Current Activities of Selected Healthcare Informatics Standards Organizations (A Compilation)

01/10/2013

Revised June 1996

Sponsored by

Center for Information Technology
Agency for Health Care Policy and Research

Prepared by

Moshman Associates, Inc.
Bethesda, Maryland

Introduction

The Center for Information Technology (CIT), Agency for Health Care Policy and Research (AHCPR), is pleased to sponsor this latest revision and updating of the compilation of activities voluntarily reported by selected healthcare informatics standards organizations.

Reports have been solicited from those organizations which are among the most active in drafting and promulgating standards in this restricted area of application. Each of the organizations was originally asked to provide information on published healthcare informatics standards and on meetings held within the past few years. Further information was solicited on work in progress in the form of subject areas in which groups were working to draft standards for approval by some sponsoring organization and on forthcoming meetings sponsored, or co-sponsored, by the respondent organization. Several additional organizations have voluntarily requested to have this compendium include summaries of their activities and are included herein.

Most reporting organizations have continued to provide revisions and updated information on the reported activities for subsequent revisions. If no updated information was received from any reporting organization, the most recent report is included in this compilation.

The collection and compilation of the information in this document was carried out by Moshman Associates, Inc. Suggestions for later editions or revisions may be made to AHCPR/CIT or to Moshman Associates.

J. Michael Fitzmaurice, Ph.D
Director
Center for Information Technology
Agency for Health Care Policy and Research
2101 E. Jefferson Street
Rockville, MD 20852

Jack Moshman, Ph.D
President
Moshman Associates, Inc.
Suite 1105, South Tower
4340 East West Highway
Bethesda, MD 20814

Table of Contents


Respondent

American Dental Association for Accredited Standards Committee MD156

Contact

Ms. Sharon Stanford
American Dental Association
211 East Chicago Avenue
Chicago, IL 60611
Phone: (312) 440-2509
Fax: (312) 440-2536

Recently Published Healthcare Informatics Standards

L.M. Abbey and John Zimmerman (eds.), Dental Informatics, Integrating Technology into the Dental Environment, New York, Springer-Verlag, 1991

Background

The American Dental Association (ADA) is sponsor and secretariat of Accredited Standards Committee MD156 for Dental Material, Instruments and Equipment. Through a Task Group of the ASC MD156, the ADA has initiated the development of technical reports, guidelines, and standards on electronic technologies used in dental practice. Five working groups for clinical information systems have been established to promote the concept of a dental computerized clinical work station and allow the integration of different software and hardware components into one system in order to provide for all of a clinician's information needs. Clinical information systems include all areas of computer-based information technologies such as digital radiography, digital intraoral video cameras, digital voice-text-image transfer, periodontal probing devices, and CAD/CAMs, etc. By establishing standards for these components we will eliminate the need for several stand-alone systems in the dental office.

Each working group encompasses a broad spectrum of projects under a central theme. Within each working group, subcommittees are responsible for the specific projects. Each subcommittee will be researching standards already in existence to determine if they could be applicable to dentistry. Participants were also interested in interfacing with standards groups active in medical informatics.

Working Groups

A listing of working groups and their proposed subcommittees follow:

  1. DENTAL PRACTICE SYSTEMS: Centers on identifying types of dental computer systems, documentation format and content, and guidelines for system implementation, training and user support.
    Subcommittees:
    1. Accounts Receivable/Third Party Processing
    2. Accounts Payable
    3. Imaging
    4. Charting/Record Keeping
  2. DIAGNOSTICS AND CLINICAL PERIPHERAL DEVICES AND SOFTWARE: Concentrates on technology applications and the interaction of human operators and automated systems. Covers all aspects of imaging related to dentistry, physiologic sensors and their incorporation into automated systems.
    Subcommittees:
    1. Physiologic parameters for sensors
    2. Data capture interfaces
    3. Digital imaging format
    4. Digital/clinical devices construction and safety
    5. Infection control requirements for clinical/intraoral systems
    6. Human/machine interface.
    7. Periodontal monitoring devices
    8. Vital signs monitoring
    9. File format for X,Y coordinate systems for orthodontic analysis systems
  3. ELECTRONIC DATA INTERCHANGE (EDI): Focuses on system elements and methods for communicating text and image data among systems at different locations as well as inter-application communications and integration.
  4. COMPUTER PATIENT ORAL HEALTH RECORD SOFTWARE INTERFACES: Designed to develop software interfaces for patient oral health records based on an open architecture information design. Focus is on system elements and design to ensure fit and flexibility of electronic communication between various dental record modular elements. Information content or attributes of record modules will be described by dental practitioners working in conjunction with the ADA Council on Dental Practice.
  5. DENTAL EDUCATION AND RESEARCH SYSTEMS: This new working group has been established to represent the interests needs of dental education.
    Subcommittees:
    1. Educational software
    2. Research

Expected Publications

The ADA is currently working on an Implementation Guide for dental claims submission based upon the GOAD X12 837 (claim submission) transaction set. The Association also participated in the development of several of the other implementation guides for claims processing (e.g. enrollment, eligibility, payment, etc.). Most of the guides should be completed within the next few months. The guides will assist practice management vendors, third-party payers and clearinghouses in the execution of the ASC X12 standards.

