1 / 15

HL7 vMR for CDS Project Update HL Atlanta – September 2007

HL7 vMR for CDS Project Update HL Atlanta – September 2007. Robert Dunlop, MD Director, Clinical Development InferMed UK +44-20-7291-7410 robert.dunlop@infermed.com http://www.infermed.com. Barbara McKinnon McKinnon Associates Inc. Project Lead: HL7 GELLO &

astrid
Download Presentation

HL7 vMR for CDS Project Update HL Atlanta – September 2007

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. HL7 vMR for CDS Project Update HL Atlanta – September 2007 Robert Dunlop, MD Director, Clinical Development InferMed UK +44-20-7291-7410 robert.dunlop@infermed.com http://www.infermed.com Barbara McKinnon McKinnon Associates Inc. Project Lead: HL7 GELLO & Virtual Medical Record (vMR) Projects (O) 610-644-5245 (M) 484-883-6927 bmm15@comcast.net

  2. HL7 Atlanta – 9/07 Virtual Medical Record (vMR) for Clinical Decision Support (CDS) 2 Discussion Topics • vMR Project: • HL7 Project Approval • Business Use Cases: • Breast Cancer with Genetic Extension • BUC Issues • Next Steps

  3. HL7 Atlanta – 9/07 Virtual Medical Record (vMR) for Clinical Decision Support (CDS) 3 vMR Project Scope A Virtual Medical Record (vMR) is a data model, based on the HL7 RIM format, for representing clinical information inputs and outputs to/from clinical decision support services. Data is exchanged with local clinical information systems at the point of care, through a software middleware layer that translates the data into a standardized vMR format.

  4. HL7 Atlanta – 9/07 Virtual Medical Record (vMR) for Clinical Decision Support (CDS) 4 vMR Project Scope – Highlighted in Yellow

  5. HL7 Atlanta – 9/07 Virtual Medical Record (vMR) for Clinical Decision Support (CDS) 5 vMR Project Goal The goal of this project is to create an HL7 vMR data model recommendationand implementation guide, based on the HL7 V. 3 RIM, which is capable of supporting clinical decision support (CDS) for “chronic disease management” at the point of care.

  6. HL7 Atlanta – 9/07 Virtual Medical Record (vMR) for Clinical Decision Support (CDS) 6 vMR Project Deliverables & Timeline

  7. HL7 Atlanta – 9/07 Virtual Medical Record (vMR) for Clinical Decision Support (CDS) 7 vMR Project Timeline

  8. HL7 Atlanta – 9/07 Virtual Medical Record (vMR) for Clinical Decision Support (CDS) 8 vMR Project Outreach • Extensive outreach done prior to finalizing project scope. • HL7 Board Members, Technical Steering Committee, Infrastructure & Modeling, RCRIM, UK Affiliate, Patient Care. • AHRQ, CDISC, DoD, NCI, VA. • Will continue to provide periodic updates to interested parties who cannot attend HL7.

  9. HL7 Atlanta – 9/07 Virtual Medical Record (vMR) for Clinical Decision Support (CDS) 9 vMR Project AlignmentsIdentified to Date

  10. HL7 Atlanta – 9/07 Virtual Medical Record (vMR) for Clinical Decision Support (CDS) 10 HL7 vMR Project Approvals • HL7 Project Management Office (PMO). • HL7 Architectural Review Board (ARB).

  11. HL7 Atlanta – 9/07 Virtual Medical Record (vMR) for Clinical Decision Support (CDS) 11 vMR Business Use Cases • The project team will define 4 initial business use • cases, including storyboard, activity diagram, and • specification model: • Breast Cancer with Genetic Extension (in progress) • Diabetes Type 2 (in progress) • Asymptomatic Brain Aneurism • Hypertension • Other business use cases will be developed with approval • of CDS work group and if resources are available to • develop required HL7 project materials.

  12. vMR Breast Cancer BUC

  13. vMR Breast Cancer BUC

  14. HL7 Atlanta – 9/07 Virtual Medical Record (vMR) for Clinical Decision Support (CDS) 14 vMR BUC Issues • How to represent CDS Service Determination “pros” and “cons”; both encoded and narrative text. • Re-interpretation of patient genetic profile as data elements are updated in EHR, including how re-interpretation will be initiated: auto-generated via EHR or CDS Service, or person-initiated via EHR; and how patient consent will be obtained. • Need for knowledge databases of: • DNA variations (or variant combinations). • Coded clinical significance: Unknown Significance to Pathogenic or Benign. The system receiving notification of the change might then propagate this information, flagging records for re-evaluation.

  15. HL7 Atlanta – 9/07 Virtual Medical Record (vMR) for Clinical Decision Support (CDS) 15 vMR Project - Next Steps • Set up more formal lines of communication to aligned HL7 TC’s and SIG’s. • Evaluate alignment to other projects. i.e. US HIT ONC Personalized Health & HL7 RCRIM/CDISC ASPIRE Project. • Evaluate alignment to CEN vMR. • Continue business use case development. • Project update at HL7 San Antonio, TX (1/07).

More Related