Difference between revisions of "2011-05-15 TSC WGM SDO Activities Minutes"

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*ICSR: Mead Walker
 
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*IDMP: Tim Buxton
 
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*CTRR: Becky Kush reports - Clinical Trial Registration & Results, a CDISC-HL7 standard is also an approved JIC project. An ISO TC-215 New Work Items Proposal has been drafted for this. The JIC will be meeting at the ISO TC 215 meeting in Finland in late May.
 
*DataTypes: Grahame Grieve
 
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#HL7 activities with CEN TC 251
 
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===SDO Liaison Reports (submitted in advance)===
 
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#HL7 activities with CDISC
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#*Becky Kush reports:
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#**The BRIDG Model (RCRIM DAM for protocol-driven research) received comments from ISO Central that need to be addressed before it can be balloted as a DIS.  These were discussed with the ISO TAG secretariat, leader and CDISC representatives. (The primary change is to put it into HTML.)  BRIDG is already a CDISC and an HL7 Standard. This path via the JIC will develop it into an ISO/CEN standard, thus a true global standard for clinical research and safety.
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#**HL7 RCRIM co-chairs met with FDA representatives at White Oak on 20 April to discuss issues with the CDISC content to HL7 message standards.
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#**The JIC will have a pavillion at the WoHIT Conference & Exhibition in Budapest, Hungary the week of 10-12 May.  Bron Kisler, JIC Chair and CDISC VP of Strategic Initiatives is coordinating.
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#**Clinical Trial Registration & Results, a CDISC-HL7 standard is also an approved JIC project. An ISO TC-215 New Work Items Proposal has been drafted for this.
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#**The JIC will be meeting at the ISO TC 215 meeting in Finland in late May.
 
#HL7 activities with DICOM
 
#HL7 activities with DICOM
 
#*Helmut König reports for HL7 Imaging Integration / DICOM WG 20 Report May 2011
 
#*Helmut König reports for HL7 Imaging Integration / DICOM WG 20 Report May 2011

Revision as of 12:57, 9 May 2011

TSC Sunday Q4 Agenda - 2011 May Orlando FL, USA

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TSC HL7 activities with other SDOs Meeting

Location: TBD

Date: 2011-05-15
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

HL7 Executive Report on Activities with other SDO's

(JIC, ISO TC215, JWG, NQF, SCO, W3C, Continua)

  • Chuck Jaffe
  • John Quinn

Review of each JIC-sponsored event having HL7 engagement

  • BRIDG: Becky Kush
  • ICSR: Mead Walker
  • IDMP: Tim Buxton
  • CTRR: Becky Kush reports - Clinical Trial Registration & Results, a CDISC-HL7 standard is also an approved JIC project. An ISO TC-215 New Work Items Proposal has been drafted for this. The JIC will be meeting at the ISO TC 215 meeting in Finland in late May.
  • DataTypes: Grahame Grieve
  • EHR-S FM: Don Mon
  • SKMT: Heather Grain
  • Patient ID: Christian Hay

SDO liaison activities

  1. HL7 activities with AHIP
    • Maria Ward
  2. HL7 activities with ADA
    • Pat Van Dyke
  3. HL7 activities with ASTM
    • TBD
  4. HL7 activities with DSMO
    • Maria Ward or Nancy Wilson Ramon
  5. HL7 activities with California Healthcare Foundation
  6. HL7 activities with CEN TC 251
    • Mark Shafarman
  7. HL7 activities with GS1
    • Christian Hay
  8. HL7 activities with IEEE (11073)
    • Todd Cooper
  9. HL7 Activities with WEDI
    • Maria Ward or Jim Schuping
  10. HL7 Activities with X12
    • Maria Ward

SDO Liaison Reports (submitted in advance)

