Transcript DAF Community Presentation 7-9-2014

Data Access Framework
All Hands Community Meeting
July 9, 2014
Meeting Etiquette
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From S&I Framework to
NOTE: This meeting is being recorded and will
be posted on the DAF Wikipage, under
“Materials”  “Past Meetings”
Participants:
Hi everyone: remember to keep your
phone on mute 
2
Agenda
Topic
Estimated Time
QED Overview and Application to DAF, Presented by
Keith Boone
40 minutes
Next Steps/Questions
5 minutes
3
Notional Project Timeline
July
2014
Today
7/9
August
S&I Lifecycle
(Discovery  Pilot & Evaluation)
September
October
DAF/IHE
Document White Paper
IG Consensus Published
November
December
Data
Element IG
Consensus
IHE Activities
Implementation
(DAF/IHE Community)
WP
Comme
nt
Period
IHE Trial
Implementation
Meeting
TWG 1: Document
Metadata based
access for LDAF &
TDAF
DAF IHE/ S&I Joint Work
Group
Create IG based on
existing standards
TWG 2: Data Element
based access for
LDAF & TDAF
Pilots & Testing
Implementation (S&I Community)
Creating Operation Plan for Pilot
Testing
Pilots and Testing
Balloting Activities
Implementation (S&I Community)
Candidate Standards
Analysis
Finalize Actors +
Transactions +
Technology Stacks and
Standards
Create IG
Balloting Activities
Creating Operation Plan for Pilot
Testing
Pilots & Testing
Pilots and Testing
QED
Analysis and DAF Application provided by IHE PCC
Technical Committee member, Keith Boone
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Query for Existing Data
Value Proposition
• Exchange of information between Data Repositories
and Clinical Data Consumers for:
– Drug Safety
– Public Health, Biosurveillance and Disease Registries
– Identifying Qualifying Patients
• Clinical Trials
• Disease Management
– Quality Reporting
– Claims Submission
– Decision Support Systems
• Using a single standard for query
• Compatible with CCD
vs.
• 30-60 HL7 V2.X Interfaces @ $10-20K/Inteface
6
HITSP TP21,
Quality
Scope
• Problems and Allergies
– Disease Registries, EHR Systems, CDS
• Vital Signs
– Monitoring Systems, EHR Systems, CDS
• Diagnostic Results
– Laboratory and Radiology Information Systems, EHR Systems,
CDS
• Medications
– Pharmacy, EHR Systems, CDS
• Immunizations
– Immunization Registries, EHR Systems, CDS
• Professional Services
– Practice Management, Scheduling Systems, Care
Management, CDS
Key Technical Properties
•
•
•
•
Support for Web Services and SOA Architecture
Use of one standard for all queries
Reuse of PCC Technical Framework Templates
Compatibility with ASTM/HL7 CCD
QED Actors/Transactions
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Data Elements (1)
Common Observations
•
Simple measurements or reported values that can be determined using simple measuring devices (e.g., Height,
Weight), or which can be reported by the patient (e.g., date of last menstrual period).
Diagnostic Results
•
Observations made or performed using laboratory testing equipment, imaging procedures, vision examinations, et
cetera.
Problems and Allergies
•
These are a collection of diagnoses, clinical findings, allergies, or other risk factors that are recorded for the
patient. The information may be obtained from patient reports, or through clinical decision making.
– Conditions: Disease conditions for the patient.
– Intolerances: Allergies and other intolerances.
– Risk Factors: Significant risk factors based on family history, social history, occupational exposures, et
cetera.
Medications
•
Medications that a patient is or has been taking for treatment of one or more conditions.
Immunizations
•
Immunizations that have been given, or which are planned to be given to the patient.
Professional Services
•
Procedures and/or encounters which the patient has participated in, or is expected to participate in.
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Data Elements (2)
Information Category
Code
COBSCAT
Vital Signs
Returns
All Vital Signs
Template Id
Vital Signs Observation
Any Code from the Vital
The vital sign identified by the code
Signs Table below
Vital Signs Observation
MEDCCAT
All problem entries
Problem Entry
CONDLIST
All Concern Entries
Concern Entry
PROBLIST
All Problem Concerns
Problem Concern
INTOLIST
All Allergy Concerns
Allergy and Intolerance Concern
RISKLIST
All Risks1
Concern Entry
LABCAT
All Lab Results
Simple Observations
DICAT
All Imaging Results
Simple Observations
RXCAT
All Medications
Medications
MEDLIST
All Medications
Medications
CURMEDLIST
All active medications
Medications
DISCHMEDLIST
Discharge Medications
Medications
HISTMEDLIST
All Historical Medications
Medications
Immunizations
IMMUCAT
All Immunizations
Immunizations
Professional Services
PSVCCAT
All professional service entries
Encounters
Procedures Entry
Problems and Allergies
Diagnostic Results
Medications
11
Query Interaction
12
Query Syntax (1)
13
Query Syntax (2)
14
Query Results (1)
15
Query Results (2)
16
Adoption
• Two Published Integration Statements
– Orion Health
– IntercomponentWare AG
– See http://product-registry.ihe.net
• Five Vendors Tested at IHE Connectathon
– http://connectathonresults.ihe.net/view_result.php?rows=company&columns=actor&
title=integration_profile&integration_profile=QED
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Provenance/Security Metadata
Provenance
• Author
• Verifier
• Responsible Party
• Patient/Subject
Tags
• Confidentiality
Can be Grouped with other Actors providing addition user
metadata (e.g., XUA, IUA)
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SWOT
Strengths
Weaknesses
Nearly same XML as CCD/IHE XPHR
Identical Constraints
Supports Linkage to Document
Needs update to Standard (based on DSTU)
No Population Level Query Support
No Pub/Sub Support
Opportunities
Threats
Some limitations removed with Standard
RESTful/FHIR Update
FHIR Efforts More Interesting
Limited Adoption
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Questions
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Data Access Framework Resources
•
•
•
•
•
•
DAF Wiki Homepage
– http://wiki.siframework.org/Data+Access+Framework+Homepage
Become a Community Member
– http://wiki.siframework.org/Data+Access+Framework+Join+the+Initiativ
e
DAF Charter
– http://wiki.siframework.org/Data+Access+Framework+Charter+and+Me
mbers
DAF Standards, Harmonization and Implementation Activities
– http://wiki.siframework.org/DAF+Standards+Harmonization+and+Imple
mentation
Standards and Interoperability(S&I) Framework
– http://wiki.siframework.org/Introduction+and+Overview
S & I Calendar of Events
– http://wiki.siframework.org/Calendar
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Initiative Support Leads
•
For questions, please feel free to contact your support leads:
– Initiative Coordinator: John Feikema [email protected]
– ONC Sponsors: Mera Choi [email protected]
– Support Team:
• Project Management:
– Gayathri Jayawardena [email protected]
• Technical Support:
– Dragon (Nagesh) Bashyam [email protected]
• Standards SME:
– Ed Larsen [email protected]
• Standards Support:
– Angelique Cortez [email protected]
• Vocabulary and Terminology Subject Matter Expert:
– Mark Roche, MD [email protected]
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