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: mgardner@kelvinconnect.com
Presenter: Dr Martin Gardner
1) Research Fellow, University of Glasgow, Scotland
2) Director, KelvinConnect Ltd, Hillington Park Innovation Centre, 1 Ainslie Road, Glasgow, Scotland G52 4RU
Tel: +44 141 585 6423 Email: mgardner@kelvinconnect.com
Additional presenter: Dr Martin Hurrell
Technical Director, Data Dictionary Task Force, International Organization for Terminology in Anesthesia
Tel: + 44 (0) 141 548 8020 Email: martin.hurrell@informatics.co.uk
Dr Gardner is a former clinical anaesthetist, and now combines academic and commercial responsiblities in medical computing, with special interests in XML technologies, human-computer interface design, and mobile information sytems.
The work will presented on behalf of members of HL7 SIGGAS, current co-chairs Prof Terri Monk, Department of Anesthesiology, Duke University Medical Center, North Carolina; and Dr Martin Hurrell, (contact as above)
International information standards for anesthetic records
case study
Case Study: 20 mins
This Case Study will give an outline of anaesthesia information standards work already done by the International Organisation for Terminology in Anesthesia and by HL7 SIGGAS (Special Interest Group - Generation of Anesthesia Standards), and of plans for future work towards interoperable information standards for clinical anaesthesia.
In developed countries, excluding local anaesthesia for minor dental procedures, anaesthetics are given at the rate of approx 60,000 per million of population per annum. Currently the vast majority of these anaesthetic episodes are recorded using pen and paper. There is an urgent need to move to exchangeable electronic records, to support new opportunites for improving clinical, research, educational and administrative processes.
Anaesthetic records differ from other clinical documents in several respects. For example, (a) they are inherently complex and highly structured; (b) they contain vectors of physical and physiological data derived from e.g. monitoring, ventilation and drug delivery systems; and (c) they must incorporate summarised information from a very wide variety of other clinical documents.
In developing information standards for anaesthesia, we believe that:
• international collaboration is required
• there should be continuing input from practicing clinicians
• work should proceed in parallel on termsets, document schemas and ontological resources
• inter-specialty collaboration is required where there is structured content overlap with other clinical domains (e.g. cardiology, emergency medicine, intensive care)
International collaboration has been active for several years, initially fostered by IOTA (International Organisation for Terminology in Anesthesia). With respect to document schemas, a new HL7 Special Interest Group was formed in 2005 (SIGGAS) to work towards exploiting pre-existing anaesthetic XML schema resources to create HL7 CDA-compliant schemas, with mission items:
• promoting and developing anesthetic specificity in data standards
• augmenting the HL7 model for continuous quality improvement in anesthetic patient care
• serving as model for representing specialty interests in HL7
This Case Study will give an outline of work already done by IOTA and SIGGAS, and of plans for future work towards interoperable information standards for clinical anaesthesia.