Difference between revisions of "2009 TSC Product Visibility"

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==2009 TSC Product Visibility==
 
==2009 TSC Product Visibility==
  
 +
===Project Objectives and Deliverables===
 +
# Create workable definitions of HL7 PRODUCTS
 +
#*DELIVERABLE: Draft material for the Web Site on Products (this page)
 +
#**Health Information '''''Exchange''''' Standards
 +
#***Messaging, Documents, and Services
 +
#**Health Information '''''Knowledge Representation''''' Standards
 +
#***Arden Syntax, SPL, GELLO
 +
#**'''''Modeling''''' Standards
 +
#***RIM, CTS, EHR Lifecycle FM
 +
#**Application '''''Functional Specifications'''''
 +
#***EHR-S FM, PHR-S FM, EIS SFM, RLUS SFM, DSS SFM, CRFQ SFM
 +
#**'''''Visual Integration Messages'''''
 +
#***Clinical Context Management Specification (CCOW)
 +
#**Other
 +
#***SAEAF, Practical Guide for SOA in Healthcare
 +
#**Anticipate input from Education Committee, NHS Product Descriptions, WG having responsibility for product, and other sources
 +
#**Define purpose and maintenance of categories list.
 +
#*Evaluate future reference by Product to:
 +
#**Standards and artifacts (what makes up this product),
 +
#**projects (searchable database),
 +
#**work groups (who works on what product),
 +
#**users (I am a ___, how do these products meet my needs?),
 +
#**and other organizations’ standards (JIC).
 +
#Draft process for Governance of  Products list: ongoing and annual review, maintenance, and endorsement of Product Definitions
 +
#*New product request
 +
#*Updates to products
 +
#*Evaluate potential for expired products or standards
 +
#Evaluate perception of ‘visibility’ (using a survey, perhaps)
 +
#*Can “users of the standards” find what HL7 Products are available?
 +
#*Validate perception of “who are our customers”,
 +
#*Are we getting the word out? (Genomics, ICSR, CDA [vs XDS], Services)
 +
#*Are we able to track what is needed in the market?
 +
 +
===Project Dependencies and Relationships===
 +
*Project Insight ID (PI ID) [http://www.hl7.org/special/Committees/projman/searchableProjectIndex.cfm?action=edit&ProjectNumber=404 #404], also Roadmap Task #34: Document the various HL7 standards and their application to interoperability
 +
* PI ID # [http://www.hl7.org/special/Committees/projman/searchableProjectIndex.cfm?action=edit&ProjectNumber=413 413], also Roadmap Task #48: Develop an updated HL7 Product Strategy
 +
* PI ID # [http://www.hl7.org/special/Committees/projman/searchableProjectIndex.cfm?action=edit&ProjectNumber=412 412], also Roadmap Task #46: HL7 Standards and Implementation Guide Inventory Report
 +
* PI ID # [http://www.hl7.org/special/Committees/projman/searchableProjectIndex.cfm?action=edit&ProjectNumber=439 439], also Roadmap Task #37: HL7 Website to list HL7 IGs, scope, language, Affiliate, link, etc.
 +
 +
===Product List (Tentative)===
 +
 +
====Health Information '''''Exchange''''' Standards====
 
{|border="1"
 
{|border="1"
−
|+Tentative Product List and Template Descriptions
+
|+Tentative Product List  
 +
|-
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!width="15%"| Integration paradigm
 +
!width="15%"| Product
 +
!width="70%"| Summary
 +
 
 +
|-
 +
|
 +
Health Information '''''Exchange''''' Standards- '''Messaging'''
 +
|
 +
[[TSC_Product_List_V3| V3]] - Version 3 Normative Edition
 +
|
 +
Version 3 is HL7’s family of standards developed with a model-driven methodology.  The release of HL7’s Version 3 Normative Edition marks a quantum leap in the functionality and interoperability of messaging standards. Version 3 is one of the first in the industry to embrace XML. Several countries throughout the world have already begun significant Version 3 implementations, including the United Kingdom, Canada, the Netherlands, Mexico, Germany and Croatia.
 +
|
 
|-
 
|-
−
!width="10%"| Product
+
|
−
!width="25%"| Summary
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Health Information '''''Exchange''''' Standards- '''Messaging'''
−
!width="25%"| Description (<500 words)
+
|
−
!width="10%"| Business Case
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[[TSC_Product_List_CGPED| Clinical Genomics Pedigree Topic]]
−
!width="10%"| Benefits
+
|
−
!width="10%"| Implementation/ Case Studies
+
The HL7 Clinical Genomics Pedigree Topic includes the Family History Model describing a patient’s pedigree with genomic data. It has the ability to transmit complete family history information for clinical decision support.  This model is ANSI-approved and is the HITSP-accepted standard.  This standard allows EHR/PHR interoperability, and is in use by the Surgeon General in his family history collection website:  My Family Health Portrait. It is also in the process of becoming of an international standard through ISO.
−
!width="10%"| Resources
+
|
 
|-
 
|-
 
|
 
|
−
CDA (R1)
+
Health Information '''''Exchange Standards'''''- '''Messaging'''
 +
|
 +
[[TSC_Product_List_V2| V2]] Version 2 Messaging Standard
 +
|
 +
The Version 2 Messaging Standard is one of the most widely implemented standards for healthcare information in the world. First released in October 1987 as An Application Protocol for Electronic Data Exchange in Healthcare Environments, Version 2 is a messaging standard that allows the exchange of clinical data between systems. It is designed to support a central patient care system as well as a more distributed environment where data resides in departmental systems. Version 2.6, representing the latest update to the Version 2 Standard, was published in January 2008. Version 2.7 is in the final stages of balloting and is expected to be released later this year.
 +
|
 +
|-
 +
|
 +
Health Information '''''Exchange''''' Standards- '''Messaging'''
 +
|
 +
[[TSC_Product_List_V2_XML | XML Encoding Syntax for Version 2]]
 +
|
 +
HL7 Version 2 XML Encoding Syntax was approved by the American National Standards Institute (ANSI) as an American National Standard in June 2003. This specification, informally known as HL7 V2.xml, defines the Extensible Markup Language (XML) encoding rules for traditional HL7 Version 2 message content. It primarily addresses the expression of HL7 Version 2 messages in XML as an alternative to the traditional “vertical bar” encoding, and describes the underlying rules and principles. XML schema definitions are provided for all Version 2 message types, including the corresponding data type descriptions necessary for this specification. Due to their greater expressiveness, schemas are the preferred way to describe a set of constraints on message instances. Document Type Definitions (DTDs) are also provided as an informative appendix.
 +
|
 +
|-
 +
|
 +
Health Information '''''Exchange''''' Standards- '''Documents'''
 +
|
 +
[[TSC_Product_List_CDA|CDA]]
 
|
 
|
 
The Clinical Document Architecture (CDA) is a specification for the exchange of electronic clinical documents. It can contain coded data and narrative and is compatible with the electronic health record and document management systems. CDA is at the core of virtually all standards-based exchange networks in the US and abroad and is adaptable for dictated notes and highly-structured public health and quality reporting.  
 
The Clinical Document Architecture (CDA) is a specification for the exchange of electronic clinical documents. It can contain coded data and narrative and is compatible with the electronic health record and document management systems. CDA is at the core of virtually all standards-based exchange networks in the US and abroad and is adaptable for dictated notes and highly-structured public health and quality reporting.  
 
|
 
|
−
Clinical documents are the core of a patient's lifetime health record. HL7’s CDA standard provides an exchange model for clinical documents such as discharge summaries and progress notes. A consistent approach to electronic clinical documents means that critical information contained in the documents can be used independently of the application on which it was produced. For example, CDA documents can be displayed using XML-aware Web browsers or wireless applications on mobile devices.
+
|-
 +
|
 +
Health Information '''''Exchange''''' Standards- '''Documents'''
 +
|
 +
[[TSC_Product_List_CCD | CCD]]
 +
|
 +
HL7 and ASTM International created the Continuity of Care Document (CCD) to integrate two complementary healthcare data specifications ASTM’s Continuity of Care Record (CCR) and HL7’s Clinical Document Architecture (CDA). The CCD is endorsed by the Healthcare Information Technology Standards Panel (HITSP) as the harmonized format for the exchange of clinical information, including patient demographics, medications and allergies.
 +
|
 +
|-
 +
|
 +
Health Information '''''Exchange''''' Standards- '''Documents'''
 +
|
 +
[[TSC_Product_List_Attachments | Claims Attachments]]
 +
|
 +
In response to the federal mandate under HIPAA, HL7 and ASCX12 collaborated for a number of years to develop standards for claims attachments. This joint development effort has resulted in standards for attachments to healthcare claims, and pre-certification / pre-authorization transactions. HL7 attachments standards are based on the Clinical Document Architecture (CDA) and have been proposed by the Department of Health and Human Services (HHS) as the standard for claims attachments under HIPAA. In the HHS proposal, six attachment types developed by HL7 have been put forward for adoption: clinical reports; rehabilitation services; laboratory results; medications; ambulance services; and emergency department.
 +
See [http://www.hl7.org/documentcenter/public/calendarofevents/himss/2009/presentations/HIMSS_2009_WPS%20Insurance_Claims%20Attachments_final_Mon.pdf HIMSS 2009 presentation on WPS case study]
 +
|
 +
|-
 +
|
 +
Health Information '''''Exchange''''' Standards
 +
|
 +
HL7 V3: Registries; Real Time Location Tracking, R1
 +
|DSTU
 +
|
 +
|-
 +
|
 +
Health Information '''''Exchange''''' Standards
 +
|
 +
HL7 V3: Clinical Statement Pattern, R1
 +
|
 +
DSTU
 +
|
 +
|-
 +
|
 +
Health Information '''''Exchange''''' Standards
 +
|
 +
HL7 V3: Reuseable Information Constraint Templates, R1
 +
|
 +
DSTU
 +
|
 +
|-
 +
|
 +
Health Information '''''Exchange''''' Standards- '''Documents'''
 +
|
 +
HL7 IG for CDA R2: Healthcare Associated Infection Reports, R1
 +
|
 +
DSTU, IG
 +
|
 +
|-
 +
|
 +
Health Information '''''Exchange''''' Standards-
 +
|
 +
HL7 V3: Immunization, R1
 +
|
 +
DSTU
 +
|
 +
|-
 +
|
 +
Health Information '''''Exchange''''' Standards- '''Messages'''
 +
|
 +
HL7 V3: Clinical Genomics; Genotype, R1
 +
|
 +
DSTU
 +
|
 +
|-
 +
|
 +
Health Information '''''Exchange''''' Standards- '''Documents'''
 +
|
 +
HL7 IG for CDA R2: Consult Notes, R1
 +
|
 +
DSTU, IG
 +
|
 +
|-
 +
|
 +
Health Information '''''Exchange''''' Standards- '''Documents'''
 +
|
 +
HL7 IG for CDA R2: History and Physical (H&P)
 +
|
 +
DSTU, IG
 +
|
 +
|-
 
|
 
|
−
: a
+
Health Information '''''Exchange''''' Standards- '''Documents'''
 
|
 
|
−
: b
+
HL7 IG for CDA R2: Reference Profile for EHR Interoperability, R1
−
|
 
−
:  c
 
 
|
 
|
−
: d
+
DSTU, IG
 
|
 
|
  
 
|-
 
|-
 
|
 
|
−
CDA R2
+
Health Information '''''Exchange''''' Standards- '''Documents'''
 +
|
 +
HL7 IG for CDA R1, Personal Healthcare Monitoring Report, R1
 +
|
 +
DSTU
 +
|
 +
|-
 +
|
 +
Health Information '''''Exchange''''' Standards- '''Documents'''
 
|
 
|
−
Clinical documents are the core of a patient's lifetime health record. HL7’s CDA standard provides an exchange model for clinical documents such as discharge summaries and progress notes. A consistent approach to electronic clinical documents means that critical information contained in the documents can be used independently of the application on which it was produced. For example, CDA documents can be displayed using XML-aware Web browsers or wireless applications on mobile devices.
+
HL7 IG for CDA R2, Operative Notes, R1
 
