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CCHIT Roundtables at HIMSS 09

Certification Commission
Certification Commission

This document summarizes two roundtable sessions at a CCHIT conference on interoperability certification criteria for 2009. The first session will discuss interoperability criteria for 2009 and beyond. The second session is an open source forum. The document provides an agenda that includes discussing 2009 interoperability criteria and testing, the Laika EHR 2009 testing platform, and the roadmap for future criteria.

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Certification Commission for Healthcare Information Technology CCHIT Roundtables: Interoperability 09 and Beyond Open Source Forum Mark Leavitt, MD, PhD Chairman Amit Trivedi Certification Manager & Strategic Work Group Leader, Interoperability Dennis Wilson Certification Technology Director Hyatt Regency McCormick Place Chicago, IL Apr 6, 2009
Roundtable Sessions Session #1: 1:00 2:00pm CDT Interoperability 09 and Beyond Session #2: 2:00 3:00pm CDT Open Source Forum 息 2009 | 際際滷 2 | Apr 6, 2009
Agenda 09 Interoperability Criteria 09 Interoperability Testing Laika EHR 2009 Roadmap Q&A 息 2009 | 際際滷 3 | Apr 6, 2009
09 Interoperability Criteria 08 Criteria 09 Criteria Registration, Medication, and Registration, Medication, and Allergy modules Allergy modules CCD/C32 Import & Export File/Display: Level 2 File/Display: Level 2 Generate/Format: Level 2 Generate/Format: Level 3 Lab Result Import HL7 2.5.1 (no changes from 08) ORU messages Import DICOM Display image via (no changes from 08) WADO or C-Move protocol Image Display NCPDP SCRIPT 8.1 eRX New, Refill, Eligibility, (no changes from 08) Transactions Formulary, and Med Hx transactions Advanced Interoperability PIX or PDQ query XDS XDS.a or XDS.b: Transactions Provide & Register Query + Retrieve 息 2009 | 際際滷 4 | Apr 6, 2009
CCD/C32 Coding Level 2 = Structured Naratives Level 3 = Coded Vocabularies Sections Requiring Coding: Medications: Product Code: NDC or RxNorm (use of NDF-RT or FDA UNII not required) Allergy / Drug Sensitivity: Product Code: RxNorm (meds), FDA UNII (food/substances) (use of NDF-RT codes not required) Adverse Event Type: SNOMED CT Severity Code: SNOMED CT Conditions, Immunizations, Encounters, Procedures, Results, Vital Signs, Pregnancy 息 2009 | 際際滷 5 | Apr 6, 2009
Advanced Interoperability Advanced Criteria: Required for incentives? Distinguished from basic criteria 息 2009 | 際際滷 6 | Apr 6, 2009
09 Interoperability Testing 09 Testing Procedures Laika test cases for Display/File and Generate/Format CCD/C32 Checklists for Display verification Import & Export Level 3 coding validated, code sets checked ORU messages dynamically generated with Lab Result Import conformance tools DICOM Images served by DICOM server Image Display eRX Transactions surescripts certification accepted Laika test cases for: XDS Provide & Register, Query/Retrieve, PIX Feed/Query, PDQ XDS Transactions Checklists for queries Comparison of transaction results in test servers 息 2009 | 際際滷 7 | Apr 6, 2009
Laika EHR 2009 XDS DICOM PDQ Registry XDS EHRUnderTest Supplier forCertification Repository PIXMgr Laika2009 Complete, ready to use, fully integrated AWSInstanceofLaika test environment 2009Environment Private virtual instances allocated for practice and final inspection testing 息 2009 | 際際滷 8 | Apr 6, 2009
