This document provides an overview of the HL7 Clinical Document Architecture (CDA) standard for exchanging clinical documents. It describes what CDA is, the components of a CDA document, how CDA documents can be rendered and exchanged in messages, and examples of use cases for CDA. The key points are that CDA specifies an XML format for clinical documents to enable their structured exchange between systems, CDA documents have human-readable and machine-processable parts, and CDA relies on other HL7 standards for semantics.
Understanding clinical data exchange and cda (hl7 201)Edifecs Inc
On top of simple needs for doctors to be connected and be able to efficiently exchange information, there is a lot of external factors driving standardization of information exchange from market to various government initiatives and as the industry moves toward a population health model, there is more need for wider applicability of standards. This Slide share covers an introduction to CDA and establishes the importance of clinical documentation for claims and prior authorization attachments
Theera-Ampornpunt N. HL7 Clinical Document Architecture: overview and applications. Presented at: HL7 CDA Workshop at the Faculty of Medicine Ramathibodi Hospital; 2013 Jun 20-21; Bangkok, Thailand. Invited speaker, in Thai.
HL7 & HL7 CDA: The Implementation of Thailand's Healthcare Messaging Exchange...Nawanan Theera-Ampornpunt
This document discusses the implementation of HL7 and HL7 CDA standards for healthcare messaging exchange in Thailand. It provides background on the speaker, Nawanan Theera-Ampornpunt, and outlines Thailand's vision for eHealth, current status, and the role of standards. It then describes HL7 standards including versions 2 and 3, the Reference Information Model, and Clinical Document Architecture. The document outlines Ramathibodi Hospital's experience implementing HL7 messaging and CDA documents for lab results exchange. Next steps involve encouraging broader CDA adoption.
A presentation by Dr. Shailendra Kumar, Delhi University, during National Workshop on Library 2.0: A Global Information Hub, Feb 5-6, 2009 at PRL Ahmedabad
This document provides an introduction and progress report on FHIR (Fast Healthcare Interoperability Resources). Key points:
- FHIR is a new, implementer-friendly standard for healthcare interoperability that has generated significant interest internationally.
- The core infrastructure is in draft form and several clinical domains are actively working on defining FHIR resources.
- FHIR can be used for RESTful exchanges, documents, messages, services, and integrating with XDS standards.
- The goal is to have more resources balloted in 2013 and release a draft standard for trial use in 2014.
This document provides an overview of the HL7 Clinical Document Architecture (CDA) standard for exchanging clinical documents. It describes what CDA is, the components of a CDA document, how CDA documents can be rendered and exchanged in messages, and examples of use cases for CDA. The key points are that CDA specifies an XML format for clinical documents to enable their structured exchange between systems, CDA documents have human-readable and machine-processable parts, and CDA relies on other HL7 standards for semantics.
Understanding clinical data exchange and cda (hl7 201)Edifecs Inc
On top of simple needs for doctors to be connected and be able to efficiently exchange information, there is a lot of external factors driving standardization of information exchange from market to various government initiatives and as the industry moves toward a population health model, there is more need for wider applicability of standards. This Slide share covers an introduction to CDA and establishes the importance of clinical documentation for claims and prior authorization attachments
Theera-Ampornpunt N. HL7 Clinical Document Architecture: overview and applications. Presented at: HL7 CDA Workshop at the Faculty of Medicine Ramathibodi Hospital; 2013 Jun 20-21; Bangkok, Thailand. Invited speaker, in Thai.
HL7 & HL7 CDA: The Implementation of Thailand's Healthcare Messaging Exchange...Nawanan Theera-Ampornpunt
This document discusses the implementation of HL7 and HL7 CDA standards for healthcare messaging exchange in Thailand. It provides background on the speaker, Nawanan Theera-Ampornpunt, and outlines Thailand's vision for eHealth, current status, and the role of standards. It then describes HL7 standards including versions 2 and 3, the Reference Information Model, and Clinical Document Architecture. The document outlines Ramathibodi Hospital's experience implementing HL7 messaging and CDA documents for lab results exchange. Next steps involve encouraging broader CDA adoption.
A presentation by Dr. Shailendra Kumar, Delhi University, during National Workshop on Library 2.0: A Global Information Hub, Feb 5-6, 2009 at PRL Ahmedabad
This document provides an introduction and progress report on FHIR (Fast Healthcare Interoperability Resources). Key points:
- FHIR is a new, implementer-friendly standard for healthcare interoperability that has generated significant interest internationally.
- The core infrastructure is in draft form and several clinical domains are actively working on defining FHIR resources.
- FHIR can be used for RESTful exchanges, documents, messages, services, and integrating with XDS standards.
- The goal is to have more resources balloted in 2013 and release a draft standard for trial use in 2014.
The OMG DDS standard has recently received an incredible level of attention and press coverage due to its relevance for Consumer and Industrial IoT applications and its adoption as part of the Industrial Internet Consortium Reference Architecture. The main reason for the excitement in DDS stems from its data-centricity, efficiency, Internet-wide scalability, high-availability and configurability.
Although DDS provides a very feature rich platform for architecting distributed systems, it focuses on doing one thing well — namely data-sharing. As such it does not provide first-class support for abstractions such as distributed mutual exclusion, distributed barriers, leader election, consensus, atomic multicast, distributed queues, etc.
As a result, many architects tend to devise by themselves – assuming the DDS primitives as a foundation – the (hopefully correct) algorithms for classical problems such as fault-detection, leader election, consensus, distributed mutual exclusion, distributed barriers, atomic multicast, distributed queues, etc.
This Webcast explores DDS-based distributed algorithms for many classical, yet fundamental, problems in distributed systems. By attending the webcast you will learn how recurring problems arising in the design of distributed systems can be addressed using algorithm that are correct and perform well.
Potential uses for FHIR in New Zealand by Peter JordanDavid Hay
This document discusses the potential uses of HL7 FHIR in New Zealand's healthcare system. It describes the current use of HL7 v2 and CDA standards for messaging and document sharing. It notes issues with the varying implementations of v2 and the complexity of the XDS document sharing standard. The document proposes that FHIR could provide simpler RESTful interfaces as an alternative to these standards. Specifically, it suggests FHIR could be used for shared care portals, online patient health records, identity services, and replacing existing GP to GP and ePrescribing standards. The document concludes by welcoming any questions or comments about how FHIR could be adopted in New Zealand.
