1. Co-chairs: Terri Monk M.D. & Martin Hurrell, Ph.D.
Special Interest Group for the Generation of Anesthesia Standards: SIGGAS
HL7 Meeting
San Diego
13 September 2005
Co-chairs: Terri Monk M.D. & Martin Hurrell, Ph.D.
2/24/2019

2. SIGGAS (Special Interest Group for the Generation of Anesthesia Standards)
SIGGAS supports the HL7 mission to create and promote IT standards by defining peri-operative data standards pertinent to anesthesiology that enhance anesthesia and national peri-operative performance measurement. This will be accomplished by:
Promoting and developing anesthetic specificity in data standards
Augmenting the HL7 model for continuous quality improvement in anesthetic patient care
Serving as model for representing specialty interests in HL7
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3. Work Products and Contributions to HL7 Processes
e.g. X.73
Identify critical data standards specific to anesthesiology necessary for standardized quality and outcomes reporting and measuring
Identify and promote required terminology to support reporting and measurement
Identify and promote requirements for a standardized anesthesia record to facilitate exchange and aggregation of peri-operative data
Coordinate and cooperate with other groups interested in using anesthesia data standards
Enable and promote use of these standards nationally and internationally
Identify appropriate anesthesia constraints against existing HL7 artifacts.
IOTA
SNOMED
CDA?
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4. Agenda for this meeting
Identify and promote requirements for a standardized anesthesia record to facilitate exchange and aggregation of peri-operative data
Review of Co-star XML schema
Use cases
Review terminology development for anesthesia
Activities of IOTA (International Organization for Terminologies in Anesthesia)
Collaboration with IEEE 1073 and ISO/TC215/WG 7
IOTA OWL ontology
Identify other groups interested in using anesthesia data standards with whom SIGGAS should form links
Forward work plan
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5. “And that’s why we need SIGGAS”
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6. Data Dictionary Task Force
Created in 2001 by Anesthesia Patient Safety Foundation (APSF) in the USA
Chairperson: Terri G. Monk, M.D.
Given the mission to create a “Data Dictionary” for the specialty of anesthesia
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7. APSF Commitment to AIMS Systems
“ The APSF endorses and advocates the use
of automated record keeping in the
perioperative period and the subsequent
retrieval and analysis of that data to
improve patient safety ”
APSF Board of Directors
October 2001
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8. DDTF Organization Task Force Chair Dr. Terri Monk
Organizational control
Project reporting
APSF Executive Board
Financial control
Guidance and direction
Content Director
Dr. Andrew Norton
Content direction
Term submission
Technical Director
Dr. Martin Hurrell
Technical direction
Tools construction
Terming Group
Clinical review
Minimum data set
Ontology and Schema Development
Modelling
U.S. Content
Adviser
Dr. David Reich
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9. DDTF’s transition to IOTA
I O T A The International Organization for Terminology in Anesthesia Modeling and maintaining anesthesia terms for the English-speaking anaesthesia community
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10. Relevance of a Data Dictionary
Used by APSF
Corporate partners
SNOMED CT
DDTF
Reference
set
The terms are mapped/linked to an existing wider body of work …
which is adopted by the medical community
Anesthesia
Subset
DDTF
Reference
set
Combine points from previous slide with this
Change title to ‘Relevance of a data dictionary’
Remove ‘Used by UK/US etc.’ and replace with point #3 in previous slide then remove previous slide entirely
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11. Present Status of Terming Effort
2200 clinical terms
A read only version of DATAMS allowing interested parties to review the terms
Term viewer is available on the APSF website at
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12. The October 2004 termset General anaesthesia Local anaesthesia
Vascular access procedures
Attributes and modifiers for procedures
Anaesthetic drugs
Fluids and blood products
Monitoring terms
Anaesthesia equipment
Airway management
Some administrative terminology
Scales and assessments relevant to anaesthesia
Positioning and patient protection
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13. Foundations for future AIMS
Ontology: domain model
Schema: record structure
Terminology:Text elements
Change to three layer pyramid/iceberg with:
Terminology
Schema
Ontology
As layers
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14. Reasons for a SIG now
Anesthesia Information Management Systems (AIMS) are only installed in 3-5% of US hospitals and there is a similar picture in the UK but this is set to change in the near future
We need to identify requirements for communication between AIM systems and the wider healthcare IT environment
HL7 is a natural meeting place for these efforts
2/24/2019

15. Proposed Work of SIGGAS
Identify critical data standards specific to anesthesiology that are necessary for standardized quality and outcomes reporting and measurement
Identify and promote required terminology to support reporting and measurement
Identify and promote requirements for a standardized anesthesia record to facilitate exchange and aggregation of peri-operative data
Coordinate and cooperate with other groups interested in using anesthesia data standards
Enable and promote use of these standards nationally and internationally
Identify appropriate anesthesia constraints against existing HL7 work
2/24/2019

16. Martin’s talk AIMS system (Martin’s) interesting workbench
Co-Star – Common Structure for Anesthetic Records
Difference between US and UK – no nurse anaesthetists in UK
Decision support is vital future issue
2/24/2019