|
 
|
−
: a
+
DSTU, IG
 
|
 
|
−
: b
+
|-
 
|
 
|
−
: c
+
Health Information '''''Exchange''''' Standards- '''Documents'''
−
|
 
−
: d
 
 
|
 
|
−
From HIMSS 2009 <br/>
+
HL7 IG for CDA R2, Level3: Healthcare Associated Infection Reports, R2 (US Realm)
−
* [http://www.hl7.org/documentcenter/public/calendarofevents/himss/2009/presentations/HIMSS2009_Bob_CDA_Sunday.pdf CDA presentation]
+
|
−
* [http://www.hl7.org/documentcenter/public/calendarofevents/himss/2009/presentations/HIMSS2009_Bob_What's%20New%20with%20CDA_Tue.pdf What's new with CDA?]
+
DSTU, IG
 
|
 
|
 
|-
 
|-
 
|
 
|
−
CCD
+
Health Information '''''Exchange''''' Standards- '''Documents'''
 
|
 
|
−
HL7 and ASTM International created the Continuity of Care Document (CCD) to integrate two complementary healthcare data specifications ASTM’s Continuity of Care Record (CCR) and HL7’s Clinical Document Architecture (CDA). The CCD is endorsed by the Healthcare Information Technology Standards Panel (HITSP) as the harmonized format for the exchange of clinical information, including patient demographics, medications and allergies.
+
HL7 IG for CDA R2: CDA Framework for Questionnaire Assessments, R1
 +
|
 +
DSTU, IG
 
|
 
|
−
The HL7/ASTM Continuity of Care Document (CCD) is an implementation guide for sharing Continuity of Care Record (CCR) patient summary data using the HL7 Clinical Document Architecture (CDA). CCD establishes a rich set of templates representing the typical sections of a summary record and expresses these templates as constraints on CDA. These same templates—for vital signs, family history, plan of care, and so on—can then be reused in other CDA document types, establishing interoperability across a wide range of clinical use cases. The CCD is the basis for interoperability in the US Health Information Technology Standards Panel (HITSP) and Integrating the Healthcare Enterprise (IHE) use cases.
+
|-
 
|
 
|
−
: b
+
Health Information '''''Exchange''''' Standards - '''Services (SOA)'''
 
|
 
|
−
: c
+
HL7 V3: Decision Support Service (DSS), R1
−
|
 
−
: d
 
 
|
 
|
−
[http://www.hl7.org/documentcenter/public/calendarofevents/himss/2009/presentations/HIMSS2009_Bob_CCD_Monday.pdf HIMSS 2009 CCD Presentation]
+
DSTU, IG
 
|
 
|
 
|-
 
|-
 
|
 
|
−
SPL
+
Health Information '''''Exchange''''' Standards- '''Documents'''
 
|
 
|
−
Structured Product Labeling (SPL) defines the content of human prescription drug labeling in an XML format. This format is defined within the SPL schema and is displayed in a web browser using the SPL stylesheet. It is approved by Health Level Seven (HL7) and has been adopted by FDA as a mechanism for exchanging medication information. (from [http://en.wikipedia.org/wiki/Structured_Product_Labeling Wikipedia])
+
HL7 IG for CDA R2: Quality Reporting Document Architecture (QRDA), R1
 
|
 
|
−
SPL documents contain both the content of labeling (all text, tables and figures) for a product along with additional machine readable information (drug listing data elements). Drug listing data elements include information about the product (product and generic names, ingredients, ingredient strengths, dosage forms, routes of administration, appearance, DEA schedule) and the packaging (package quantity and type).
+
DSTU, IG
 
|
 
|
−
: a
+
|-
 
|
 
|
−
The benefits that accrue to all stakeholders in the drug regulatory process by adoption of Structured Product Labeling (SPL) make the business case for implementation of SPL overwhelming. The benefits of SPL derive from use of standard, universally adopted information standards such as XML, from the specific aspects of the SPL model for describing prescription drug content, and from adoption of an open standard for SPL. (from [http://www.fda.gov/oc/datacouncil/SPL_Release_2a_3_25.pdf FDA Publication], see Appendices)
+
Health Information '''''Exchange''''' Standards- '''Messages'''
−
|
 
−
[http://www.fda.gov/oc/datacouncil/spl.html US FDA]
 
 
|
 
|
−
* [http://www.hl7.org/Special/committees/rcrim/index.cfm RCRIM WG]
+
HL7 V3: Claims & Reimbursement; Special Authorization, R1
−
* SPL [http://wiki.hl7.org/index.php?title=Structured_Product_Labeling Project Wiki]
+
|
−
* SPL [http://spl-work-group.wikispaces.com/ Work Group Wiki]
+
DSTU
 
|
 
|
 
|-
 
|-
 
|
 
|
−
EHR FM
+
Health Information '''''Exchange''''' Standards- '''Messages'''
 +
|
 +
HL7 V3: Care Provisions, R1
 +
|
 +
DSTU
 +
|
 +
|-
 
|
 
|
−
The healthcare industry will reap tremendous benefits by adopting a common standard for electronic health record systems (EHR-S). The HL7 EHR-S Functional Model outlines important features and functions that should be contained in an EHR system. Through the creation of functional profiles, this model provides a standard description and common understanding of functions for healthcare settings. To date, HL7 has developed or is developing profiles for areas such as child health, emergency care, long term care, behavioral health and vital statistic reporting. The EHR-S Functional Model is also in the final stages of vetting as an international standard through ISO.
+
|}
 +
 
 +
 
 +
====Health Information '''''Knowledge Representation''''' Standards====
 +
{|border="1"
 +
|+Tentative Product List
 +
|-
 +
!width="10%"| Integration paradigm
 +
!width="15%"| Product
 +
!width="65%"| Summary
 +
 
