August 24-25, 2006, Cologne, Germany
| International HL7 Interoperability Conference IHIC 2006
August 24-25, 2006, Cologne, Germany |
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To the IHIC 2006 conference program committee
Email: hl7@kheitmann.nl
Kai U. Heitmann
Heitmann Consulting & Services
tel:+31.6.14462697
The Netherlands
Dr Kai Heitmann has been the Deputy head of the Medical Informatics unit at the Institute of Medical Statistics, Informatics and Epidemiology of the University of Cologne, Germany, until January 2006. Still associated with the university, he now works as an independent healthcare IT consultant mainly in the Netherlands and Germany but is also active in whole Europe.
He is an acknowledged expert in the application of XML in Healthcare; he has advised the Ministries of Health of the Netherlands and Lithuania, as well as large trade associations in Germany and the Netherlands, on aspects of eHealth.
Kai has been involved in HL7 since 1994, is currently International Director on the Board of HL7 USA, chair of HL7 Germany, member of the Technical Steering Committees in the Netherlands and Germany and is a member of the German Institute of Standardisation (DIN).
Introduction of the Clinical Document Architecture Release 2 in Germany - the Sciphox experience
case study
20 min
Continuing the Sciphox project that started early 2000 focussing on medical documentation between hospitals and the outpatient area, the next phase of Sciphox aims on definitions based on the Clinical Document Architecture Release 2 in Germany. Recently a care record summary has been created as an implementation guide. This initiative was industry-driven and 15 vendors not only helped to defined the national specification, but also implemented it into the systems and demonstrated the working interfaces on a large exhibition.
Recently the final and balloted German Sciphox "Arztbrief" (kind of care record summary) specification based on CDA R2 has been released. The 150 page implementation guideline has been published in March 2006 after the first version in December and an official ballot phase in January/February in Germany. It references the work of the HL7 Struc Doc cmt, IHE and others and defines a kind of "framework" based on three use cases and several storyboards. A set of about 30 business rules expressed in schematron has also been defined in order to add extra validation opportunities to the created CDA documents.
The largest German vendor's association, abbrev. and called VHitG, has initiated and sponsored this development, more than 15 medium and large size vendors helped to define the "Arztbrief" actively. The official part (ballot) was conducted by Sciphox/HL7 Germany and therefore has a normative status in Germany now. End of May this year, the 15 vendors showed CDA R2 document exchange based on this spec on a large German exhibition (a small HIMSS). The scenario will covered primary care systems, hospital settings and a rehabilitation setting. On testing days begin of May prior to this exhibition, a kind of connec-a-thon like IHE was conducted with all systems involved in order to be well prepared for the interoperability showcase. The exhibition showcase was a succesful demonstration of a CDA R2 implementation in carfe chains.
CDA R2 Level 1 & 2 is used for the documents, and for diagnoses and procedures also Level 3 is defined and implemented by some vendors. CDA R2 documents are created out of clinical documentation of the respective systems and expressed and exchanged as CDA R2 documents. Receiving the documents includes display but also real integration of the information into the systems.