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EU-US eHealth/Health IT Cooperation Initiative Interoperability of EHR Work Group

EU-US eHealth/Health IT Cooperation Initiative Interoperability of EHR Work Group. January 8 , 2014. Meeting Etiquette.

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EU-US eHealth/Health IT Cooperation Initiative Interoperability of EHR Work Group

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  1. EU-US eHealth/Health IT Cooperation InitiativeInteroperability of EHR Work Group January 8, 2014

  2. 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

  3. 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.

  4. Agenda

  5. Meeting Times Washington, DC 10:00am (ET) Interoperability of EHR Work Group meets everyWednesday London 3:00pm/15:00 (GMT) Germany 4:00pm/16:00 (CET) Athens 5:00pm/ 17:00 (EET)

  6. 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 • 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 Membersand e-mail your bio and photo (optional) to GayathriJayawardena at gayathri.jayawardena@esacinc.com • To access current and archived meeting materials, visit the Project Meeting Artifacts section: http://wiki.siframework.org/Project+Meeting+Artifacts

  7. Where Are We Now? • USE CASE ACCEPTANCE • As discussed on our last call, we have updated the Accepted Use Case with editorial comments and have changed the “patient summary” wording to “clinical summary”. • 4 additional affirmative votes and comments • Please see the updated use case on the wiki for review of the changes. • LAUNCH OF HARMONIZATION PHASE

  8. Standards and Harmonization • In Scope: • Semantic Interoperability • Syntactic Interoperability • Out of Scope: • Transport • Privacy & Security • Continuity of Care Document (CCD) • CDA R2 NE (May 2005) • HL7 IG: CDA R2 C-CDA R1.1 (July 2012) • CCD template Standards for: Clinical Summary Document US EU • epSoSPatient Summary (PS) Form • CDA R2 NE (May 2005) • HL7 IG: CDA R2-CCD (April 1, 2007) • epSoS IG: • Appendix II epsos_revised_data-set_25april2013.pdf Sources: US http://www.hl7.org/implement/standards/product_brief.cfm?product_id=258 EU http://www.epsos.eu/

  9. Phases of Harmonization <clinicalDocument> (Clinical Summary Form) Completed <header> (document ID, author, patient ID…) Data Granularity and Complexity <component> [Body] <section> [Procedures] <entry> (Colonoscopy) <procedureCode> <procedureDate> <…> <entry> [Gastroscopy] <entry> [CABG] … <section> [CurrentMedications] <entry> [ASA] <entry> [Warfarin] <entry> [CABG] <section>… Remaining <entry>

  10. 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

  11. Review Resources • Implementation Guides (IG) • Examples: • PDF • XML

  12. Review: Phase 1, Section-level mapping–> Available on Google Spreadsheet • Are all Sections listed? • Are section names correct? • Are section LOINCs and OIDs correct? • Are requirements (R,R2,O) correct? • Is mapping complete (section-level)? • Is mapping accurate (correct)? • Are there mapping gaps? • Is mapping clear and unambiguous? • What is missing?

  13. Review: Phase 2, Header’ Data Element mapping–> In process of being transferred to Google Spreadsheet. Availability will be announced. • Are template names and OIDs correct? • Are all Header Data Elements (DE) listed? • Are DE names correct? • Are X-Path Statements correct? • Are requirements (R,R2,O) correct? • Are Data Types correct? • Is mapping complete (within header)? • Is mapping accurate (correct)? • Are there mapping gaps (sth. Exists in epSoS PS but not in C-CDA CCD and vice verse)? • Is mapping clear and unambiguous? • What is missing?

  14. Google Spreadsheet Demo • All harmonization/mapping work is done on Google spreadsheet: • Link: https://docs.google.com/spreadsheet/ccc?key=0AiAfdYPeAnM-dG1mczY3dXN4WEl5eEpYVE5fV0pFWUE&usp=drive_web#gid=11

  15. EMERGE Demo • What is EMERGE? • EMERGE is a web based application that provides synthetic (dummy) clinical data for ~700 patients • Clinical Data is available in HTML format (human-readable) • Clinical Data is also available in XML format (machine-readable) • XML format is compliant with C-CDA R1.1 CCD standard • Why was EMERGE developed? • To provide EHR vendors in US with examples that will help them more easily understand C-CDA CCD Implementation Guide (IG) and thus configure EHR to comply with provisions of Meaningful Use Stage 2.

  16. Standards and Harmonization • Continue Semantic and Syntactic Harmonization Work • Work towards having demo for Athens conference in May 2014

  17. Preparing for our Next Meeting • We will be meeting next week Wednedsay Jan 15th, 10:00 am ET, 5:00 pm EET • Review materials posted onto Wikipage and e-mail the Use Case Development team with any questions • http://wiki.siframework.org/Interoperability+of+EHR+Work+Group

  18. Interoperability of EHR Project Support Team • US Point of Contacts • Mera Choi, Mera.Choi@hhs.gov • Jamie Parker, jamie.parker@esacinc.com • Gayathri Jayawardena, gayathri.jayawardena@esacinc.com • Amanda Merrill, amanda.merrill@accenturefederal.com • Mark Roche, mrochemd@gmail.com • Virginia Riehl, virginia.riehl@verizon.net • EU Point of Contacts • Benoit Abeloos, Benoit.ABELOOS@ec.europa.eu • Frank Cunningham, frank.cunningham@ec.europa.eu • Catherine Chronaki, chronaki@gmail.com

  19. Questions

  20. 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+Work+Group

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