  1. HL7 activities with CDISC
    • Becky Kush reports:
      • The BRIDG Model (RCRIM DAM for protocol-driven research) received comments from ISO Central that need to be addressed before it can be balloted as a DIS. These were discussed with the ISO TAG secretariat, leader and CDISC representatives. (The primary change is to put it into HTML.) BRIDG is already a CDISC and an HL7 Standard. This path via the JIC will develop it into an ISO/CEN standard, thus a true global standard for clinical research and safety.
      • HL7 RCRIM co-chairs met with FDA representatives at White Oak on 20 April to discuss issues with the CDISC content to HL7 message standards.
      • The JIC will have a pavillion at the WoHIT Conference & Exhibition in Budapest, Hungary the week of 10-12 May. Bron Kisler, JIC Chair and CDISC VP of Strategic Initiatives is coordinating.
      • Clinical Trial Registration & Results, a CDISC-HL7 standard is also an approved JIC project. An ISO TC-215 New Work Items Proposal has been drafted for this.
      • The JIC will be meeting at the ISO TC 215 meeting in Finland in late May.
  2. HL7 activities with DICOM
    • Helmut König reports for HL7 Imaging Integration / DICOM WG 20 Report May 2011
      DICOM Supplement 150 (Radiation Dose Summary Information in Radiology Reports)
      This supplement to the DICOM standard introduces a template for including radiation dose summary information and relevant section headings (medical content) in DICOM Structured Reports:
      • basic information about the current imaging procedure.
      • relevant medical history data, information on the current request (i.e. clinical question that is expected to be answered by the requested procedure) and impressions on the current imaging procedure that has been performed.
      • Summaries of the radiation dose for imaging procedures using ionizing radiation.
      This supplement also considers transformation into HL7 CDA documents.
      Individual nations may have legal requirements or local content standards that require specific information be present. In Europe the Euratom Directive specifies the general aspects of documentation of the radiation exposure of a person.The transcription of this directive to national German law requires written report for X-ray and nuclear medicine examinations, but the German X-Ray and Radiation Control Regulation („Röntgenverordnung“, „Strahlenschutzverordnung“) does not specify the content of the report. The German national standard DIN 6827-5, „Recording in medical application of ionizing radiation – Part 5: Radiological report“ specifies the medical content of the report and describes how to optionally document radiation exposure and protection content which can be entered manually or automatically populated from documents such as SR modality dose reports. This template is also intended to satisfy California SB 1237.
      The document has been accepted for DICOM letter ballot at the WG6 meeting in Pisa (April 5 and 6, 2011). Comments that were received during the public comment phase have been addressed and a section on the transformation to CDA R2 has been added to the document.
      HL7 CDA: WG20 will be meeting with the HL7 Structured Documents WG at the May HL7 meeting in Orlando to discuss the development of CDA Imaging Report Templates and imaging topics related to the CDA IG Consolidation Project.
      HL7 Messaging: WG20 will be meeting with the HL7 Anatomic Pathology WG at the May HL7 meeting in Orlando to discuss order entry workflow and specimen identification topics.
  3. HL7 Activities with the Health Story Project
    • Joy Kuhl reports:
      The Health Story Project is a non-profit, industry alliance of over three dozen member organizations that was founded in 2007. To support its vision of electronic records that offer a patient’s complete health story, the project sponsors development of HL7 standards for the flow of information between narrative notes and EMR systems. In May 2008, Health Story established an Associate Charter agreement with HL7. Since that time we have supported the development, ballot and release for publication of eight implementation guides based on CDA R2, including Consult Note, History and Physical, Operative Note, Diagnostic Imaging Report, Discharge Summary, Procedure Note, Unstructured Documents and Progress Notes.
      Recently, in collaboration with HL7 and IHE, Health Story launched an effort to consolidate these guides along with the Continuity of Care Document (CCD) standard into a single publication. This project, called the HL7/IHE Health Story Implementation Guide Consolidation Project, addresses critical industry requirements and is receiving recognition from ONC through its Standards & Interoperability Framework. It is going through the current HL7 ballot cycle.
      Since our previous board report, Health Story engaged in the following additional activities, bringing value to HL7.
