2012-01-15 TSC WGM SDO Activities Minutes

TSC Sunday Q4 Agenda - 2012 Jan WGM San Antonio, TX USA

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TSC HL7 activities with other SDOs Meeting Location: TBD		Date: 2012-01-15 Time: Sunday Q4
Facilitator	Austin Kreisler	Note taker(s)	Lynn Laakso
Opportunity for HL7 WGM attendees to review activities in collaboration with other SDOs such as IHE, OMG, and the JWG and JIC, and provide comment.
Attendees:

Agenda

Welcome and Introduction - Austin Kreisler

SDO liaison activities and review of each JIC-sponsored event having HL7 engagement (25 mins)

Attached reports:

• HL7 activities with AHIP: Maria Ward
• HL7 activities with ADA: Pat Van Dyke
• HL7 activities with CDISC: Bron Kisler for Becky Kush
• HL7 activities with CLSI:
• HL7 activities with CEN TC 251: Mark Shafarman
• HL7 activities with DICOM: Helmut Koenig
  • Radiology/Surgery/Pathology Orders Workflow (In cooperation with HL7 Anatomic Pathology WG + HL7 Orders and Observations WG)

    Develop an implementation guide for anatomic pathology orders that better captures data from the surgical or interventional radiology procedure that produced the specimen. In this project we will work on an HL7 v2.x Implementation Guide for pathology orders, including appropriate references to diagnostic and to peri-operative imaging - both biopsy guidance imaging (X-ray, ultrasound, MR) and photographic imaging (e.g., of specimen as excised). Particular consideration will be given to the operational issues in multi-department coordination.

  • Discussion on communication of contrast agent information and associated adverse events

    HL7 II WG / DICOM WG20 started a discussion on how to access and communicate relevant clinical information before and after contrast administration. Contrast agents used to improve medical imaging are not completely devoid of risk. In order to minimize the risks that are associated with the use of contrast media, the group will explore how they can be mitigated by exchanging relevant information between imaging and clinical information systems. Adverse events (contrast reaction, device failure) should be documented in imaging reports. We will evaluate the need for new structured document templates.

  • Cooperation with HL7 Structured Documents WG

    HL7 II WG / DICOM WG20 will continue the discussion on the development of CDA Imaging Report Templates and other harmonization topics.

• HL7 activities with DSMO: Maria Ward or Mary Lynn Bushman
• HL7 activities with GS1: Chuck Jaffe
• HL7 activities with IEEE (11073): Todd Cooper
• HL7 activities with IHE: Chuck Jaffe, Keith Boone
• HL7 activities with IHTSDO: Russ Hamm reports: Several coordination activities have been ongoing between HL7 and IHTSDO.
  • IHTSDO is undertaking a review of the technical architecture of the IHTSDO Workbench, and HL7 has been asked to participate in an interview towards this effort. An interview was scheduled for the week of January 8th, 2012, and HL7 will be providing feedback on architectural and usability aspects of the Workbench, including:
    • Configuration and update complexity
    • Thick client vs. thin client implementation
    • Distributed terminology authoring capabilities
    • Terminology workflow automation
    • Terminology build process, and
    • General usability
  • The “Member’s Release” of the IHTSDO Workbench has been released and is available on the IHTSDO hosted Collabnet site. The Member’s release is based off the Migration Release, which is the version that IHTSDO has been using for developing the latest version of SNOMED-CT. This version should be considered by HL7 as the “starting point” for Workbench development activity. The Member’s release of the workbench is Standalone mode only however, and access is subject to the IHTSDO policy that enables the free use of English-language SNOMED CT terms and identifiers in international research databases, in complementary health IT standards, and in other projects and resources available worldwide. HL7 was approved to use SNOMED CT terms and identifiers in HL7 standards. Use of SNOMED CT Concept IDs and Descriptions in HL7 messages and documents that can be used by people in any country of the world. Groups and individuals authoring clinical value sets would require full access to SNOMED CT in order to perform that task safely, and so would need to obtain and adhere to an Affiliate license.

    NOTE: It should not be possible to extract and download SNOMED CT from these systems.

• HL7 Activities with NCPDP: Margaret Weiker
  • NCPDP WG2 – Product Identification has a task group, The Structure Product Labeling Activities Task Group tracks the activities of the SPL, offers suggestions to improve access and usability of the FDA Structured Product Label and Electronic Drug Listings, and monitors the work of the Guiding Coalition for feedback to the WG. This task group met during the WG meeting. The Coalition has sent seven letters to the FDA and is working on letters regarding Marketing Categories, Inner/Outer NDCs and Identifiers, and Freeness. Two letters, SPL Validation Dates and Fee Definition Update, were reviewed and approved at this meeting. They continue to collaborate with the HL7 SPL Leadership Team/SPL Working Group regarding issues with “Last Marketing Date/Marketing End Date”, “June/December Updates of the SPL” and the “SPL Validation Process”. They are also investigating the process whereby the Billing Unit Standard can be added to the SPL Indexing Files.
  • NCPDP WG11 – ePrescribing and Related Transaction has a task group, NCPDP/HL7 Pharmacist Functional Profile Task Group will discuss analyzing the functional profiles for NIST testing for meaningful use in the future.
  • NCPDP WG14 - Long Term and Post Acute Care (LTPAC) has 1 task groups that interfaces with HL7
    • Automation in LTPAC Task Group – This task group reported they are in the process of creating a white paper on the use of the HL7 messages in pharmacy.
• HL7 activities with NQF: Chuck Jaffe
• HL7 activities with NUCC: Maria Ward or Nancy Wilson-Ramon
• HL7 activities with OMG: Ken Rubin
• HL7 activities with Regenstrief/LOINC: Ted Klein
• HL7 activities with SCO: John Quinn or Chuck Jaffe
• Hl7 Activities with The Health Story Project: Joy Kuhl submits the attached report
• HL7 Activities with TIGER: Pat Van Dyke
  • HL7 continues to provide a ‘Breakfast for Nurses’ at each Working Group Meeting even though the original commitment ended in 2009. The meeting is regularly held on Tuesday mornings from 0700-0800. Nurses from the international community attend the breakfast and discuss their involvement in projects affecting the nurse communities in HL7 and other organizations such as HIMSS and IHE. It is a wonderful networking opportunity. We will seek presentations HL7 projects of interest to the clinical provider community such as Care Plans.
• HL7 activities with W3C: John Quinn
• HL7 Activities with WEDI: Maria Ward
• HL7 Activities with X12: Maria Ward

Panel discussion: (1 hour)

Streamlining current cross SDO processes - SDO perspective

• Panelists: