CCHIT Roadmap Discussion Items

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Presentation transcript:

CCHIT Roadmap Discussion Items CCHIT/HITSP Joint Working Group Meeting February 21, 2007 These are notes about this page. You can use the note pane, and print the notes, from the menu

Priority Areas for Consideration Inpatient Current Medication List, Medication History, Allergy Transaction Medication Terminology Allergy Terminology CPOE/eMAR-Pharmacy Interface Standard or Implementation Guide HL7-NCPDP Mapping Standardized HL7 Codes (e.g., order status) Ambulatory Lab (discussions in progress) Imaging Medications and ePrescribing Clinical Documentation PHR Data CDM/Secure Messaging Biosurveillance Administrative/Financial Data Are the above areas planned for HITSP consideration? If not, what are the JWG coordination needs for CCHIT to move forward? How to align CCHIT-HITSP schedules and priorities for future areas

2008 CCHIT Roadmap Items – Inpatient Messaging Outlook Criteria Summary Standard Source/Ref Certification Readiness Comments Current Medication List and Allergies - From/to Pharmacy/PBMs upon Admission and Discharge NCPDP Script 8.1 (RXREQ, RXRES, NEWRX) Standards: Available, HITSP coordination needed with Medication Management Use Case; Allergies not required currently Market Availability: Limited, but increasing Testing Method: Available Current Medication List and Allergies – From/to Physician Office EMRs, RHIOs, other upon Admission and Discharge HL7/ASTM CCD HITSP ISC-32 Standards: Available, HITSP coordination needed with Medication Management Use Case Market Availability: Very Limited Testing Method: Limited Standards or Implementation Guides for CPOE/eMAR-Pharmacy Interfaces – Standardized method of data exchange between documentation and pharmacy HL7 v2.x HL7 v3.x Standards: Not Available Market Availability: None – custom interfaces only Testing Method: Not Available HL7-NCPDP Mapping Standard Current document is NCPDP v4.2 Standards: Available, Not updated Market Availability: Limited Testing Method: Possible leverage of existing ePrescribing networks L o w M u m H i g h d e L o w M u m H i g h d e L o w M u m H i g h d e L o w M u m H i g h d e

CCHIT Roadmap Items – Inpatient Terminology Outlook Criteria Summary Standard Source/Ref Certification Readiness Comments Medication Terminology Standardization – Standardized terminology for prescription meds, non-prescription meds, and herbals RxNorm NDC relationship HITSP ISC-32 NDF-RT Standards: Available, HITSP coordination needed with Medication Management Use Case Market Availability: Limited Testing Method: Not currently available, but development may be feasible Use of HL7 Standardized Codes – Standardized code sets for common data types such as: order status, medication dispensing status, gender, etc. HL7 Standards: Available, Not addressed by HITSP Market Availability: Content widely available, standardization is limited L o w M u m H i g h d e L o w M u m H i g h d e

CCHIT Roadmap Items – Inpatient Terminology Outlook Criteria Summary Standard Source/Ref Certification Readiness Comments Allergy Terminology Standardization – 1. Health Level Seven® (HL7®), Version 2.4 and higher: Information Exchange Segment/Reference Information Model 2. Unique Ingredient Identifier (UNII) – Allergen Code Mnemonic, Description, for food, drug and environmental substances. Derived from the FDA Substance Registration System (FDA SRS) and EPA Substance Registry System (EPA SRS). Supporting standards include Structured Product Labeling (SPL), RxNorm, Unified Medical Language System® (UMLS®), United States Adopted Names (USAN) and International Nonproprietary Names (INN), Language of Foods Thesaurus (LanguaL), Food Allergen Labeling and Consumer Protection Act (FALCPA), VA Non Drug Allergen List. 3. RxNorm- Allergen Code Mnemonic, Description for branded drugs instances (BN). Supporting standards include Medical Subject Headings (MeSH), SPL, National Drug Code (NDC), Systematized Nomenclature of Medicine Clinical Terms (SNOMED), and National Drug File Reference Terminology (NDF-RT™). 4. National Drug File Reference Terminology (NDF-RT™): Allergy group/drug classes (chemical structure) Supporting standards include MeSH. 5. Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®): Allergy Type, Allergy Severity and Allergy Reaction Standards: Available, HITSP coordination needed with Medication Management Use Case (CHI Allergy recommendations to NCVHS) Market Availability: Very Limited Testing Method: Not currently available, but development may be feasible L o w M u m H i g h d e

2008 CCHIT Roadmap Items – Ambulatory Outlook Criteria Summary Standard Source/Ref Certification Readiness Comments Lab - Receive microbiology results; Respond to a query to share lab results HITSP IS-01, HL7 v2.5, IHE XDS-Lab, LOINC, SNOMED Standards: Available, Coordinated with HITSP in 2008 + Market Availability: Limited Testing Method: Limited Imaging – Receive reports, view images; Send and respond to a query to share imaging results IHE XDS-I Standards: Available, Not addressed by HITSP Market Availability: Environmental Scan planned to determine availability of repository capabilities Medications/ePrescribing – cancel, change, eligibility, formulary, med history NCPDP Script 8.1 Standards: Available, HITSP coordination needed with Medication Management Use Case Market Availability: Available Testing Method: Available Clinical Documentation – Consults, Discharge Summaries, Imaging Reports, Medical Summary HL7 CDA R2, HL7/ASTM CCD Standards: Available, HITSP coordination needed for new specs or leverage of existing Document Components Market Availability: Increasing L o w M u m H i g h d e L o w M u m H i g h d e L o w M u m H i g h d e L o w M u m H i g h d e

2008 CCHIT Roadmap Items – Ambulatory Outlook Criteria Summary Standard Source/Ref Certification Readiness Comments PHR Data – Medication History, Registration Summary HITSP IS-03 Standards: Available, Coordinated with HITSP Market Availability: Limited Testing Method: Limited Chronic Disease Management / Secure Messaging TBD Standards: Not Available, Part of AHIC Chronic Care Breakthrough – HITSP coordination needed Market Availability: Increasing Testing Method: Not Available Biosurveillance – Send anonymous utilization and biosurveillance data to public health agencies HITSP IS-02 Standards: Available, Coordinated with HITSP Market Availability: Very Limited - Environmental Scan needed Administrative and Financial Data – Registration data from practice management system; Receive scheduling information HL7, X12N Standards: Available; Not addressed by HITSP Market Availability – Increasing L o w M u m H i g h d e L o w M u m H i g h d e L o w M u m H i g h d e L o w M u m H i g h d e