Cross-Paradigm Interoperability Implementation Guide for Immunizations (“X Paradigm”) - PowerPoint PPT Presentation

Cross paradigm interoperability implementation guide for immunizations x paradigm
1 / 17

  • Uploaded on
  • Presentation posted in: General

Cross-Paradigm Interoperability Implementation Guide for Immunizations (“X Paradigm”). Common Information Model First Cut May 2012. Project Scope.

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.

Download Presentation

Cross-Paradigm Interoperability Implementation Guide for Immunizations (“X Paradigm”)

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript

Cross paradigm interoperability implementation guide for immunizations x paradigm

Cross-Paradigm Interoperability Implementation Guide for Immunizations(“X Paradigm”)

Common Information Model

First Cut

May 2012

Project scope

Project Scope

“This implementation guide will explore the Service-Aware Interoperability Framework (SAIF) methodology to show how various HL7, IHE and OMG immunization-related artifacts can be deployed to satisfy immunization interoperability use cases. “

  • This presentation gives work so far on just the Common Information Model section

Project work space

Project Work Space

  • Wiki

  • Artefacts

    • Identified standards documents to use and found links

    • Download spreadsheet from wiki

Common information model

Common Information Model

  • First pass

    • V2

    • IHE Immunization Content

    • Consolidated CDA

  • After

    • Immunization DAM.

    • EHR FIM

    • POIZ

Version 2

Version 2

  • 2.3.1 – since early 90s

  • 2.5.1 – recent

  • Very established in the U.S.

    • Meaningful Use standard Stage I

Background of immunization content

Background of Immunization Content

  • Background of Immunization Content

    • First drafts included V2 messaging models

    • Mapped V2 data elements and NVAC elements to CareRecord and POIZ – see (outdated) wiki workspace


    • Convinced in public comment phase to go with XDS solution only – i.e. CDA model

    • 4 Connectathons/Interoperability Showcases

    • Voted into Final Text

Ihe immunization content

IHE Immunization Content

Could no longer find our data elements!

Understanding templates

Understanding Templates

Chasing the cascade of template ids

Chasing the cascade of template IDs

  • See spreadsheet at:

Consolidated cda

Consolidated CDA

  • Formed to resolve many HL7/IHE templates involved in Transfer of Care

  • Out-of-cycle ballot created to include MU Stage II NPRM elements

  • PHER project to add immunization elements

Consolidated cda templates

Consolidated CDA Templates

  • Continuity of Care Document (CCD)

  • Consultation Notes

  • Discharge Summary

  • Imaging Integration, and DICOM Diagnostic Imaging Reports

  • History and Physical

  • Operative Note

  • Progress Note

  • Procedure Note

  • Unstructured Documents

  • Immunization Content/PH not included

  • Templates and data elements

    Templates and data elements

    • See

    Lessons so far

    Lessons So Far

    • CDA is designed to promote semantic interoperability

      • ResponsibleParty example

    • Promote inheritance

    • Facilitate integration of patient information

    • Their human-readable forms promote much easier access by non-technical users

    Lessons so far1

    Lessons So Far

    • CDA solutions are a very deep technical dive

    • Template IDs are “magic numbers” and not easy to chase

    • Without additional tools, their specifications do not facilitate easy access by non-technical domain expertise

    Returning to common information model

    Returning to Common Information Model

    • Need to determine model

      • RIM?

    • Finish the cross-reference

      • Based upon templates and not individual data elements?

    • Explore recent efforts

      • FHIR, Template registry, Green CDA, ???

    • Vet, vet, vet

      • Ideas?

    Need for implementation guide

    Need for implementation guide

    • There a document specifically showing public health or other non-CDA experts how to interpret the immunization CDA-related specs is needed



    • Track Patient Care projects and present to PC

    • Track CDA R3 vs R2

    • Include NVAC data elements in list of artefacts

      • Old version?

    • Look closely at use cases for what different players such as ACOs want out of them

      • AIRA functions

    • Map EHR public health functions into EHR functions

    • This project may inform FHIR and/or vice versa

  • Login