eu-us ehealth/health it cooperation initiative interoperability of ehr work group march 19, 2014 0
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EU-US eHealth/Health IT Cooperation Initiative
Interoperability of EHR Work Group
March 19, 2014
Meeting Etiquette• Participants automatically enter the webinar in “listen
only” mode. The organizer will then unmute all participants. We ask if you are not speaking to manually mute yourself
• NOTE: VoIP participants have the ability to “Mute” themselves by clicking on the green microphone. However, if you would like to speak, only you can unmute yourself.
• If you are dialing in using a telephone and NOT using the VoIP you MUST dial the audio pin in order for the organizer to unmute you – if you do not use the audio pin and just push # when prompted the Organizer cannot unmute you
Meeting Etiquette CONTINUED
• If you are calling from a telephone, please do not put your phone on hold. If you need to take a call, hang up and dial in again when you have completed your other call
• This meeting is being recorded• Another reason to keep your phone or
your VoIP on mute when not speaking
• Use the “Chat” or “Question” feature for questions, comments and items you would like the moderator or other panelists to know.
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Agenda
Topic Time Allotted
General Announcements 5 minutes
Value Set Mapping Discussion 50 minutes
Next Week Logistics 5 minutes
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Meeting Times
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Washington, DC
10:00am (ET)London
2:00pm/14:00 (GMT)Germany
3:00pm/15:00 (CET)Athens
4:00pm/ 16:00 (EET)
Interoperability Work Group meets
everyWednesday
Please note new EU times until April
2nd
NOTE: These times have been updated to reflect the daylight savings time that will begin in the United States on Sunday, March 9th. The European countries which participate in daylight savings time, will then change on Sunday, March 30th. As a result, European participants will be attending the Interoperability webinars 1 hour earlier through March 30th.
General Announcements• To join our weekly webinars, visit the EU-US eHealth
Collaboration Wiki Homepage for the latest meeting information: http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative
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• To subscribe to our mailing list, simply complete the EU-US MOU Project Signup Form: http://wiki.siframework.org/EU-US+MOU+Roadmap+Project+Sign+Up
• To submit a brief biography of yourself (150 words or less), review the criteria listed at http://wiki.siframework.org/Interoperability+of+EHR+Work+Group#Work Group Members and e-mail your bio and photo (optional) to Gayathri Jayawardena at [email protected]
• To access current and archived meeting materials, visit the Project Meeting Artifacts section: http://wiki.siframework.org/Project+Meeting+Artifacts
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<clinicalDocument>(Clinical Summary Form)
<header> (document ID, author, patient ID…)
<component> [Body]
<section> [Procedures]
<entry> (Colonoscopy)<procedureCode><procedureDate><…>
<entry> [Gastroscopy]<entry> [CABG]…
<section> [Current Medications]
<section>…
<entry> [ASA]<entry> [Warfarin]<entry> [CABG]
<entry>
Phase 1
• Section level mapping between epSOS and CCD
Phase 2
• Header’ Data Element mapping
Phase 3
• Sections’ Data Element mapping
Phase 4
• Value Set mapping
Completed
Remaining
Dat
a G
ranu
larit
y an
d Co
mpl
exity
Phases of Harmonization
Comparative Analysis: In Numbers
Analysis/Mapping Type
CCDA epSoS Status Gaps
Header Data Elements (DEs)
~100 DEs ~100 DEs Review complete.All but several epSoS DEs are mappable to CCDA. Mapping and gap details documented in excel (for now)
CCDA provides a lot more DEs and attributes than epSoS. epSoS contains some DEs (such as primary health care provider for EU citizen traveling to another EU country) not in CCDA.
Section Level 18 sections 16 sections All sections mapped. Gaps identified.
epSoS Active Problems and Hx of Past illnesses map to Problem Section in CCDA.CCDA sections such as Advance Directive, Encounters, Family History and Payers are not in epSoS.
Section Data Elements (DEs)
Significantly more DEs (~2x or more)
~70 DEs First Pass completed. Overall, CCDA CCD has significantly more Data Elements than epSoS. There are about 10 epSoS DEs not in CCDA CCD.IG guides on both ends do not specify all information that CDA schema allows.
Value Sets 74 Value Sets 45 Value Sets
Currently under review (~50% completed). Review scope: only VS in PS (not entire CCDA)
In-depth of several Value Sets performed at code-level.
Mapping Review/Validation:Resources and Process
• All harmonization/mapping work is done on Google spreadsheet:– Link:
https://docs.google.com/spreadsheet/ccc?key=0AiAfdYPeAnM-dG1mczY3dXN4WEl5eEpYVE5fV0pFWUE&usp=drive_web#gid=11
– Access: anyone with link– Privileges:
• “View and Comment” – everyone with link (the one above)• “Edit” – selected
– EU: one designated XML/epSoS PS subject matter expert
– US: Mark Roche (for now)» Above may be reviewed/updated as project
continues• Review Process:
– Review/validate mapping outcomes after each phase with community
– Review points:• Mapping completeness• Mapping accuracy• Mapping gaps
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Phase 2:Header Data Element Mapping
• Continue giving feedback on completeness, accuracy, and gaps of the Header Data Element Mapping on the Google Doc spreadsheet
• https://docs.google.com/spreadsheet/ccc?key=0AmrxdaeLhHzXdDlqZXFZZ2Y3OU5RbjJMODRpb3JXaWc&usp=drive_web#gid=3
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Phase 3:Section Data Element Mapping
• Phase 3 completed• Section Data Element Mapping
Comment form available
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• Mapping SWG made considerable progress in mapping Value Sets, and individual codes within Value sets between epSOS and CCD
• Value Set Mapping Comment form available
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Phase 4:Value Set Mapping
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• Next meeting will be on Wednesday, March 26th, 2014 at 10:00 am (ET)/16:00 (EET)
• Please attend the next Mapping Sub-Work Group on Tuesday, March 25th, 2014 at 9:00 am (ET)/15:00 (EET)
Next Meeting
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• US Point of Contacts– Mera Choi, [email protected]– Jamie Parker, [email protected]– Gayathri Jayawardena, [email protected]– Amanda Merrill, [email protected]– Mark Roche, [email protected] – Virginia Riehl, [email protected]
• EU Point of Contacts – Benoit Abeloos, [email protected] – Frank Cunningham, [email protected]– Catherine Chronaki, [email protected]
Project Support Team
Initiative Resources • EU-US Wiki Homepage
– http://wiki.siframework.org/EU-US+eHealth+Cooperation+Initiative
• Join the Initiative– http://wiki.siframework.org/EU-US+MOU+Roadmap+Proj
ect+Sign+Up• EU-US Initiative Reference Materials
– http://wiki.siframework.org/EU-US+MOU+Roadmap+Project+Reference+Materials
• Interoperability of EHR Homepage– http://wiki.siframework.org/Interoperability+of+EHR+Wo
rk+Group
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