External controlled vocabularies support in Dataversevty
This presentation discusses adding support for external controlled vocabularies to the Dataverse data repository platform. It describes how ontologies like SKOS can be used to represent vocabularies and allow linking metadata fields in Dataverse to terms. The presentation proposes developing a Semantic Gateway plugin for Dataverse that would allow browsing and linking to external vocabularies hosted in the SKOSMOS framework via its API. This could improve metadata by allowing standardized, linked terms and help make data more FAIR.
In this tutorial participants will learn the history of the RIM, the method by which the RIM is maintained, and key characteristics of the RIM that make it the premier information model in healthcare.
Topics Covered:
1. Introduction to HL7: who, what, and why
2. Introduction to HL7 v3: what and why
3. History of the HL7 Reference Information Model
4. HL7 RIM Subjects, Core Classes, and Structural Attributes
5. State Machines of RIM Core Classes
6. HL7 v3 Datatypes
7. HL7 v3 Vocabulary
This tutorial will assist in preparation for the HL7 v3 Certification exam.
This presentation provides an overview of the initial submission to the OMG RFP on DDS Security. The presentation introduces the overall security model proposed for DDS and the protocols.
Postponed Optimized Report Recovery under Lt Based Cloud MemoryIJARIIT
Fountain code based conveyed stockpiling system give solid online limit course of action through putting unlabeled
subset pieces into various stockpiling hubs. Luby Transformation (LT) code is one of the predominant wellspring codes for limit
systems in view of its viable recuperation. In any case, to ensure high accomplishment deciphering of wellspring code based limit
recuperation of additional segments in required and this need could avoid additional put off. We give the idea that distinctive stage
recuperation of piece is powerful to lessen the document recovery delay. We first develop a postpone display for various stage
recuperation arranges pertinent to our considered system with the made model. We focus on perfect recuperation arranges given
essentials on accomplishment decipher limit. Our numerical outcomes propose a focal tradeoff between the record recuperation
delay and the target of fruitful document unraveling and that the report recuperation deferral can be on a very basic level decrease
by in a perfect world bundle requests in a multi arrange style.
HL7 AS A COMMON HEALTHCARE COMMUNICATION FORMAT
Andy Stopford, Technical Director, Havas Lynx
Andy Stopford has over 16 years experience leading teams to deliver pioneering software solutions that enable business goals to be achieved. With experience drawn from the e-commerce, financial, insurance, banking and healthcare sectors he is committed to creating quality software that adheres to best practices and delivers solutions that are robust and help clients achieve business goals.
Andy is a software engineer by trade and is a published book author and keen writer with 200 magazine and journal articles over his career. He has a great depth and breadth of knowledge in a variety of technologies and is passionate about all things software engineering.
Andy leads the HAVAS HEALTH SOFTWARE team of software engineers to develop solutions that focus on the best possible outcome for the end user that ensure the business needs are met.
@andystopford
Technical integration of data repositories status and challengesvty
This document discusses technical integration of data repositories, including:
- Previous integration initiatives focused on metadata integration using OAI-PMH and ResourceSync protocols, as well as aggregators like OpenAIRE.
- Challenges to integration include different levels of software/service maturity, maintenance of distributed applications, and use of common standards and vocabularies.
- Potential integration efforts could focus on improving FAIRness, metadata/data flexibility, and connections between repositories, software, and computing resources to better enable reuse of EOSC data and services.
Quality of Service in Publish/Subscribe MiddlewareAngelo Corsaro
During the last decade the publish/subscribe communication paradigm gained a central role in the design and development of a large class of applications ranging from stock exchange systems to news tickers, from air traffic control to defense systems. This success is mainly due to the capacity of publish/subscribe to completely decouple communication participants, thus allowing the development of applications that are more tolerant to communications asynchrony. This chapter introduces the publish/subscribe communication paradigm, stressing those charac- teristics that have a stronger impact on the quality of service provided to partic- ipants. The chapter also introduce the reader to two widely recognized industrial standards for publish/subscribe systems: the Java Message Service (JMS) and the Data Distribution Service (DDS).
Rim Based Relational Database Design Tutorial September 2008Abdul-Malik Shakir
The document provides an overview of a tutorial presentation on designing a relational database structure based on the HL7 Reference Information Model (RIM). It discusses key concepts such as RIM-based models, RIM conformance, and constrained views of the RIM. It also outlines the database design modeling steps and introduces some of the core RIM classes like Act, Entity, Role, and Participation.
The document provides an introduction and overview of HL7, including:
- HL7 is a protocol for exchanging healthcare data between systems that defines messages and procedures for exchanging them.
- It aims to enable interoperability between different healthcare IT systems.
- HL7 messages are composed of segments, fields, and components that provide specific types of patient, clinical, or administrative data.
- Common HL7 messages are used for admissions, discharges, patient registration, orders, results, and other clinical and administrative workflows.
Clariah Tech Day: Controlled Vocabularies and Ontologies in Dataversevty
This presentation is about external CVs support in Dataverse, Open Source data repository. Data Archiving and Networked Services (DANS-KNAW) decided to use Dataverse as a basic technology to build Data Stations and provide FAIR data services for various Dutch research communities.
This document provides information about HL7 standards and two experts, Dr. Supachai Parchariyanon and Dr. Nawanan Theera-Ampornpunt. It discusses HL7 Version 2 and Version 3 messaging standards. Version 2 is the most commonly used standard, using segments and a pipe-delimited format. Version 3 adds semantic capability using XML messages based on a Reference Information Model. The document compares the two versions and their approaches to addressing interoperability.
The document discusses HL7 and FHIR. It begins by explaining that HL7 is a standards development organization that provides a framework and standards for exchanging health information to support clinical practices and health services management. It then defines what "Level Seven" refers to in relation to the ISO communication model. The document also provides information on various HL7 product families, including FHIR, CDA, EHR functional model, SOA, and context management architecture. It concludes by summarizing HL7 Version 2 and Version 3 messaging standards.