Testing Endpoints Laika Interface https://<hostname>.compute-1.amazonaws.com XDS.a Registry https://<hostname>.compute-1.amazonaws.com:9080/axis2/services/xdsregistrya XDS.a Repository https://<hostname>.compute-1.amazonaws.com:9080/axis2/services/xdsrepositorya XDS.b Registry https://<hostname>.compute-1.amazonaws.com:9080/axis2/services/xdsregistryb XDS.b Repository https://<hostname>.compute-1.amazonaws.com:9080/axis2/services/xdsrepositoryb XDS tools https://<hostname>.compute-1.amazonaws.com:9080/xdstools PIX Mgr mllp://<hostname>.compute-1.amazonaws.com:3600 PDQ Supplier mllp://<hostname>.compute-1.amazonaws.com:3601 ATNA Log (BSD syslog)://<hostname>.compute-1.amazonaws.com:5140 WADO http://<hostname>.compute-1.amazonaws.com/wado?requestType=WADO Additional configuration parameters: Patient Identifier Assigning Authority Domains OID Document Source sourceId OID Digital certificates XDS metadata code set 息 2009 | 際際滷 9 | Apr 6, 2009
Laika Components Source Generator: custom CCD/C32 Import & Export Validation: NIST schematron, UMLS vocabularies DICOM DICOM server: dcm4chee Image Display XDS NIST Registry/Repository PIX Manager Open Health Tools OpenPIXPDQ PDQ Supplier Interface Engine Mirth HL7 Interface Engine 息 2009 | 際際滷 10 | Apr 6, 2009
Laika Test Case Types CCD/C32: Display & File Generate & Format PIX/PDQ: PIX Feed PIX Query PDQ Query XDS: Query & Retrieve Document Provide & Register Document 息 2009 | 際際滷 11 | Apr 6, 2009
Laika Example Test Case XDS [ITI19]NodeAuthentication Registry XDS EHRUnderTest Repository forCertification [ITI14]XDS.aRegisterDocument or [ITI41]XDS.bProvide&RegisterDocumentSetb Laika2009 [ITI20]RecordAuditEvent Instanceof Laika2009 Environment 息 2009 | 際際滷 12 | Apr 6, 2009
Laika Example Test Case Assign test case from view of patients in XDS Registry 息 2009 | 際際滷 13 | Apr 6, 2009
Laika Example Test Case Provide XDS metadata attributes expected from Provide & Register transaction Values not supplied are ignored 息 2009 | 際際滷 14 | Apr 6, 2009
Laika Example Test Case Executing test case triggers compare of expected versus actual values in XDS Registry 息 2009 | 際際滷 15 | Apr 6, 2009
Laika Example Test Case ATNA log browser enables inspection of required entries 息 2009 | 際際滷 16 | Apr 6, 2009
Laika Example Test Case Checklists support inspection of query transactions 息 2009 | 際際滷 17 | Apr 6, 2009
Project Contributors MITRE Corporation CitiusTech OpenSourcery http://laika.sourceforge.net/ Contributors welcome! 息 2009 | 際際滷 18 | Apr 6, 2009
Looking Ahead 息 2009 | 際際滷 19 | Apr 6, 2009
Criteria Roadmap: 10, 11+ Additional CDA document types for quality reporting and data exchanges: HITSP C48 Encounter Document HITSP C34 - Patient Level Quality Data Message HITSP C37 Lab Report Document HITSP C38 - Patient Level Quality Data Document HITSP C78 Immunization Document 息 2009 | 際際滷 20 | Apr 6, 2009
Criteria Roadmap: 10, 11+ Further requirements around XDS transactions: Document Replacement and Addendum XDS-I (Cross Enterprise Image Information Sharing integration profile) PIX Update Notifications XCA (Cross Community Access) HIE to HIE gateways 息 2009 | 際際滷 21 | Apr 6, 2009
Criteria Roadmap: 10, 11+ CCD/C32 Discrete Data Processing: Display of data captured from external sources Compare and selective update clinical list items Round trip creation of CCD elements previously imported 息 2009 | 際際滷 22 | Apr 6, 2009
Thank you! Q&A For more information: www.cchit.org
