Tag: HL7

IHE International meeting in Toronto


Keith Boone presented about CDA and CCD history at the IHE dinner in Toronto last night.

Highlights from Keith’s presentation:

– Interesting to know that CCD came from Vancouver Island Health Authority Electronic Medical Summaries project.

– Schematron for message conformance over XSD and it’s an ISO standard. Good to know.

– What is the difference between a document and a message?

Whenever you go back and ask for Information and if you get the same thing back then it’s a document. It is persistent compared to a message, if you are caught up in document vs messages.

– Where in the world is XDS ?
http://tinyurl.com/wwxds

– Checkout CDA Tools

– Keith also has a new book coming out in May 2011 on CDA.

And here is Keith’s post on his speech if you are looking for meat.

http://motorcycleguy.blogspot.com/2011/02/if-i-were-king-of-canada.html

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Great to hang out with the standards geeks from IHE and meet great people and catch with up with old friends who are involved in improving healthcare and healthcare standards.

Thanks to HIMSS for the wine.

Saravana Rajan

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Meaningful Use – Stage 1 final rule


Healthcare IT is quite brimming with lots of activities with the healthcare stimulus package in the US through ARRA and HITECT act and deadline looming (effective from October 2010) for healthcare providers(hospitals, group practitioners, imaging centers) and eligible professionals (physicians) to get their slice of the pie.

We saw a piece of action today from  US Centers for Medical and Medicaid Services with their release of final rule for Stage 1 Meaningful Use requirements and a coordinated release of final rule of Standards/Implementation Spec and Criteria for certification for EHR and  from US Dept of HHS.

Here are some updates on final ruling of “Meaningful Use”,

  1. US dept of HHS and ONC have released their final rule for meaningful use.  Check this link and this.
  2. Dr. John Halamka’s impression on the final Meaningful Use rules.  overall he is impressed with the final rulings and the scope.
  3. New England Journal of medicine’s summary of the final rule – Here is the table of rule from NEJM
  4. Healthcare IT vendors welcome the final rule – of course – industry is going to get even busier with the set targets for the years 2010 and 2010

    Summary overview of Meaningful Use Objectives

My brief and quick analysis:

1. Coordinated release of Meaningful Use and Standards requirements final rule

While the meaningful use represents the functional requirements ( the WHAT piece)  that has to be met by the providers, the coordinated release of HHS final rule on standards, implementation specification and certification criteria ( the HOW piece) is a commendable job by the people at CMS and HHS.

For example there are requirements in final meaningful use on submitting immunization and laboratory data to public health agencies and providing patients with timely access to their electronic health data

HHS final rule on standards requires using existing penetrated (both from providers, vendors and available resources in the market perspective) standards like HL7 version 2.3.1, 2.5, HL7 CDA to accomplish exchange of information between providers and public health agencies and transferring data to patients.

This enables the providers, vendors to use existing standards to reach compliance on various functional requirements in meaningful use from a technical perspective.

I will follow up with frequent updates as I consume the bulk documents on meaningful use and HHS standards requirements and the nuances of implementation requirements.

Exciting times ahead in the Healthcare IT industry indeed and also I am starting to lead a delivery work on an eReferral project in the province of Ontario to enable physicians to refer patients to their specialist electronically rather than current way of phone calls, faxes and hodgepodge of activities.

Cheers!

Saravana Rajan