HITSP C80 / C83 Briefing and Update

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Presentation transcript:

HITSP C80 / C83 Briefing and Update John S. Carter, Apelon, Inc. VHA CHIO Standards and Interoperability

http://www. xml. com/pub/a/2007/04/11/a-smoother-change-to-version-20 http://www.xml.com/pub/a/2007/04/11/a-smoother-change-to-version-20.html

Describe Briefing Goals the role these constructs play in HITSP the role of controlled vocabulary in practical HIT implementations the current state of these constructs during public comment period process challenges and future goals opportunities for further work

Where do C80 and C83 fit? Implementation Specification (IS) Selected Components (healthcare data) Transaction Packages Transactions T66 Terminology Services (IHE SVS) C83 Content Modules, Constraints TN902 Definitions C80 Vocabulary, Value Sets TN901 Definitions

C48 Referral Summary

C83 Person(al) Information: Gender

Controlled Vocabulary Key Principles Concept-oriented Standardized, agreed-upon Enduring Simplifiers

TN901 – Vocabulary Meta-model

C80 Administrative Gender

C80 HL7v2 Administrative Gender

C80 HL7v3 CDA Administrative Gender

Inside C80: Vocabulary Source SNOMED CT Owned by IHTSDO Produced by CAP Distributed by NLM Problem List Subset Developed by Kaiser and VA experts Distributed by NCI So who’s in charge???

Inside C80: OIDs Object Identifiers Hierarchical Assigned locally by registered authorities 2 Joint ISO / ITU 16 Country assignment 840 USA 1 US companies 113883 HL7 5 v3codeSystems Admin Gender http://www.alvestrand.no/objectid/top.html

Vocabulary versioning is tricky Inside C80: Versions Vocabulary versioning is tricky Numbered (LOINC 2.24) Dated (SNOMED Jan. 2008, ICD-9-CM 2008) Parent document (HL7 v2.5.1) ??? Zip codes Value set versioning is an unsolved question As far as that goes, value set definition is an unsolved question

Current State C83 includes ~50 Content Module sections C80 includes ~100 Value Set definitions Maybe this is 20% of all HITSP value sets Many technical details remain to iron out

The Ugly Word !!! Version-itis (e.g., HL7v2 and HL7v3) may lead to inconsistent, non-interoperable data

SDOs themselves often are a little fuzzy on vocabulary The Bad SDOs themselves often are a little fuzzy on vocabulary Different HITSP work groups may be working in parallel, possibly reinventing the wheel No repository available

C80 and C83 provide a great start The Good C80 and C83 provide a great start Make HITSP constructs more implementable Improve the underlying standards Offer a path to a more rigorous construct development process in the future Keith Boone, Don Van Syckle, Sarah Ryan VHA HITSP Community