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EU-US eHealth/Health IT Cooperation Initiative Interoperability of EHR Work Group. January 29, 2014. Meeting Etiquette. - PowerPoint PPT Presentation
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EU-US eHealth/Health IT Cooperation Initiative
Interoperability of EHR Work Group
January 29, 2014
Meeting Etiquette• Participants automatically enter the webinar in “listen
only” mode. The organizer will then unmute all participants. We ask if you are not speaking to manually mute yourself
• NOTE: VoIP participants have the ability to “Mute” themselves by clicking on the green microphone. However, if you would like to speak, only you can unmute yourself.
• If you are dialing in using a telephone and NOT using the VoIP you MUST dial the audio pin in order for the organizer to unmute you – if you do not use the audio pin and just push # when prompted the Organizer cannot unmute you
Meeting Etiquette CONTINUED
• If you are calling from a telephone, please do not put your phone on hold. If you need to take a call, hang up and dial in again when you have completed your other call
• This meeting is being recorded• Another reason to keep your phone or
your VoIP on mute when not speaking
• Use the “Chat” or “Question” feature for questions, comments and items you would like the moderator or other panelists to know.
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Agenda
Topic Time Allotted
General Announcements 5 minutes
Recap: Mapping Sub-Work Group 10 minutes
Presentation: Gerard Freriks (Netherlands) 25 minutes
C-CDA CCD to epSoS PS Mapping Update 10 minutes
HL7 WGM Update 5 minutes
Next Steps/Questions 5 minutes
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Meeting Times
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Washington, DC
10:00am (ET)London
3:00pm/15:00 (GMT)Germany
4:00pm/16:00 (CET)Athens
5:00pm/ 17:00 (EET)
Interoperability of EHR Work Group meets
everyWednesday
General Announcements• To join our weekly webinars, visit the EU-US eHealth
Collaboration Wiki Homepage for the latest meeting information: http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative
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• To subscribe to our mailing list, simply complete the EU-US MOU Project Signup Form: http://wiki.siframework.org/EU-US+MOU+Roadmap+Project+Sign+Up
• To submit a brief biography of yourself (150 words or less), review the criteria listed at http://wiki.siframework.org/Interoperability+of+EHR+Work+Group#Work Group Members and e-mail your bio and photo (optional) to Gayathri Jayawardena at [email protected]• To access current and archived meeting
materials, visit the Project Meeting Artifacts section: http://wiki.siframework.org/Project+Meeting+Artifacts
Mapping Sub-Work Group
Purpose• Mapping Sub-Work Group was launched
yesterday (Tuesday, January 28) and will continue for 8 consecutive weeks
• This work group will continue our current epSOS-CCDA mapping efforts for the EU-US Interoperability Informative Guide
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Washington, DC
9:00am (ET)London
2:00pm/14:00 (GMT)Germany
3:00pm/15:00 (CET)Athens
4:00pm/ 16:00 (EET)
Mapping Sub-Work Group
Meeting Time
Every Tuesday
for 8 Consecutive Weeks
(Next meeting: February 4, 2014)
Mapping Sub-Work Group
Artifacts
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• To access archived meeting materials (e.g. presentation and video), visit the Project Meeting Artifacts section: http://wiki.siframework.org/Project+Meeting+Artifacts
• Please review the epSOS/C-CDA Header Data Element Spreadsheet and submit comments through the online comment form located here: https://docs.google.com/spreadsheet/ccc?key=0AiAfdYPeAnM-dG1mczY3dXN4WEl5eEpYVE5fV0pFWUE&usp=drive_web#gid=11
CEN/ISO 13606EHR-Communication
Gerard Freriks
25-01-2014
EU-USA
© CEN/ISO 13606 Association
13606 Developments
– ISO standard since 2008 - 2010
– 20 year developments in EU projects, Good European/Electronic Health Record
– ISO Renewal process is underway
– Designed using ISO 18308 Requirements for an EHR System Architecture
– 2 precursor trial standards
– Harmonised with ContSys, HISA
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© CEN/ISO 13606 Association
13606 History
– CDA is subset
– CIMI RM is subset
– Selected by EU as one of the Base Standards in Europe
– Used by: England, Sweden, Spain, Andalusia, Ireland
• Kind of used by: CIMI, Australia, Slovenia, Slowakia, Australia,
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© CEN/ISO 13606 Association
CEN/ISO 13606
Scope: EHR-Communication– This part of ISO 13606 specifies the communication of part or all of the
electronic health record (EHR) of a single identified subject of care between EHR systems, or between EHR systems and a centralized EHR data repository.
