documents HL 7 CDA CRS, CCD HIS to NHIN Workflow Document Sharing IHE XDS Notificatio ns Problems IHE XDS-zz Allergies IHE XDS-I Medications Radiology IHE CT, ATNA, XUA IHE XDS-Lab Results Access Control Medical Summaries Patient and Provider ID Mgmt IHE Axs Consent Dynamic HL 7 CDA Information Access +PDF, TIFF HL 7 Reference Information Model IHE XDS-Sc Clinical Content IHE XDS-MS IHE PIX, PDQ HIS to HIS HL 7 CDA Lab & Path HL 7 CDA Anest. , Peds. Clinical Specialties HL 7 V 2, V 3 HL 7 Consent Patient Admin Docs HL 7 CDA Rad Report Scanned Document Security and Identity Dynamic Information Management (e. Prescribin g, Lab Ordering etc. ) Quality & Public Health Reporting Transactions Resource Locator Services Internet 8

Linking the EHRVA Roadmap to Profiles and Standards Security and Identity Persistent Info Documents Linking the EHRVA Roadmap to Profiles and Standards Security and Identity Persistent Info Documents HL 7 CDA CRS, CCD HL 7 V 2, V 3 HL 7 Consent Patient Admin Docs HL 7 CDA Anest. , Peds. HL 7 V 3 Meds, Pt Care HL 7 CDA +PDF, TIFF Workflow Problems Allergies IHE XDS-zz Document Sharing IHE XDS Medications IHE XDS-I Clinical Specialties Scanned Document IHE CT, ATNA, XUA Radiology Access Control Lab Results HL 7 Reference Information Model IHE IHE PIX, XDS-Sc Clinical Content Notificatio XDS-MS IHE Dyn. Q PDQ ns Med-All-Pb (e. Prescribin IHE g, IHE Axs XDS-Lab Consent Patient Ordering and Provider ID Mgmt HIS to NHIN HL 7 CDA Lab & Path Medical Summaries HIS to HIS HL 7 CDA Rad Report Dynamic Information Access Dynamic Information Management Resource Locator Services Quality & Public Health Reporting etc. ) Transactions IHE Transactions Internet 9

Linking the EHRVA Roadmap to Profiles and Standards Security and Identity Persistent Info Documents Linking the EHRVA Roadmap to Profiles and Standards Security and Identity Persistent Info Documents HL 7 CDA CRS, CCD HL 7 V 2, V 3 HL 7 Consent Patient Admin Docs Workflow HL 7 CDA Anest. , Peds. HL 7 V 3 Meds, Pt Care HL 7 CDA +PDF, TIFF HL 7 V 3 Meds, Orders, Lab Quality Problems Allergies IHE XDS-zz Document Sharing IHE XDS Medications IHE XDS-I Clinical Specialties Scanned Document IHE CT, ATNA, XUA Radiology Access Control Lab Results HL 7 Reference Information Model IHE Lab IHE RT WF Clinical Content IHE PIX, XDS-Sc Notificatio XDS-MS IHE Dyn. Q PDQ ns Med-All-Pb (e. Prescribin IHE g, IHE Axs XDS-Lab Consent Patient Ordering and Provider ID Mgmt HIS to NHIN HL 7 CDA Lab & Path Medical Summaries HIS to HIS HL 7 CDA Rad Report Dynamic Information Access Dynamic Information Management Resource Locator Services Quality & Public Health Reporting etc. ) e. Prescribe NPRM Transactions IHE Transactions Internet 10

Linking the EHRVA Roadmap to Profiles and Standards Security and Identity Persistent Info Documents Linking the EHRVA Roadmap to Profiles and Standards Security and Identity Persistent Info Documents HL 7 CDA CRS, CCD HL 7 V 2, V 3 HL 7 Consent Patient Admin Docs HIS to NHIN HL 7 CDA Lab & Path Workflow HL 7 V 2, V 3 Pub. Health Rep. HL 7 CDA Anest. , Peds. HL 7 CDA +PDF, TIFF Quality HL 7 V 3 Meds, Pt Care HL 7 V 3 Meds, Orders, Lab Problems Allergies Medications Clinical Specialties Scanned Document Radiology Lab Results CDC HL 7 Reference Information Model Imp IHE Lab IHE Guide RT WF IHE PIX, XDS-Sc Clinical Content Notificatio XDS-MS IHE Dyn. Q PDQ Quality & ns Med-All-Pb (e. Prescribin Public IHE g, IHE Axs Health XDS-Lab Reporting Consent Patient Ordering etc. ) and Access e. Prescribe IHE Provider Control NPRM XDS-I ID Mgmt XDS-zz IHE CT, ATNA, XUA Dynamic Information Document Sharing Transactions Management IHE XDS IHE Resource Locator Transactions Services Medical Summaries HIS to HIS HL 7 CDA Rad Report Dynamic Information Access Internet 11

