IHE Releases Trial Implementation Profiles

Three domains of Integrating the Healthcare Enterprise recently updated their technical frameworks and published new profile supplements for testing in the 2010 North American Connectathon.

IT Infrastructure
Click on the link above for a complete list and to download the updated Technical Framework. New and updated profiles for this year include:

• Document Metadata Subscription (DSUB) -- This profile provides a mechanism for organizations (e.g., those supporting medical home) to subscribe to new information for a given patient and be notified when it becomes available in an XDS Registry.
• Multi-patient Queries (MPQ) -- This option on XDS provides a mechanism to perform queries returning results for multiple patients, enabling clinical research, public health, and quality accreditation organizations to access information on multiple patients in support of their missions.
• Cross-Community Patient Discovery (XCPD) -- This profile supports the means to locate communities which hold patient relevant health data and to translate patient identifiers across communities holding that patient’s data.
• Request Form for Data Capture (RFD) -- Newly revised to support XHTML forms, the RFD profile provides a means for the retrieval and submission of forms data between physicians/investigators and electronic data capture systems or other data collection agencies.

Patient Care Coordination
Click on the link above for a complete list and to download the updated Technical Framework. New and updated profiles for this year include:

• EMS Transfers of Care (ETC) -- This profile supports the exchange of clinically relevant data between EMS providers and emergency care facilities.
• Patient Plan of Care (PPOC) -- This profile extends the the plan of care in the current technical framework to support the exchange of coded plans of care using data elements from nursing processes currently in common use.
• Labor and Delivery Record (LDR) -- This profile supplement provides comprehensive information regarding the course of labor and delivery to healthcare providers caring for both the mother and the newborn in the postpartum period.
• Request for Clinical Guidance (RCG) -- This profile supports the integration of clinical decision support services into healthcare IT systems.
• Also updated for this season are the Antepartum Record (APR), Emergency Department Encounter Summary (EDES), and Immunization Content (IC) profile supplements.
• Finally, all new content modules added by these supplements can now be found in the Content Modules Supplement.

Quality, Research and Public Health
Click on the link above for a complete list.
New and updated profiles for this year include:

• Clinical Research Data Capture (CRD) -- This profile describes the content and format to be used within the Prepopulation Data transaction described within the RFD Integration Profile. The purpose of this profile is to support a standard set of data in CCD format which the Form Filler provides for use in Clinical Research. In addition this profile will reference the ability to convert this output into a standard case report form (Standard CRF) consisting of ODM and CDASH.
• Drug Safety Content (DSC) -- This profile describes the content and format to be used within the Pre-population Data transaction described within the RFD Integration Profile. The purpose of this profile is to support a standard set of data in CCD format which the Form Filler provides for use in reporting adverse events as it relates to Drug Safety. In addition this profile will reference the ability to convert this output into the ICH E2B M Standard.
• Mother and Child Health (MCH) -- This profile describes the contents to be used in automating the submission of the child and maternal health information to public health agencies via the mechanism provided by the Request Form for Data Capture (RFD) integration profile.
• Retrieve Protocol for Execution (RPE) -- The Retrieve Protocol for Execution Profile (RPE) provides an automated mechanism for an Electronic Health Record (EHR) to retrieve a complex set of clinical research instructions (Protocol Definition) from an Electronic Data Capture (EDC) system to execute within the EHR.

These profiles and others will be tested at the 2010 IHE North American Connectathon being held January 11 - 15 at the Hyatt Regency hotel in downtown Chicago. Applications for this connectathon open August 28 and will close on September 30th.
If you want to see what an IHE Connectathon is about, read some of my previous postings from the connectathon floor:

• Notes from Connectathon (Feb 23, 2009)
• Connectathon Day 2 (Feb 24, 2009)
• Connectathon Day 3 (Feb 25, 2009)
• Connectathon Day 4 (Feb 26, 2009)

I hope to see you in Chicago.
Keith