NCOR Health Informatics WG Sept. 13, 2006
Admin Updates Related Liaison Guidance Materials
1. Admin
2. Updates
HITOP
Mechanics for Online Guidance (Meeting with ONC with PPT)
HITSP
Biosurveillance
AHIC
ONC Pilot Study Proposal
CCHIT Certifications
HIMSS
TAG 215
COPOLCO and eHealth Task Forces



ISO COPOLCO
COPOLCO is the Committee on Consumer Policy of the International Organization for Standardization (ISO). Established in 1978, COPOLCO’s membership includes some 89 national standards bodies from countries around the world. Delegates typically are representatives from the national standards bodies and consumer organizations in the various countries. The International Electrotechnical Commission (IEC) is also represented. Consumers International and the Organization for Economic Cooperation and Development have liaison status. ANEC, the European consumer voice in standardization, also participates as an observer. The U.S. participates in COPOLCO via ANSI’s Consumer Interest Forum.
COPOLCO provides a forum for the exchange of information and experience on standards and conformity assessment issues of interest to consumers. COPOLCO identifies standardization areas of priority interest to consumers and works to promote and coordinate consumer representation in those areas. It also influences ISO’s programme of work by proposing new areas for standardization where there is a perceived need for enhanced consumer protection. For example, in response to COPOLCO proposals, ISO has undertaken standards projects on:
    • customer satisfaction, including guidance for organizations on how to develop codes of conduct, complaints handling mechanisms, and external customer dispute resolution systems
    • environmental management systems
    • social responsibility
    • tourism and related services
    • generic guidelines to address the trading of second hand goods, especially safety, health, environmental protection and product information aspects
While COPOLCO itself does not write standards—that work is carried out by ISO’s technical committees—it does produce standards development guides, policy statements and informational publications on issues of importance to consumers such as:
    • Child safety
    • Comparative testing of consumer products and services
    • Consumer participation in standardization
    • General safety guidelines
    • Graphical symbols
    • Packaging
    • Product information and instructions
    • The needs of the elderly and people with disabilities
    • Development of standards for services – Recommendations for addressing consumer issues (to be published in 2006)
Each year COPOLCO convenes an open workshop on an issue of concern to consumers. Workshop topics have included such diverse topics as: corporate social responsibility, standards for services, consumer protection in the global market, addressing the needs of ageing populations, and product labeling. Follow-up actions are considered by COPOLCO during its annual plenary meeting. COPOLCO also conducts training in standardization in conjunction with its meetings
Additional information about COPOLCO, and the role of standards and the consumer, is available on ISO’s website.
ISO Guidelines
NPR (O'Leary)
3. Related
SARTIG & K2
Registry Projects
WHO Terminology Network
DCM Direct Clinical Medicine
Contents
Friday Q3 - Project Scope and Definitions
  • Scope
    • Create a library & repository of detailed clinical models and standard coded terms
    • Agree on metadata and model discovery mechanisms
    • Focus on content (representational formalisms are critical, but we hope to leverage existing work)
  • Definitions - see Glossary
  • Stan gave an overview of Detailed Clinical Models (Clinical Elements) at Intermountain Healthcare. (TO DO: link to presentation)
 
What are the ISO-semantic ways we can collect information about a clinical item of interest? Stan stated that Intermountain Healthcare recognizes multiple, ISO-semantic models, chooses one for persistence, and creates mappings to the other.
Friday Q4 - Model Formalism
  • We reiviewed and updated the requirements for a model formalism (TO DO: link to this)
  • Alan Rector gave an overview of OWL and its usefulness as a formalism for DCMs.
    • He felt that it would be a reasonable approach.
    • The biggest obstacle at this point would be in the lack of sufficient tooling.
    • He expressed some concern about encapsulation and reuse in ADL.
    • The strength of OWL is in validating that a set of models is self-consistent.
  • Sam Heard gave an overview of ADL and openEHR Archetypes.
 
Saturday Q1 - Formalism and Repository
  • Grahame Grieve gave an overview of tooling that he is working on that allows translation between RIM artifacts and archetypes (keeping the same reference model).
  • Dipak gave an overview of using reference models with archetypes.
    • The archetypes that this group would most likely want to focus on are those around entries, clusters and elements, with significantly less emphasis on folders, compositions and sections.
  • Alan Rector suggested an exercise in sharing some of these models soon.
    • Stan suggested lab, allergies (adverse reactions), clinical measurements, problems and orders as candidates for this exercise
    • Dipak suggested orienting the exercise around a particulare disease process to take into account issues around infromation from multiple different sources (doctors, nurses, dieticians, etc.).
    • The purpose of the exercise is to help us make a formalism decision.
  • We will discuss how to structure this excercise on a conference call in the future.
 
Saturday Q2 - Terminology Binding
  • Alan Rector gave an overview of terminology binding issues.
  • Code Binding Interface
    • Binding strategy in model
      • Use placeholder code (similar to HL7 domain)
      • It must be clear in the definition of the placeholder code what part of the semanitics of the model are expressed in that attribute (what degree of pre-coordination is allowed in the attribute)
    • Binding placeholder to specific codes
      • May bind to a set of codes
      • May bind to an enumerated list of codes
        • Siimple case is to a single code
      • Arbitrarily complex expression that specifies exclusion, inclusion, etc. that includes constraints and considerations of qualifiers (e.g. exclude items that have "Family Hx of" as part of their meaning)
      • There must be at least one terminology server that can covert an expression into an enumerated list of codes
    • Before a model is considered "done", it must have all of its terminology bindings specified to one or more actual code systems.
      • Where possible, the initial binding will be to a terminology that is "free for use internationally", rather than a terminology that requires license fees
      • Any number of additional bindings to other terminologies can be added
 
 
Liaisons
Formal Exercise
Plan for an exercise to establish a formalism
  • First step - create and share archetypes for allergies
    • Existing work to consider
      • CCD, IHE medical summary
      • NDF-RT, RX-Norm, SNOMED CT
      • Existing HL7 messages
      • VHIM?
      • IHC Clinical Elements
      • Existing openEHR archetype
      • NHS models
  • Use the openEHR reference model and ADL as tooling. A parallel group will create this under the NCI group.
  • Rob McClure will chair the exercise
  • Alan Rector suggested that we need to record a log of our efforts
  • Sam Heard will lead 3 tutorial sessions
  • Rob McClure will organize the collaboration calls
openEHR and Archetypes
MindMap
4. Liaison
NCOR Ontology Evaluation Committee
NIST
Steve Ray: Chair, Onto Evals
Six Talks Planned
  • Chris Welty, OntoClean
  • Quality of Design Tools
  • Pragmatic Usefulness
  • Barry Smith's 2 experiments
    • Banner
    • Gene Ontology hits on Google
Subtopic
Ontolog Forum?
5. Guidance Materials
Criteria
Standards, SDO
Usages, Best Practices, Recommendations
User Ranking Services
Venues