Forthcoming Meetings

May 20, 1996, San Antonio, TX

August 7, 1996, San Francisco, CA

September 26, 1996, Orlando FL

Expected Publications for Review

  • Proposed ANSI/ADA Specification No. 1000 for the Structure and Content of the Computer-based Patient Record
  • Proposed ANSI/ADA Specification No. 1001 for Education Software in Dentistry
  • Proposed ANSI/ADA Specification No. 1002 for Research Applications in Dentistry
  • Proposed ANSI/ADA Specification No. 1003 for Dental Software Documentation
  • Proposed ANSI/ADA Specification No. 1004 for Computer Software Performance for Dental Practice Software
  • Proposed ANSI/ADA Specification No. 1005 for Digital Image Capture in Dentistry
  • Proposed ANSI/ADA Specification No. 1006 for Infection Control in Dental Informatics
  • Proposed ANSI/ADA Specification No. 1007 for Digital Data Format for Dentistry
  • Proposed ANSI/ADA Specification No. 1008 for Construction and Safety for Dental Informatics
  • Proposed ANSI/ADA Specification No. 1009 for Periodontal Probe Standard Interface (PPSI)

Respondent

American Health Information Management Association

Contact

Kathleen A. Frawley, JD, RRA
Director, Washington, DC Office
American Health Information Management Association
Suite 500
1225 Eye Street, N.W.
Washington, DC 20005
Phone: (202) 218-3535
Fax: (202) 682-0078

Linda Kloss
Executive Director
American Health Information Management Association
Suite 1400
919 North Michigan Avenue
Chicago, IL 60611
Phone: (312) 787-2672
Fax: (312) 787-9793

Recent Publications

Glossary of Health Care Terms

In Confidence - Newsletter

Maintenance, Disclosure and Redisclosure of Health Information

Documentation Requirements for the Acute Care
Patient Record

Professional Practice Standards

Confidentiality of Patient Records

TO ORDER PUBLICATIONS CALL 1-800-335-5535

Recently Sponsored or Co-sponsored Meetings

AHIMA is a participant in and/or co-sponsor of standards development activities of ASTM, HL7, X12, ANSI-HISPP, ACR/NEMA, IEEE/MEDIX and CEN.

Forthcoming Meeting

AHIMA National Convention

October 6-9, 1996


Respondent

American Nurses Association

Contact

D. Kathy Milholland, PhD, RN
American Nurses Association
600 Maryland Ave., SW
Washington, DC 20024
Phone: (202) 651-7060
Fax: (202) 651-7001
KMILHOLL@ANA.ORG

Recently Published Healthcare Informatics Standards

Next-Generation Nursing Information Systems: Essential Characteristics for Professional Practice (Zielstorff, Hudgings, Grobe, 1992).

Computers in Nursing Management (Saba, Johnson, Simpson, 1994).

Scope of Practice for Nursing Informatics (1994).

An Emerging Framework: Data System Advances for Clinical Nursing Practice (1995)

(To order publications, call 1-800-637-0323)

Working Groups

Congress of Nursing Practice Steering Committee on Databases to Support Clinical Nursing Practice

Established in 1989, this committee is charged:

to propose policy and program initiatives regarding nursing classification schemes, uniform nursing data sets, and the inclusion of nursing data elements in national databases;

to build national data sets for clinical nursing practice based on elements contained in standards, criteria, and guidelines; and

to coordinate ANA's initiatives related to all public and private efforts regarding development of databases and the relationship to the development and maintenance of standards on practice and guidelines and payment reform for nursing services.

Activities:

Adoption of Nursing Minimum Data Set (NMDS) as minimum set of data elements necessary for defining the cost and quality of nursing care.

Development of criteria for recognizing nursing practice classification schemes.

Recognition of nursing nomenclatures meeting these criteria: Omaha System, Nursing Interventions Classification, Home Health Care Classification, North American Nursing Diagnosis Association set of nursing diagnoses.

Publication of monograph on essential functions of systems to support clinical practice: Next-Generation Nursing Information Systems: Essential Characteristics for Professional Practice (Zielstorff, Hudgings, Grobe, 1992).

Incorporation of recognized nomenclatures into UMLS Metathesaurus.

Analysis of linkages between nomenclatures in UMLS Metathesaurus.

Incorporation of recognized nomenclatures into International Council of Nurses International Classification of Nursing Practice (ICNP).

Publication of monograph describing standards activities: An Emerging Framework for the Profession: Data Systems Advances for Clinical Nursing Practice (Lang et al., 1995).

Congress of Nursing Practice Standing Committee on Nursing Practice Standards & Guidelines

Development of criteria and procedures for reviewing nursing practice standards

Uses criteria to review nursing practice standards developed within the Association and by specialty nursing organizations.

Publication of Standards of Clinical Nursing Practice (1991).

Council on Nursing Systems and Administration

Publication of The Scope of Practice for Nursing Informatics (1994).

Publication of Nursing Informatics Standards of Practice (1995).

American Nurses Credentialing Center

Development of a certification program in nursing informatics.
First examination took place in October 1955.

Nursing Information Data Set Evaluation Center

ANA is establishing a Center which will provide developers of health care data sets the opportunity to be recognized by ANA as having data sets that accurately, completely and appropriately reflect clinical nursing practice. This Center will be operational in 1997.

Recent Meetings

Steering Committee on Databases to Support Clinical Nursing Practice, met in September 1995, Washington, DC.

ANA is an active participant in standards development activities of ASTM, ANSI-HISB, and HIBCC. ANA maintains membership in related groups such as NCQA HUG, AMIA and HIMSS.

Future Meetings

June 15-17, 1996 - ANA Convention, 100th Anniversary
June 27-28, 1996 - Steering Committee on Databases to Support Clinical Nursing Practice


Respondent

ASC X3

Contact

Mr. Jean-Paul Emard
I T I
1250 Eye Street, N.W, Ste. 200
Washington, DC 20005
Phone: (202) 737-8888
Fax: (202) 638-4922

Scope

ASC X3 prepares "generic" standards in such areas as file formats and communications protocols for use by application specific groups.

