7th National Conference

Transcription

1 7th National Conference on Laboratory Aspects of TB Atlanta, Georgia Advances in Laboratory Data Exchange Public Health Interoperability Project Update Jon Lipsky, The St. John Group June 14,

2 Syllabus / Agenda Interoperability 101 The Pieces of the PHLIP Pie PHLIP work in TB Possibilities Next Steps 2

3 3

4 Interoperability 101 Public Health Interoperability Project Technical Interoperability How do we CONNECT with each other? Semantic Interoperability How do weunderstand each other? 4

5 What question does Technical Interoperability answer? 1. How do we 44% integrate with each other? 2. How we connect with each other? 3. How do we understand each other? 4. How do we communicate with each other? 22% 22% 11%

6 Interoperability 101 Definitions Wikipedia: a property referring to the ability of diverse systems and organizations to work together th ( inter-operate) IEEE - the ability of two or more systems s or components to exchange information and to use the information that has been exchanged. h d 6

7 We must use the same or identical applications/systems stems in order to be interoperable 1. True 2. False 95% 5% 1 2 7

8 Interoperability 101 A Picture 8

9 Interoperability 101 A Picture Technical Interoperability 9

10 Interoperability 101 A Picture Nothing Fred Semantic Interoperability What s up Barney? 10

11 Interoperability 101 A Picture Technical Interoperability 11

12 Interoperability 101 A Picture 12

13 Interoperability 101 A Picture Holen Sie mir den Präsidenten!! Semantic Interoperability E 'questa la parte a cui sto parlando? 13

14 Interoperability 101 A Picture Holen Sie mir den Präsidenten!! Gt Get me the president!! Prendi me il presidente 14

15 The Pieces of The PHLIP Pie Collaboration Flu Reporting Electronic Order Result Harmonization Route not Read Hubs 15

16 Flu Reporting Technical Interoperability PHINMS Internet 16

17 Interoperability 101 Technical Interoperability How do we CONNECT with each other? Application = Data Highway PHINMS = Internet 17

18 Flu Reporting Semantic Interoperability Found Influenza A virus subtype H pandemic strain with a Respiratory Screen (41461) Dr. Gilligan We tested sample with the Respiratory Virus Detection & Identification (41461) Result was Novel Influenza A H1 Dr. Munster 18

19 Flu Reporting Semantic Interoperability Found Influenza A virus subtype H pandemic strain with a Respiratory Screen (41461) Dr. Gilligan We tested sample with the Respiratory Virus Detection & Identification (41461) Result was Novel Influenza A H1 Dr. Munster 19

20 Which coding system does PHLIP use to identify tests? 1. HL7 2. SNOMED 3. IEEE 4. LOINC 66% 27% 7% 0%

21 Flu Reporting Semantic Interoperability Found Influenza A virus subtype H pandemic strain with a Respiratory Screen (41461) Dr. Gilligan OBX ^ Virus XXX ^ LN ^ 010 ^ Respiratory Screen ^ LC We tested sample with the Respiratory Virus Detection &Identification (41461) Result was Novel Influenza A H1 Dr. Munster HL7 OBX ^ Virus XXX ^ LN ^ 111 ^ Respiratory Virus Detection & Identification ^ LC 21

22 Flu Reporting Semantic Interoperability Lab 1 HL7 Message: OBX ^ Virus XXX ^ LN ^ 010 ^ Respiratory Screen ^ LC Lab 2 HL7 Message: OBX ^ Virus XXX ^ LN ^ 111 ^ Respiratory Virus Detection & Identification ^ LC Computer can read and process Human can read and process 22

23 Interoperability 101 Semantic Interoperability How do we UNDERSTAND each other? Format = HL77 Terminology LOINC = Tests SNOMED = Results 23

24 What are two key pieces of semantic interoperability? 1. Format and Terminology 62% 2. PHINMS and the Internet 3. Fred d& Barney 29% 4. Similar Systems and Architectures 3% 6%

25 Flu Reporting WHO Influenza Surveillance Influenza Lab Results Electronic Laboratory Surveillance Message ( ELSM) What t strain of flu arewe seeing across the country? Where is Influenza the virus Lab Results drifting? 25

26 Flu Reporting Progress Production: 27 Validation: 8 Engaged: 13 Influenza Lab Results Visits by Technical Assistance Teams 26

27 Other Pieces RCMT Reportable: as per each state Condition: Mycobacterium tuberculosis Mapping: LOINC to Condition SNOMED to Condition Table: Spreadsheets (1 st Phase) 27

28 Other Pieces TB Harmonization PHLIP and TB Progress Collected Tests and Results from pilot states and CDC Performed initial harmonization Assigned LOINC codes 28

29 Other Pieces TB Harmonization PHLIP and TB - Pending Review and refresh list with workgroup Request new LOINC codes Assign SNOMED and request new as appropriate Synch with RCMT and add codes as appropriate 29

30 Other Pieces Electronic Order and Result (ETOR) ORDER No more handwritten DASH forms for sample submission 30

31 What does the acronym ETOR stand for? 1. Electronic Transfer of Results 2. Electronic Test Order and Results 3. Electronic Transmission of Requirements 4. None of the above 24% 66% 5% 5%

32 Other Pieces Electronic Order and Result (ETOR) RESULT No more hardcopy result reports stapled to DASH form Sample: Test: PCR Result: Positive 32

33 Possibilities DRAFT Picture ETOR State EPI TB Case Notification CDC TB Branch TB Genotyping Reporta able Lab Res sults? OTHER? Harmonization Salmonella Lab ETOR State Lab Influenza Lab Results Flu Branch 33

34 Which statement best describes my view of 1. I believe there are synergies between PHLIP and TB and have some ideas on how we can collaborate. 2. I think there might be some synergies but have no specific ideas at this point. 3. I do not see any synergies between PHLIP and TB. 4. Other the next steps? 66% 31% 2% 2%

35 Next Steps 35

36 Our Business Cards Linda Cohen Manager, Informatics Program Jon M. Lipsky Principal