      • Published two press releases with HL7 to promote the HL7/IHE Health Story Consolidation Project with coverage in the 2011 HIMSS Conference publications and other media, such as Healthcare IT News and CMIO Magazine.
      • Volunteers supported a Health Story booth at the HIMSS11 Convention Interoperability Showcase, and Bob Dolin, MD provided a presentation at the showcase theatre.
      • Collaborated with HL7, IHE under the umbrella of the ONC Standards & Interoperability Framework to publish for ballot, “HL7 IG for CDA Release 2: IHE Health Story Consolidation, Release 1.”
      • Health Story and HL7 co-promoted an educational webinar, “HL7/IHE Health Story Consolidation Project: How to Participate in the HL7 Ballot” presented by SDWG Co Chair, Liora Alschuler to encourage ballot participation.
      • Health Story wrote an article for May issue of Health Data Matrix, the business and technology journal of the Associations for Healthcare Documentation Integrity called, “Health Story: The Gentle Path to Meaningful Use.” The article highlights HL7.
      • Health Story received coverage in NHIN Watch with a column contributed by HL7 chair, Bob Dolin, “Preserving the Patient Story as we Progress to EHRs.” The article highlights HL7.
      • Health Story members are encouraged to become early adopters of the HL7 CDA Implementation Guides, and members are directed to participate in training at HL7 Working Group Meetings and Education Summits.
      • Health Story is working with HIMSS Analytics to analyze initial survey results showing adoption of Health Story-supported HL7 CDA Implementation Guides.
      We look forward to further collaboration in 2011, including, most immediately, completion of and advocacy for adoption of the HL7 IG for CDA Release 2: IHE Health Story Consolidation, Release 1.
  4. HL7 activities with IHE
    • Keith Boone reports:
      - IHE PCC is developing a profile supporting the reconciliation of problems, medications and allergies. Data can come from systems using CDA and HL7 Version 3 Care Record Query messages. Results can be reported in CDA or returned by subsequent Care Record Query messages. PCC is also expanding upon its EMS Transfers of Care profile on CDA to include Interfacility Transport.
      - IHE IT Infrastructure is developing a profile supporting CDA encryption using S/MIME for content packaging. In March they published Cross Community Patient Discovery for Trial Implementation using HL7 Version 3 Patient Administration messages.
      - Quality, Public Health and Research is working on profiles supporting:
      • Early Hearing Loss Care Plan using CDA
      • Quality Case Reporting using CDA
      • Physician Reporting to Public Health Repository (focused on Cancer) using CDA.
      - IHE Cardiology has published the Cardiac Imaging Report Content Profile (CIRC) for public comment based on HL7 CDA
      - IHE Radiology is working with DICOM on CDA templates for imaging reporting.
      - Anatomic Pathology has published Anatomic Pathology Structured Reports (APSR) for Trial Implementation. This is a CDA based profile.
      - IHE Eyecare has published Basic Eyecare Workflow also for Trial Implementation, using HL7 Version 2 ADT and Order messages.
  5. HL7 activities with IHTSDO
    • Russ Hamm reports:
      On Jan 28,2011 IHTSDO approved a policy permitting the international use of SNOMED IDs and terms by International Standards Organizations. This would permit HL7 to publish SNOMED CT IDs and descriptions in HL7 standards and implementation guides, as well as permit HL7 members to exchange SNOMED IDs and descriptions through value sets regardless of IHTSDO member status. Use of these terms requires prior approval by IHTSDO through a formal request and justification for use. A proposal has drafted by the Vocabulary WG and approved by FTSD, TSC and the Board, and forwarded to the IHTSDO.
      The IHTSDO Management Board has voted to support the query components of the HL7/OMG CTS 2 specification. The CST 2 Submission Team has worked to provide a formal mapping and examples of how SNOMED represented in Release Format 2 (RF 2) would be represented in CTS 2.
      A process for submitting HL7 proposed content changes to SNOMED to the IHTSDO is being developed. This process will define the key participants, change evaluation process, priority assignment, and submission format for any changes.
      Further work on the integration of HL7 vocabulary content into the IHTSDO Workbench has been delayed due to tooling budget constraints and volunteer availability.
  6. HL7 activities with NAACCR
    • Betsy Kohler reports:
      In 2010 NAACCR completed a pilot project testing the HL7 CDA for cancer data transmission. A couple of the issues identified during the project are the CDA file size and the transmission of one file instead of batch submissions. NAACCR decided to continue to explore other transmission formats. The next project will use a NAACCR specific simplified XML that will have the ability to transform to CDA.
