wg2 report to dicom wg-10 himss11, orlando florida 2011-02-21
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WG2 Report to DICOM WG-10 HIMSS11, Orlando Florida 2011-02-21. WG2 Leadership. Convenor: Michael Glickman (US) Vice-Convenor: Michio Kimura (JP) Secretary: open, worldwide search underway Architecture LeadGary Dickenson (US) Methodology LeadGeorge “ Woody ” Beeler (US). - PowerPoint PPT PresentationTRANSCRIPT
Convenor: Michael Glickman (US) Vice-Convenor: Michio Kimura (JP) Secretary: open, worldwide search
underway Architecture Lead Gary Dickenson (US) Methodology Lead George “Woody” Beeler
(US)
21 February 2011WG2 Report to DICOM WG-10 2
Six (6) of the Eleven (11) WG2 Work Items are of interest to DICOM
Three (3) of these Six (6) require direct coordination between our organizations
This deck provides background materials for all items◦ I will be brief for the purposes of this session
Continued Participation and Coordination are both encouraged and appreciated
WG2 Coordination with WG2 Coordination with DICOMDICOM
21 February 2011WG2 Report to DICOM WG-103
IHE Integration Profiles Quality Measures for Telehealth CDISC BRIDG Model Clinical Genomics- Pedigree Topic Clinical Trials Registry and Results
(CTR&R) Provisions for Health Applications on
Mobile/Smart Devices
21 February 2011WG2 Report to DICOM WG-10 4
Harmonized Data Types for Information Interchange
Web access to DICOM persistent objects by means of web services WADO-WS
Clinical Document Registry Federation
HL7 V3 Reference Information Model - Maintenance Release Process
Terminology Binding Rules
21 February 2011WG2 Report to DICOM WG-10 5
Lead: Jill Kaufman (US), Amnon Shabo Promotion of HL7 Standard to ISO DIS
(13449) Focus: Representation and Exchange of
Family Health History, Family Tree At This Meeting
◦ Joint DIS Ballot with HL7 Comments Incorporated and Dispositions recorded confirmed
Next Step◦Submitted for Publication as DIS
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21 February 2011WG2 Report to DICOM WG-10 7
Lead: Charles Parisot (FR)◦ IHE Liaison
Purpose: Leverage IHE Implementation Process and Experience into ISO
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IHE Approach◦ Interconnect Multiple Applications◦ Incorporate Relevant Industry Standards◦ Establish Integration Profiles◦ Engage Connectathons, Demonstrations◦ Resulting in Actual Implementations
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Phase I◦ TR 28380-1 - IHE Global Standards Adoption Process◦ TR 28380-2 - IHE Integration and Content Profiles
With Annual Updates Phase II
◦ Use Cases and Integration Profiles (now) Initial Focus – Regional/National Health Information Networks
Phase III◦ Conformance Testing for Interoperability (Future)
Methodology, Process and Test Tools
New Title: Quality Criteria for Services and Systems In Telehealth
Lead: Jan Talmon (Netherlands) Target: Technical Specification Focus
◦ Care Provision◦ Information Provision◦ Business Processes
21 February 2011WG2 Report to DICOM WG-10 10
At This Meeting◦ CD reviewed and Questions pondered
Extraordinary Interest Develop appropriate scope to manage effort and support
needs of NMBs
◦ Developed Liaison Relationships ISO TC215 WG7 Continua Alliance DICOM IHE International Society of Telemedicine ITU Others identified at this meeting
◦ Next Step Update CD Document for Ballot
21 February 2011WG2 Report to DICOM WG-10 11
CDISC = Clinical Data Interchange Standards Consortium
BRIDG = Biomedical Research Integrated Domain Group
At This Meeting◦ CD Passed◦ Completing Resolution of 257 Comments◦ Continued ongoing coordination between
WG1/2
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Progressed BRIDG with HL7/ISO CD comments resolved and disposed via a consolidated document which will then be coordinated with ISO, HL7 experts and submitting NMB/individual authors.