Roundtable Sessions Session #1: 1:00 2:00pm CDT Interoperability 09 and Beyond Session #2: 2:00 3:00pm CDT Open Source Forum 息 2009 | 際際滷 24 | Apr 6, 2009

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CCHIT Roundtables at HIMSS 09

  • 1. Certification Commission for Healthcare Information Technology CCHIT Roundtables: Interoperability 09 and Beyond Open Source Forum Mark Leavitt, MD, PhD Chairman Amit Trivedi Certification Manager & Strategic Work Group Leader, Interoperability Dennis Wilson Certification Technology Director Hyatt Regency McCormick Place Chicago, IL Apr 6, 2009
  • 2. Roundtable Sessions Session #1: 1:00 2:00pm CDT Interoperability 09 and Beyond Session #2: 2:00 3:00pm CDT Open Source Forum 息 2009 | 際際滷 2 | Apr 6, 2009
  • 3. Agenda 09 Interoperability Criteria 09 Interoperability Testing Laika EHR 2009 Roadmap Q&A 息 2009 | 際際滷 3 | Apr 6, 2009
  • 4. 09 Interoperability Criteria 08 Criteria 09 Criteria Registration, Medication, and Registration, Medication, and Allergy modules Allergy modules CCD/C32 Import & Export File/Display: Level 2 File/Display: Level 2 Generate/Format: Level 2 Generate/Format: Level 3 Lab Result Import HL7 2.5.1 (no changes from 08) ORU messages Import DICOM Display image via (no changes from 08) WADO or C-Move protocol Image Display NCPDP SCRIPT 8.1 eRX New, Refill, Eligibility, (no changes from 08) Transactions Formulary, and Med Hx transactions Advanced Interoperability PIX or PDQ query XDS XDS.a or XDS.b: Transactions Provide & Register Query + Retrieve 息 2009 | 際際滷 4 | Apr 6, 2009
  • 5. CCD/C32 Coding Level 2 = Structured Naratives Level 3 = Coded Vocabularies Sections Requiring Coding: Medications: Product Code: NDC or RxNorm (use of NDF-RT or FDA UNII not required) Allergy / Drug Sensitivity: Product Code: RxNorm (meds), FDA UNII (food/substances) (use of NDF-RT codes not required) Adverse Event Type: SNOMED CT Severity Code: SNOMED CT Conditions, Immunizations, Encounters, Procedures, Results, Vital Signs, Pregnancy 息 2009 | 際際滷 5 | Apr 6, 2009
  • 6. Advanced Interoperability Advanced Criteria: Required for incentives? Distinguished from basic criteria 息 2009 | 際際滷 6 | Apr 6, 2009
  • 7. 09 Interoperability Testing 09 Testing Procedures Laika test cases for Display/File and Generate/Format CCD/C32 Checklists for Display verification Import & Export Level 3 coding validated, code sets checked ORU messages dynamically generated with Lab Result Import conformance tools DICOM Images served by DICOM server Image Display eRX Transactions surescripts certification accepted Laika test cases for: XDS Provide & Register, Query/Retrieve, PIX Feed/Query, PDQ XDS Transactions Checklists for queries Comparison of transaction results in test servers 息 2009 | 際際滷 7 | Apr 6, 2009
  • 8. Laika EHR 2009 XDS DICOM PDQ Registry XDS EHRUnderTest Supplier forCertification Repository PIXMgr Laika2009 Complete, ready to use, fully integrated AWSInstanceofLaika test environment 2009Environment Private virtual instances allocated for practice and final inspection testing 息 2009 | 際際滷 8 | Apr 6, 2009
