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HL7 v3 Laboratory Profile. Patrick Mitchell-Jones Titan IT Ltd. PMJ@Titanhealth.co.uk WWW.Titanhealth.co.uk. Profiles. One size does not fit all…… Realm specific requirements Different Business requirements Different working practices Patient identifiers Terminologies. Laboratories.

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Hl7 v3 laboratory profile

HL7 v3 Laboratory Profile

Patrick Mitchell-Jones

Titan IT Ltd.

PMJ@Titanhealth.co.uk

WWW.Titanhealth.co.uk


Profiles
Profiles

One size does not fit all……

  • Realm specific requirements

    • Different Business requirements

    • Different working practices

      • Patient identifiers

      • Terminologies


Laboratories
Laboratories

Why Lab ?????

  • Centre of Healthcare

    • Carter report “… up to 80% cases use lab…”

  • Most heavily used communication in diagnostic healthcare

  • Benefits……..

    • Standardization and Interoperability (Haven’t we got it with v2.GOK)

    • Richness of data

    • Improve on PMIP (Requesting & structured Microbiology)




V3 gb project
V3 GB Project

  • Requests

    • From anywhere to anywhere (including Lab2Lab)

  • Status

  • Results

    • Interim

    • Final

    • Revised

  • All disciplines (not product ordering)

    Suitable for use within the UK


Principles
Principles

  • Constrained HL7v3 Ballot messages

    • Fully HL7v3 conformant

    • Close to CFH

  • Fully Structured Microbiology (internationally agreed format)

  • Support for Non-patient testing

  • Not reliant on CFH or the ‘Spine’

  • Migration from HL7UK A.2

  • Terminology neutral


Interested parties
Interested Parties

  • GP system Suppliers

    • EMIS

    • INPS

  • Middleware

    • Anglia

    • Indigo4


Proposed interactions
Proposed Interactions

  • Place Request

  • Revise Request

  • Cancel Request (Placer)

  • Accept/Reject Request

  • Promise

  • Status (Specimen Received; Work started)

  • Cancel Request (Lab)

  • Interim Results

  • Completed Results

  • ‘Updated’ Results

  • Accept/Reject Results


Message constraints
Message Constraints

  • Specimen Centric

  • Multi-item Orders

  • Support the National Catalogue approach

  • Support Snomed CT and other terminologies including ‘Local’ catalogues for Point to Point


Deliverables
Deliverables

  • V3 GB domain

    • Constrained Models

    • Attribute Level descriptions

    • Storyboards

    • Schemas

    • Examples


Publishing
Publishing

  • Publish through HL7.org

  • UK Ballot process

  • Full Ballot resolution


Additions
Additions

  • Templates?

  • Public Health Reporting

  • Outbreak Notification

  • Batched results

  • Blood Bank (with pharmacy?)


Requirements
Requirements

  • Involvement from

    • Suppliers

    • Implementers

    • Domain experts

      ………………………