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HL7 v3 Laboratory Profile. Patrick Mitchell-Jones Titan IT Ltd. PMJ@Titanhealth.co.uk WWW.Titanhealth.co.uk. Profiles. One size does not fit all…… Realm specific requirements Different Business requirements Different working practices Patient identifiers Terminologies. Laboratories.
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HL7 v3 Laboratory Profile Patrick Mitchell-Jones Titan IT Ltd. PMJ@Titanhealth.co.uk WWW.Titanhealth.co.uk
Profiles One size does not fit all…… • Realm specific requirements • Different Business requirements • Different working practices • Patient identifiers • Terminologies
Laboratories Why Lab ????? • Centre of Healthcare • Carter report “… up to 80% cases use lab…” • Most heavily used communication in diagnostic healthcare • Benefits…….. • Standardization and Interoperability (Haven’t we got it with v2.GOK) • Richness of data • Improve on PMIP (Requesting & structured Microbiology)
V3 GB Project • Requests • From anywhere to anywhere (including Lab2Lab) • Status • Results • Interim • Final • Revised • All disciplines (not product ordering) Suitable for use within the UK
Principles • Constrained HL7v3 Ballot messages • Fully HL7v3 conformant • Close to CFH • Fully Structured Microbiology (internationally agreed format) • Support for Non-patient testing • Not reliant on CFH or the ‘Spine’ • Migration from HL7UK A.2 • Terminology neutral
Interested Parties • GP system Suppliers • EMIS • INPS • Middleware • Anglia • Indigo4
Proposed Interactions • Place Request • Revise Request • Cancel Request (Placer) • Accept/Reject Request • Promise • Status (Specimen Received; Work started) • Cancel Request (Lab) • Interim Results • Completed Results • ‘Updated’ Results • Accept/Reject Results
Message Constraints • Specimen Centric • Multi-item Orders • Support the National Catalogue approach • Support Snomed CT and other terminologies including ‘Local’ catalogues for Point to Point
Deliverables • V3 GB domain • Constrained Models • Attribute Level descriptions • Storyboards • Schemas • Examples
Publishing • Publish through HL7.org • UK Ballot process • Full Ballot resolution
Additions • Templates? • Public Health Reporting • Outbreak Notification • Batched results • Blood Bank (with pharmacy?)
Requirements • Involvement from • Suppliers • Implementers • Domain experts ………………………