 +
|-
 +
|
 +
Health Information '''''Knowledge Representation''''' Standards
 +
|
 +
[[TSC_Product_List_Arden| Arden Syntax]]
 +
|
 +
The Arden Syntax for Medical Logic Modules (MLMs) is a language for representing and sharing medical knowledge among personnel, information systems and institutions.
 +
|
 +
|-
 +
|
 +
Health Information '''''Knowledge Representation''''' Standards
 +
|
 +
[[TSC_Product_List_SPL| SPL]]
 
|
 
|
−
: a
+
HL7 Version 3 Standard: Structured Product Labeling (SPL) defines the content of human prescription drug labeling in an XML format. This format is defined within the SPL schema and is displayed in a web browser using the SPL stylesheet. It is approved by Health Level Seven (HL7) and has been adopted by FDA as a mechanism for exchanging medication information. (from [http://en.wikipedia.org/wiki/Structured_Product_Labeling Wikipedia])
 
|
 
|
−
: b
+
|-
 
|
 
|
−
: c
+
Health Information '''''Knowledge Representation''''' Standards
−
|
 
−
: d
 
 
|
 
|
−
From HIMSS 2009 <br/>
+
GELLO
−
* [http://www.hl7.org/documentcenter/public/calendarofevents/himss/2009/presentations/HL7_EHR_2009_HIMSS_presentation1_Sunday.pdf EHR-S FM and Standard]
 
−
* [http://www.hl7.org/documentcenter/public/calendarofevents/himss/2009/presentations/Tutorial%20-%202007EHR-S_Advanced-HIMSS09-April_Wed.pdf Advanced EHR-S FM and Standard: Profiles Against the EHR & PHR S FM]
 
 
|
 
|
 +
HL7 Version 3 Standard: GELLO, A Common Expression Language is intended to be a standard query and expression language for decision support. GELLO is a class-based, object-oriented (OO) language that is built on existing
 +
standards. GELLO includes both query and expression sublanguages, which we refer to collectively as the GELLO language (for succinctness we will also refer to the two sublanguages simply as languages). GELLO is based on the Object Constraint Language (OCL), developed by the Object Management Group. Relevant components of OCL have
 +
been selected and integrated into the GELLO query and expression languages to provide a suitable framework for manipulation of clinical data for decision support in health care.
 +
The GELLO language can be used to:
 +
* Build up queries to extract and manipulate data from medical records.
 +
* Construct decision criteria by building up expressions to reason about particular data features/values. These criteria can be used in decision-support knowledge bases such as those designed to provide alerts and reminders, guidelines, or other decision rules.
 +
* Create expressions, formulae, and queries for other applications.
 +
|
 +
|}
 +
 +
 +
 +
===='''''Modeling''''' Standards====
 +
{|border="1"
 +
|+Tentative Product List
 +
|-
 +
!width="10%"| Integration paradigm
 +
!width="15%"| Product
 +
!width="65%"| Summary
 +
 
|-
 
|-
 
|
 
|
−
Personal Health Record System Functional Model (PHR-S FM)
+
'''''Modeling Standards'''''
 
|
 
|
−
The PHR-S FM defines the set of functions for Personal Health Record (PHR) systems and offers guidelines that facilitate health information exchange among different PHR systems and between PHR and Electronic Health Record systems. The PHR-S FM is was published as a Draft Standard for Trial Use (DSTU) in December 2008. During the period of trial use, consumers can begin requesting standards-based functionality when they select PHR systems for their use, vendors can begin incorporating the model’s requirements into their products and organizations that certify PHR systems can begin using the model’s conformance criteria for certification development and testing purposes. Groups such as the Certification Commission for Healthcare Information Technology (CCHIT) and the Centers for Medicare and Medicaid Services have already begun using components of the PHR-S FM
+
[[TSC_Product_List_RIM | RIM]]
 
|
 
|
−
: a
+
The Reference Information Model (RIM) is the cornerstone of the HL7 Version 3 development process. It is the combined consensus view of information from the perspective of the HL7 working group and the global HL7 affiliates. The RIM is the ultimate source from which all HL7 Version 3 protocol specification standards draw their information-related content.
 
|
 
|
−
: b
+
|-
 
|
 
|
−
: c
+
'''''Modeling Standards''''' - V3 Foundational Vocabulary Domains 
−
|
 
−
: d
 
 
|
 
|
−
From HIMSS 2009 <br/>
+
[[TSC_Product_List_CTS | CTS ]] Common Terminology Services
−
* [http://www.hl7.org/documentcenter/public/calendarofevents/himss/2009/presentations/PHR%202009%20HIMSS%20presentation_Monday.pdf PHR-S FM and Standard]
+
|
 +
The HL7 Common Terminology Services (HL7 CTS) defines an Application Programming Interface (API) that can be used by HL7 Version 3 software when accessing terminological content.  
 
|
 
|
 
|-
 
|-
 
|
 
|
−
SAEAF
+
'''''Modeling Standards'''''
 +
|
 +
HL7 EHR Lifecycle Model (EHR/LM), R1
 +
|
 +
DSTU
 
|
 
|
−
:description
+
|}
 +
 
 +
 
 +
 
 +
 
 +
====Application '''''Functional Specifications'''''====
 +
{|border="1"
 +
|+Tentative Product List
 +
|-
 +
!width="10%"| Integration paradigm
 +
!width="15%"| Product
 +
!width="65%"| Summary
 +
 
 +
|-
 
|
 
|
−
: a
+
Application '''''Functional Specifications'''''
 
|
 
|
−
: b
+
[[TSC_Product_List_EHR_FM| EHR FM]]
 
|
 
|
−
: c
+
The healthcare industry will reap tremendous benefits by adopting a common standard for electronic health record systems (EHR-S). The HL7 EHR-S Functional Model outlines important features and functions that should be contained in an EHR system. Through the creation of functional profiles, this model provides a standard description and common understanding of functions for healthcare settings. To date, HL7 has developed or is developing profiles for areas such as child health, emergency care, long term care, behavioral health and vital statistic reporting. The EHR-S Functional Model is also in the final stages of vetting as an international standard through ISO.
−
|
 