Data Sharing in Extremely Resource Constrained EnvionrmentsAngelo Corsaro
This presentation introduces XRCE a new protocol for very efficiently distributing data in resource constrained (power, network, computation, and storage) environments. XRCE greatly improves the wire efficiency of existing protocol and in many cases provides higher level abstractions.
Getting Started with DDS in C++, Java and ScalaAngelo Corsaro
This document provides an overview and outline for a tutorial on getting started with the Data Distribution Service (DDS) in C++, Java, and Scala. The tutorial will cover DDS basics, data reader/writer caches, quality of service, data and state selectors, and advanced DDS topics. Upon completion, students will have a firm understanding of DDS concepts and the ability to design and write DDS applications. The tutorial will be highly interactive with examples and live demonstrations.
The document discusses the PRELIDA project which aims to identify differences between linked data and digital preservation communities and analyze gaps between the two. The objectives are to collect use cases of long-term preservation of linked data and identify challenges of applying existing preservation approaches to linked data. Issues discussed include differences in preservation requirements for linked data versus other data types and whether linked data preservation can be viewed as a special case of web archiving.
The document provides a progress report on New Zealand's Health Information Strategy. It discusses increases in the number of health organizations connected to a secure network. Standards have been developed to enable electronic prescribing, referrals, lab results, and discharges. The National Health Index and Health Practitioner Index have been enhanced, with 87% of health practitioners now assigned an identifier number. Work is underway to pilot electronic sharing of pharmacy, lab, and referral information between primary and secondary care.
The OMG DDS standard has recently received an incredible level of attention and press coverage due to its relevance for Consumer and Industrial IoT applications and its adoption as part of the Industrial Internet Consortium Reference Architecture. The main reason for the excitement in DDS stems from its data-centricity, efficiency, Internet-wide scalability, high-availability and configurability.
Although DDS provides a very feature rich platform for architecting distributed systems, it focuses on doing one thing well — namely data-sharing. As such it does not provide first-class support for abstractions such as distributed mutual exclusion, distributed barriers, leader election, consensus, atomic multicast, distributed queues, etc.
As a result, many architects tend to devise by themselves – assuming the DDS primitives as a foundation – the (hopefully correct) algorithms for classical problems such as fault-detection, leader election, consensus, distributed mutual exclusion, distributed barriers, atomic multicast, distributed queues, etc.
This Webcast explores DDS-based distributed algorithms for many classical, yet fundamental, problems in distributed systems. By attending the webcast you will learn how recurring problems arising in the design of distributed systems can be addressed using algorithm that are correct and perform well.
Potential uses for FHIR in New Zealand by Peter JordanDavid Hay
This document discusses the potential uses of HL7 FHIR in New Zealand's healthcare system. It describes the current use of HL7 v2 and CDA standards for messaging and document sharing. It notes issues with the varying implementations of v2 and the complexity of the XDS document sharing standard. The document proposes that FHIR could provide simpler RESTful interfaces as an alternative to these standards. Specifically, it suggests FHIR could be used for shared care portals, online patient health records, identity services, and replacing existing GP to GP and ePrescribing standards. The document concludes by welcoming any questions or comments about how FHIR could be adopted in New Zealand.
External controlled vocabularies support in Dataversevty
This presentation discusses adding support for external controlled vocabularies to the Dataverse data repository platform. It describes how ontologies like SKOS can be used to represent vocabularies and allow linking metadata fields in Dataverse to terms. The presentation proposes developing a Semantic Gateway plugin for Dataverse that would allow browsing and linking to external vocabularies hosted in the SKOSMOS framework via its API. This could improve metadata by allowing standardized, linked terms and help make data more FAIR.
In this tutorial participants will learn the history of the RIM, the method by which the RIM is maintained, and key characteristics of the RIM that make it the premier information model in healthcare.
Topics Covered:
1. Introduction to HL7: who, what, and why
2. Introduction to HL7 v3: what and why
3. History of the HL7 Reference Information Model
4. HL7 RIM Subjects, Core Classes, and Structural Attributes
5. State Machines of RIM Core Classes
6. HL7 v3 Datatypes
7. HL7 v3 Vocabulary
This tutorial will assist in preparation for the HL7 v3 Certification exam.
This presentation provides an overview of the initial submission to the OMG RFP on DDS Security. The presentation introduces the overall security model proposed for DDS and the protocols.
Postponed Optimized Report Recovery under Lt Based Cloud MemoryIJARIIT
Fountain code based conveyed stockpiling system give solid online limit course of action through putting unlabeled
subset pieces into various stockpiling hubs. Luby Transformation (LT) code is one of the predominant wellspring codes for limit
systems in view of its viable recuperation. In any case, to ensure high accomplishment deciphering of wellspring code based limit
recuperation of additional segments in required and this need could avoid additional put off. We give the idea that distinctive stage
recuperation of piece is powerful to lessen the document recovery delay. We first develop a postpone display for various stage
recuperation arranges pertinent to our considered system with the made model. We focus on perfect recuperation arranges given
essentials on accomplishment decipher limit. Our numerical outcomes propose a focal tradeoff between the record recuperation
delay and the target of fruitful document unraveling and that the report recuperation deferral can be on a very basic level decrease
by in a perfect world bundle requests in a multi arrange style.
HL7 AS A COMMON HEALTHCARE COMMUNICATION FORMAT
Andy Stopford, Technical Director, Havas Lynx
Andy Stopford has over 16 years experience leading teams to deliver pioneering software solutions that enable business goals to be achieved. With experience drawn from the e-commerce, financial, insurance, banking and healthcare sectors he is committed to creating quality software that adheres to best practices and delivers solutions that are robust and help clients achieve business goals.
Andy is a software engineer by trade and is a published book author and keen writer with 200 magazine and journal articles over his career. He has a great depth and breadth of knowledge in a variety of technologies and is passionate about all things software engineering.
Andy leads the HAVAS HEALTH SOFTWARE team of software engineers to develop solutions that focus on the best possible outcome for the end user that ensure the business needs are met.
