Transcript HITSP

Health Information Technology
Standards Panel
Ed Mikoski
19MAR09
TIA Healthcare ICT Section
Teleconference
HITSP Background
• In the fall of 2005, the U.S. Department of Health
and Human Services' Office of the National
Coordinator for Health Information Technology
(ONC) awarded multiple contracts to advance
President Bush's vision for widespread adoption
of interoperable electronic health records (EHRs)
within ten (10) years. The contracts targeted the
creation of processes to harmonize standards,
certify EHR applications, develop nationwide
health information network prototypes and
recommend necessary changes to standardized
diverse security and privacy policies.
AHIC
• The American Health Information Community
(The Community) is a group of stakeholders
who provided input and recommendations to
the Department of Health and Human
Services (HHS) on how to make health records
digital and interoperable, and provide
assurance that the privacy and security of
those records are protected.
AHIC became NeHC
• The National eHealth Collaborative (formerly
AHIC Successor, Inc.) is a public-private
partnership driving the development of a secure,
interoperable, nationwide health information
system.
• The National eHealth Collaborative was founded
in 2008 to build on the accomplishments of the
American Health Information Community (AHIC),
a federal advisory committee initiated by
Secretary of Health and Human Services Mike
Leavitt in 2005.
Partner Organizations
• The National eHealth Collaborative operates in
close partnership with
– the Office of the National Coordinator for Health
Information Technology (ONC/HHS),
– the Healthcare Information Technology Standards
Panel (HITSP),
– the Certification Commission for Healthcare
Information Technology (CCHIT), and
– the Nationwide Health Information Network
(NHIN) Collaborative, to establish nationwide health
information technology priorities.
www.HITSP.org
• Healthcare Information Technology
Standards Panel (HITSP)
– cooperative partnership between the public and
private sectors
– harmonizing and integrating standards that will
meet clinical and business needs for sharing
information among organizations and systems
HITSP Composition
• HITSP is chaired by Dr. John Halamka, Chief Information
Officer of Harvard Medical School
• As of February 2009, over 600 organizations representing
consumers, healthcare providers, public health agencies,
government agencies, standards developing organizations,
and other stakeholders now participate in the Panel and its
committees.
–
–
–
–
–
–
Standards Developing Organizations (SDOs) 5%
Non-SDOs 82%
Government Bodies 7%
Consumer Groups 3%
Project Team Members (non-voting) 3%
Total 100%
Sponsors
• HITSP is administered by the American
National Standards Institute (ANSI) in
cooperation with strategic partners including:
– the Healthcare Information and Management
Systems Society (HIMSS),
– the Advanced Technology Institute (ATI), and
– Booz Allen Hamilton.
SDOs on HITSP Board
•
•
•
•
•
•
•
Accredited Standards Committee X12
CDISC
Integrating the Healthcare Enterprise (IHE)
Health Level 7
National Council Prescription Drug Program (NCPDP)
The Continua Health Alliance
Organization for the Advancement of Structured
Information Standards (OASIS)
• IEEE Standards Association
Program of Work
• The Panel's work is driven by a series of priorities
(i.e., Use Cases) issued by the American Health
Information Community (AHIC).
• HITSP produces recommendations and reports in
Interoperability Specifications and related
Constructs.
• These work products are intended to be equally
applicable to the developing Nationwide Health
Information Network for the United States (NHIN)
and also to community and regional health
information exchange networks.