−
: d
 
 
|
 
|
 
|-
 
|-
 
|
 
|
−
Claims Attachments
+
Application '''''Functional Specifications'''''
 +
|
 +
[[TSC_Product_List_PHR-S_FM| PHR-S FM]] - Personal Health Record System Functional Model
 
|
 
|
−
In response to the federal mandate under HIPAA, HL7 and ASCX12 collaborated for a number of years to develop standards for claims attachments. This joint development effort has resulted in standards for attachments to healthcare claims, and pre-certification / pre-authorization transactions. HL7 attachments standards are based on the Clinical Document Architecture (CDA) and have been proposed by the Department of Health and Human Services (HHS) as the standard for claims attachments under HIPAA. In the HHS proposal, six attachment types developed by HL7 have been put forward for adoption: clinical reports; rehabilitation services; laboratory results; medications; ambulance services; and emergency department.
+
The PHR-S FM defines the set of functions for Personal Health Record (PHR) systems and offers guidelines that facilitate health information exchange among different PHR systems and between PHR and Electronic Health Record systems. The PHR-S FM is was published as a Draft Standard for Trial Use (DSTU) in December 2008. During the period of trial use, consumers can begin requesting standards-based functionality when they select PHR systems for their use, vendors can begin incorporating the model’s requirements into their products and organizations that certify PHR systems can begin using the model’s conformance criteria for certification development and testing purposes. Groups such as the Certification Commission for Healthcare Information Technology (CCHIT) and the Centers for Medicare and Medicaid Services have already begun using components of the PHR-S FM
 
|
 
|
−
: a
+
|-
 
|
 
|
−
: b
+
Application '''''Functional Specifications''''' - '''Services (SOA)'''
 
|
 
|
−
: c
+
[[TSC_Product_List_SFM#Product_Brief_-_Entity_Identification_Service_Functional_Model_.28EIS_SFM.29| Entity Identification Service Functional Model]] (EIS SFM)
−
|  
 
−
: d
 
 
|
 
|
−
[http://www.hl7.org/documentcenter/public/calendarofevents/himss/2009/presentations/HIMSS_2009_WPS%20Insurance_Claims%20Attachments_final_Mon.pdf HIMSS 2009 presentation on WPS case study]
+
The Entity Identification Service Functional Model (EIS SFM) Draft Standard for Trial Use (DSTU) is a draft functional standard defining the functions, responsibilities, inputs, outputs, and expected behavior of a system component for managing identities, such as would be used in a Master Patient Index (MPI). Not limited to use for Patients, the EIS SFM can be equally applied to manage identities for staff, providers, facilities, or any other “entities” needing identity management. The EIS SFM is among the first healthcare standards targeted to support a service-oriented architecture (SOA), and is at the basis for an unprecedented collaboration with the Object Management Group (OMG) whom has adopted a technical specification complementing this SFM.  
 
|
 
|
 
|-
 
|-
 
|
 
|
−
Clinical Genomics Pedigree Topic
+
Application '''''Functional Specifications''''' - '''Services (SOA)'''
 
|
 
|
−
The HL7 Clinical Genomics Pedigree Topic includes the Family History Model describing a patient’s pedigree with genomic data. It has the ability to transmit complete family history information for clinical decision support. This model is ANSI-approved and is the HITSP-accepted standard. This standard allows EHR/PHR interoperability, and is in use by the Surgeon General in his family history collection website:  My Family Health Portrait. It is also in the process of becoming of an international standard through ISO.
+
[[TSC_Product_List_SFM#Product_Brief_-_Retrieve.2C_Locate.2C_Update_Service_Functional_Model_.28RLUS_SFM.29| Retrieve, Locate, Update Service Functional Model]] (RLUS SFM)
 
|
 
|
−
: a
+
The Retrieve, Locate, Update Service Functional Model (RLUS SFM) Draft Standard for Trial Use (DSTU) is a draft functional standard defining the functions, responsibilities, inputs, outputs, and expected behavior of a system component capable of querying information and returning data and metadata between systems. Although fairly abstract in nature, RLUS is actually very simple to understand—it provides a generic query and retrieval mechanism that can be used for a multitude of information content via a standard access mechanism, promoting consistency within a heterogeneous environment.
 
|
 
|
−
: b
+
|-
 
|
 
|
−
: c
+
Application '''''Functional Specifications'''''- '''Services (SOA)'''
−
|
 
−
: d
 
 
|
 
|
−
From HIMSS 2009 <br/>
+
[[TSC_Product_List_SFM#Product_Brief_-_Decision_Support_Service_Functional_Model_.28DSS_SFM.29|Decision Support Service Functional Model]] (DSS SFM)
−
* [http://www.hl7.org/documentcenter/public/calendarofevents/himss/2009/presentations/HL7HIMSS%20Master_Pedigree_Family_History_Tue.pdf HL7 Pedigree Model for Family History]
+
|
 +
The Decision Support Service Functional Model (DSS SFM) Draft Standard for Trial Use (DSTU) is a draft functional standard defining the functions, responsibilities, inputs, outputs, and expected behavior of a system component for evaluating patient data to reach patient-specific conclusions. A DSS, for example, can evaluate a patient’s health summary as encoded in a Continuity of Care Document (CCD) and provide structured recommendations regarding the patient’s health maintenance and chronic disease management needs. The DSS SFM is among the first healthcare standards targeted to support a service-oriented architecture (SOA), and is at the basis for an unprecedented collaboration with the Object Management Group (OMG), which has adopted a technical specification complementing this SFM.
 
|
 
|
 
|-
 
|-
 
|
 
|
−
Version 2 Messaging Standard
+
Application '''''Functional Specifications'''''- '''Services (SOA)'''
 
|
 
|
−
The Version 2 Messaging Standard is one of the most widely implemented standards for healthcare information in the world. First released in October 1987 as An Application Protocol for Electronic Data Exchange in Healthcare Environments, Version 2 is a messaging standard that allows the exchange of clinical data between systems. It is designed to support a central patient care system as well as a more distributed environment where data resides in departmental systems. Version 2.6, representing the latest update to the Version 2 Standard, was published in January 2008. Version 2.7 is in the final stages of balloting and is expected to be released later this year.
+
HL7 V3: Regulated Studies; Clinical Research Filtered Query (CRFQ) Service Functional Model (SFM), R1
 +
|
 +
DSTU
 +
|
 +
|}
 +
 
 +
===='''''Visual Integration Messages'''''====
 +
{|border="1"
 +
|+Tentative Product List
 +
|-
 +
!width="10%"| Integration paradigm
 +
!width="15%"| Product
 +
!width="65%"| Summary
 +
 