@andystopford
Technical integration of data repositories status and challengesvty
This document discusses technical integration of data repositories, including:
- Previous integration initiatives focused on metadata integration using OAI-PMH and ResourceSync protocols, as well as aggregators like OpenAIRE.
- Challenges to integration include different levels of software/service maturity, maintenance of distributed applications, and use of common standards and vocabularies.
- Potential integration efforts could focus on improving FAIRness, metadata/data flexibility, and connections between repositories, software, and computing resources to better enable reuse of EOSC data and services.
Quality of Service in Publish/Subscribe MiddlewareAngelo Corsaro
During the last decade the publish/subscribe communication paradigm gained a central role in the design and development of a large class of applications ranging from stock exchange systems to news tickers, from air traffic control to defense systems. This success is mainly due to the capacity of publish/subscribe to completely decouple communication participants, thus allowing the development of applications that are more tolerant to communications asynchrony. This chapter introduces the publish/subscribe communication paradigm, stressing those charac- teristics that have a stronger impact on the quality of service provided to partic- ipants. The chapter also introduce the reader to two widely recognized industrial standards for publish/subscribe systems: the Java Message Service (JMS) and the Data Distribution Service (DDS).
Rim Based Relational Database Design Tutorial September 2008Abdul-Malik Shakir
The document provides an overview of a tutorial presentation on designing a relational database structure based on the HL7 Reference Information Model (RIM). It discusses key concepts such as RIM-based models, RIM conformance, and constrained views of the RIM. It also outlines the database design modeling steps and introduces some of the core RIM classes like Act, Entity, Role, and Participation.
The document provides an introduction and overview of HL7, including:
- HL7 is a protocol for exchanging healthcare data between systems that defines messages and procedures for exchanging them.
- It aims to enable interoperability between different healthcare IT systems.
- HL7 messages are composed of segments, fields, and components that provide specific types of patient, clinical, or administrative data.
- Common HL7 messages are used for admissions, discharges, patient registration, orders, results, and other clinical and administrative workflows.
Clariah Tech Day: Controlled Vocabularies and Ontologies in Dataversevty
This presentation is about external CVs support in Dataverse, Open Source data repository. Data Archiving and Networked Services (DANS-KNAW) decided to use Dataverse as a basic technology to build Data Stations and provide FAIR data services for various Dutch research communities.
This document provides information about HL7 standards and two experts, Dr. Supachai Parchariyanon and Dr. Nawanan Theera-Ampornpunt. It discusses HL7 Version 2 and Version 3 messaging standards. Version 2 is the most commonly used standard, using segments and a pipe-delimited format. Version 3 adds semantic capability using XML messages based on a Reference Information Model. The document compares the two versions and their approaches to addressing interoperability.
The document discusses HL7 and FHIR. It begins by explaining that HL7 is a standards development organization that provides a framework and standards for exchanging health information to support clinical practices and health services management. It then defines what "Level Seven" refers to in relation to the ISO communication model. The document also provides information on various HL7 product families, including FHIR, CDA, EHR functional model, SOA, and context management architecture. It concludes by summarizing HL7 Version 2 and Version 3 messaging standards.
Data Sharing in Extremely Resource Constrained EnvionrmentsAngelo Corsaro
This presentation introduces XRCE a new protocol for very efficiently distributing data in resource constrained (power, network, computation, and storage) environments. XRCE greatly improves the wire efficiency of existing protocol and in many cases provides higher level abstractions.
Getting Started with DDS in C++, Java and ScalaAngelo Corsaro
This document provides an overview and outline for a tutorial on getting started with the Data Distribution Service (DDS) in C++, Java, and Scala. The tutorial will cover DDS basics, data reader/writer caches, quality of service, data and state selectors, and advanced DDS topics. Upon completion, students will have a firm understanding of DDS concepts and the ability to design and write DDS applications. The tutorial will be highly interactive with examples and live demonstrations.
The document discusses the PRELIDA project which aims to identify differences between linked data and digital preservation communities and analyze gaps between the two. The objectives are to collect use cases of long-term preservation of linked data and identify challenges of applying existing preservation approaches to linked data. Issues discussed include differences in preservation requirements for linked data versus other data types and whether linked data preservation can be viewed as a special case of web archiving.
The document provides a progress report on New Zealand's Health Information Strategy. It discusses increases in the number of health organizations connected to a secure network. Standards have been developed to enable electronic prescribing, referrals, lab results, and discharges. The National Health Index and Health Practitioner Index have been enhanced, with 87% of health practitioners now assigned an identifier number. Work is underway to pilot electronic sharing of pharmacy, lab, and referral information between primary and secondary care.
1) Medical decision making for critically ill patients involves determining treatment plans and relies on information exchange between clinicians like doctors and nurses.
2) Relationships between clinicians, particularly trust between junior and senior doctors, strongly influences how information is communicated and understood.
3) Definitions of critical illness vary, with some clinicians focusing more on potential mortality rather than explicit organ failure. Effective knowledge transfer requires a shared understanding between clinicians.
This document outlines eight priorities for improving New Zealand's health system in 2010/11. The priorities include creating a more unified system for service planning, funding, and provision. It also discusses establishing national services, regional service plans, improving DHB planning and monitoring, allocating ministry funding, workforce and facility capacity planning, reducing bureaucracy, and encouraging clinical leadership.
The document summarizes Dougal McKechnie's presentation on health IT in New Zealand. It discusses the New Zealand Health IT Cluster alliance and its role in facilitating collaboration. It also outlines challenges facing New Zealand's health system and opportunities for health IT, including the draft National Health IT Plan and developing New Zealand as a global eHealth research and development laboratory.
Professor Jon Patrick
Health Information Technology Research Laboratory (HITRL - www.it.usyd.edu.au/~hitru)
School of Information Technologies
University of Sydney
(P38, 16/10/08, Coding stream, 3.30pm)
This document discusses consumer perspectives and concerns regarding personal health information and health IT. It notes that consumers want health information that supports informed decisions, and they have concerns about privacy, security, and how information may be used and shared without their consent. The document also outlines recommendations from a consumer forum to ensure community understanding and support for appropriate electronic health information use.
1) The document discusses information system requirements to support chronic condition management (CCM) in the Midland region of New Zealand.
