CEF ehealth DSI 2018 Technical Boot Camp CDA Template Management

Transcription

1 CEF ehealth DSI 2018 Technical Boot Camp CDA Template Management to 26, Brussels

2 ART-DECOR

3 Challenge "Adherence to Standards ensures interoperability between different medical information systems" Standards: IHE profiles HL7 CDA documents Project specific implementation guides of HL7 CDA templates specifying the format of exchanged messages.

4 What is ART-DECOR? ART-DECOR in 4 bullets: Open-source tool Collaboration tool Single documentation for different domain experts Support for creation and maintenance of HL7 templates decor/decor-project-- epsos-

5 What is ART-DECOR? ART-DECOR in 4 bullets: Open-source tool Collaboration tool Single documentation for different domain experts Support for creation and maintenance of HL7 templates decor/decor-project-- epsos-

6 ART-DECOR template management ART-DECOR defines different Document Level CDA templates for usage in the ehdsi project: CDA Level 1: eprescription (Embedded PDF) Patient Summary (Embedded PDF) CDA Level 3: eprescription Patient Summary edispensation

7 CDA Levels overview

8 CDA Document structure Header Structured metadata about the document itself. Body Contains the clinical report. Non-XML body or non-structured body Structured body

9 CDA Document structure Header Structured metadata about the document itself. Body Contains the clinical report. Non-XML body or non-structured body Structured body Section Contains human-readable narrative block (the section text) number of entries (with clinical statements) in a structured computerprocessable form.

10 Examples of Sections Contains a human-readable narrative block (the section text and a number of entries (with clinical statements) in a structured computer-processable form. Examples of sections: Allergies Medication, Problems, Immunizations, Vital signs

11 CDA Document <component> <structuredbody> <component> <section moodcode="evn"> <templateid root=" "/> <templateid root=" "/> <code code=" " codesystem=" " codesystemname="loinc" displayname="allergies, adverse reactions, alerts"/> <title>history of allergies</title> <text>allergies and alerts</text> <entry> <act classcode="act" moodcode="evn"> <templateid root=" "/> <templateid root=" "/> <templateid root=" "/> <id root=" " extension="15"/> <code nullflavor="na"/> <statuscode code="active"/> <effectivetime> <low value=" "/> </effectivetime> <entryrelationship typecode="subj" inversionind="false"> <observation classcode="obs" moodcode="evn" negationind="false"> <templateid root=" "/> <templateid root=" "/> <templateid root=" "/> <templateid root=" "/> <id root=" "/> <code code=" "

12 Features of ART-DECOR for HL7 CDA Templates Template Viewer Documentation of templates (HTML, PDF) Two template editors Terminology browser Value set editor Building block repository with various standard templates and value sets C-CDA 1.1, CCD 1, epsos, IHE PCC generation of Schematron rules and tests RESTful services to access artifacts FHIR profile import/export functions and profile editor (under investigation)

13 Validation of CDA Documents Publication ART-DECOR RELEASE Formats: HTML PDF XML Schematron IHE Gazelle EVS Client

14 Future challenges For the ehdsi Solution Provider Continuously improve the quality of the templates Move the ART-DECOR installation to a server managed by the EU commission Fix long-term challenges like the duplicate OID issue For the member states Harmonize CDA documents generated by your national infrastructure with the specifications in ART-DECOR (IHE Gazelle EVS Client) Help us to improve the overall template quality (raise issues) Try it out!

15 Relevant links and resources weblinks ART-DECOR ehdsi Project: IHE Gazelle EVSClient: Resources HL7 International: CDA Release 2 Boone KW. The CDA Book. Springer-Verlag London; 2011 Presentation from Dolin B: HL7 Clinical Document Architecture. Guidance for representing the "known absence" and the "No Information" situations in the ehdsi Project. These materials have been crafted to provide a comprehensive summary on the issues at stake. For further clarifications, please: Contact us SANTE-EHEALTH-DSI@ec.europa.eu European Union, All rights reserved. Certain parts are licensed under conditions to the EU. Reproduction is authorized provided the source is acknowledged.