Transcript Gcpr_hl7

GCPR Reference
Terminology Model
HL7 Vocabulary SIG
September 29, 1999
Steven Brown MD, Ann Butman, Terry Clark
MD, Lauren Gordon, George Huggins, Mike
Lincoln MD, Douglas Mann, Anne Miles,
Nancy Orvis
Presidential Advisory Committee
on Gulf War Veterans’ Illnesses
“… I am directing the Departments of Defense and
Veterans Affairs to create a new Force Health Protection
Program. Every soldier, sailor, airman and marine will
have a comprehensive, life-long medical record of all
illnesses and injuries they suffer, the care and
inoculations they receive and their exposure to different
hazards. These records will help us prevent illness and
identify and cure those that occur…”
President Clinton
November 8, 1997
GCPR Vision
Improve public and individual health status by
sharing clinical information
GCPR Goals
Create a collaborative partnership to
appropriately share clinical information via a
comprehensive, lifelong electronic health record
Where no standards exist, the partnership will
seek to advance the development,
establishment, and adherence to standards
GCPR Principles
*
Support the improvement of lifelong health and
wellbeing by providing access to individual and
population health information.
Base solutions on common information and
medical terminology models
* Two of ten
Government Modeling
Government Reference Modeling (GRM)
Working Group
Reference Terminology Model (RTM) Working
Group
Reference Information Model (RIM) Working
Group
RTM WG Charge
Establish methodologies capture concepts
and surface forms
RTM WG Charge
Collaborate with Standard Development
Organizations to adopt existing standard
term sets
RTM WG Charge
Where existing standards are incomplete,
the RTM WG will collaborate with the
SDOs to develop and submit GCPR term
sets and models
RTM WG Charge
Establish semantic relationships between
concepts
RTM WG Charge
Delineate formal definitions
RTM Functionality
Mediation, sharing, & reuse
Authoring & maintenance
Archiving & retrieval
Indexing & knowledge org
Natural language processing
Human-computer interaction
High
High
Medium
Medium
Low
Low
GCPR Terminology
Domains
Demographics
Laboratory
Problems
Medications
Allergies & Immunizations
Out patient encounters
Vital Signs
Radiology Results
Physical Exam
PoC
PoC
Phase 2
Phase 2
Phase 2
Phase 2
Phase 2
Phase 2
Phase 2
Project Phases
Project Initiation Phase
Phase I - Prototype
Phase II - Pilot Testing
Phase III - Phased Deployment
1/98 to 2/99
3/99 to 3/00
3/00 to 3/01
4/01 ...
GCPR Terminology
1st Cut Deliverables
Demographics
Laboratory
Problems
Medications
Allergies & Immunizations
Physical Exam
Out patient encounters
Vital Signs
Radiology Results
Fall
Fall
Winter
Winter
Winter
Winter
Winter
Winter
Winter
‘99
‘99
‘00
‘00
‘00
‘00
‘00
‘00
‘00
RTM WG Approach
Tactical - Short Term Model (STM)
Strategic - Reference Terminology Model
(RTM)
RTM WG Approach
Short Term Model (STM)
Meet Production Requirements
Agency code sets
Standards as possible
Granularity limited to immediate
need/capability
RTM WG Approach
RTM Planning Processes in Parallel
Tools Evaluation
Pilot Project
Vocabulary Model Analysis
Long-Term Maintenance Process
Avenues for Collaboration
Discussion
Suggestions for Starting Points
Areas for Collaboration
Any Other Comments/Suggestions??