2) It identifies key challenges like the aging population and rise of chronic diseases, and the need for coordinated, multidisciplinary care models.
3) The main requirements identified include improved information flows between providers, access to core clinical data, decision support, and data analytics capabilities to enable population health management and self-care.
Peter J. Murray RN, PhD, MSc, CertEd, FBCS CITP
CEO, International Medical Informatics Association (IMIA) and Director, CHIRAD Africa
(3/11/10, Illott, 4.00)
The document describes a new Virtual Lesion Clinic (VLC) service in Waikato, New Zealand that aims to improve access to dermatology services and reduce waiting times. The VLC uses teledermatology where skin lesions are photographed, sent digitally to dermatologists for diagnosis, and treatment plans are developed without requiring an in-person visit. An analysis found the VLC reduced waiting times by 67% compared to traditional clinics and lowered costs by 20% while maintaining good patient satisfaction. Plans are to expand the VLC model to other regions with limited dermatologist access.
The document discusses health information standards in New Zealand. It outlines the background of standards and governance arrangements, including the Health Information Standards Governance Group (HIS-GG) and Health Information Standards Office (HISO). The HIS-GG provides direction and approves standards, representing various health organizations. HISO advises on standards development and processes and publishes approved standards.
The document discusses an electronic prescribing and dispensing demonstration model presented by the Health Information Strategy Advisory Committee (HISAC) in New Zealand. The demonstration aims to show how key ePharmacy resources like a medicines reference system, ePrescribing system, and shared patient medication histories can work together. It also seeks to clarify aspects of HISAC's ePharmacy vision and address privacy concerns. The demonstration uses screenshots from existing ePrescribing systems to illustrate the clinician experience, though it is not an endorsement of those specific products. Next steps discussed include making the demonstration model available online and seeking providers to pilot electronic messaging of prescriptions in the community.
The document summarizes a seminar on the technical perspectives of vulnerabilities in health records. It discusses key definitions related to data security, including the CIA triangle of confidentiality, integrity, and availability. It outlines common security threats like unauthorized access, viruses, denial of service attacks, and cyberterrorism. The presenter proposes a systematic 10-phase approach to information security that takes organizational goals into account and includes managerial drives, risk analysis, security policies, and regular revisions. Overall, the seminar emphasizes treating health data security systematically rather than through isolated fixes and stresses the importance of integrity protection for sensitive health records.
This document discusses developing a national telemedicine network in New Zealand to improve access to specialist healthcare for remote and rural regions. It describes the New Zealand TelePaediatrics Service (NZTPS) network that was established, connecting over 120 sites across the country. The NZTPS network is now used for various clinical, educational, and administrative purposes, facilitating specialist care, training, and collaboration. Principles of effective telemedicine emphasize overcoming barriers through communities of interest, clinical leadership, and integrating telemedicine into existing healthcare services.
The document summarizes the impact of the AFHCAN telehealth project in Alaska over 8 years. It discusses how telehealth has helped address Alaska's unique geographic challenges by enabling healthcare access for remote communities. Key points include:
- Telehealth has helped prevent unnecessary patient travel in about 80% of specialty consultations and 20% of primary care cases, saving an estimated $14 million in travel costs annually.
- Wait times for specialty consults have been reduced from over 4 months to within a few weeks on average.
- Telehealth has enabled improved care coordination and post-operative follow-up for remote patients.
- It has also helped address provider shortages in rural areas and reduce costs associated with provider recruitment
This document discusses Canada's experience with electronic health records (EHRs). It notes that while Canada has invested over $1 billion in EHR projects, physician adoption of electronic medical records remains low at under 26%. The challenges of developing EHRs in a system with shared federal/provincial responsibilities and multiple stakeholders are discussed. Lessons learned include the complexity of a federated system, establishing data stewardship roles, engaging medical licensing authorities, and developing trust while balancing privacy and information sharing.
The document discusses the evolution of information systems to better support healthcare in New Zealand. It outlines several key areas such as meeting the needs of patients, providers, and the population's health as a whole. It also addresses the importance of innovation, privacy, infrastructure investment, and balancing the perspectives of individuals, providers, and policymakers. The response is to bring a more complete health picture for individuals into consultations to enable informed treatment decisions.
The document summarizes an event discussing New Zealand's national healthcare policy and approaches to developing an electronic health record (EHR) system. It outlines the day's objectives to understand New Zealand's health system requirements, considerations for designing an EHR system architecture, and alternative approaches. The morning session will discuss what the health system may look like over the next 5-25 years and its information needs, while the afternoon will interpret requirements and canvass possible solutions.
The document discusses challenges facing New Zealand's health system, including an aging population, rising rates of chronic diseases, workforce issues, and rising costs. It notes improvements in some health outcomes but persisting inequalities. It argues for addressing modifiable risk factors, upstream investment, improved interventions, and new models of integrated care centered around patients and communities. Information systems will be important to drive quality improvement, performance monitoring, and new models of coordinated, proactive care.
The document discusses the development of a New Zealand Universal List of Medicines (NZULM) and New Zealand Medicines Formulary (NZMF) to standardize medicines terminology and information across the country's health system. The NZULM will contain basic information about medicines and medical devices while the NZMF will include the NZULM information plus additional clinical guidance. Both are intended to improve patient safety, healthcare efficiency and outcomes by providing a single authoritative source for medicines data.
HL7 is an organization that develops standards to enable interoperability in healthcare. It has progressed through several stages, starting with simple messaging and expanding to include documents, services and an enterprise architecture framework. IHE builds on standards by providing implementation guides to integrate multiple standards in real-world use cases. What's hot includes CDA documents and SAEAF, while standards adoption remains a challenge.
This document provides information about HL7 standards and two experts, Dr. Supachai Parchariyanon and Dr. Nawanan Theera-Ampornpunt. It discusses Dr. Parchariyanon's background and interests in standards and interoperability. It then outlines the topics to be covered, including an introduction to standards and interoperability, what HL7 is, HL7 Version 2 and 3, the Reference Information Model, and Clinical Document Architecture.
