HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS...
Transcript of HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS...
HL7 STANDARDS STATUS
The Five IPS project Products
eHN EU PS
Guidelines
CEN
EN 17269
CEN
TS 17288
HL7
IPS CDA IG
HL7
IPS FHIR IG
implement
provide guidance for EU
refine
refer
implement
SNOMED
IPS Free Set useuse
EN 17269: implementation independent content of the IPS
TS 17288: guidelines for establishing a EU IPS service
IPS FHIR IG: how to implement the IPS using HL7 FHIR
IPS CDA IG : how to implement the IPS using HL7 CDA
® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office. 2
Status
CEN/TC251
▪ EN 17269
- ballot passed
▪ TS 17288
- ballot passed
▪ Ready for publication. (Summer 2019).
HL7 Int.
▪ HL7 CDA IPS IG (STU)
- Published (STU Oct 2018)
▪ HL7 FHIR IPS IG (STU)
- 1st ballot passed
- WGM ‘frozen’ version
- New Ballot Sept 2019 Alignment with Argonaut.
Scope extended to “non document” uses.
- Limit ballot scope to changes since Jan. ballot
- STU published by the end of the yearSNOMED Int.
◼ IPS SNOMED CT Free Set
➢ Announced by HL7 Int. and SNOMED Int. at the last HIMSS 2019
➢ Distribution from SNOMED International is being prepared. Currently in the refset tool and
will be available on Sept 1st, 2019 as part of the Global Free Set (GPS).
® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office. 3
IPS Alignment with Argonaut
▪ Received requests for this
▪ Potential opportunities for IPS to be included as part of large-
scale implementations
▪ Comparison of IPS (balloted version) and Argonaut recently
concluded
▪ Need to determine the changes needed in IPS (and
potentially Argonaut) to better align
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IPS Alignment with Argonaut (cont.)
▪ Terminology is not expected to fully align
- US, Canada or other realms vs. international specification
▪ IPS still has an “I” (will not be US or other realm specific)
▪ IPS ballot/update strategy
- A main focus of the September ballot will be to align with Argonaut
- Also considering additional implementer (and potential implementer)
feedback that has been received
5
Further IPS Development
▪ Identify new or “missing” use cases and content
- Add possible new sections/components
▪ Expect to publish new versions as needs and uses are
identified
- Determine how to sustain the effort to support maintenance going
forward
▪ Focus on and encourage implementations!
6
FHIR DevDays June
▪ June 10-12, 2019, Redmond, WA (Microsoft Conference
Center)
▪ IPS session accepted
▪ Agenda
- IPS Intro tutorial
- Opportunity for hands on experience with representation/exchange of
IPS immunization data (data block)
▪ Identifying exchange partners
7
MOVING THE IPS FORWARD…
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Towards an «IPS ecosystem»
Deployers
SDOs
Clinicians
Patients
Clinical
Guidelines
Vendors
Policy
Makers
Acto
rs
Pro
ducts
TerminologiesValidators
APIs
System
Functional
Models
Computable
Logical ModelsEducational
Material
…..
® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office. 9
IPS FHIR LOGICAL MODELS
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Artefacts (Info Models – as is)
CEN
EN 17269
HL7
IPS CDA IG
HL7
IPS FHIR IG
CEN
TS 17288
EN 17269
EN 17288
IPS PROFILES
IPS Template
Imp
lem
en
t
CDA IG
FHIR IG
CDA IG
® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office. 11
Implementation
Specific
Implementation
Independent
..a better linkage among IPS artefacts…
EN 17269
IPS Template
HL7 IPS LM
The computable
«glue»EN 17269
Logical Model
IPS PROFILES
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CEN EN 17269:2019
https://art-decor.org/art-decor/decor-datasets--hl7ips-
® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office. 13
Artefacts (Info Models – 1st step)
EN 17269
IPS Template
EN 17269
Logical Model
Others
HCIM/ZIB
Formal basis for
the E-EHR-XF
E-EHR-XF
European EHR
eXchange Format
IPS PROFILES
® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office. 14
Artefacts (Info Models – 2nd step)
EN 17269
IPS Template
EN 17269
Logical Model
Others
HCIM/ZIB
IPS PROFILES
FHIR IPS-EN 17269
Concept Map
® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office. 15
Artefacts (Info Models – 3nd step)
EN 17269
IPS Template
EN 17269
Logical Model
Others
HCIM/ZIB
HL7 IPS-EN 17269
Concept Map
IPS PROFILES
HL7 IPS LMFHIR -HL7 IPS LM
Concept Map
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PROVENANCE (AND GDPR REQUIREMENTS)
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Not included in this version of the IPS..
▪ From the IPS IGs’ «Design conventions and principles”:
« this first version should not attempt to require the full detail
of that provenance specification.”
▪ .. with the intent to look at this topic ASAP…
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The GDPR on FHIR
▪ GDPR on FHIR : https://confluence.hl7.org/display/SEC/FHIR+-
+GDPR
▪ A supportive document about IPS use cases “as a way to illuminate
GDPR impact and available solutions available to aid with the
GDPR impact.”
https://confluence.hl7.org/display/SEC/International+Patient+Summ
ary%3A+Use+Cases
▪ It includes also a set of associated examples
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Examples
▪ Provenance:
- IPS assembled by a device from multiple sources (Document
level).
- IPS curated by a human being (Document Level).
- Observation obtained from a Lab report (entry level).
▪ Bundle:
- IPS bundle including provenance and consent resources
- IPS bundle including provenance and security labels
20® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.
The GDPR FHIR IG
▪ The IPS use cases and examples as input for the
GDPR FHIR IG PSS under discussion in the
Security WG on Wed Q4.
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THE IPS @ WGM MONTREAL
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WGM Montreal – IPS meetings
▪ Monday Q4, hosted
by PC WG, Salon
Kafka-Lamartine
▪ Wednesday Q2,
hosted by EHR WG
▪ Thursday Q1, Salon
Joyce
▪ Remaining FHIR publication issues (e.g. slicing on profiles): status and
plan
▪ IPS and Argonaut/US Core (IPS internal discussion)
▪ AOB
▪ CEN/ISO/HL7/(IHE?) IPS related activities
▪ Terminology policy/approach (no known/unknown)
▪ DevDays 2019: Update and plan
▪ Topics from Monday
▪ AOB
▪ IPS adoption support / global marketing
▪ CDA IPS IG maintenance
▪ September Ballot
▪ AOB
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Other related activities
▪ Saturday-Sunday, Connectathon: IPS track
▪ Sunday, hosted by IC: IPS overview
▪ Monday Q2, PC WG: PC and SD IPS update
▪ Wednesday Q4, Security WG: GDPR session
24® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.