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Standards: The Benefits to Business

Standards: The Benefits to Business. Gaby Jewell Strategist. Standards: The Benefits to Business. Agenda Challenges Standards Challenges Benefits Challenges. Standards: The Benefits to Business. Old Challenges. HBOC ClinStar. ADTs, Orders. Results, Charges. Cerner. SMS Invision.

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Standards: The Benefits to Business

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  1. Standards: The Benefits to Business Gaby Jewell Strategist

  2. Standards: The Benefits to Business • Agenda • Challenges • Standards • Challenges • Benefits • Challenges

  3. Standards: The Benefits to Business • Old Challenges HBOC ClinStar ADTs, Orders Results, Charges Cerner SMS Invision ADTs, Orders I Results I I Orders I Results Quest ADTs, Orders Results, Charges Kaiser

  4. Standards: The Benefits to Business • Old Challenges – the need for Standards • Identifying objects • Translating coded values • Missing/extra data elements • Proprietary message/record formats

  5. Standards: The Benefits to Business • Messaging Standards • ASTM • HL7 v2.2 • Vocabulary Standards • HL7 Tables • ICD-9 and -10 • SNOMED • Clients demanded implementation of these Standards

  6. Standards: The Benefits to Business • HL7 v2.2 HBOC ClinStar ADTs, Orders Results, Charges Cerner SMS Invision ADTs, Orders Results UI Orders I Results Quest ADTs, Orders Results, Charges Kaiser

  7. Standards: The Benefits to Business • HL7 v2.2 HBOC ClinStar ADTs, Orders Results, Charges Cerner SMS Invision ADTs, Orders Results UI Orders Results Quest ADTs, Orders Results, Charges Kaiser

  8. Standards: The Benefits to Business • Additional Messaging Standards • ASTM • HL7 v2.x • X12 (U.S. EDI Standard) • EDIFACT (ISO EDI Standard) • HPRIM (France)

  9. Standards: The Benefits to Business • Next Challenges Health Data Bank (EHR, Spine, etc.)

  10. Standards: The Benefits to Business • Next Challenges • Sharing data across multiple care settings • Identifying objects • Translating coded values • Missing/extra data elements • Multiple stores

  11. Standards: The Benefits to Business • Messaging Standards • HL7 v3 • Other Standards (or “Disruptive Technology”?) • HL7 CDA • ASTM CCR • HL7 CCD • CEN • OpenEHR • SOA • PDF/H (Portable Document Format/Healthcare – working through AIIM and ASTM) • Vocabulary Standards • SNOMED CT • LOINC • ICD-9 and -10

  12. Standards: The Benefits to Business • Latest Challenges - Implementation Profiles • HL7 Affiliates / Realms / Context of Use • IHE • 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 messages • CCHIT – Certification Commission for Healthcare Information Technology • OpenEHR • Based on CEN 13606 • Canada’s Health Infoway • Using HL7 v3 interactions • Producing updated IHE Profiles using HL7 v3 • NEHTA – Australia’s National eHealth Transition Authority • SEHR • 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 • VA • Kaiser

  13. Standards: The Benefits to Business • Future Challenges • Where does “interoperability” begin/end? • Current projects tend to talk about common architecture and common data structures and common user interfaces • Should 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 Benefits • Incremental Interoperability • Strategic Alliances • Conformance Certification • Responding to Request for Proposals

  14. Standards: The Benefits to Business Thank you Questions?

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