The MARC-HI EHR Project aims to build a reference implementation of Canada's national Electronic Health Record (EHR) system using open source tools. The project brings together academic researchers and industry partners to develop interoperable EHR systems based on standards. Initial demonstrations showed the ability to share patient discharge summaries and referrals between different healthcare providers. Ongoing work includes integrating laboratory data and evaluating system performance. Challenges include integrating legacy systems and developing tools to simplify working with complex EHR specifications and messages.
FHIR is the latest standard to be developed under the HL7 organization. Pronounced 'Fire' , FHIR stands for Fast Healthcare Interoperability Resources. I think it's the most interesting standard to have come out of HL7 since the original HL7 protocol.
The document discusses the future of healthcare standards and interoperability. It outlines the standards committee's 2014-2015 workplan focusing on topics like image exchange, quality reporting, and care management. The presentation notes that content, vocabulary, and transport standards need further development. Specifically, it calls for abandoning proprietary approaches and adopting common web standards like JSON, REST, and OAuth for exchanging health data. The presentation envisions a future where FHIR replaces older standards and certification focuses on true interoperability using modular, implementer-friendly standards.
Presented at the 7th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on September 15, 2016
How do HL7 standards help secure data exchange for Digital Healthcare.pptxMocDoc
Learn about HL7 standards and how they help secure data exchange for digital healthcare. Discover the primary and other standards of HL7, their benefits, and their impact on patient care.
The document discusses HL7 standards and provides context about HL7 version 2 and version 3. It notes that HL7 version 2 is the most commonly used standard for healthcare information exchange, using a pipe-delimited format. HL7 version 3 adds semantic capability and uses XML messaging based on a Reference Information Model. The document also profiles Thailand's HL7 certified specialists and provides examples of HL7 version 2 message segments.
This document provides an overview of HL7 standards. It discusses HL7 version 2 and version 3 messaging standards. HL7 version 2 is the most commonly used standard for healthcare information exchange, using a pipe-delimited format. HL7 version 3 adds semantic capability and uses XML formatting and the Reference Information Model. The document also discusses other HL7 standards like Clinical Document Architecture and different levels of interoperability that standards support.
Today's Electronic Health Record (EHR) offerings inhibit the ability to develop the next generation of clinical applications for providers to provide the best possible care and patients to become more engaged. Such offerings are designed as monolithic silos of storage and end-user experience that use proprietary methods for accessing key functionality. While large health care providers typically have physical control over their data, they lack in having functional control. This barrier makes it virtually impossible for data to be easily accessed by other applications without very costly and time-consuming migration strategies. As a result, the pace of innovation is greatly stymied by closed systems that appear to be all-too-prevalent in the healthcare industry. This session presents a strategy of vendor-neutral, public, open Application Programming Interfaces (APIs) and advocates for their use in developing open platforms for healthcare applications.
This resume is for Richard M. Phillips, who has over 20 years of experience in healthcare IT and systems integration. His experience includes designing, building, and implementing interfaces between various electronic medical record systems, labs, and other healthcare applications using standards like HL7 and X12. His most recent role was as a Senior Integration Consultant where he worked on integration projects for Streamline Health clients.
Interoperability Between Healthcare ApplicationsJohn Gillson
The document discusses interoperability between heterogeneous healthcare information systems. It describes standards for achieving interoperability, including HL7 versions 2 and 3 for message exchange, the Reference Information Model (RIM), Clinical Document Architecture (CDA), and Integrating the Healthcare Enterprise (IHE) profiles like Cross-Enterprise Document Sharing (XDS). It also discusses electronic health records (EHRs), master patient indexes (MPIs), virtual medical records (VMRs), and how the Professional Exchange Server (PXS) can bridge gaps between disparate healthcare systems through its various components.
Richard M. Phillips is seeking a technical or management position in information services. He has over 20 years of experience in healthcare integration consulting, including experience designing and implementing HL7 and other interfaces between various electronic medical record systems such as Epic, Cerner, Meditech, and McKesson. His experience also includes population health management, computerized physician order entry, and revenue cycle management projects. He is proficient in languages such as Perl, Tcl, and SQL and tools such as Mirth, Cloverleaf, and Rhapsody.
This document contains the resume of Richard M. Phillips. It summarizes his career experience working in healthcare IT and integration roles over the past 20 years, including experience designing and implementing interfaces between various electronic medical record and other healthcare IT systems using standards like HL7, FHIR, X12 and more. His most recent role is as a Senior Integration Consultant with Streamline Health where he works on integration projects between their products and various client systems.
The document discusses terminology services in healthcare. It describes how terminology services provide consistent access to healthcare terminologies, enabling semantic interoperability. Terminologies define the meaning of clinical data and help classify and aggregate this data. Healthcare has developed many terminologies for these purposes. Terminology services can be deployed across organizations to facilitate consistent use and interpretation of terminology content.
A seminar made to the Tennessee Department of Health in July 2015. An introduction to HL7 standards with a focus on HL7 v3 messaging and clinical document architecture standards.
Building Data Ecosystems for Accelerated Discoveryadamkraut
Large federated data ecosystems require diverse teams that can design, build, and integrate a broad range of services to support scientific workflows. Our collaborative team operates at the intersection of science, technology, and data to assess, implement, and teach the key capabilities and capacities modern healthcare and life science needs. Learn the data management techniques, tools, platforms, and frameworks that are proven to be effective at solving complex problems at scale.
Technosoft has expertise in designing, developing, and managing HL7 interfaces to allow for the exchange of healthcare information between disparate systems. They support various HL7 standards and messages types including ADT, orders, and results. Technosoft can help plan and implement HL7 interfaces, which includes requirements analysis, specification development, testing, and support. Their solutions are designed to simplify the secure exchange of HL7 data in a HIPAA-compliant manner.
The document discusses health information exchange and HL7 standards. It provides an overview of the importance of health information exchange and standards. It then describes HL7, including what HL7 is, its mission to enable interoperability and sharing of health data, the versions and products of HL7 standards, and examples of HL7 standard adoption.