      The NAACCR Standards for Cancer Registries, Volume V, Pathology Laboratory Electronic Reporting includes implementation guidelines using HL7 2.x message to transmit pathology laboratory reports from pathology laboratories to central cancer registries. Standards Volume V, Version 4.0 (May 2011) expanded Chapter 3 Synoptic Reporting to include guidance on the transmission format of synoptic cancer pathology reports. (http://www.naaccr.org/StandardsandRegistryOperations/VolumeV.aspx).
  7. HL7 Activities with NCPDP
    • Margaret Weiker reports on NCPDP – HL7 activity:
      • NCPDP WG2 – Product Identification has a task group, Structure Product Labeling Activities Task, which 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. They have completed a letter on Kits that will be sent to the FDA and are working on letters in regards to Marketing Categories, Inner/Outer NDCs and Identifiers, REMS, SPL Vendors and Freeness. 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 ePrescribing Functional Profile, which is monitoring the finalization of NCPDP and HL7 processes on the pharmacist/pharmacy interface functional profile and the standalone profile.
      • NCPDP WG14 - Long Term and Post Acute Care (LTPAC) has 2 task groups that interface with HL7
        • EHR/HL7 Task Group - The task group has begun creating business use cases for additional information that needs to be added to electronic prescriptions by the facility.
        • Automation in LTPAC Task Group –This task group reported they are continuing working on the review of HL7 messages currently used in LTPAC setting automated dispensing systems. They have completed the review of the dispensing log and new/change/discontinue order messages.
  8. HL7 activities with OMG
    • Ken Rubin reports on HL7 and OMG Activities
      Relations between HL7 and the OMG continue to remain very positive with no significant issues or risk areas. Senior leadership from among the two communities have a standing monthly teleconference call to surface concerns. Since the last WGM, a number of these calls were cancelled due to unrelated circumstances, but no issues have been surfaced either. The relationship has moved into “maintenance mode” and continues positively. The following are the four areas of most significant collaboration:
      1. Common Terminology Services Release 2 (OMG Spec) Technology Adoption. Activities on CTS2 are drawing to a close in the OMG, with a technology adoption vote expected in June 2011. The HL7 community has been given several opportunities to review and interact with the technical specification, and HL7 has a vote as part of the final adoption. The specification will be discussed and action taken in Salt Lake City the week of June 20-24. HL7 members interested are able to register and attend OMG events at OMG member rates (cite HL7 when you register). http://www.omg.org/news/meetings/tc/ut/info.htm
      2. Healthcare and Community Services Provider Directory RFP. The OMG has issued an RFP for the technical specification to correspond with the HL7 Healthcare and Community Services Provider Directory Service Functional Model (HCSPDIR) http://www.omg.org/cgi-bin/doc?health/2011-3-6. In effect, this is a “yellow-pages” service, allowing for the discovery of appropriate (human) services providers based upon search criteria. A community of parties interested in doing this work is beginning to form, and HL7 members are welcomed and encouraged to participate. Feel free to contact me at ken.rubin@hp.com. The deadline to express formal commitment to participate as “submitter” is 25-September-2011, with submissions due September 2012. RFP
      3. hDATA RESTful Specification. The HL7 SOA committee has been approached by the hDATA proponents about participating and/or hosting hDATA activities within HL7. Among the two hDATA specifications brought forward, it was collectively determined that the hDATA RESTful specification had a potential natural fit as part of the HSSP / OMG collaboration. Presently, procedural steps are being explored to determine the optimal path for consideration of this work within the OMG using an available “fast-track” mechanism. HL7 side of these activities will be hosted by SOA, with the remaining hDATA HL7 projects hosted by SOA in collaboration with MnM and ITS.
      4. 4th Annual SOA in Healthcare Conference. OMG and HL7 are collaborating on what will be the fourth annual SOA in Healthcare Conference. Both organizations are co-hosting the event as has been done since its inception. The conference is scheduled for 13-15 July in Washington DC. See http://www.omg.org/news/meetings/HC-WS/index.htm
  9. HL7 Activities with TIGER
    • Pat Van Dyke reports:
      HL7 agreed to provide a ‘Breakfast for Nurses’ at each Working Group Meeting for four meetings. Even though the commitment ended in 2009, HL7 has continued to hold a breakfast 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. A Wiki site has been created. The development of education courses is one of the key areas of interest.
  10. Comment period

Supporting Documents