Next◦CD Ballot Resolution and release resulting
version 3.0.2 for ballot as a DIS
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21 February 2011ISO TC215 WG2/Architecture 14
Submissions
Analysis Data
SDTM / SEND
Glossary
ODM
LAB
ADaM
CDASH
Data Collection
Protocol
Healthcare
HL7 RIM
BRIDGB
RIDG
NWIP ScopeNWIP Scope
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Scope The scope of this standard is a domain
analysis model that provides a shared view of the dynamic and static semantics for the protocol-driven biomedical research domain.
The primary purpose is to provide a global domain analysis model for anyone involved in protocol-driven biomedical research or for anyone in healthcare informatics, who provides data for research and related purposes, such as post-marketing surveillance. Such a model is designed to bring consistency to the global medical research community by helping standards developers create coherent messages based upon a common model; the resulting standards should therefore be harmonized. This common model can also be used to provide context for applications developers, thus resulting in interoperable products in this domain.
The BRIDG domain analysis model will streamline information flow from protocol through analysis and reporting within organizations and will facilitate data sharing across partnering organizations, including healthcare and clinical research entities. As such the BRIDG is an important initial step toward achieving integration between the worlds of healthcare and medical research.
The time between the availability of medical research results and their use to inform healthcare decisions must be shortened in order to detect patient safety issues and important research findings in a more timely manner. In addition, the quality of care can be improved through better processes and research findings. Building a bridge between these two communities is the foundation for faster development of therapies, improved healthcare and patient safety globally.
NWIP PurposeNWIP Purpose
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What is special and unique about mobile devices and healthcare applications
Is there a Reference Architecture that can be utilized or modified, or is something new required
Bringing forward a NWIP for a TR to investigate, analyze and report findings
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IS 21090: Harmonized Data IS 21090: Harmonized Data types for Information types for Information InterchangeInterchangeLead Grahame Grieve – Australia Comments were reviewed at Kyoto in May. Final
document and disposition was sent to Central Secretariat.
Editorial issues, resolved. The document will be released for ballot.
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IS 12974:IS 12974: Web access to DICOM Web access to DICOM persistent objects by means of web persistent objects by means of web servicesservices
Lead => Nick Brown - UK
Work to be carried out by joint ISO TC215 WG2/DICOM task group led by NB
Completion of this document is awaiting a document from DICOM that will be completed in June 2010.
DICOM, ISO and Public Comments completed 8Oct2010 and at this meeting. It is expected that final document will be available for the WG2 meeting in Finland.
21 February 2011WG2 Report to DICOM WG-10 20
TR 13128:TR 13128: Clinical Document Clinical Document Registry FederationRegistry FederationLead => Byoung-Kee Yi, (Korea).
◦ Byoung-Kee Yi presented a revised draft of this document that addressed questions raised in prior reviews.
◦ The group suggested modest changes (agreed-to during the discussion.)
◦ DTR ballot of ISO 13128
21 February 2011WG2 Report to DICOM WG-10 21
Clinical Trial Registration and ResultsClinical Trial Registration and Results
Lead => Bron Kisler, (US). ◦ Scope and Purpose◦ Global data exchange standard to meet the
current global requirements for clinical trial registration and basic results reporting Extend the initial standard to meet the requirements
of expanded results reporting Align data elements with notable registries
ClinicalTrials.gov (US), EudraCT v8 (EU), and WHO Clinical Trial Registry
21 February 2011WG2 Report to DICOM WG-10 22
Clinical Trial Registration and ResultsClinical Trial Registration and Results
◦ Approved JIC project with initial version of standard already being balloted in HL7 and CDISC
◦ Participating Organizations: CDISC, HL7, EMA, WHO, US FDA, NCI & NLM, Clinical Translational Science Center
◦ At this meeting- NWIP prepared and forwarded as a Resolution 2.
ISO Reference Information ISO Reference Information ModelModel The group discussed the current status of ISO/HL7 21731 –
Reference Information Model. Background
The HL7 RIM Release 1 completed ANSI ballot in 2004 (?). Previously, CEN TC251 had opted to use the RIM as a basis for its work. It was offered for adoption by ISO under the HL7-ISO Agreement and became "ISO/HL7 21731:2006” in 2006. Its attributes are bound to HL7 Abstract Data Types Release 1.