Douglas Kingsford is a practicing GP and CEO who is interested in artificial intelligence, workflow, and electronic health records (EHRs). He discusses that EHRs are about interoperability, sharing data, and collaborating in patient care. However, achieving true interoperability is challenging and requires open standards, clinician input, and good governance. Simply putting data in centralized repositories or expecting everyone to use the same system will not work due to the proprietary needs of various stakeholders and desire for clinicians and patients to control personal data. True interoperability will require new types of cooperation and business models between all involved parties in a distributed system with no central control.
Similar to Strategic Directions for Health Informatics Content Interoperability in NZ (20)
The Diabetes Discovery Project at Austin Health aimed to use their Cerner EMR system to routinely test HbA1c levels on inpatients over 54 to identify undiagnosed and poorly controlled diabetes. Testing of over 5,000 patients found 5% had undiagnosed diabetes and 29% had known diabetes. Higher HbA1c levels were associated with increased hospital admissions and longer lengths of stay for surgical patients. The project demonstrated using health IT to identify diabetes management opportunities. Ongoing work includes refining protocols and expanding to other patient populations.
This document summarizes a presentation on using data and informatics to improve allied health services. It discusses the history of allied health and challenges with data collection. Examples are provided of projects in New Zealand that used data to enhance patient and clinician experiences, reduce hospital-acquired infections, and inform staffing needs. The presentation emphasizes standardizing data to facilitate benchmarking and applying knowledge gained from data analysis to drive improvements in allied health.
This document presents a proof of concept for using Twitter data to conduct syndromic surveillance for public health monitoring. It analyzed tweets containing the keyword "measles" between 2014-2015 and found 1,408 relevant tweets. The number of tweets mentioning measles was compared to confirmed measles cases from a national surveillance system, showing potential for Twitter data as an early warning system. However, limitations include using a single keyword and the free Twitter API. Future work proposed improving data collection, applying machine learning techniques, and validating tweets with other health data sources.
The document discusses using surface modelling and mapping techniques to analyze healthcare data. It provides three scenarios as examples: 1) Mapping KPIs regionally to identify opportunities for improvement, 2) Mapping data around a specific pharmacy to examine market penetration, and 3) Comparing the market penetration of two smoking cessation medications. Surface mapping allows easy visualization and comparison of multiple data layers, helps protect patient privacy, and can provide insights into how to optimize outcomes.
The document summarizes how providing laptop computers to clinicians in a community allied health service has enhanced clinical care. Each of the 20 clinicians was provided a laptop with mobile data and remote desktop access to complete administrative and electronic tasks in the community rather than returning to the office. This has increased efficiency by allowing timely and collaborative work, which has decreased stress on clinicians and allowed for more timely information sharing with children and families. Some challenges remain around the weight of laptops and continuing reliance on paper records. Future plans include providing iPads and moving to more paperless systems.
This document describes the development of an electronic workflow system called scope to improve surgical practice at a District Health Board (DHB) hospital. The goals were to seamlessly map the patient journey, accurately collect coded data, and leverage trusted data to inform clinicians. The system streamlines waiting lists, captures accurate operating notes, and facilitates morbidity and mortality meetings. Implementation across surgical specialties has achieved good compliance and uptake. Preliminary results found increased quality of notes, discussion of complications, and potential to change practice through advanced data analysis. In conclusion, scope has replaced a disconnected paper system with a seamless electronic solution that fully captures standardized data to improve surgical outcomes.
1. The document discusses how healthcare has progressed beyond just electronic medical records (EMRs) and is now focused on areas like mobile computing, health collaboration, cloud-based back office systems, health intelligence, and clinical grade communications.
2. It provides examples of how technology is enabling cross-campus collaboration, telehealth, clinical collaboration using medical devices and teleradiology, and clinical communications.
3. The document advocates for sustainable eHealth innovation beyond just EMRs and discusses how areas like health analytics, mobility for care, patient-centered care, and emerging technologies can further improve healthcare.
The document discusses empowering healthcare through technology that is safe, works for everyone, and leaves no one behind. It describes how digital technologies are disrupting traditional healthcare models and outlines opportunities to enhance patient and provider experiences through virtual care, remote monitoring, and analytics. Key goals are mentioned like reducing readmissions, increasing effectiveness, and improving clinical productivity. The future of healthcare is envisioned as personalized, connected, data-driven, and empowering every person and organization to achieve more through technology.
The document discusses using analytics and care coordination to reduce hospitalizations and arrests of mental health patients. It notes that around 10% of patients are readmitted to psychiatric hospitals within 30 days of discharge. Care coordination aims to break this cycle through improved outcomes, treatment adherence, continuity of care, and identifying high-risk patients. Analytics tools can provide predictive modeling, population clustering, and care quality analysis to develop insights. The goal is to engage all stakeholders to deliver an integrated care plan through data-driven insights and coordination between providers.
Dr Nic Woods discusses tools for early recognition and management of sepsis using the electronic medical record (EMR). Sepsis poses a major global health challenge and burden. Tools discussed include a sepsis predictive model built into the EMR that can detect signs of sepsis with sensitivities of 68-91% and specificities of 91-97.6%. Clinical decision support and workflows in the EMR are also used to alert clinicians and guide treatment. Evaluations found these tools helped reduce mortality from sepsis by 4.2-17% and lower length of hospital stays. Key points emphasized that predictive models integrated into clinical workflows can positively impact outcomes, but more progress is still needed.
This document discusses allied health professionals and their role in the healthcare system. It lists various allied health roles and describes how they rehabilitate and enable patients by taking a collaborative and holistic approach focused on patient needs. The document emphasizes that allied health professionals help reduce health service needs by facilitating patients' independence and ability to remain in their communities. It argues that capturing allied health data can help provide visibility into their services, allow for quality improvement, and ultimately benefit patients through a more coordinated system where the "right intervention" is delivered at the "right time". The challenges of engaging stakeholders and integrating passive data extraction are also addressed.
This document discusses changes in clinical data collection and the role of clinical coders. It notes that data now comes from many sources through various mediums and is used for many purposes. Clinical coding translates medical descriptions into codes. While technology has improved coding efficiency, the role of clinical coders may change further as technology advances. In particular, widespread electronic health records could significantly impact current clinical coding practices and roles. The document urges clinical coders and organizations to consider how to prepare for and adapt to technological changes to ensure accurate and consistent health data collection into the future.
