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HL7 STANDARDS STATUS
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HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

Jul 14, 2020

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Page 1: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

HL7 STANDARDS STATUS

Page 2: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

The Five IPS project Products

eHN EU PS

Guidelines

CEN

EN 17269

CEN

TS 17288

HL7

IPS CDA IG

HL7

IPS FHIR IG

implement

provide guidance for EU

refine

refer

implement

SNOMED

IPS Free Set useuse

EN 17269: implementation independent content of the IPS

TS 17288: guidelines for establishing a EU IPS service

IPS FHIR IG: how to implement the IPS using HL7 FHIR

IPS CDA IG : how to implement the IPS using HL7 CDA

® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office. 2

Page 3: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

Status

CEN/TC251

▪ EN 17269

- ballot passed

▪ TS 17288

- ballot passed

▪ Ready for publication. (Summer 2019).

HL7 Int.

▪ HL7 CDA IPS IG (STU)

- Published (STU Oct 2018)

▪ HL7 FHIR IPS IG (STU)

- 1st ballot passed

- WGM ‘frozen’ version

- New Ballot Sept 2019 Alignment with Argonaut.

Scope extended to “non document” uses.

- Limit ballot scope to changes since Jan. ballot

- STU published by the end of the yearSNOMED Int.

◼ IPS SNOMED CT Free Set

➢ Announced by HL7 Int. and SNOMED Int. at the last HIMSS 2019

➢ Distribution from SNOMED International is being prepared. Currently in the refset tool and

will be available on Sept 1st, 2019 as part of the Global Free Set (GPS).

® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office. 3

Page 4: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

IPS Alignment with Argonaut

▪ Received requests for this

▪ Potential opportunities for IPS to be included as part of large-

scale implementations

▪ Comparison of IPS (balloted version) and Argonaut recently

concluded

▪ Need to determine the changes needed in IPS (and

potentially Argonaut) to better align

4

Page 5: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

IPS Alignment with Argonaut (cont.)

▪ Terminology is not expected to fully align

- US, Canada or other realms vs. international specification

▪ IPS still has an “I” (will not be US or other realm specific)

▪ IPS ballot/update strategy

- A main focus of the September ballot will be to align with Argonaut

- Also considering additional implementer (and potential implementer)

feedback that has been received

5

Page 6: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

Further IPS Development

▪ Identify new or “missing” use cases and content

- Add possible new sections/components

▪ Expect to publish new versions as needs and uses are

identified

- Determine how to sustain the effort to support maintenance going

forward

▪ Focus on and encourage implementations!

6

Page 7: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

FHIR DevDays June

▪ June 10-12, 2019, Redmond, WA (Microsoft Conference

Center)

▪ IPS session accepted

▪ Agenda

- IPS Intro tutorial

- Opportunity for hands on experience with representation/exchange of

IPS immunization data (data block)

▪ Identifying exchange partners

7

Page 8: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

MOVING THE IPS FORWARD…

8® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.

Page 9: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

Towards an «IPS ecosystem»

Deployers

SDOs

Clinicians

Patients

Clinical

Guidelines

Vendors

Policy

Makers

Acto

rs

Pro

ducts

TerminologiesValidators

APIs

System

Functional

Models

Computable

Logical ModelsEducational

Material

…..

® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office. 9

Page 10: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

IPS FHIR LOGICAL MODELS

10® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.

Page 11: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

Artefacts (Info Models – as is)

CEN

EN 17269

HL7

IPS CDA IG

HL7

IPS FHIR IG

CEN

TS 17288

EN 17269

EN 17288

IPS PROFILES

IPS Template

Imp

lem

en

t

CDA IG

FHIR IG

CDA IG

® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office. 11

Page 12: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

Implementation

Specific

Implementation

Independent

..a better linkage among IPS artefacts…

EN 17269

IPS Template

HL7 IPS LM

The computable

«glue»EN 17269

Logical Model

IPS PROFILES

® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office. 12

Page 13: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

CEN EN 17269:2019

https://art-decor.org/art-decor/decor-datasets--hl7ips-

® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office. 13

Page 14: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

Artefacts (Info Models – 1st step)

EN 17269

IPS Template

EN 17269

Logical Model

Others

HCIM/ZIB

Formal basis for

the E-EHR-XF

E-EHR-XF

European EHR

eXchange Format

IPS PROFILES

® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office. 14

Page 15: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

Artefacts (Info Models – 2nd step)

EN 17269

IPS Template

EN 17269

Logical Model

Others

HCIM/ZIB

IPS PROFILES

FHIR IPS-EN 17269

Concept Map

® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office. 15

Page 16: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

Artefacts (Info Models – 3nd step)

EN 17269

IPS Template

EN 17269

Logical Model

Others

HCIM/ZIB

HL7 IPS-EN 17269

Concept Map

IPS PROFILES

HL7 IPS LMFHIR -HL7 IPS LM

Concept Map

® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office. 16

Page 17: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

PROVENANCE (AND GDPR REQUIREMENTS)

17® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.

Page 18: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

Not included in this version of the IPS..

▪ From the IPS IGs’ «Design conventions and principles”:

« this first version should not attempt to require the full detail

of that provenance specification.”

▪ .. with the intent to look at this topic ASAP…

18® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.

Page 19: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

The GDPR on FHIR

▪ GDPR on FHIR : https://confluence.hl7.org/display/SEC/FHIR+-

+GDPR

▪ A supportive document about IPS use cases “as a way to illuminate

GDPR impact and available solutions available to aid with the

GDPR impact.”

https://confluence.hl7.org/display/SEC/International+Patient+Summ

ary%3A+Use+Cases

▪ It includes also a set of associated examples

19® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.

Page 20: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

Examples

▪ Provenance:

- IPS assembled by a device from multiple sources (Document

level).

- IPS curated by a human being (Document Level).

- Observation obtained from a Lab report (entry level).

▪ Bundle:

- IPS bundle including provenance and consent resources

- IPS bundle including provenance and security labels

20® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.

Page 21: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

The GDPR FHIR IG

▪ The IPS use cases and examples as input for the

GDPR FHIR IG PSS under discussion in the

Security WG on Wed Q4.

21® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.

Page 22: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

THE IPS @ WGM MONTREAL

22® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.

Page 23: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

WGM Montreal – IPS meetings

▪ Monday Q4, hosted

by PC WG, Salon

Kafka-Lamartine

▪ Wednesday Q2,

hosted by EHR WG

▪ Thursday Q1, Salon

Joyce

▪ Remaining FHIR publication issues (e.g. slicing on profiles): status and

plan

▪ IPS and Argonaut/US Core (IPS internal discussion)

▪ AOB

▪ CEN/ISO/HL7/(IHE?) IPS related activities

▪ Terminology policy/approach (no known/unknown)

▪ DevDays 2019: Update and plan

▪ Topics from Monday

▪ AOB

▪ IPS adoption support / global marketing

▪ CDA IPS IG maintenance

▪ September Ballot

▪ AOB

23® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.

Page 24: HL7 STANDARDS STATUS - standict.eu · HL7 STANDARDS STATUS. The Five IPS project Products eHN EU PS Guidelines CEN EN 17269 CEN TS 17288 HL7 IPS CDA IG HL7 IPS FHIR IG implement provide

Other related activities

▪ Saturday-Sunday, Connectathon: IPS track

▪ Sunday, hosted by IC: IPS overview

▪ Monday Q2, PC WG: PC and SD IPS update

▪ Wednesday Q4, Security WG: GDPR session

24® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.