In 2009, HL7 determined to maintain the RIM under the ANSI “Continuous Maintenance” process, and adopted a procedure, using both face-to-face harmonization and formal balloting, to provide a formal RIM release each year. RIM Release 2 was approved in September 2009 and is bound to the ISO Data Types (HL7 Abstract Data Types Release 2)
Discussion centered around how to bring subsequent releases of the RIM into ISO given that the HL7 maintenance process for the RIM produces an annual release.
WG2 Report to DICOM WG-10
Reference Model Reference Model ResolutionResolution This working group supports the objective of having a
unified ISO Reference Information Model that is consistent with ISO/HL7 21731 and the continued evolution of the HL7 RIM.
Choices for achieving this might include – ◦ Open the HL7 Maintenance process to ISO participation and
continue to use a joint "fast-track” process for ISO adoption◦ Use the HL7-ISO agreement as the basis to adopt HL7 RIMs on a
periodic basis (at least every other release)◦ Define a JIC process that “delegates” maintenance of the ISO
Reference Model to “open” HL7 process that accepts ISO participation
◦ Follow the DICOM/ISO method which would leave the maintenance and update of the RIM to the HL7 process, which allows for the introduction of items from ISO.
Reference Model Reference Model ResolutionResolution At this meeting - Bringing forward a proposal for “HL7 V3
Reference Information Model - Maintenance Release Process” . ◦
This will also support what needs to be completed for the BRIDG model (ISO 14199).
““Foundation” Foundation” Specifications (1)Specifications (1)Further discussion of the need for
“foundation” or “infrastructure” specifications in ISO TC 215.
Included consideration of: Reference Model - Discussed previously and
will proceed Data Types - Near completion
““Foundation” Foundation” Specifications (2)Specifications (2) Terminology Binding Rules
◦ Defines the means of defining “bindings” between data elements and Terminologies.
◦ Alternatively, establish the data requirements and relationships needed to provide terminology constraints for coded information in a data element (“attibute”, “slot”, “data field”, etc.) within a message, document or other artifact.
◦ Example can be found at: http://www.hl7.org/v3ballot/html/infrastructure/coreprinciples/v3modelcoreprinciples.htm#coreP_Coded
◦ Sub-group believes this should be further explored to develop a NWIP between WG 2 and WG3
“ “Foundation” Foundation” Specifications (3)Specifications (3) Methodology
◦ Sub-group is uncertain of the value or requirement for further “methodology” specifications within the ISO TC 215 sphere
The next meetings will be held as follows:
◦ 2011-5-23/27– Finland
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ISO 18307-2001 – Interoperability and Compatibility in Messaging and Communications Standards
ISO 21089-2004 – Trusted End-to-End Information Flows
ISO 16056-2004 – Telehealth Interoperability
ISO 16058-2004 – Telehealth Interoperability – Telelearning Example
Completed ProjectsCompleted Projects
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IS 27932 - Clinical Document Architecture (Release 2)
IS 27931 - HL7 Version 2.5 messaging standard
IS 17432 - Web access to DICOM Persistent Objects (WADO)
IS 10159IS 10159 - - Web Access Resource Manifest Web Access Resource Manifest (WARM)(WARM)
Completed Projects Completed Projects (continued)(continued)
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IS 21090 - Harmonized Data Types for Information Interchange (name change 2007) (@ CS)
TR 28380-1 - IHE Global Standards Adoption Part 1 - Process (@ CS)
TR 28380-2 - IHE Global Standards Adoption Part 2 - Integration and Content Profiles (@ CS)
Completed Projects Completed Projects (continued)(continued)
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ISO 12052 – DICOM ISO 25720 – Genomic Sequence Variation
Markup Language (GSVML) ISO 10159 - Web Access Resource Manifest
(WARM) IS 21731 - HL7 version 3 - Reference
information model, release 1 IS 18232 - Format of length limited
globally unique string identifiers
Completed Projects Completed Projects (continued)(continued)
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