Www.healthstory.com How to Participate in the HL7 Ballot: CDA Consolidation Project Hosted by: Health Story Project April 13, 2011.

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How to Participate in the HL7 Ballot: CDA Consolidation Project

Hosted by: Health Story ProjectApril 13, 2011

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Webinar Purpose

1. Summarize the HL7/IHE Health Story Consolidation Project

2. Encourage participation in HL7 CDA Consolidation ballot by providing ballot instructions

3. Raise awareness of Health Story and the collaboration with HL7 and IHE

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Brett Marquard

Senior Interoperability ConsultantLantana Consulting Group

Project LeadIHE/HL7 Health Story Consolidation Project

Liora Alschuler

CEOLantana Consulting Group

HL7 Structured Documents Work Group Co-chair

Executive Committee MemberHealth Story Project

Presenters

Joy Kuhl

PrincipalOptimal Accords, LLC

Executive DirectorHealth Story Project

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Agenda Review

1. Project Background: Health Story, HL7, IHE

2. Project Background: Consolidation Project

3. HL7 Ballot Participation

4. Q&A

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PROJECT BACKGROUND:Health Story, HL7, IHE

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Health Story Project

Non profit, industry alliance Founded 2007 Associate Charter

Agreement: HL7 Sponsor HL7 standards for flow

of information between narrative and EMR systems

Member organizations provide direction

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Health Story Project Members

Founding Members

ParticipantsAll Type - Arrendale Associates - BayScribe - Chase TranscriptionsDictateIT, Ltd - Dispersive Medical - Documentation Services Group

eMTS - Healthline, Inc. - InterFix - MedEDocs - MD-ITNew England Medical Transcription - Phoenix Medcom

Physicians Medical Group of Santa Cruz County - Sten-Tel, Inc. - Webmedx

ContributorsAprima Software - Scribe Healthcare Technologies

Promoters

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A physician’s practical need for fast and easy methods of creating

clinical documentation

The enterprise need forstructured and codedinformation capture

Health Story Project

Computer image courtesy of M*Modal

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Health Story Project

Completed HL7 Implementation Guides1. History & Physical

2. Consultation

3. Operative Report

4. DICOM Imaging Reports

5. Discharge Summary

6. Procedure Note

7. CDA with Unstructured Body

8. Progress Note

9. Consolidated Implementation Guides Meaningful Use requirements (in ballot)

Full CCD/entries (current work)

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Health Level Seven (HL7)

Standards Development Organization ANSI Accredited International Affiliates: approximately 30

countries

Home for development, balloting of CDA, CCD

Also standards for messaging, services, context management, functional profiles

Meets in person 3 times per year and frequently by teleconference

Participation is open to all

Review of standards is open to all

Implementation of standards falls under licensing agreement

www.hl7.org

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Integrating the Healthcare Enterprise (IHE)

Standards profiling organization Builds upon existing standards

Works with HL7, DICOM, other specifications

Developing profiles for CDA through Patient Care Coordination

Issues implementation specifications called “IHE Profiles”

Hosts annual Connectathon for vendor system testing

www.ihe.net

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PROJECT BACKGROUND:Consolidation Project

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Consolidation Project

1. HL7 Consult Note

2. HL7 Diagnostic Imaging Report

3. HL7 Discharge Summary

4. HL7 History and Physical

5. HL7 Operative Note

6. HL7 Procedure Note

7. HL7 Unstructured Documents

8. HL7 Progress Notes

9. HL7 Continuity of Care Document

10. HITSP/C84 Consult and History & Physical Note Document

11. HITSP/C32 - Summary Documents Using HL7 CCD

12. HITSP/C48 Referral and Discharge Summary Document constructs

13. HITSP/C62 Scanned document

One master implementation guide

Health Story supported guides in blue

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Update and harmonize C32 while addressing known issues (ambiguity, gaps, etc.) initially, those issues identified by ONC and required for

Meaningful Use (open technical issues from HITSP, etc.) next, those reused in Health Story finally, if time allows, full set of CCD/C32 templates

Proof of concept for model-driven, structured tools supporting easy to use developer documentation

Rapid demonstration of templated CDA as a data element centric paradigm for health information exchange