The X3 technical committees of specific healthcare informatics interest include:

X3B10 - Identification Cards and Related Devices

ISO 7810 (1985) 586 Identification Cards - Physical Characteristics and Test Methods
ISO 7811-1 (1985) 590 Identification Cards - Recording Techniques - Part 1 -Embossing
ISO 7811-2 (1985) Identification Cards - Recording Techniques - Part 2 -Magnetic Stripe
ISO 7811-3 (1985) Identification Cards - Recording Techniques - Part 3 -Location of Embossed Characters on ID-1 Cards
ISO 7811-4 (1985) Identification Cards - Recording Techniques - Part 4 -Location of Read-Only Magnetic Tracks - Tracks 1 & 2
ISO 7811-4 (1985) Identification Cards - Recording Techniques - Part 5 -Location of Read-Write Magnetic Track - Track 3
ISO 7812 (1987) Identification Cards - Numbering System and Registration Procedure for Issuer Identifiers
ISO 7813 (1987) 609 Identification Cards - Financial Transaction Cards
ISO 7816-1 (1987)  
ISO 7816-2 (1988) 372 Integrated Circuit Cards w/Contact
ISO 7816-3 (1989) Identification Cards - Integrated Circuit Cards w/Contacts, Part 3 - Electronic Signals and Exchange Protocols.
DIS 7816-4 Identification Cards - Integrated Circuit Cards w/Contacts, Part 4 - Interindustry Commands
DIS 7816-5 Identification Cards - Integrated Circuit Cards w/Contacts, Part 5 - Numbering System and Registration Procedures for Application Identifiers
   

X3H2 - Database

X3.133 (1986) 355 Network Database Language (NDL

X3.135 (1992)&
ISO 9075 (1992) 525

Extended Database Language SQL (SQL3) (Revision of SQL 2 X3.135-1992)(Target 1995)
ISO 9579-1,2 583 Remote Database Access (RDA)- Part 1: Generic Model, Service and Protocol; Part 2: SQL Specification

X3S3 - Data Communications

Over 90 projects dealing with data communications (local area networks), the OSI network and transport layers, control procedures, communications systems performance, private integrated service networking (PISN), and public data network access. A complete listing of projects is available upon request.


Respondent

ASC X12N - Insurance

Contact

Leon Barrett
Barrett Consulting Group, LLC
84 Main Street
P. O. Box 8093
Middletown, CT 06457
Phone: (203) 343--0133
Fax: (203) 343-0161
Robert Owens
American Dental Association
211 East Chicago Aveue
Chicago, IL 60611-2678

Publications

Previously published standards include:

835 - Healthcare Claim Payment
837 - Healthcare Claim
270 - Eligibility Request
271 - Eligibility Response
834 - Enrollment
148 - Report of Injury or Illness
186 - Life and Annuity Lab Report
276 - Claims Status Request
277 - Claims Status Response
278 - Health Care Services Response and Request
837 - Crossover COB

Tutorials approved include:

837 - Claims
834 - Enrollment
270 - Eligibility Request
271 - Eligibility Response

Work in Progress

Interactive Eligibility (IHCEBI/IHCEBR)
275 - Patient Information Record
837 - Managed Care Encounter
835/271 - Capitated Payment
Interactive Claim
253 - HMO Reporting
274 - Provider Information

Recent Meetings

December 1995 Kansas City, MO
February 1996 San Francisco, CA
April 22-24, 1996 Denver, CO (Joint Meeting with HL7)
June 3- 6, 1996 Atlanta, GA

Respondent

ANSI Z80

Contact

James Sheedy, O.D. Ph.D
University of California
School of Optometry
Berkeley, CA 94720
Phone: (510) 256-1855
Fax: (510) 256-1857

Recently Published Healthcare Informatics Standards

Standard on Data Processing and Information Interchange September 1995

Recently Sponsored or Co-sponsored Meetings

The "Ophthalmic Instruments" subcommittee of Z80 meets biennially with an attendance of about 8 to 12 people.

A subcommittee meeting was held November 9, 1995.

Expected Publications

A draft has been accepted by the vote of the ANSI Z80 committee and is out for public comment. It is a communications standard for ophthalmic instruments and office patient management systems.

Forthcoming Meetings

April 18-19, 1996


Respondent

ASTM Committee E31 on Healthcare Informatics

Contact

Terri L. Luthy
Staff Manager
Technical Committee Operations
ASTM
100 Barr Harbor Drive
West Conshohocken, PA 19428-2959
Phone: (610) 832-9737
Fax: (610) 832-9666

Published Healthcare Informatics Standards

E 792 Standard Guide for Computer Automation in the Clinical Laboratory
E1029 Standard Guide for Documentation of Clinical Laboratory Systems
E1238 Standard Specification for Transferring Clinical Observations Between Independent Systems
E1239 Standard Guide for Description of Reservation/Registration Admission, Discharge, Transfer (R-ADT) Systems for Automated Patient Care Information Systems
E1246 Standard Practice for Reporting Reliability of Clinical Laboratory Computer Systems
E1284 Standard Guide for Nosologic Standards and Guides for Construction of New Biomedical Nomenclature
E1381 Standard Specification for the Low-Level Protocol in Transferring Messages Between Clinical Laboratory Instruments and Computer Messages
E1384 Standard Guide for Description for Content and Structure on an Automated Patient Health Record
E1394 Standard Specification for Transferring Information between Clinical Instruments
E1460 Specification for Defining and Sharing Modular Health Knowledge Bases
E1466 Specification for the Use of Bar Codes in Clinical Laboratory Specimen Management
E1467 Specification for Transferring Digital Neuro-physical Data Between Independent Computer Systems
E1633 Specification for the Coded Values Used in the Automated Primary Record of Care
E1639 Guide for Functional Requirements of Clinical Laboratory Information Management Systems
E1712 Specification for Representing Clinical Laboratory Test and Analyte Names
E1713 Specification for Transferring Digital Waveform Data Between Independent Computer Systems
E1714 Guide for the Proporties of a Unique Healthcare Identifier
E1715 Specification for an Object-Oriented Model for Registration, Admitting, Discharge and Transfer (Radt) functions in Computer Based Patient Record Systems
E1744 Guide for a View of Emergency Medical Care in the Computerized Patient Record
E1762 Guide for Electronic Authentication of Health Care Information
E1769 Guide for Properties of Electronic Health Records and Record Systems

Expected Publications

Subcommittee E31.17 on Access, Privacy, and Confidentiality of Medical Records

Standard Guide for Access, Privacy, and Confidentiality of Medical Records

Subcommittee E31.18 on Health Data Cards

Standard Specification for Health Data Cards

Forthcoming Meetings

Washington, DC October 24-27, 1996
Nashville, TN April 1997
San Francisco, CA August 1997

New Activities

E31.01 on Terminology

The first meeting was held on May 12, 1996 in San Diego. The Chairman is Chris Chute of the Mayo Foundation. All interested persons are welcome to participate. Contact Terri Luthy, ASTM, for more information.

