Card Tech Minutes 2016.12.07-08

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Attendees

  • Chris Melo, Philips, Co-Chair
  • Nick Gawrit, Heartbase, Co-Chair
  • Paul Dow, ACC, Secretary
  • Antje Schroeder, Healthineers
  • Dan Murphy, Epic
  • Rebecca Baker, ACC
  • Nakano Shinichi, Toshiba
  • Takeshi Oozeki, Toshba
  • Charles Thomas, University of Washington
  • James Tcheng MD, Duke University
  • AbdulMalik Shakir, Hi3 Solutions

Minutes

Wednesday, December 7, 2016

Consolidated Cardiology Report Content Profile Planning
Four profiles were initially submitted for consideration in the 2016-2017 cycle. As the process developed, two profiles were removed, and the remaining two profiles, CRC and CIRC, were considered to blend into one structured reporting profile to address diagnostic and therapeutic procedures. The implementation of the separate profiles has been limited, so the thought was to make the profile more applicable to a wider audience. This would also leverage the work done with EPRC-IE which strengthens all of the profiles, and will harmonize all three profiles in the long run.
Project Goals: 1. Update CRC to ver 2.1 2. CIRC update to CRC and EPRC and base it on CCDA templates
The harmonizes with the ACC Registry, and industry approaches of one way to submit data to any registry. One consideration is the planning for bandwidth to complete the work.This will further encourage the standardization of terminology. It make help the NCDR to have a recommendation from IHE regarding this process. The Cath PCI 5.0 Update, from 4.4, is vital to make this profile a success as vendors will not spend the time and money to implement a version that has a brief lifespan.Any ACC comment from would need to be provided by the end of Jan 2017 for inclusion in this release.
AbdulMalik shared a presentation regarding the work process for Consolidating the RCS-C and RCS-EP. Including description of the primary template containment structures and codes. Oozeki-san shared the IHE-Japan experience and how the national extensions differ from the CV registry submission process.
Consolidated CRC, Part 1
Chris Melo presented the CIRC Templates and reviewed the details regarding the three base use cases and areas to be considered for update in 2016, and the document level data elements to assess where probable work objects would be needed. Some are CCDA and some are not. This may led to developing a common set of templates for cardiology, could be an asset to the Radiology Domain, though some variances exist in workflows between areas. Chris has developed a spread sheet with the details that will be posted in the FTP folder.
Nick Gawrit shared the EPRC-IE [2014] and CRC [2016] Templates side-by-side to compare and contrast their structures. Both of which were modeled off the HL7 C-CDA Procedure Note. Procedure Description is where the changes begin to appear. As well as Lesion Description and Leads Description and other Procedure Notes. It is mostly similar content.
IHE-Japan and Domain Updates [PCC, ITI, and RAD]
The Japanese Circulatory Society [JCS] has created a guideline document for Standard Export Data Format [SEAMAT] including Nuclear Medicine, ECG, Echo, and Cath reports. They have also used the HL7 and DICOM standards for storing medical information, with an extension to store ECG data, similar to CRC. There may be an opportunity to validate this against the IHE CRC Profile. THe Nuclear Medicine Report was added in 2016. This includes the Nuclear Medicine Report and Myocardial Perfusion Imaging [MPI] report. A brief review of the list of codes assigned to various elements. Several items have been submitted to LOINC for the provision of new codes to be created: Ultrasound close to 200 terms were submitted, Cath had about 400, ECG had about 20.
Connectathon Japan results: 13 cardiology systems provided by 6 vendors tested 5 profiles. CATH, ED-CARD, IVI, ECG, and ECHO. There are still some questions still exist for the IVI profile around testing in two regions. As the profile will primarily used in Japan, is the two region requirement still enforced? This may be changed per the Planning Committee after discussion.
Action Items | Person Responsible | Target Completion Date
  1. Create FTP folders for current work items | TBD | TBD
  2. Review Items in the FTP Folder for archive or deletion | TBD | TBD
  3. Update the broken or out of date links for the Technical Frameworks web page | TBD | TBD
  4. Schedule a call with IHE-Japan RE: | Paul Dow | 12/16/2016


Cardiology Technical Committee

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