HL7 vMR for CDS Project Update HL Atlanta – September 2007 Robert Dunlop, MD Director, Clinical Development InferMed UK +44-20-7291-7410 [email protected]om http://www.infermed.com Barbara McKinnon McKinnon Associates Inc. Project Lead: HL7 GELLO & Virtual Medical Record (vMR) Projects (O) 610-644-5245 (M) 484-883-6927 [email protected]
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HL7 vMR for CDS Project Update HL Atlanta – September 2007
HL7 vMR for CDS Project Update HL Atlanta – September 2007. Robert Dunlop, MD Director, Clinical Development InferMed UK +44-20-7291-7410 [email protected] http://www.infermed.com. Barbara McKinnon McKinnon Associates Inc. Project Lead: HL7 GELLO & - PowerPoint PPT Presentation
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HL7 vMR for CDSProject Update
HL Atlanta – September 2007
Robert Dunlop, MDDirector, Clinical DevelopmentInferMed UK
A Virtual Medical Record (vMR) is a data model, based on the HL7 RIM format, for representing
clinical information inputs and outputs to/from
clinical decision support services.
Data is exchanged with local clinical informationsystems at the point of care, through a softwaremiddleware layer that translates the data into astandardized vMR format.
vMR Project Scope
HL7 Atlanta – 9/07 Virtual Medical Record (vMR) for Clinical Decision Support (CDS) 3
For each of the above storyboards, develop a set of HL7 Project technical materials, including:- Activity Diagrams.- Use Case Models. - Specification models.- Gap analysis between existing HL7 standards specifications and
requirements for CDS use cases.
vMR Project Timeline
HL7 Atlanta – 9/07 Virtual Medical Record (vMR) for Clinical Decision Support (CDS) 7
Deliverables Timeline
Recommendations to other HL7 Technical Committee’s for revisions to existing HL7 data models and identification of new elementsrequired for computer-enabled clinical decision support.
Spring – Summer 2008
CDS recommendation on an HL7 vMR (V.3) meta-model for clinicaldecision support representation and information exchange.
Testing of this recommendation within two European Union projects – the @neurist and Cocoon Projects. Both projects requiring the vMR recommendation to be comprehensive enough to support computer-enabled clinical decision support.
HL7 vMR (V.3) Implementation Guide to enable implementers todevelop the infrastructure necessary for using computer-enabled clinical decision support.
vMR Project Outreach
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Extensive outreach done prior to finalizing project scope.
State File of Executable Guideline - audit trail of inputs & outputs.
vMR Breast Cancer BUC
vMR BUC Issues
How to represent CDS Service Determination “pros” and “cons”; both encoded and narrative text.
Re-interpretation of patient genetic profile as data elements are updated in EHR, including how re-interpretation will be initiated: auto-generated via EHR or CDS Service, or person-initiated via EHR; and how patient consent will be obtained.
Need for knowledge databases of:
• DNA variations (or variant combinations).
• Coded clinical significance: Unknown Significance to Pathogenic or Benign. The system receiving notification of the change might then propagate this information, flagging records for re-evaluation.
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vMR Project - Next Steps
Set up more formal lines of communication to aligned HL7 TC’s and SIG’s.
Evaluate alignment to other projects. i.e. US HIT ONC Personalized Health & HL7 RCRIM/CDISC ASPIRE Project.
Evaluate alignment to CEN vMR.
Continue business use case development.
Project update at HL7 San Antonio, TX (1/07).
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