E31.18 on Health Data Cards will be holding a meeting to discuss new initiatives. All interested persons are welcome to participate. Contact Terri Luthy, ASTM, for more information.


Respondent

Health Level Seven (HL7)

Contact

Mark McDougall
Executive Director
Health Level Seven
3300 Washtenaw Avenue, Suite 227
Ann Arbor, MI 48104-4250
Phone: (313)677-7777
Fax:(313)677-6622
Email: HQ@HL7.WIN.NET

James Adams
Director - Membership Services
Health Level Seven
3300 Washtenaw Avenue, Suite 227
Ann Arbor, MI 48104-4250
Phone: (313)677-7777
Fax:(313)677-6622
Email: HQ@HL7.WIN.NET

Background

HL7 was founded in 1987 to develop standards for the electronic interchange of clinical, financial and administrative information among independent health care oriented computer systems; e.g., hospital information systems, clinical laboratory systems, enterprise systems and pharmacy systems.

In the last four years, its membership has tripled to over 1,500 hospital, professional society, health care industry, and individual members including almost all of the major health care systems consultants and vendors. The HL7 standard is supported by most system vendors and used in the majority of large U.S. hospitals today. It is also used internationally in such countries as Australia, Austria, Germany, Holland, Israel, Japan, New Zealand and the United Kingdom.

In June of 1994, HL7 was designated by the American National Standards Institute (ANSI) as an ANSI accredited standards developer. In February 1996, ANSI announced that the H standard version 2.2 has been approved as an AMERICAN NATIONAL STANDARD.

In late 1995 and throughout 1996, HL7 has also dedicated resources to the acceleration of its version 3.0 standard. Such resources will enable HL7 to develop the version 3.0 standard in a much quicker time frame and still follow the ANS{I balloting procedures.

HL7 Transactions

The current standard defines transactions for transmitting data about patient registration, admission, discharge and transfers, insurance, charges and payors, orders and results for laboratory tests, image studies, nursing and physician observations, diet orders, pharmacy orders, supply orders, and master files. HL7 is currently developing transactions for exchanging information about appointment scheduling, problem lists, clinical trial enrollments, patient permissions, voice dictations, advanced directives, and physiologic signals. Task forces in HL7 are also busy developing prototype transactions with new state of the art technologies such as CORBA and Microsoft's OLE objects.

Cooperation with Other Standards Developing Organizations

HL7 has a pure focus on health care informatics standards and cooperates closely with other standards developers such as American Society for Testing and Materials (ASTM), Accredited Standards Committee X12N (ASC X12N), American College of Radiology (ACR), National Electrical Manufacturers Association (NEMA), National Council for Prescription Drug Programs (NCPDP), and Institute of Electronics and Electrical Engineers (IEEE) directly and via the ANSI Health Informatics Standards Board, formerly the ANSI Health Informatics Planning Panel. Examples of such cooperative efforts include planning future joint meetings with X12N, cross-copyrights with ASTM, and hosting joint working group meetings with IEEE, ACR-NEMA, and ASTM.

HL7 has pioneered the provision of its minutes and standard drafts at no cost through Internet FTP servers on [dumccss.mc.duke.edu] Internet and supports a discussion group on the HL7@ Virginia.EDU list server. We encourage other standards organizations do the same.

HL7 also maintains a robust world wide web home page on the Internet. The address is:

http://dumccss.mc.duke.edu:/ftp/standards.htlml

Published Healthcare Informatics Standards

Application Protocol for Electronic Exchange in Healthcare Environments, Version 1.0, 1987

Application Protocol for Electronic Exchange in Healthcare Environments, Version 2.0, 1989

Application Protocol for Electronic Exchange in Healthcare Environments, Version 2.1, 1990

Application Protocol for Electronic Exchange in Healthcare Environments, Version 2.2, 1994

HL7's Implementation Support Guide, Versions 2.1 and 2.2

Application Protocol for Electronic Exchange in Healthcare Environments,
Version 2.3 - ballot #1, February 1996
Version 2.3 - ballot #2, July 1996

Expected Publications

Application Protocol for Electronic Exchange in Healthcare Environments,
Version 2.3, 1996
Version 3.0, 1997

HL7 Sponsored Meetings

HL7 has been meeting regularly since March 1987. HL7 meetings have generally been held three times each year in January, May and September. The traditional meeting schedule is as follows: an introductory Tutorial on HL7 is provided on Tuesday; Working Group meetings convene on Wednesday through Friday morning. HL7's Fall meeting also includes a Plenary meeting that features presentations on various topics of interest to information technology professionals in health care.

