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??