HITSP Harmonization Framework
• a set of artifacts, known as "constructs", that:
– specify how to integrate and constrain selected
standards to meet the business needs of a Use
Case
• Defines business and functional requirements
– define a Roadmap to use emerging standards and
to harmonize overlapping standards when
resolved
HITSP construct types, in
decreasing breadth of scope
• Interoperability Specifications
Integration of all constructs used to meet the
business needs of a Use Case
• Transaction packages
Logical grouping of transactions
• Transactions
Logical grouping of actions that use components
and/or composite standards to realize the actions
• Components
Logical grouping of base standards that work
together, such as message and terminology
13 Interoperability Specifications
•
•
•
•
•
•
•
•
•
•
•
•
•
IS01 Electronic Health Record Laboratory Results Reporting
IS02 HITSP Biosurveillance Interoperability Specification
IS03 HITSP Consumer Empowerment and Access to Clinical Information via Networks
Interoperability Specification
IS04 HITSP Emergency Responder Electronic Health Record Interoperability Specification
IS05 HITSP Consumer Empowerment and Access to Clinical Information via Media
Interoperability Specification
IS06 HITSP Quality Interoperability Specification
IS07 HITSP Medication Management Interoperability Specification
IS08 Personalized Healthcare Interoperability Specification
IS09 Consultations and Transfers of Care Interoperability Specification
IS10 Immunizations and Response Management Interoperability Specification
IS11 Public Health Case Reporting Interoperability Specification
IS12 Patient-Provider Secure Messaging Interoperability Specification
IS77 Remote Monitoring (RMON) Interoperability Specification
11 Transaction Packages
• TP13 HITSP Manage Sharing of Documents Transaction Package
• TP14 HITSP Send Laboratory Result Message to Ordering Clinician and
Providers of Care Transaction Package
• TP20 HITSP Access Control Transaction Package
• TP21 HITSP Query for Existing Data Transaction Package
• TP22 HITSP Patient ID Cross-Referencing Transaction Package
• TP30 HITSP Manage Consent Directives Transaction Package
• TP43 HITSP Medication Orders Transaction Package
• TP46 HITSP Medication Formulary and Benefits Information Transaction
Package
• TP49 HITSP Sharing Radiology Results Transaction Package
• TP50 HITSP Retrieve Form for Data Capture Transaction Package
• TP89 Sharing Imaging Results Transaction Package
20 Transactions
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
T14 HITSP Send Laboratory Result Message Transaction
T15 HITSP Collect and Communicate Security Audit Trail Transaction
T16 HITSP Consistent Time Transaction
T17 HITSP Secured Communication Channel Transaction
T18 HITSP View Laboratory Results from a Web Application Transaction
T23 HITSP Patient Demographics Query Transaction
T24 HITSP Pseudonymize Transaction
T29 HITSP Notification of Document Availability Transaction
T31 Document Reliable Interchange
T33 HITSP Transfer of Documents on Media Transaction
T40 HITSP Patient Generic Health Plan Eligibility Verification Transaction
T42 HITSP Medication Dispensing Status Transaction
T63 Emergency Message Distribution Element Transaction
T64 Identify Communication Recipients Transaction
T66 Retrieve Value Set Transaction
T67 Clinical Referral Request Transport Transaction
T68 Patient Health Plan Authorization Request and Response Transaction
T79 Pharmacy to Health Plan Authorization Request and Response Transaction
T81 Retrieval of Medical Knowledge Transaction
T85 Administrative Transport to Health Plan
29 Components
•
•
•
•
•
•
•
•
•
•
•
•
C19 HITSP Entity Identity Assertion Component
C25 HITSP Anonymize Component
C26 HITSP Nonrepudiation of Origin Component
C28 HITSP Emergency Care Summary Document Using IHE Emergency Department
Encounter Summary (EDES) Component
C32 HITSP Summary Documents Using HL7 Continuity of Care Document (CCD)
Component
C34 HITSP Patient Level Quality Data Message Component
C35 HITSP EHR Lab Result Terminology Component
C36 HITSP Lab Result Message Component
C37 HITSP Lab Report Document Component
C38 HITSP Patient Level Quality Data Document Using IHE Medical Summary (XDSMS) Component
C39 HITSP Encounter Message Component
C41 HITSP Radiology Result Message Component
Components (continued)
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
C44 HITSP Secure Web Connection Component
C47 HITSP Resource Utilization Message Component
C48 HITSP Encounter Document Using IHE Medical Summary (XDS-MS) Component
C62 Unstructured Document Component
C70 Immunization Query and Response
C72 Immunization Message Component
C74 Remote Monitoring Observation Document Component
C75 Healthcare Associated Infection (HAI) Report Component
C76 Case Report Pre-Populate Component
C78 Immunization Document Component
C80 Clinical Document and Message Terminology Component
C82 Emergency Common Alerting Protocol Component
C83 CDA Content Modules Component
C84 Consult and History & Physical Note Component
C87 Anonymize Public Health Case Reporting Data Component
C88 Anonymize Immunizations and Response Management Data Component
C90 Clinical Genomic Decision Support Component
Defining the Gaps
• HITSP has defined current duplications and
gaps in their work as of NOV 2008.
• They will be updating this at a near-term
upcoming meeting
• Spreadsheets defining these are available