In an attempt to better coordinate activities with ASC X12N, HL7 has moved some of its meetings to coincide with the X12N interim meeting schedule (i.e., December, April and August). A schedule of recent and future HL7 Working Group meetings is provided below:

HL7 MEETING DATES LOCATION
1995  
January 10 - 13 Orlando, FL
May 16 - 19 Atlanta, GA
September 26 - 29 Kansas City, MO
.  
1996  
January 16 - 19 San Diego, CA
April 23 - 26 Denver, CO
August 20 - 23 Washington, DC
.  
1997  
January 21-25 Tampa, FL
April 14-19 Chicago, IL
August 18-22 San Francisco, CA
   

Key Contacts

HL7 EXECUTIVE COMMITTEE

Chair

Ed Hammond, Ph.D., Duke University Medical Center
Ph: (919)684-6421 Fax: (919684-8675
Email: hammo001.mc.duke.edu

Treasurer

George W. (Woody) Beeler, Jr., Mayo Foundation
Ph: (507)284-9129 Fax: (507)284-0796
Email: beeler@mayo.edu

Secretary

Don Johnston, Children's Hospital of Philadelphia
Ph: (215)590-2146 Fax: (215)590-2526
Email: johnston@email.chop.edu

Past Chair

Dave Carlson, Enterprise Systems, Inc.
Ph: (708)537-4800 Fax: (708)537-4866
Email: dcarlson@esicorp.com

Membership Chair

Mike Glickman, Computer Network Architects, Inc.
Ph: (301)340-7955 Fax: (301)279-2211
Email: mglickman@aol.com

IAB Chair

Frank Cavanaugh, Coopers & Lybrand
Ph: (312)701-5595 Fax: (312)701-6540
Email: Internet fcavanau@reach.com

HPAB Chair

Sam Schultz II, Ph.D., University Hospital Consortium
Ph: (708)954-1700 Fax: (708)954-5886
Email: schultz%is%@mailgate.uhc.edu

Technical Committee Chair

John Quinn, Ernst & Young
Ph: (216)737-1242 Fax: (216)622-0198
Email: jquinn@jquinn.win.net

Technical Committee Secretary

Jeff Gautney, Ernst & Young
Ph: (412)644-5316 Fax: (412)644-0676
Email: jeffgautney@poplar.anes.upmc.edu

HL7 TECHNICAL COMMITTEE CO-CHAIRS

ADT/Financial/Inter-Enterprise Committee

Robert Burkhead, Oacis Healthcare Systems
Ph: (415)925-4423 Fax: (415)925-4455
Email: rburkehea@oacis.com

Francine Kitchen, Ph.D., Software Technologies Corporation
Ph: (206)284-1724 Fax: (206)284-1724
Email: francine@stc.com

Robert Evola, Alltel Information Services, Healthcare Division
Ph: (404)847-5304 Fax: (404)847-5700
Email: bevola@tds.hsc.com

Joe Peterson, Wismer Martin
Ph: (509)466-0396 Fax: (509)466-2183
Email: jpeterson@corp.wismer.com

Control/Query Committee

Mark Shafarman, Oacis Healthcare Systems, Inc.
Ph: (415)925-4570 Fax: (415)925-4455
Email: mshafarm@oacis.com

Pat Cahill, Mayo Foundation
Ph: (507)284-2737 Fax: (507)284-0796
Email: pcahill@mayo.edu

Home Health Chair

Meg Infiorati, Home Care Information Systems - HCIS
Ph: (201)338-2020 Fax: (201)338-4946

Image Management

W. Dean Bidgood, Jr., MD, Univ. of No. Carolina at Chapel Hill
Ph: (919)967-7922 Fax: (919)967-7922
Email: bidgood@med.unc.edu

Implementation Committee

Deborah Murray, Kaiser Permanente
Ph: (510)926-5734
Email: debbie.murray@ncal.kaiperm.org

Information Management (Medical Records)

Wayne Tracy, SpaceLabs Medical
Ph: (913)897-3670 Fax: (913)897-6889
Email: wrtracy@wrt.win.net

Mary Brandt, American Health Information Management Association
Ph: (713)668-3425
Email: mbrandt@ahima.mhs.compuserve.com

Order Entry/Clinical Observation Committee

Clem McDonald, MD, Regenstrief Health Center - Indiana University
Ph: (317)630-7070 Fax: (317)630-6962
Email: clem@regen.rg.iupui.edu

Hans Buitendijk, SMS
Ph: (610)219-2087 Fax: (610)647-1328
Email: hans.buitendijk@shrmed.com

Quality Assurance and Data Modeling Committee

Mead Walker, SMS-HDX
Ph: (610)219-1504 Fax: (610)219-1655
Email: mwalker@sms-hdx.mhs.compuserve.com

Ted Klein, HBO & CompanyPh: (516)435-2300 ext. 2425Fax: (516)231-2577
Email: pp000038@interramp.com

Abdul-Malik Shakir, Kaiser Foundation Health Plan
Ph: (510)271-6856 Fax: (510)271-6859
Email: 74353.1431@compuserve.com

SPECIAL INTEREST GROUPS

Automated Data

Wayne Tracy, SpaceLabs Medical
Ph: (913)897-3670 Fax: (913)897-6889
Email: wrtracy@wrt.win.net

Fritz Friedhoff, SpaceLabs Medical
Ph: (206)882-4095 Fax: (206))882-3897

Object Broker Technologies

Chair, OLE Subgroup
Wes Rishel, Wes Rishel Consulting
Ph: (510) 522-8135 Fax: (510) 521-2423
Email: wes@wes.win.net

Chair, CORBA Subgroup
Larry Streepy Jr., Healthcare Communications, Inc.
Ph: (214)851-7035 Fax: (214)851-7045
Email: streepy@healthcare.com

Patient Care

Karen Keeter, IBM Healthcare Solutions
Ph: (770)835-7972
Email: kkeeter@vnet.ibm.com

Thomas Marlin, SpaceLabs Medical, Inc.
Ph: (206)882-3755
Email: tmarlin@delphi.com

Timothy Snyder, Productivity Innovations
Ph: (406)586-2347


Respondent

Institute for Electrical and Electronic Engineers (IEEE) P1157 Medical Data Interchange, (MEDIX)

Contact

(Primary)

(Alternate)

Jack Harrington
Hewlett Packard
Medical Products Group
3000 Minuteman Road
Andover, MA 01810-1085
Phone: (508) 659-3517
Fax: (508) 686-1319
NET: jackh@hpangrb.an.hp.com
Luigi Napoli
IEEE Standards
445 Hoes Lane
P. O. Box 1331
Piscataway, NJ 08855-1331
Phone: (908) 562-3812
Fax: (908) 562-1571
NET: l.napoli@ieee.org