  • 9. Testing Endpoints Laika Interface https://<hostname>.compute-1.amazonaws.com XDS.a Registry https://<hostname>.compute-1.amazonaws.com:9080/axis2/services/xdsregistrya XDS.a Repository https://<hostname>.compute-1.amazonaws.com:9080/axis2/services/xdsrepositorya XDS.b Registry https://<hostname>.compute-1.amazonaws.com:9080/axis2/services/xdsregistryb XDS.b Repository https://<hostname>.compute-1.amazonaws.com:9080/axis2/services/xdsrepositoryb XDS tools https://<hostname>.compute-1.amazonaws.com:9080/xdstools PIX Mgr mllp://<hostname>.compute-1.amazonaws.com:3600 PDQ Supplier mllp://<hostname>.compute-1.amazonaws.com:3601 ATNA Log (BSD syslog)://<hostname>.compute-1.amazonaws.com:5140 WADO http://<hostname>.compute-1.amazonaws.com/wado?requestType=WADO Additional configuration parameters: Patient Identifier Assigning Authority Domains OID Document Source sourceId OID Digital certificates XDS metadata code set 息 2009 | 際際滷 9 | Apr 6, 2009
  • 10. Laika Components Source Generator: custom CCD/C32 Import & Export Validation: NIST schematron, UMLS vocabularies DICOM DICOM server: dcm4chee Image Display XDS NIST Registry/Repository PIX Manager Open Health Tools OpenPIXPDQ PDQ Supplier Interface Engine Mirth HL7 Interface Engine 息 2009 | 際際滷 10 | Apr 6, 2009
  • 11. Laika Test Case Types CCD/C32: Display & File Generate & Format PIX/PDQ: PIX Feed PIX Query PDQ Query XDS: Query & Retrieve Document Provide & Register Document 息 2009 | 際際滷 11 | Apr 6, 2009
  • 12. Laika Example Test Case XDS [ITI19]NodeAuthentication Registry XDS EHRUnderTest Repository forCertification [ITI14]XDS.aRegisterDocument or [ITI41]XDS.bProvide&RegisterDocumentSetb Laika2009 [ITI20]RecordAuditEvent Instanceof Laika2009 Environment 息 2009 | 際際滷 12 | Apr 6, 2009
  • 13. Laika Example Test Case Assign test case from view of patients in XDS Registry 息 2009 | 際際滷 13 | Apr 6, 2009
  • 14. Laika Example Test Case Provide XDS metadata attributes expected from Provide & Register transaction Values not supplied are ignored 息 2009 | 際際滷 14 | Apr 6, 2009
  • 15. Laika Example Test Case Executing test case triggers compare of expected versus actual values in XDS Registry 息 2009 | 際際滷 15 | Apr 6, 2009
  • 16. Laika Example Test Case ATNA log browser enables inspection of required entries 息 2009 | 際際滷 16 | Apr 6, 2009
  • 17. Laika Example Test Case Checklists support inspection of query transactions 息 2009 | 際際滷 17 | Apr 6, 2009
  • 18. Project Contributors MITRE Corporation CitiusTech OpenSourcery http://laika.sourceforge.net/ Contributors welcome! 息 2009 | 際際滷 18 | Apr 6, 2009
  • 19. Looking Ahead 息 2009 | 際際滷 19 | Apr 6, 2009
  • 20. Criteria Roadmap: 10, 11+ Additional CDA document types for quality reporting and data exchanges: HITSP C48 Encounter Document HITSP C34 - Patient Level Quality Data Message HITSP C37 Lab Report Document HITSP C38 - Patient Level Quality Data Document HITSP C78 Immunization Document 息 2009 | 際際滷 20 | Apr 6, 2009
  • 21. Criteria Roadmap: 10, 11+ Further requirements around XDS transactions: Document Replacement and Addendum XDS-I (Cross Enterprise Image Information Sharing integration profile) PIX Update Notifications XCA (Cross Community Access) HIE to HIE gateways 息 2009 | 際際滷 21 | Apr 6, 2009
  • 22. Criteria Roadmap: 10, 11+ CCD/C32 Discrete Data Processing: Display of data captured from external sources Compare and selective update clinical list items Round trip creation of CCD elements previously imported 息 2009 | 際際滷 22 | Apr 6, 2009
  • 23. Thank you! Q&A For more information: www.cchit.org
  • 24. Roundtable Sessions Session #1: 1:00 2:00pm CDT Interoperability 09 and Beyond Session #2: 2:00 3:00pm CDT Open Source Forum 息 2009 | 際際滷 24 | Apr 6, 2009