– This part of the multipart series, ISO13606, is an information viewpoint specification as defined in ISO/IEC 10746-1[13]. This part of ISO 13606 is not intended to specify the internal architecture or database design of EHR systems.
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© CEN/ISO 13606 Association
CEN/ISO 13606
New Scope:– From EHR-Communication to
– Information Viewpoint for Interfaces
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© CEN/ISO 13606 Association
CEN/ISO 13606
13606 5 part standard:
– Part 1: Reference Model
– Part 2: Archetype interchange specification (Archetype Object Model)
– Part 3: Reference archetypes and Term Lists
– (Part 4: Patient Mandate (PMAC))
– Part 5: Interface specification
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© CEN/ISO 13606 Association
CEN/ISO 13606
Paradigms
– Message paradigm:Implementation guide, IHE profile and testing is necessary
– Two Level Model Paradigm (Reference Model, AOM -> ArchetypesSupports model driven approachNo need for Implementation guide and no need for IHE Profile and testing
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© CEN/ISO 13606 Association
CEN/ISO 13606
Reference Model
– Represents the global characteristics of health record components,
– how they are aggregated, and the context information required to meet ethical, legal and provenance requirements.
– This model defines the set of classes that form the generic building blocks of the EHR.
– It reflects the stable characteristics of an electronic health record,
– and would be embedded in a distributed (federated) EHR environment as specific messages or interfaces (as specified in Part 5).
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© CEN/ISO 13606 Association 18
CEN/ISO 13606
© CEN/ISO 13606 Association 19
CEN/ISO 13606
© CEN/ISO 13606 Association 20
CEN/ISO 13606
© CEN/ISO 13606 Association 21
CEN/ISO 13606
© CEN/ISO 13606 Association
CEN/ISO 13606
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Archetype
– the formal definition of prescribed combinations of the building-block classes defined in the Reference Model for particular clinical domains or organizations.
– An archetype is a formal expression of a distinct, domain-level concept, expressed in the form of constraints on data whose instances conform to the reference model.
– For an EHR_Extract, as defined in this part of ISO 13606, an archetype instance specifies (and effectively constrains) a particular hierarchy of RECORD_COMPONENT sub-classes, defining or constraining their names and other relevant attribute values, optionality and multiplicity at any point in the hierarchy, the data types and value ranges that ELEMENT data values may take, and other constraints.