Recently Published Healthcare Informatics Standards

Draft P1157 Standard for Healthcare Data Interchange - Overview and Framework (Version 1.10 May 12, 1995)

Draft P1157.1 Standard for Healthcare Data Interchange - Information Model Methods (June 6, 1994)

Draft P1157.1.2 Standard for Healthcare Data Interchange - Registration - Admission/Discharge/Transfer (P1157.ADT) (Version 1.1, February 5, 1990)

Draft P1157.1.3 Standard for Healthcare Data Interchange - Laboratory (Version 2.0, November 9, 1990)

Draft P1157.5 Recommendations for Healthcare Data Interchange - User Needs (Version 2, September 1991)

Recently Sponsored or Co-sponsored Meetings

General Committee

Gaithersburg, MD March 18-22, 1991
Crans-Montana, Switzerland October 13-15, 1991
Gaithersburg, MD November 11-15, 1991
Rockville, Maryland March 1-6, 1992
Paris, France October 31-November 1992
Atlanta, Georgia May 19, 1995
Kansas City, Missouri September 25, 1995
Denver, CO April 26, 1996

P1157.1.X

Vancouver, BC July 22-26, 1991
San Diego, CA January 20-21, 1992
Tromso, Norway June 29-July 2, 1992
Manchester, England October 26-27, 1992
Boston, MA May 17-18, 1993
Dallas, TX September 20-21, 1993
Washington, DC October 30-31, 1993
San Francisco, CA February 3-9, 1994
Washington, DC November 9-10, 1994
San Diego, CA January 16-19, 1996

MEDIX Organization

Sydney/Melbourne, Australia April 12-16, 1991
London, England July 8-9, 1991
Brisbane, Australia August 3, 1993

ANSI HISPP MSDS

Chicago, Illinois January 8, 1993
Atlanta, Georgia April 16, 1993
Washington, DC June 17, 1993
Chicago, Illinois January 16, 1994
Chicago, Illinois May 13, 1994

Joint ACR/NEMA, ASTM, HL7, IEEE MEDIX Ad Hoc Meeting

Baltimore, Maryland November 1993

Expected Publications

P1157 Standard for Healthcare Data Interchange - Overview and Framework (Ballot group being formed)
P1157.1 Standard for Healthcare Data Interchange - Information Model Methods (Ballot group being formed)
P1157.1.1 Standard for Healthcare Data Interchange - Common Healthcare Objects (Ballot group being formed)
P1157.1.2 Standard for Healthcare Data Interchange - Registration/Admission/ Discharge/Transfer
P1157.1.3 Standard for Healthcare Data Interchange - Laboratory
P1157.1.4 Radiology
P1157.2 Standard for Healthcare Data Interchange - Interchange Format Methods
P1157.2.1 Standard for Healthcare Data Interchange - EDI/EDIFACT Interchange Formats
P1157.2.2 Standard for Healthcare Data Interchange - ODA/ODIF/SGML Interchange Formats
P1157.2.3 Standard for Healthcare Data Interchange - CMIS/CMIP Interchange Formats
P1157.3 Standard for Healthcare Data Interchange - Communication Profile Methods
P1157.4 Standard for Healthcare Data Interchange - Semantics and Knowledge Representation of the Medical Record
P1157.5 Recommendations for Healthcare Data Interchange - User Needs

Forthcoming Meetings

Gen'l Committee August 20-23, 1996 Washington, DC (with IEEE P1073 & HL7)


Respondent

Institute for Electrical and Electronic Engineers (IEEE) P1073 Medical Information Bus (MIB)

Contact

(Primary)

(Alternate)

Bob Kennelly
LinkTech
30 Orville Drive
Bohemia, NY 11716
Phone: (516) 567-5656
Fax: (516) 563-2819
NET: back@linktech.ilcddc.com
Jack Harrington
Hewlett Packard
Medical Products Group
3000 Minuteman Road
Andover, MA 01810-1085
Phone: (508) 659-3517
Fax: (508) 686-1319
NET: jackh@hpangrb.an.hp.com

Recently Published Healthcare Informatics Standards

1073 Standard for Medical Device Communications - Overview and Framework (Draft 3.6 approved by IEEE March 1996)

Draft P1073.1 Standard for Medical Device Communications - Medical Device Data Language (MDDL) - Overview and Framework (Rev. 0.10, December 28, 1993)

Draft P1073.1.1 Standard for Medical Device Communications - Medical Device Data Language (MDDL) - Common Definitions (December 23, 1993)

Draft P1073.1.2 Standard for Medical Device Communications - Medical Device Data Language (MDDL) Virtual Medical Device Generalized (Rev. 0.01 November 1, 1991)

Draft P1073.2 Standard for Medical Device Communications - Medical Device Application Profiles (MDAP)- Framework and Overview Rev. 0.4 (September 15, 1995, Ballot Approval)

1073.3.1 Standard for Medical Device Communications - Transport Profile Approved IEEE Standard

1073.4.1 Standard for Medical Device Communications - Physical Layer Interface - Cable Connected Approved IEEE Standard

Recently Sponsored or Co-sponsored Meetings

General Committee

Salt Lake City, UT January 14-21, 1994
Washington, DC May 24, 1994
Copenhagen, Denmark June 20-23, 1994
San Diego, CA January 23-25, 1995
Atlanta, GA May 16-18, 1995
Kansas City, MO September 26-29, 1995
San Diego, CA January 16-19, 1996
Denver, CO April 22-24, 1996

 

P1073.3.1

Milwaukee, WI September 13-14, 1994

P1073.4.1

Bohemia, NY August 23, 1993
Milwaukee, WI September 13-14, 1994

CEN WG5/IEEE P1073

London, England September 3, 1993
Madrid, Spain March 3, 1994
Copenhagen, Denmark June 24-25, 1994
Dublin, Ireland September 8-10, 1994
Paris, France January 19-21, 1995