Credit Where Credit Is Due My thanks to Charles Parisot [GE, IHE] and Liora Credit Where Credit Is Due My thanks to Charles Parisot [GE, IHE] and Liora Alschuler [Alschuler Associates, HL 7] for their work developing the slide mapping profiles and standards to the EHRVA Interoperability Roadmap. 12

HL 7 and ASTM Collaboration The Continuity of Care Document HL 7 and ASTM Collaboration The Continuity of Care Document

HL 7 CDA • Clinical Document Architecture – ANSI/HL 7 R 1 -2000, R HL 7 CDA • Clinical Document Architecture – ANSI/HL 7 R 1 -2000, R 2 -2005 • e. Documents for Interoperability – Key component for local, regional, national electronic health records – Gentle on-ramp to information exchange • Everyone uses documents • EMR compatible, no EMR required • All types of clinical documents 14

ASTM CCR A core data set of the most relevant administrative, demographic, and clinical ASTM CCR A core data set of the most relevant administrative, demographic, and clinical information facts about a patient’s healthcare, covering one or more healthcare encounters. 15

CCR vs. CDA • Conflicting? • Overlapping? • Could we have both? – CCR CCR vs. CDA • Conflicting? • Overlapping? • Could we have both? – CCR data elements – CDA common exchange framework 16

CCR + CDA = CCD • CDA designed to support professional society recommendations, national CCR + CDA = CCD • CDA designed to support professional society recommendations, national clinical practice guidelines, standardized data sets, etc. • From the CDA perspective, CCR represents a standardized data set providing constraints for specific summary document. • The resulting specification, designated the Continuity of Care Document (CCD), will be the result of a collaborative effort between ASTM and HL 7. 17

Continuity of Care Document • There is a history of collaboration – Presentation on Continuity of Care Document • There is a history of collaboration – Presentation on CDA for continuity of care at ASTM, 2003 – Memorandum of Understanding, 2004 – Acapulco demo: CDA for CCR, October, 2004 – Initial HL 7 Care Record Summary ballot, April, 2005: – As a result of HL 7 ballot, Spring 2005: CCR incorporated changes required for bi-directional exchange and semantic interoperability 18

Continuity of Care Document • Current activities – Meeting ~ weekly by webinar, teleconference Continuity of Care Document • Current activities – Meeting ~ weekly by webinar, teleconference – Sample lab section developed as pattern – Participation by: • • ASTM E 31. 28 HL 7 Structured Documents TC HL 7 domain experts (patient care, lab, ED. . . ) Clinical societies: ACP, AAFP, ACR. . . – Interest in international harmonization • CDA summary documents in use around the world 19

Continuity of Care Document Will CCD be adopted? • Role of IHE – 2005: Continuity of Care Document Will CCD be adopted? • Role of IHE – 2005: Cross-enterprise document sharing (XDS) with both CDA and CCR – 2006: XDS for Patient Care Coordination domain Medical Summaries • CDA Care Record Summary • Extend with coded content for three required sections – 2007: likely adoption of CCD 20

Continuity of Care Document • Timeline – February – March: Meet by web/telconference • Continuity of Care Document • Timeline – February – March: Meet by web/telconference • Individuals developing: – – – Header List of sections Lab Allergies/adverse reactions Problems/conditions Medications – April – May • Initial ballot: header, list of sections, detailed sections • Ballot reconciliation: Spring HL 7 Working Group Meeting – June – July • Develop complete draft for second ballot – August – September • Second ballot • Ballot reconciliation: Fall HL 7 Working Group Meeting 21

Continuity of Care Document • Benefits – Industry consensus on summary document contents and Continuity of Care Document • Benefits – Industry consensus on summary document contents and requirements through ASTM ballots (2004, 2005) – Industry consensus on document exchange framework through HL 7 ballots (1999 -2005) – Summaries for continuity of care • Interoperable with full range of document types • Interoperable with HL 7 V 3 messages, all RIMbased specifications (public health reporting, clinical trials, structured product labels and more) 22

Thank you for your time and attention. QUESTIONS? 23 Thank you for your time and attention. QUESTIONS? 23