© CEN/ISO 13606 Association
Archetype EditorepSOS PS Template
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© CEN/ISO 13606 Association
Archetype EditorepSOS PS Template
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© CEN/ISO 13606 Association 25
© CEN/ISO 13606 Association 26
© CEN/ISO 13606 Association 27
© CEN/ISO 13606 Association
Archetype Editor
Characteristics• Reference Model independent (incl CDA)
• Output formats:• Various Tree views• HTML Mock-up screen• MindMap• HTML table view• Excel• Schematron• Generated XML data instantiations
• Can be integrated with Terminology server• Mapping:
• Creation of mappings from and to other (proprietary) formats• Execution of those mappings
• Integration with Artefact library manager
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Phases of Harmonization
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<clinicalDocument>(Clinical Summary Form)
<header> (document ID, author, patient ID…)
<component> [Body]
<section> [Procedures]
<entry> (Colonoscopy)<procedureCode><procedureDate><…>
<entry> [Gastroscopy]<entry> [CABG]…
<section> [Current Medications]
<section>…
<entry> [ASA]<entry> [Warfarin]<entry> [CABG]
<entry>
Phase 1
• Section level mapping between epSOS and CCD
Phase 2
• Header’ Data Element mapping
Phase 3
• Sections’ Data Element mapping
Phase 4
• Value Set mapping
Completed
Remaining
Dat
a G
ranu
larit
y an
d Co
mpl
exity
Mapping Review/Validation:Resources and Process• All harmonization/mapping work is done on Google spreadsheet:
– Link: https://docs.google.com/spreadsheet/ccc?key=0AiAfdYPeAnM-dG1mczY3dXN4WEl5eEpYVE5fV0pFWUE&usp=drive_web#gid=11
– Access: anyone with link– Privileges:
• “View and Comment” – everyone with link (the one above)• “Edit” – selected
– EU: one designated XML/epSoS PS subject matter expert– US: Mark Roche (for now)
» Above may be reviewed/updated as project continues• Review Process:
– Review/validate mapping outcomes after each phase with community– Review points:
• Mapping completeness• Mapping accuracy• Mapping gaps
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Mapping Sub-Workgroup
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• Goal: The mapping SWG will continue our current epSOS-CCDA mapping efforts for the EU-US Interoperability Informative Guide
• Kick-off meeting took place on January 28th • Overview of Meeting:
• Reviewed Section Level Mapping• Introduced Data Element Header Mapping
• Homework: Review Header Data Element Mapping• Note: Header Mapping will be posted to the google doc by COB
Friday 1/31• Next meeting: February 4th, 2014• Meeting Time: Tuesdays 9 AM – 10 AM EST / 2 PM – 3 PM GMT (UTC)
Note: As mapping sections are completed, they will be presented to the full workgroup for review and comment
Homework: Review Phase 2, Header’ Data Element Mapping
1. Are template names and OIDs correct?2. Are all Header Data Elements (DE) listed?3. Are DE names correct?4. Are X-Path Statements correct?5. Are requirements (R,R2,O) correct?6. Are Data Types correct?6. Is mapping complete (within header)?7. Is mapping accurate (correct)?8. Are there mapping gaps (Exists in epSoS PS but not in C-CDA CCD
and vice versa)?9. Is mapping clear and unambiguous?10. What is missing?
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Homework: Review Phase 2, Header’ Data Element Mapping
• Review google doc• Demonstrate how to comment
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Updates from HL7
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• EU PSS: • Presented to Structured Documents WG and US Realm Task Force
• Balloting:• Balloting timelines are currently being updated; confirming standards
strategy with leadership• SDO’s to consider engaging: HL7, ISO, JIC, CEN
• Deliverables:• Mapping IG (Transformation guide)
• Renamed to “Informative Guide: Analysis for Harmonized EU US Patient Summary Exchange”
• Comparative analysis between C-CDA CCD and epSOS• Value Set Mapping
• Longer term objective:• Harmonized template for Patient Summary
• Trillium Bridge Alignment:• Continue collaboration with Trillium Bridge
Preparing for Next Meeting
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• Next meeting will be on Wednesday, February 5, 2014 at 10:00 am (ET)/5:00 pm (EET)
• Please attend the next Mapping Sub-Work Group on Tuesday, February 4, 2014.
Interoperability of EHR Project Support Team
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• US Point of Contacts– Mera Choi, [email protected]– Jamie Parker, [email protected]– Gayathri Jayawardena, [email protected]– Amanda Merrill, [email protected]– Mark Roche, [email protected] – Virginia Riehl, [email protected]
• EU Point of Contacts – Benoit Abeloos, [email protected] – Frank Cunningham, [email protected]– Catherine Chronaki, [email protected]
Questions
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Initiative Resources • EU-US Wiki Homepage
– http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative
• Join the Initiative– http://
wiki.siframework.org/EU-US+MOU+Roadmap+Project+Sign+Up
• EU-US Initiative Reference Materials– http://
wiki.siframework.org/EU-US+MOU+Roadmap+Project+Reference+Materials
• Interoperability of EHR Homepage– http://wiki.siframework.org/Interoperability+of+EHR+Wo
rk+Group
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