Forthcoming Meetings

Washington, DC August 20-23, 1996 (With IEEE 1157 and HL7)
Tampa, FL January 21-25, 1997 (With IEEE 1157 and HL7)
TBA April 1997
San Francisco, CA August 16-22, 1997 (With IEEE 1157 and HL7)

Expected Publications

1073 Standard for Medical Device Communications - Overview and Framework (Document approved by Standards Board)
P1073.1 Standard for Medical Device Communications - Medical Device Data Language (MDDL) - Overview and Framework (Ballot Group formed)
P1073.1.1 Standard for Medical Device Communications - Medical Device Data Language (MDDL) - Common Definitions
P1073.1.2 Standard for Medical Device Communications - Medical Device Data Language (MDDL) - Virtual Medical Device - Generalized
P1073.1.3 Standard for Medical Device Communications - Medical Device Data Language (MDDL) - Virtual Medical Device - Specialized
P1073.2.1 Standard for Medical Device Communications - Applications Profile - Connection Mode
1073.3.1 Standard for Medical Device Communications - Transport Profile - Connection Mode {Approved ANSI Standard}
1073.4.1 Standard for Medical Device Communications - Physical Layer Interface - cable Connected {Approved ANSI Standard}
P1073.2 Medical Device Application Profiles - MDAP - Framework and Overview - (Ballot approval)

Respondent

National Council for Prescription Drug Programs

Contact

Lee Ann C. Stember
National Council for Prescription Drug Programs
Suite 365
4201 North 24th Street
Phoeniz, AZ 85016-6268
Phone: (602) 957-9105
Fax: (602) 955-0749
NET: ncpdp@ncpdp.org

Recently Published Standards

1994

Standard Billing Unit Format - Version 1 Release 2

Recently Sponsored or Co-Sponsored Meetings

1995 Annual Membership Conference
Annual four day meeting of approximately 600 members held February 18-21, 1995 in Scottsdale, AZ.

Joint Quarterly Work Group Meetings
Quarterly, three day meetings of NCPDP work groups and maintenance and control groups. Held each quarter, the most recent, full three-day meeting took place May 8-10, 1996 in Scottsdale, AZ.

Board of Trustees Meetings
Three two-day meetings annually of NCPDP Board of Trustees. The most recent meeting took place on June 21-22, 1996 in New York, NY.

Expected Publications

Prior Authorization Implementation Guide
Compound Implementation Guide
Professional Pharmacy Services Implementation Guide
SCRIPT Standard Document

Forthcoming Meetings

Quarterly Joint Work Group Meetings
August 12-14, 1996 Chicago, Illinois

Quarterly Joint Work Group Meetings
November 6-8, 1996 Dallas, Texas

20th Annual Membership Conference
February 17-20, 1997Scottsdale, Arizona

Description of Current NCPDP Projects by Work Group

WG1 - Telecommunications

Members of WG1 designed and implemented NCPDP's Telecommunication Standard, Version 3.2, which transmits prescription drug and pharmaceutical care benefit/distribution and delivery information including On-Line, Real-Time drug utilizaiton review and financial claims data between pharmacies and trading partners. Maintenance of that standard is continuing and an interim meeting of one of the group's task groups was held in Atlanta in October to discuss a strategic plan for a new version of the Standard. The Compound Implementation Guide was also completed.

Future Projects: Continued discussions and enhancements toward a new version of NCPDP's Telecommunication Standard

WG2 - Product Identification

WG2 recently changed its name (from Standard Billing Unit) and its scope statement. This group will continue to deal with issues relating to the identification of drugs and health related products within NCPDP's stated mission. The group developed a task group to monitor the phase-in of the Metric Decimal Quantity field into the data capture logic and continues with routine maintenance of the Billing Unit Standard.

Future Projects: Ongoing enhancement, maintenance and implementation of the standard. Development of a standard to incorporate the use of Universal Product Codes (UPCs).

WG3 - Standard Identifiers

This group also recently changed its name (from Standard Prescriber Identification Number). WG3 continues its work with HCFA in the development of their National Provider Identifier and the new PayerID number. They will continue monitoring HCFA's work and make recommendations where appropriate.

Future Project: The group will continue to work with HCFA and DEA on the release of the National Provider Identification (NPI) file, as well as the PayerID 'number.

WG4 - Enrollment Standard

WG4 continues routine maintenenance of their standard for processing drug benefit enrollment information between employers, their agents, insurers and prescription benefit managers. Created an Implementation Guide for their Enrollment Standard.

Future Project: Continued enhancement of the Standard and Implementation Guide as well as mappping the standard to the X12 834 Implementation Guide.

WG5 - Payment Reconciliation

Continued efforts toward mapping the NCPDP Batch Tape Reconciliation standard over to X12 835 and continued the creation of an 835 Implementation Guide for pharmacy.

Future Project: Development of an Implementation Guide for Pharmacy using the X12 835 Report, as well as mapping NCPDP elements to the X12 835.

WG6 - Universal Health Care Form

WG6 worked on revisions to the Direct Reimbursemenmt paper claim form, including allowing the use of a prescriber identification field to include the prescriber's telephone number.

Future Projects: WG6 will go dormant until May 1996.

WG7 - Manufacturer's Rebates

Continued maintenance and enhancements to their X12 837 based standard and implementation guide for processing financial rebate information between PICOs, prescription benefit managers, insurers, manufacturers and others.

Future Projects: Looking at costs of transmitting rebate claim information electronically, as well as other EDI capabilities.

WG8 - Drug Utilization Review

Modifications were made to the On-Line, Real-Time Drug Utilization Review) (ORDUR) Applications Manual and continued work on Formulary Messages. At the last work group meeting of 1995, WG8 officially merged with WG10 Professional Pharmacy Services.

Future Projects: See WG10 Professional Pharmacy Services.