 +
|-
 
|
 
|
−
: a
+
'''Visual Integration Messages '''
 
|
 
|
−
: b
+
[[TSC_Product_List_CCOW | CCOW ]] – Clinical Context Management Specification
 
|
 
|
−
: c
+
Aimed at facilitating the integration of applications at the point of use, the Clinical Context Management Specification (CCOW) is an end-user-focused standard that complements HL7's traditional emphasis on data interchange and enterprise workflow, by synchronizing and coordinating applications so that they automatically follow the user's context.
−
|
 
−
: d
 
 
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 +
|}
 +
 +
 +
 +
 +
====Other Products====
 +
{|border="1"
 +
|+Tentative Product List
 
|-
 
|-
 +
!width="10%"| Integration paradigm
 +
!width="15%"| Product
 +
!width="65%"| Summary
 +
 +
|-
 +
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 +
Messaging, Documents, Services (SOA)
 
|
 
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−
Version 3 Normative Edition
+
[[TSC_Product_List_EAS| SAEAF]]
 
|
 
|
−
Version 3 is HL7’s family of standards developed with a model-driven methodology. The release of HL7’s Version 3 Normative Edition marks a quantum leap in the functionality and interoperability of messaging standards. Version 3 is one of the first in the industry to embrace XML. Several countries throughout the world have already begun significant Version 3 implementations, including the United Kingdom, Canada, the Netherlands, Mexico, Germany and Croatia.
+
The HL7 SOA-Aware Enterprise Architecture provides a framework for specification of standardized services that can be used by the HL7 community. It identifies artifacts and a constraint pattern that provides traceability from requirements. These specifications align with different levels of conformance that aid HL7 consumers in adopting standards in different contexts, and supports specific integration patterns between collaborators as they seek to achieve computable semantic interoperability.  
 
|
 
|
−
: a
+
|-
 
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|
−
: b
+
'''Services (SOA)'''
 
|
 
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−
: c
+
[[TSC_Product_List_PracGuidSOA | Practical Guide for SOA in Healthcare]]
−
|  
 
−
: d
 
 
|
 
|
−
From HIMSS 2009 <br/>
+
The Practical Guide for SOA in Healthcare is an informative document that was produced jointly by the HL7 SOA Working Group in collaboration with the OMG Healthcare Domain Task Force under the auspices of the Healthcare Services Specification Project (HSSP). The Practical Guide was created to help assist organizations that are either considering or are doing projects involving SOA to make effective decisions and to understand how SOA might fit into their organizational landscape. Many people find that it difficult to determine “how to get started” and lack an approach for doing so— a void this document is hoping to address.  
−
* [http://www.hl7.org/documentcenter/public/calendarofevents/himss/2009/presentations/HIMSS-2009-V3_Mon%20and%20Wed.pdf The Essence of Model-driven Standards]
 
−
* [http://www.hl7.org/documentcenter/public/calendarofevents/himss/2009/presentations/Reference%20Information%20Model_Tue.pdf Intro to HL7 RIM]
 
 
|
 
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 +
|}

Latest revision as of 19:29, 9 June 2009

2009 TSC Product Visibility

Project Objectives and Deliverables

  1. Create workable definitions of HL7 PRODUCTS
    • DELIVERABLE: Draft material for the Web Site on Products (this page)
      • Health Information Exchange Standards
        • Messaging, Documents, and Services
      • Health Information Knowledge Representation Standards
        • Arden Syntax, SPL, GELLO
      • Modeling Standards
        • RIM, CTS, EHR Lifecycle FM
      • Application Functional Specifications
        • EHR-S FM, PHR-S FM, EIS SFM, RLUS SFM, DSS SFM, CRFQ SFM
      • Visual Integration Messages
        • Clinical Context Management Specification (CCOW)
      • Other
        • SAEAF, Practical Guide for SOA in Healthcare
      • Anticipate input from Education Committee, NHS Product Descriptions, WG having responsibility for product, and other sources
      • Define purpose and maintenance of categories list.
    • Evaluate future reference by Product to:
      • Standards and artifacts (what makes up this product),
      • projects (searchable database),
      • work groups (who works on what product),
      • users (I am a ___, how do these products meet my needs?),
      • and other organizations’ standards (JIC).
  2. Draft process for Governance of Products list: ongoing and annual review, maintenance, and endorsement of Product Definitions
    • New product request
    • Updates to products
    • Evaluate potential for expired products or standards
  3. Evaluate perception of ‘visibility’ (using a survey, perhaps)
    • Can “users of the standards” find what HL7 Products are available?
    • Validate perception of “who are our customers”,
    • Are we getting the word out? (Genomics, ICSR, CDA [vs XDS], Services)
    • Are we able to track what is needed in the market?

Project Dependencies and Relationships

  • Project Insight ID (PI ID) #404, also Roadmap Task #34: Document the various HL7 standards and their application to interoperability
  • PI ID # 413, also Roadmap Task #48: Develop an updated HL7 Product Strategy
  • PI ID # 412, also Roadmap Task #46: HL7 Standards and Implementation Guide Inventory Report
  • PI ID # 439, also Roadmap Task #37: HL7 Website to list HL7 IGs, scope, language, Affiliate, link, etc.

Product List (Tentative)

Health Information Exchange Standards

Tentative Product List
Integration paradigm Product Summary

Health Information Exchange Standards- Messaging

V3 - Version 3 Normative Edition

Version 3 is HL7’s family of standards developed with a model-driven methodology. The release of HL7’s Version 3 Normative Edition marks a quantum leap in the functionality and interoperability of messaging standards. Version 3 is one of the first in the industry to embrace XML. Several countries throughout the world have already begun significant Version 3 implementations, including the United Kingdom, Canada, the Netherlands, Mexico, Germany and Croatia.

Health Information Exchange Standards- Messaging

Clinical Genomics Pedigree Topic

The HL7 Clinical Genomics Pedigree Topic includes the Family History Model describing a patient’s pedigree with genomic data. It has the ability to transmit complete family history information for clinical decision support. This model is ANSI-approved and is the HITSP-accepted standard. This standard allows EHR/PHR interoperability, and is in use by the Surgeon General in his family history collection website: My Family Health Portrait. It is also in the process of becoming of an international standard through ISO.

