The HL7 Games: Catching FHIR - Healthcare Standards after v3
HL7 v3 Laboratory Profile
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Transcript of HL7 v3 Laboratory Profile
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http://www.hl7.org.uk
HL7 v3 Laboratory Profile
Patrick Mitchell-JonesTitan IT Ltd.
WWW.Titanhealth.co.uk
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Profiles
One size does not fit all……
• Realm specific requirements– Different Business requirements– Different working practices
• Patient identifiers• Terminologies
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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)
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Progress…..
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Current state
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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
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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
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Interested Parties
• GP system Suppliers– EMIS– INPS
• Middleware– Anglia– Indigo4
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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
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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
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Deliverables
• V3 GB domain– Constrained Models– Attribute Level descriptions– Storyboards– Schemas– Examples
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Publishing
• Publish through HL7.org
• UK Ballot process
• Full Ballot resolution
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Additions
• Templates?
• Public Health Reporting
• Outbreak Notification
• Batched results
• Blood Bank (with pharmacy?)
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Requirements
• Involvement from– Suppliers– Implementers– Domain experts………………………