IHE: A Proven Process for HL7 Standards Implementation. Glen F. Marshall, Co-chair, IHE IT Infrastructure Planning

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1 IHE: A Proven Process for HL7 Standards Implementation Glen F. Marshall, Co-chair, IHE IT Infrastructure Planning 1

2 What This Talk Is About The IHE methodology specifies, tests, and verifies interoperable standards implementations for specific use-cases. This presentation will focus on: HL7 standards implemented by IHE How they have been used in the HIMSS 2006 Interoperability Showcase IHE plans for new profiles that incorporate HL7 Standards 2

3 Standards Development View Scoping Criteria Domain Models Cases Refine Scoped Cases Abstract Abstracted Cases Standardization begins with use cases. Refinement scopes the use cases. Abstraction identifies common use case elements. 3

4 Standards Development View Knowledge Publishing Criteria Abstracted Cases Define Solution Solved Cases Author Standard Balloting Knowledge defines solutions to abstract use cases. Standards authorship documents repeatable solutions. Balloting gains refinement and consensus. 4

5 Profile Development View Scoping Criteria Usage Scenarios Cases Refine Essential Cases Realize Case Scenarios Profiling begin with use cases. Refinement identifies essential use case elements. Realization identifies use case scenarios actors and transactions within clinical workflows. 5

6 Profile Development View Standards Publishing Criteria Case Scenarios Define Solution Solved Cases Author Profile Standards provide solutions to use case scenarios and help identify the need for additional elements to fill gaps Profile authorship yields documents - solutions in detail. Balloting gains refinement and consensus. Balloting 6

7 Comparison Standards Are problem-based Solve classes of use cases Exist within a domain knowledge constraint Provide options to be applied for specific solution implementations Are collaborative Reference other standards Profiles Are standards-based Solve specific usage scenarios May draw from many domains knowledge Specify choices among the options for specific solution implementations Are collaborative Reference other profiles 7

8 Technical Requirements View Profile Business Rules Business Problem Define Solution Solution Proposal Author RFP Profiles inform solution definitions and proposals Authorship converts solution proposals to RFPs. Vendors can respond to such well-defined integration requirements via IHE Integration Statements 8

9 IHE Integration Statements Documents published by vendors to describe the conformance of their products with the IHE profiles: Contents: Vendor Name Product Name and version Publication date and revision designation List of IHE integration profiles, actors, and options supported Reference information, e.g., URLs, for verification. The referenced IHE profiles document the details (and avoid meaningless boilerplate responses.) 9

10 IHE Adoption VA/DoD Requires IHE Conformance in RFPs ONC NHIN Award IBM Implements IHE profiles for prototype Canada CHI Requires IHE Conformance for Radiology Italy Live implementation of XDS in Padua region France Live implementation of XDS in summer 06 and more to come this year 10

11 What IHE Does With HL7 IHE draws upon HL7 s standards. IHE solves specific use scenarios. IHE makes choices among options. IHE seeks consensus among stakeholders that profiles are complete and correct. IHE tests profiles in Connectathons. IHE references many standards in addition to HL7: DICOM, IETF, W3, OASIS, etc. 11

12 What HL7 Standards? HL7 v2 Latest version for new profiles for some legacy cases HL7 CDA Structured clinical documents Metadata wrapper for non-structured documents HL7 CCOW r Context Patient Context 12

13 Where are HL7 Standards? Profiles HL7 v2 CDA CCOW Non-HL7 XDS X OASIS XDS-MS X OASIS RID X IETF PIX X PDQ X Radiology X DICOM PSA Patient EUA r Kerberos PAM X 13

14 What Does IHE Plan Next? IT Infrastructure Cross-Enterprise Document Interchange Scanned Documents PIX and PDQ - HL7 v3 Transactions XDS Stored Query Request Form for Display Cross-Enterprise r Authentication White Papers: XDS Federation for RHIO-to-RHIO document sharing Security Risk Evaluation and Management New XDS Document Content Profiles CDA for persistent clinical documents CDA wrappers for unstructured documents CCD, when HL7+ASTM collaboration work is complete 14

15 What about HL7 v3? HL7 CDA is based on v3 XDS in the Interoperability Showcase now XDS-MS uses CDA/CRS Revision of PIX and PDQ Authored by IHE Canada to meet their needs Roadmap for the future V3 equivalents to existing v2 transactions Novel uses cases that v2 does not address 15

16 IHE Web site: Frequently Asked Questions Integration Profiles in Technical Frameworks: Cardiology IT Infrastructure Laboratory Patient Care Coordination Radiology Connectathon Results Vendor Products Integration Statements Participation in Committees & Connectathons 16

17 17

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