Health Information Exchange Standards- Messaging

V2 Version 2 Messaging Standard

The Version 2 Messaging Standard is one of the most widely implemented standards for healthcare information in the world. First released in October 1987 as An Application Protocol for Electronic Data Exchange in Healthcare Environments, Version 2 is a messaging standard that allows the exchange of clinical data between systems. It is designed to support a central patient care system as well as a more distributed environment where data resides in departmental systems. Version 2.6, representing the latest update to the Version 2 Standard, was published in January 2008. Version 2.7 is in the final stages of balloting and is expected to be released later this year.

Health Information Exchange Standards- Messaging

XML Encoding Syntax for Version 2

HL7 Version 2 XML Encoding Syntax was approved by the American National Standards Institute (ANSI) as an American National Standard in June 2003. This specification, informally known as HL7 V2.xml, defines the Extensible Markup Language (XML) encoding rules for traditional HL7 Version 2 message content. It primarily addresses the expression of HL7 Version 2 messages in XML as an alternative to the traditional “vertical bar” encoding, and describes the underlying rules and principles. XML schema definitions are provided for all Version 2 message types, including the corresponding data type descriptions necessary for this specification. Due to their greater expressiveness, schemas are the preferred way to describe a set of constraints on message instances. Document Type Definitions (DTDs) are also provided as an informative appendix.

Health Information Exchange Standards- Documents

CDA

The Clinical Document Architecture (CDA) is a specification for the exchange of electronic clinical documents. It can contain coded data and narrative and is compatible with the electronic health record and document management systems. CDA is at the core of virtually all standards-based exchange networks in the US and abroad and is adaptable for dictated notes and highly-structured public health and quality reporting.

Health Information Exchange Standards- Documents

CCD

HL7 and ASTM International created the Continuity of Care Document (CCD) to integrate two complementary healthcare data specifications ASTM’s Continuity of Care Record (CCR) and HL7’s Clinical Document Architecture (CDA). The CCD is endorsed by the Healthcare Information Technology Standards Panel (HITSP) as the harmonized format for the exchange of clinical information, including patient demographics, medications and allergies.

Health Information Exchange Standards- Documents

Claims Attachments

In response to the federal mandate under HIPAA, HL7 and ASCX12 collaborated for a number of years to develop standards for claims attachments. This joint development effort has resulted in standards for attachments to healthcare claims, and pre-certification / pre-authorization transactions. HL7 attachments standards are based on the Clinical Document Architecture (CDA) and have been proposed by the Department of Health and Human Services (HHS) as the standard for claims attachments under HIPAA. In the HHS proposal, six attachment types developed by HL7 have been put forward for adoption: clinical reports; rehabilitation services; laboratory results; medications; ambulance services; and emergency department. See HIMSS 2009 presentation on WPS case study

Health Information Exchange Standards

HL7 V3: Registries; Real Time Location Tracking, R1

DSTU

Health Information Exchange Standards

HL7 V3: Clinical Statement Pattern, R1

DSTU

Health Information Exchange Standards

HL7 V3: Reuseable Information Constraint Templates, R1

DSTU

Health Information Exchange Standards- Documents

HL7 IG for CDA R2: Healthcare Associated Infection Reports, R1

DSTU, IG

Health Information Exchange Standards-

HL7 V3: Immunization, R1

DSTU

Health Information Exchange Standards- Messages

HL7 V3: Clinical Genomics; Genotype, R1

DSTU

Health Information Exchange Standards- Documents

HL7 IG for CDA R2: Consult Notes, R1

DSTU, IG

Health Information Exchange Standards- Documents

HL7 IG for CDA R2: History and Physical (H&P)

DSTU, IG

Health Information Exchange Standards- Documents

HL7 IG for CDA R2: Reference Profile for EHR Interoperability, R1

DSTU, IG

Health Information Exchange Standards- Documents

HL7 IG for CDA R1, Personal Healthcare Monitoring Report, R1

DSTU

Health Information Exchange Standards- Documents

HL7 IG for CDA R2, Operative Notes, R1

DSTU, IG

Health Information Exchange Standards- Documents

HL7 IG for CDA R2, Level3: Healthcare Associated Infection Reports, R2 (US Realm)

DSTU, IG

Health Information Exchange Standards- Documents

HL7 IG for CDA R2: CDA Framework for Questionnaire Assessments, R1

DSTU, IG

Health Information Exchange Standards - Services (SOA)

HL7 V3: Decision Support Service (DSS), R1

DSTU, IG

Health Information Exchange Standards- Documents

HL7 IG for CDA R2: Quality Reporting Document Architecture (QRDA), R1

DSTU, IG

Health Information Exchange Standards- Messages

HL7 V3: Claims & Reimbursement; Special Authorization, R1

DSTU

Health Information Exchange Standards- Messages

HL7 V3: Care Provisions, R1

DSTU


Health Information Knowledge Representation Standards

Tentative Product List
Integration paradigm Product Summary

Health Information Knowledge Representation Standards

Arden Syntax

The Arden Syntax for Medical Logic Modules (MLMs) is a language for representing and sharing medical knowledge among personnel, information systems and institutions.

Health Information Knowledge Representation Standards

SPL

HL7 Version 3 Standard: Structured Product Labeling (SPL) defines the content of human prescription drug labeling in an XML format. This format is defined within the SPL schema and is displayed in a web browser using the SPL stylesheet. It is approved by Health Level Seven (HL7) and has been adopted by FDA as a mechanism for exchanging medication information. (from Wikipedia)

Health Information Knowledge Representation Standards

GELLO

HL7 Version 3 Standard: GELLO, A Common Expression Language is intended to be a standard query and expression language for decision support. GELLO is a class-based, object-oriented (OO) language that is built on existing standards. GELLO includes both query and expression sublanguages, which we refer to collectively as the GELLO language (for succinctness we will also refer to the two sublanguages simply as languages). GELLO is based on the Object Constraint Language (OCL), developed by the Object Management Group. Relevant components of OCL have been selected and integrated into the GELLO query and expression languages to provide a suitable framework for manipulation of clinical data for decision support in health care. The GELLO language can be used to:

  • Build up queries to extract and manipulate data from medical records.
  • Construct decision criteria by building up expressions to reason about particular data features/values. These criteria can be used in decision-support knowledge bases such as those designed to provide alerts and reminders, guidelines, or other decision rules.
  • Create expressions, formulae, and queries for other applications.