WG9 - Government Programs

Assist state and other government programs with needed maintenance of NCPDP standards and with the smooth implementation of those standards in government programs. Worked on the Batch Transmission Standard and Implementation Guide, as well as the Prior Authorization Standard and its Implementation Guide. Consistently reviewed and updated the On-Line Summaries for State Medicaids.

Future Projects: Will continue mainteneance and enhancements of Batch and Prior Authorization Standards

WG10 - Professional Pharmacy Services

Completed work on the professional Pharmacy Services Implementaton Guide. The PPS codes, developed by this work group, were released to the public. At the last work group meeting of 1995, WG10 officially merged with WG8 Drug Utilization Revfiew to form one work group, which will be known as WG10 Professional Pharmacy Services.

WG10 - Professional Pharmacy Services

Future Projects: Will continue making enhancements to the PPS Implementation Guide and will continue to explore and discuss issues regarding the transmission of clinical and billing data as it applies to the delivery of professional pharmacy services.

WG11 - Prescriber/Pharmacist Interface

After WG11's interim meeting in December of 1994, the group began mapping to UN/EDIFACT messaging syntax and a letter was sent to State Boards of Pharmacies educating them on the group's work.

Future Projects: SCRIPT standard was approved by the membership and will be reviewed by the Board of Trustees in June.

MC - Maintenance & Control

Continued to monitor the data elements that are added or changed in the standards that NCPDP has developed and set for the pharmacy industry. Updated the Data Element Request Form (DERF) process.

Future Projects: Will continue to monitor all added or changed data elements to NCPDP standards.


Respondent

National Electrical Manufacturers Association

Contact

David R. Snavely
National Electrical Manufacturers Association
2101 L Street, N.W.
Washington, DC 20037
Phone: (202) 457-8400
Fax: (202) 457-8411

Recently Published Healthcare Informatics Standards

PS 1-1992 Standard for Magnetic Tape
PS 2-1989 Data Compression Standard

ACR-NEMA PS-3.1 through PS-3.10 comprise the Draft DICOM Standard as follows:

PS- 3.1-1992 Introduction and Overview
PS- 3.2-1993 Conformance
PS- 3.3-1993 Information Object Definitions
PS- 3.4-1993 Service Class Specifications
PS- 3.5-1993 Data Structure and Semantics
PS- 3.6-1993 Data Dictionary
PS- 3.7-1993 Message Interchange
PS- 3.8-1992 Network Communication Support for Message Exchange
PS- 3.9-1993 Point-to-Point Communication Support for Message Exchange

The DICOM Standard facilitates interoperability of medical imaging equipment by specifying:

  • a set of protocols to be followed by devices claiming conformance to the Standard;
  • the syntax and semantics of commands and associated information which can be exchanged using these protocols; and
  • information that must be supplied with an implementation for which conformance to the Standard is claimed.

Recently Sponsored or Co-sponsored Meetings

Maintenance and Extensions to the DICOM Standard
WG VI (Base Standard), ACR-NEMA Committee
Bi-monthly, week-long meetings of 15-20 people; most recent on
January 17-20, 1995

DICOM Standard
ACR-NEMA Committee
Quarterly meetings, most recent on February 28, 1995 with
21 in attendance

Evaluatioon of the Compression Schemes for the DICOM Standard
WG IV (Compression), ACR-NEMA Committee
Monthly meetings, most recent on March 15, 1995

Draft Part 10 of DICOM-Media Storage and File Format
Draft Part 11 of DICOM-Media Storage Application Profiles
Draft Part 12 of DICOM-Media Formats and Physical Media
WG V (Exchange Media), ACR-NEMA Committee, most recent meeting February 25-26, 1995

Recently Sponsored or Co-sponsored Meetings

ACC, ACR and NEMA X-Ray Cardiovascular Information Object Ad Hoc Group
January 18, 1994

X-Ray Angiographic Image Objects for DICOM and Selection Criteria for Interchange Media for X-Ray Angiography
ACC, ACR and NEMA X-Ray Digital Angiographic Media Selection Ad Hoc Group
Most recent meeting, February 9, 1995

Expected Publications

PS- 3.10-199X Media Storage and File Format for Data Interchange {Letter ballot approved}
PS- 3.11-199X Media Storage and Application Profiles {Letter ballot approved}
PS- 3.12-199X Media Formats and Physical Medifa for Data Interchange {Letter ballot approved}
Supplement 4 X-ray Angiographic Image Objects to DICOM {Letter ballot approved}
Supplement 6 X-ray Radio Fluoroscopic Image Object to DICOM {Letter ballot approved}
PS- 3.13-199X Print Management Point-to-Point Communications Support {In press}

Forthcoming Meetings

Maintenance and Extensions to the DICOM Standard,
WG VI (Base Standard), ACR-NEMA Committee
April 26-28, 1995, May 23-26, 1995

Development of 1024 x-ray Angiographic Application Profile
Digital Angiographic Media Selection Ad Hoc Group
April 18, 1995

Harmonization of DICOM and IS&C Standard
WG V (Exchange Media) ACR-NEMA Committee
April 11-13, 1995, May 8-12, 1995

Prepare for Evaluating Compression Schemes
WG IV (Compression), ACR-NEMA Committee
April 21, 1995


Selected Acronyms

ACC American College of Cardiology
ACR American College on Radiology
AHCPR Agency for Health Care Policy and Research, PHS
   
AHIMA American Health Information Management Association
ANSI American National Standards Institute
ASC Accredited Standards Committee
   
CPRI Computerized Patient Record Institute
DETAG Dental Electronic Technology Advisory Group
DICOM Digital Imaging and Communications in Medicine
   
EDI Electronic Data Interchange
HIS Hospital Information System
HISPP Healthcare Informatics Standards Planning Panel
   
NEMA National Electrical Manufacturers Association
OSDD Office of Science and Data Development, AHCPR
OSI Open Systems Interconnection
   
PACS Picture Archiving and Communication System
PHS Public Health Service
R-ADT Registration - Admission, Discharge, Transfer
   
RIS Radiology Information System