This document provides background information on New Zealand's national maternity system called BadgerNet. It discusses the existing national programs and governance structure in place. BadgerNet is being rolled out nationally as an end-to-end maternity information system to record information from conception to six weeks postnatal. It will be used across District Health Boards and in the community. The financial model and implementation process are also outlined.
This document summarizes a presentation given by Dr. Shaun Costello on oncology treatment patterns in the South Island of New Zealand. The presentation discusses the creation of the South Island Cancer Clinical Information System (SICCIS) to capture patient-level oncology data across multiple hospitals in the region. This includes implementation of the MOSAIQ electronic medical record system and a shared data repository called METRIQ. The goal is to analyze the treatment patterns and outcomes of cancer patients in order to improve the quality of care in the South Island. Examples of preliminary analyses of the data are shown, including cancer stages, treatments, and radiation doses for lung cancer patients.
The evaluation identified several unintended consequences of the electronic prescribing pilot including new types of errors related to prescribing workflows and system defaults. Key lessons learned were that ongoing training and engagement are needed as workflows change over time. Regular monitoring is required to identify errors and develop strategies to address them, such as simplifying multi-step processes and minimizing alert fatigue. Overall the evaluation found that electronic prescribing has benefits but also risks, and a focus on how systems are implemented and used is as important as the technology itself.
This document discusses emerging technologies in the pharmacy sector. It begins with an overview of the evolution of pharmacy and a discussion of disruptive technologies. It then examines specific emerging capabilities like online healthcare access in Switzerland, remote patient monitoring in Spain, and ingestible sensors. Exciting retail trends are also explored, such as using customer data to predict behaviors, billboards responding to airplane flights, and the potential of Li-Fi wireless networks. The document suggests several technologies may disrupt pharmacies or remain niche capabilities. Overall, it analyzes new digital innovations and how they could impact pharmacy services and the customer experience.
This document discusses the development of a smartphone app to help patients better manage their rheumatoid arthritis. Interviews with rheumatoid arthritis patients and healthcare professionals revealed key themes. Patients were enthusiastic about an app's potential to record symptoms and communicate with their care team. However, healthcare professionals were apprehensive about increased workloads. Both groups saw value in collecting patient-reported outcomes but acknowledged limitations. Next steps include piloting a new "RAconnect" app and conducting a clinical trial to evaluate its impact on disease management compared to standard care.
This document discusses various self-tracking tools and applications for health, fitness, and well-being. It mentions several companies and products including 23andMe for DNA sequencing, UBiome for microbiome sequencing, Dexcom for continuous blood glucose monitoring, and Jawbone UP and Fitbit for activity tracking. It also discusses ideas around open data, genomic APIs, geo-tracking health data, and future technologies like ingestible sensors. Overall, the document explores the growing field of self-quantification and personalized data collection for improving individual health and wellness.
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This SlideShare presentation provides a comprehensive overview of the Declaration of Helsinki, a foundational document outlining ethical guidelines for conducting medical research involving human subjects.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
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8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Strategic Directions for Health Informatics Content Interoperability in NZ
1. Strategic Directions for Health Informatics Content Interoperability in NZ Professor Jim Warren Dr Douglas Kingsford, University of Ballarat
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11. +++ (using RDF and OWL) +++ (as per v3 esp CD datatype) +++ +++ +++ (v3 has richer structured datatypes that better support post-coordination) ++ Terminology/Ontology bindings + ++ +++ ++ - (neither v2 nor v3 are persistence specs) - EHR Persistence + ++ (it is a messaging spec) + (no messaging support beyond content) ++ +++ +++ Support messaging +++ +++ + +++ +++ +++ Institutionalisation & governance + + +++ + +++ +++ Embedded security - ++ +++ ++ +++ + Support for knowledge management - ++ ++ ++ ++ - RIM stability & consistency +++ +++ + - (no implementations) + +++ Reference implementations +++ (widespread use across IT) ++ + - (no implementations) + +++ Vendor interest & support +++ + ++ - ++ +++ Tools and components +++ +++ +++ + ++ +++ Accessibility to Standards and Specs - ++ (as in NHS CfH) ++ ++ +++ + Support for Decision Support + (XPath) + +++ ++ (there are problems with it) +++ (assuming a RIM parser) + Intelligent querying - +++ (as per v3) +++ ++ (weaker RM) +++ + Expressive power for clinical data - ++ +++ ++ ++ + Coverage (i.e. to realise full EHR) XML/Web Service CDA/CCD openEHR CEN HL7 v3 HL7 v2
12. Comparison of Major Options This is a methodology rather than a technology solution. The technology is still CDA/v3 – this approach does not implement the openEHR reference model or datatypes, it just uses the archetyping methodology for content creation. There is currently little evidence for the ROI of a openEHR / HL7 v2 solution. openEHR may not offer the same opportunities for machine reasoning as HL7 v3. HL7 v3 is not a persistence standard. ROI for upgrading messaging systems would need to be established first. Cost of development using a relatively unstable RIM may be high. Limited semantic interoperability of messaging. Inability to express context of messages. Cons Archetyping appears to be gaining acceptance as a way of modelling clinical content. While not adopting a full openEHR solution, applying archetyping methodoloy to HL7 template creation would make CDA structured content more in line with clinical needs. openEHR offers a semanticaly standardised persistent storage solution within an organisation. openEHR content is easier for clinicians to understand than HL7 v3 content. Communicating with outside organisations using HL7v2 would offer a pragmatic solution to messaging as the integration infrastructure and skills already exists, so the total cost of ownership is low. Semantic messaging may offer a ROI where decision support and workflow tools are to be implemented that are capable of leveraging rich message content. Allows use of existing messaging infrastucture, minimising total cost of ownership. CDA would offer a persistent storage solution for structured content containing defined datasets. Some degree of interoperability due to the vocabulary bindings in coded message fields. Pros openEHR Archetyping Applied to HL7 Templates in CDA Documents HL7 v2 Messaging + openEHR HL7 v3 Messaging +/- CDA L3 HL7v2 Messaging +/- CDA L1