Modeling Standards

Tentative Product List
Integration paradigm Product Summary

Modeling Standards

RIM

The Reference Information Model (RIM) is the cornerstone of the HL7 Version 3 development process. It is the combined consensus view of information from the perspective of the HL7 working group and the global HL7 affiliates. The RIM is the ultimate source from which all HL7 Version 3 protocol specification standards draw their information-related content.

Modeling Standards - V3 Foundational Vocabulary Domains

CTS Common Terminology Services

The HL7 Common Terminology Services (HL7 CTS) defines an Application Programming Interface (API) that can be used by HL7 Version 3 software when accessing terminological content.

Modeling Standards

HL7 EHR Lifecycle Model (EHR/LM), R1

DSTU



Application Functional Specifications

Tentative Product List
Integration paradigm Product Summary

Application Functional Specifications

EHR FM

The healthcare industry will reap tremendous benefits by adopting a common standard for electronic health record systems (EHR-S). The HL7 EHR-S Functional Model outlines important features and functions that should be contained in an EHR system. Through the creation of functional profiles, this model provides a standard description and common understanding of functions for healthcare settings. To date, HL7 has developed or is developing profiles for areas such as child health, emergency care, long term care, behavioral health and vital statistic reporting. The EHR-S Functional Model is also in the final stages of vetting as an international standard through ISO.

Application Functional Specifications

PHR-S FM - Personal Health Record System Functional Model

The PHR-S FM defines the set of functions for Personal Health Record (PHR) systems and offers guidelines that facilitate health information exchange among different PHR systems and between PHR and Electronic Health Record systems. The PHR-S FM is was published as a Draft Standard for Trial Use (DSTU) in December 2008. During the period of trial use, consumers can begin requesting standards-based functionality when they select PHR systems for their use, vendors can begin incorporating the model’s requirements into their products and organizations that certify PHR systems can begin using the model’s conformance criteria for certification development and testing purposes. Groups such as the Certification Commission for Healthcare Information Technology (CCHIT) and the Centers for Medicare and Medicaid Services have already begun using components of the PHR-S FM

Application Functional Specifications - Services (SOA)

Entity Identification Service Functional Model (EIS SFM)

The Entity Identification Service Functional Model (EIS SFM) Draft Standard for Trial Use (DSTU) is a draft functional standard defining the functions, responsibilities, inputs, outputs, and expected behavior of a system component for managing identities, such as would be used in a Master Patient Index (MPI). Not limited to use for Patients, the EIS SFM can be equally applied to manage identities for staff, providers, facilities, or any other “entities” needing identity management. The EIS SFM is among the first healthcare standards targeted to support a service-oriented architecture (SOA), and is at the basis for an unprecedented collaboration with the Object Management Group (OMG) whom has adopted a technical specification complementing this SFM.

Application Functional Specifications - Services (SOA)

Retrieve, Locate, Update Service Functional Model (RLUS SFM)

The Retrieve, Locate, Update Service Functional Model (RLUS SFM) Draft Standard for Trial Use (DSTU) is a draft functional standard defining the functions, responsibilities, inputs, outputs, and expected behavior of a system component capable of querying information and returning data and metadata between systems. Although fairly abstract in nature, RLUS is actually very simple to understand—it provides a generic query and retrieval mechanism that can be used for a multitude of information content via a standard access mechanism, promoting consistency within a heterogeneous environment.

Application Functional Specifications- Services (SOA)

Decision Support Service Functional Model (DSS SFM)

The Decision Support Service Functional Model (DSS SFM) Draft Standard for Trial Use (DSTU) is a draft functional standard defining the functions, responsibilities, inputs, outputs, and expected behavior of a system component for evaluating patient data to reach patient-specific conclusions. A DSS, for example, can evaluate a patient’s health summary as encoded in a Continuity of Care Document (CCD) and provide structured recommendations regarding the patient’s health maintenance and chronic disease management needs. The DSS SFM is among the first healthcare standards targeted to support a service-oriented architecture (SOA), and is at the basis for an unprecedented collaboration with the Object Management Group (OMG), which has adopted a technical specification complementing this SFM.

Application Functional Specifications- Services (SOA)

HL7 V3: Regulated Studies; Clinical Research Filtered Query (CRFQ) Service Functional Model (SFM), R1

DSTU

Visual Integration Messages

Tentative Product List
Integration paradigm Product Summary

Visual Integration Messages

CCOW – Clinical Context Management Specification

Aimed at facilitating the integration of applications at the point of use, the Clinical Context Management Specification (CCOW) is an end-user-focused standard that complements HL7's traditional emphasis on data interchange and enterprise workflow, by synchronizing and coordinating applications so that they automatically follow the user's context.



Other Products

Tentative Product List
Integration paradigm Product Summary

Messaging, Documents, Services (SOA)

SAEAF

The HL7 SOA-Aware Enterprise Architecture provides a framework for specification of standardized services that can be used by the HL7 community. It identifies artifacts and a constraint pattern that provides traceability from requirements. These specifications align with different levels of conformance that aid HL7 consumers in adopting standards in different contexts, and supports specific integration patterns between collaborators as they seek to achieve computable semantic interoperability.

Services (SOA)

Practical Guide for SOA in Healthcare

The Practical Guide for SOA in Healthcare is an informative document that was produced jointly by the HL7 SOA Working Group in collaboration with the OMG Healthcare Domain Task Force under the auspices of the Healthcare Services Specification Project (HSSP). The Practical Guide was created to help assist organizations that are either considering or are doing projects involving SOA to make effective decisions and to understand how SOA might fit into their organizational landscape. Many people find that it difficult to determine “how to get started” and lack an approach for doing so— a void this document is hoping to address.

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