The HL7 Electronic Clinical Decision Support Systems Standards

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Electronic Clinical Decision Support Technical Workshop December 2003, Melbourne

Arden Syntax Workshops, February 2004 (Sydney & Melbourne)

Additional Documents and Presentations

Electronic Clinical Decision Support Technical Workshop December 2003

HL7 Australia, in conjunction with HL7 New Zealand, held a two-day Technical Workshop on Electronic Clinical Decision Support on December 11&12, 2003 (La Trobe University City Campus, 215 Franklin St., Melbourne, Australia). This workshop was an initiative of the HL7 Australia / HL7 New Zealand Electronic Clinical Decision Support Technical Committee. The Technical Workshop was sponsored by HL7 Australia, HL7 New Zealand , the Australian Department of Health and Aging , the New Zealand Ministry of Health , the Australian Quality and Safety Council (ACSQHC) and the Australian National Prescribing Service (NPS) .

The primary focus of the Technical Workshop was on therapeutic information resources, but diagnostics (pathology & radiology) and preventative (immunization) resources were also considered.

Initially, this workshop was proposed as part of an ITOL Grant Application submitted by HL7 Australia to the Australian National Office of Information Economy (NOIE). However, there was general agreement that the Technical Workshop should proceed prior to the outcome of the NOIE grant application. This approach also allowed the involvement of a number of organisations / companies who were unable to participate in the original application to NOIE, including those in New Zealand.

The outcomes from the Technical Workshop include:

A specific work plan of the tasks required to develop "open source" standards based interface (and tools) for integrating best-practice therapeutic and diagnostic information into the clinician's electronic desktop (in both hospital & general practice).
A short-list of information providers and software vendors who have demonstrated both commitment and capacity to carry out the tasks required to integrate information resources into clinical software.
A budget for the resources required to implement the work plan.
A business case and funding models for both initial implementation and long-term sustainability.

A Draft Report of the Technical Workshop is available.

Technical Workshop Program - Day 1 (Thursday, 11 Dec. 2003)
9:00 - 12:30	Session 1 Workshop Opening 09:00 - 09:15 Workshop background (Ken Harvey) 09:15 - 09:30 Irene Krauss (Dept. of Health & Ageing) 09:30 - 09:45 John Youngman (ACSQHC-NPS) 09:45 - 10:00 Philip Gandar (New Zealand MoH / PHARMAC) Demonstration of current electronic therapeutic resources (by information providers): 10:00 - 10:15 Therapeutic Guidelines Ltd. (Jonathan Dartnell) 10:15 - 10:30 National Prescribing Service, Radar, Australian Prescriber (Steve Kerr) 10:30 - 10:45 Australian Medicines Handbook (Simone Rossi) 10:45 - 11:00 AusDI (Dianne Bicopoulos)
10:00 - 11:20	Morning Tea
11:20 - 12:30	Session 2 Demonstration of current electronic therapeutic resources (by information providers): 11:20 - 11:30 Adverse Drug Reaction Bulletins (Patrick Purcell, TGA) 11:30 - 11:45 MIMS (Margaret Prichard) 11:45 - 12:00 New Zealand Guidelines Group / G-I-N (Catherine Marshall) Gap analysis: what is required to integrate these resources into clinical software? 12:00 - 12:30 Vincent McCauley (MSIA)
12:30 - 13:30	Lunch
13:30 - 17:00	Session 3 Technical demonstration of various approaches to best-practice clinical information representation and software integration: 13:00 - 13:25 La Trobe Uni. / TG / NPS SPIRT project and NPS Radar project (Bryn Lewis) 13:25 - 13:50 NPS / GPCG / University of Melbourne DS data modelling project (Iain Morrison) 13:50 - 14:15 Hatrix Pty. Ltd. (Jon Glanville) 14:15 - 14:40 Pen Computing (Brett Esler)
14:40 - 15:10	Afternoon Tea
15:10 - 17:00	Session 4 Demonstration of current electronic therapeutic resources (by information providers): 15:10 - 15:35 Allette Systems (Christophe Lauret) 15:35 - 15:00 Enigma Pty. Ltd. (Martin Entwhistle) 16:00 - 16:25 HL7 Clinical Document Architecture (Sandy Boyer) Discussion of pros and cons of different approaches 16:25 - 17:00 Facilitated by Vincent McCauley, MSIA

17:00 - 17:30

Wine & Cheese

17:30 - 18:30

Session 5

Demonstration of open source initiatives:
17:30 - 18:00 OSCAR (David Chan)
18:00 - 18:30 DrugRef (Horst Herb)

18:30 -

Dinner (Radisson on Flagstaff Gardens Hotel Melbourne, at own cost)

Technical Workshop Program - Day 2 (Friday, 12 Dec. 2003)
9:00 - 12:30	Session 1 Brief summary of what was learnt on Day 1 09:00 - 09:10 Branko Cesnik Integrating information resources with the EHR and Decision Support 09:10 - 09:40 OpenEHR (Sam Heard) 09:40 - 09:50 Discussion Implications for diagnostic and preventative guidelines. 09:50 - 10:00 Pathology (Catherine Sheehan) 10:00 - 10:10 Radiology (David Barton) 10:10 - 10:20 Immunisation (Peter MacIsaac) 10:20 - 10:30 Discussion
10:30 - 11:00	Morning Tea
11:00 - 12:30	Session 2 Response from selected clinical desktop software vendors (hospital & GP, including open source) 11:00 - 11:10 Orion Systems (Mike Craig) 11:10 - 11:20 Cerner Corporation (David Maggs) 11:20 - 11:30 Visual HealthCare (Rob Robertson) 11:30 - 11:40 OSCAR open source (David Chan) 11:40 - 11:50 IBA/Medical Spectrum (Cameron Jaffrey) 11:50 - 12:00 HCN/MD (Andrew Magennis) 12:00 - 12:30 Discussion
12:30 - 13:00	Lunch
13:00 - 15:30 Afternoon Tea	Work in Small Groups Formulate a specific work plan of the tasks required to achieve an "open source" standards based integration including a budget (using the original HL7 Australia ITOL grant application as a starting point) Consider a business case and funding models for both implementation and long-term sustainability.
15:30 - 16:30	Plenary presentation of small group conclusions Group 1 Group 2 Group 3
15:10 - 17:00	Workshop Conclusion Public commitment: who offers to do what (Michael Legg) Summing up and next steps (Ken Harvey)

Our thanks go to the Dept. of Health and Ageing and LaTrobe University for supporting the Workshop.

Arden Syntax Workshop
Melbourne: February 16, 2004 - University of Melbourne, 207-221 Bouverie St, Carleton Sydney: February 21, 2004 - CQU City Campus, 333 Kent St, Sydney Presenter: A/Prof. Dr Robert Jenders, UCLA - Co-Chair, HL7 Clinical Decision Support Technical Committee