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Standards: The Benefits to Business
Gaby JewellStrategist
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Standards: The Benefits to Business
AgendaChallengesStandardsChallengesBenefitsChallenges
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Standards: The Benefits to Business
Cerner
HBOC ClinStar
SMS Invision
Quest
ADTs, Orders
Kaiser
Results, C
harges
ADTs, Orders
Results
OrdersResults
Results, Charges
ADTs, Orders
Old Challenges
I
I
I
I
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Standards: The Benefits to Business
Old Challenges – the need for StandardsIdentifying objectsTranslating coded valuesMissing/extra data elementsProprietary message/record formats
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Standards: The Benefits to Business
Messaging StandardsASTM HL7 v2.2
Vocabulary StandardsHL7 TablesICD-9 and -10SNOMED
Clients demanded implementation of these Standards
© Cerner Corporation All Rights Reserved 6
Standards: The Benefits to Business
Cerner
HBOC ClinStar
SMS Invision
Quest
ADTs, Orders
Kaiser
Results, C
harges
ADTs, Orders
Results
OrdersResults
Results, Charges
ADTs, Orders
HL7 v2.2
UI
I
© Cerner Corporation All Rights Reserved 7
Standards: The Benefits to Business
Cerner
HBOC ClinStar
SMS Invision
Quest
ADTs, Orders
Kaiser
Results, C
harges
ADTs, Orders
Results
OrdersResults
Results, Charges
ADTs, Orders
HL7 v2.2
UI
© Cerner Corporation All Rights Reserved 8
Standards: The Benefits to Business
Additional Messaging StandardsASTMHL7 v2.xX12 (U.S. EDI Standard)EDIFACT (ISO EDI Standard)HPRIM (France)
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Standards: The Benefits to Business
Next Challenges
`
Health Data Bank
(EHR, Spine, etc.)
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Standards: The Benefits to Business
Next ChallengesSharing data across multiple care settingsIdentifying objects Translating coded valuesMissing/extra data elementsMultiple stores
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Standards: The Benefits to Business
Messaging StandardsHL7 v3
Other Standards (or “Disruptive Technology”?)HL7 CDAASTM CCR
HL7 CCD
CEN OpenEHR
SOAPDF/H (Portable Document Format/Healthcare – working through AIIM and ASTM)
Vocabulary StandardsSNOMED CTLOINCICD-9 and -10
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Standards: The Benefits to Business
Latest Challenges - Implementation Profiles HL7 Affiliates / Realms / Context of UseIHE
Primarily HL7 v2.4/2.5 messages and “other” standards (i.e., ebXML/RS for XDS)Local IHEs
HITSP - Healthcare Information Technology Standards Panel Interoperability specifications based on use cases identified by American Information Community (AHIC) for Electronic Health Record, Personal Health Record, and Bio-surveillance/Public Health Reporting. Primarily HL7 v2.4/2.5 messagesCCHIT – Certification Commission for Healthcare Information Technology
OpenEHRBased on CEN 13606
Canada’s Health InfowayUsing HL7 v3 interactions Producing updated IHE Profiles using HL7 v3
NEHTA – Australia’s National eHealth Transition AuthoritySEHR
Architecture based on EN13606 “Standard” Interchange information using HL7 v2.x messages initially and HL7 CDA Release 2 or XML serialization of EN13606 in longer term
NHS England MIM
Most messages based on HL7 v3 RIM or highly refined, constrained and localized HL7 v3 artifacts
VAKaiser
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Standards: The Benefits to Business
Future ChallengesWhere does “interoperability” begin/end?Current projects tend to talk about common architecture and common data structures and common user interfacesShould local EMR data be mappable to the common data structure for storage in the shared care record?Should local EMR data be stored in the common data structure?Must local EMR data be stored using the shared vocabulary?
Future BenefitsIncremental InteroperabilityStrategic AlliancesConformance CertificationResponding to Request for Proposals
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Standards: The Benefits to Business
Thank you
Questions?
