SCATA Open Standards Working Group Belfast 2019
Venue : Riddel Hall, Belfast
Present : Grant Forrest, Andrew Norton, Martin Hurrell, Sandy Davey, Ian McNicoll, Mark Ormerod (QUB)
Apologies : JP Lomas, Cyrus Razavi
Introduction and Review of WG Meeting, AAGBI Feb 2018
Slides from 2018 are on Dropbox :
Can Martin Gardner’s work to represent episodes as XML documents be incorporated into a wider piece of work to define a framework for intra-operative care. FHIR resources can be represented as XML docs so how can his work be aligned with the much more general FHIR profiles. Answer seems to be = not easily 😞
Session 1 : Modelling and the output of the HL7-FHIR Anesthesia Working Group
Session 2 : Modelling, Standards and Implementation - why is it so difficult
Starting guide for Clinicians (FHIR) https://www.hl7.org/fhir/overview-clinical.html
Starting Guide for OpenEHR/CKM https://openehr.atlassian.net/wiki/spaces/healthmod/pages/2949126/Clinical+Knowledge+Manager
Suggestions for projects/activities for the weekend.
Notes from the Meeting
GF gave an overview of the purpose of the group which is to bring together like-minded clinicians involved in PoM and contribute to the modelling work of the HL7 Anesthesia group, but more widely to help define and refine the resources/archetypes that may be used to build a framework for peri-operative care.
General discussion around the current state of the nation in terms of UK sites using systems that incorporate elements of OpenEHR/FHIR. IM mentioned Ade Byrne in Southampton.
Presentation from MH on DAM for Anesthetic Record (slides to follow)
AD highlighted the paradigm of Access-Author (record) -Process-Interpret in relation to Observations and how this can be handled in the model.
Discussion of how to represent the anaesthesia record - MH suggested CDA is an appropriate format to consider. AD asked about how it fits with .
MH demonstrated some of the activity diagrams from the model and there was discussion about maximal vs mandatory recording of e.g. configuration of lumens in a central line. It was agreed that we should be able to define a device e.g. a needle in as much detail as possible but in implementation, it could be reduced to a very basic set of properties.
In looking at examples of positioning, there was some discussion about the relative merits of recording SNOMED concept IDs (SCIDs) vs the convention of SCID | Description against the enumerations of e.g. arm position. A further question is around licensing. Large-scale publication of SNOMED termsets is prohibited under licensing arrangements. It was suggested that we stick to a few examples.
Next steps - produce a short, human-consumable summary of the model for the RCoA (e.g. 10-slide presentation), highlighting it’s submission to the HL7-FHIR community in May 2019.
Jamie Strachan suggested as first recipient. GF to coordinate with AN for dual submission to AAGBI and group that led the project to define a national anaesthesia record for the UK.
(? Richard Griffiths).
Presentation on SNOMED-CT (AN)
(slides to follow)
AD to send slides on SNOMED-CT training.
Deterioration following surgery - how observations are captured. Discussion around relevant SNOMED concepts.
IM demonstration of RESET - archetype for recording clinical observations around fluid balance.