This is your Questionaire submitted by on Tuesday September 9, 2008, 23:58:16

Show Me Your CDA! My questionnaire

A. Basics

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1. CDA Project Name:   PHIAD
   
2. Project Web Site:      http://services.alphaworks.ibm.com/phiad
   
3. Contact Name:           Sondra Renly
   
4. Contact E-mail*:         srrenly@us.ibm.com
   *Primary contact for information about the project; one or more
   
5. Geographic location:Middle East
   
6. Summary description: (Please write a paragraph describing your project. Include installation sites, demonstrations, and primary purpose 250 words)
   IBM delivered a successful Nationwide Health Information Network (NHIN) prototype to the U.S. Department of Health and Human Services (HHS), Office of the National Coordinator for Health Information Technology (ONCIT) relying heavily on HL7 standards and Integrating the Healthcare Enterprise (IHE) interoperability specifications. IBM Research asked how this significant infrastructure transformation could be used to improve the often poor bi-directional communication with public health agencies and our ability to build better tools for early disease detection and prevention. IBM Research partnered with the Middle East Consortium for Infectious Disease Surveillance (MECIDS) to enhance reporting of their notifiable food borne illnesses within and across the partner governments. Our Public Health Information Affinity Domain (PHIAD) research prototype provides a web-based end user application and central IHE XDS repositories in the Israel, Jordan, and Palestine Ministries of Health (MOH). A fourth repository for shared laboratory reports will reside in the Cooperative Monitoring Center (CMC) in Amman Jordan. This prototype provides transformation of data to the HL7 CDA R2 IHE XD-Lab document, policy controls for sharing documents with the CMC, and new tools for document-based analysis, visualization, and reporting (AVR). We worked closely with the IHE Lab domain to incorporate new public health data requirements into the existing IHE XD-Lab profile specification which is now in Final Text. The HL7 CDA R2 schema easily supported many of our identified needs. We identified several outstanding issues for future work in our 2008 IHIC paper. This collaborative project is currently in deployment phase.
   
   

B. Business Case

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1. What are the exchange sites? [choose multiple]
   Primary care provider (i.e. General Practice)
   Emergency
   Hospital
   Tetriary care
   Document repository (not affiliated with a single provider)
   Internally within an enterprise (provider))
   Other: Public Health
   
2. What were the reasons for beginning your CDA exchange? [choose multiple]
   Improve the delivery of care
   Government mandate
   Business drivers (cost effectiveness)
   Public health reporting
   Quality Reporting
   Standardizing clinical reporting
   

   C. CDA Usage

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   1. What document types do you use? [choose multiple]
      Discharge summary (inpatient or outpatient)
      Transfer of Care, Referral or Medical Summary (e.g. U.S. CCD)
      Operative Note
      History and Physical
      Consultation Note
      Progress Note
      Admission Note
      Nursing Assessment
      Public Health Reports
      Other: Laboratory Reports
      
      
   2. Do you use an implementation guide? [choose multiple]
      HL7 Implementation Guide
      HL7 Affiliate Implementation Guide
      IHE Implementation Guide
      
   3. What level of coding do you use?
      Level 0 (non-XML)
      Level 2 (coded sections)
      Level 3 (some coded entries)
      Mixture or unsure
      
      
   4. Did your initial exchange begin at a lower level of coding?
      Yes
      No
      If yes, please describe:
      
      
   5. How are your CDA documents generated: [choose multiple]
      Electronic Medical Record export
      Scanning
      Word processing (converted to XML or left as non-XML)
      Dictation
      Conversion from alternative standard (HL7 V2, DICOM SR, other)
      Natural Language Processing
      Speech recognition
      Other: Conversion from alternative (not standard)
      
      
   6. Please describe your CDA volume:
      Number of CDA documents exchanged over the last year:
      Number of CDA documents exchanged last month:            
      If other, please describe:
      System is in deployment phase.
      
   7. Do you make your CDAs available to patients through a Personal Health Record system
      or provider portal?
      Yes
      No
      
      
   8. Did you extend CDA to fulfill your use case? Have you submitted requirements for consideration in CDA R3?
      Yes
      No
      If yes, please describe:
      
      
   9. Have you carried out educational seminars on CDA use?
      Yes
      No
      
      
   10. Have you used terminology for...
       10.1 clinical document types: [choose multiple]:
       Local Vocabulary
       LOINC
       SNOMED
       If other, please describe:
       
       
       
   10.2 Section Codes [choose multiple]:
   Local Vocabulary
   LOINC
   SNOMED
   If other, please describe:
   
   
   10.3 Clinical Information [choose multiple]:
   Local Vocabulary
   LOINC
   SNOMED
   ICD
   If other, please describe:
   
   
   

   D. Health Information Exchange Methodology

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   1. How many sites are involved in exchanging CDA in this project?4
      
      
   2. How do you exchange/transport your CDA documents? [choose multiple]:
      Web Services
      ebXML
      SOAP (Simple Object Access Protocol)
      SOA (Service Oriented Architecture mechanism)
      CD/DVD
      Memory stick/Thumb drives
      HL7 v2x MDM
      HL7 v3 RCMR
      IHE XDR/XDS
      If other, please describe:
      
      
      
      

   E. Vendor Applications

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   Please share some information about the applications in use:

   Vendor/In-house	Product Name	Functionality	Product Status

   Vendor or In House development: Name of vendor or in-house development
   Supported Functions: Authoring, Distribution, Display, EMPI, Enrichment (Natural Language Processing, coding, etc), Management, Electronic Medical Record (EMR)
   Product Status: pre-released, released (Note: applies to the version of the product with the CDA capabilities you are using. If released, but the CDA capability is in beta, indicate pre-release)

   F. Bibliography

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   Please list any existing bibliographic references to your work including scientific papers, articles in your own language, implementation guides, etc.) Boaz Carmeli, et al., "Public Health Affinity Domain: A Standards-Based Surveillance System Solution.", In "Intelligence and Security Informatics: Biosurveillance", Proceedings of the second NSF Workshop on Biosurveillance 2007, Lecture Notes in Computer Science, vol 4506, 147-158, 2007, Springer Berlin / Heidelberg.)