Consolidation Project Goals

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Consolidation Project Scope

HL7 Project Scope Statement Success criteria

Publication as DSTU in time for recognition under the next stage of Meaningful Use

Subsequent adoption across the industry Development of related International Guides

should follow

Note: revisions to source specifications not required by consolidation are out of scope

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Key Participants

Approximately 140 volunteers participating in weekly calls and offline work

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HL7 BALLOT PARTICIPATION

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HL7 ballot website http://www.hl7.org/ctl.cfm?action=ballots.home

HL7 v3 ballot instructions http://www.hl7.org/v3ballot/html/help/backbone/backbone.htm#bbballo refers mostly to the HTML ballots; CRS2 is a ZIP file

Current ballot open: now to May 9, 2011

Must join the ballot pool by May 2, 2011

HL7 Balloting: www.hl7.org

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Getting to the ballot site from hl7.org

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Ballot Desktop

If have member login & cookie, will be logged in:

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HL7 members must be logged in

HL7 Ballot Website

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Non-Member Paid Participation

Non Member Participation

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You will first see a list of the available ballots:

From the desktop, join the Ballot Pool

Select “Join Ballot Pools:”

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Select the ballots you’d like to join:

The final sign-up day for the Consolidation Project is May 2, 2011

Ballot Name: “HL7 Implementation Guides for CDA Release 2: IHE Health Story Consolidation, Release 1 (US Realm)”

Joining the Ballot Pool

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Your ballot pools:

The ballot package

The ballot response spreadsheets

HL7 Ballot Participation Process

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Prose document

Sample files

Display stylesheet

Review the Ballot

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Determine your vote

Affirmative May provide comments, but not necessary to do so

Brief comments can be entered on the ballot submission page

Extensive comments must use the ballot spreadsheet

If any line item comment is negative, overall vote must be negative

Negative Must provide comments explaining reason for negative

May reference another person’s ballot as reason for negative

Brief comment can be entered on the ballot submission page

Extensive comments must use the ballot spreadsheet

Abstain: use ballot submission page only

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Find the Comment XLS

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Submitter tab

Your information

Your vote

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Ballot tab

Key fields

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Line item vote types

Negative – major or minor

Affirmative Suggestion, Typo, Question, Comment

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Resolution

Balloter fills out first column; rest done by WG

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Resolution: addressing comments

Indicate who is the “go to” person for reconciling comments

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Collaborating on ballot responses

Review ballot

Consolidate comments into single spreadsheet There is an HL7 “macro” that can do this

Contact Liora if you would like a copy of it

Submit as single organization

Indicate who is the “go to” for reconciliation

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Casting the overall vote

Attaching the spreadsheet

Select the “Vote” tab:

Voting

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Voting

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Ballot reconciliation: Discuss resolution; reach consensus; record decisions At the working group meeting (May 16-20) On conference calls

Thurs 10-12am ET; Tuesday 11-12:30am ET

Request withdrawal of negatives

Work Group decides: Incorporate changes and publish or Incorporate changes and go back to ballot

After the Ballot Closes

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So, why participate in the ballot?

Your ballot is the most powerful voice in HL7 Every comment addressed

Every negative reconciled: use of “non-persuasive” very rare

This is the process that shapes national standards

Voting affirmative Fast and easy to do

Shows support for the effort

Voting negative Takes time

Adds tremendous value

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IN SUMMARY

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Actionable Next Steps

Participate in the Ballot

1. Sign Up for Ballot Pool: Due May 2

2. Review Ballot Documents and Submit Ballot and Comments: Due May 9

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Actionable Next Steps

Participate in the Consolidation Project

1. ONC sponsored calls resume Tuesday, April 19

2. HL7 SDWG meets Thursdays, 10-12 ET

3. Support adoption through Health Story, IHE and HL7

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Questions?

Liora AlschulerChief Executive OfficerLantana Consulting Groupt: 802.785.2623c: 619.847.8800

Brett Marquard Sr. Interoperability ConsultantLantana Consulting Groupt/c: 413.549.6886

www.lantanagroup.com

Joy KuhlHealth Story Projectt: [email protected]