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Agenda Topic: Fwd: RE: OASIS standards for COVID-19


We will be looking at various organizations and discuss which of our standards and specifications should be included in the efforts of these organizations to get the values of interoperability embodied in our work into those efforts. You can look at the url in Scott's message by way of introduction to the topic. We will also discuss our participation in the HL7 FHIR SANER project and recommendations we think should be included. Cheers, Rex -------- Forwarded Message -------- Subject: RE: OASIS standards for COVID-19 Date: Mon, 6 Apr 2020 17:46:11 +0000 From: Scott M. Robertson <[email protected]> To: [email protected] <[email protected]> , [email protected] <[email protected]> There are no OASIS code sets in CDC VADS COVID-19 directory . The things you found are OASIS= Outcome and assessment information set . I ll search other areas in PHIN VADS, but I don t think we ll find anything. VADS is not about the standards, it is about coded concept values used/defined by the standards. We will need to find (and provide) what TEP/HAVE/others have defined and what external code sets we reference. Scott M Robertson PharmD, RPh, FHL7, GISP, CISSP Principal Technology Consultant Kaiser Permanente Technology Risk Office Health IT Strategy & Policy 310-200-0231 tro.kp.org ---------- kp.org/thrive From: [email protected] <[email protected]> Sent: Monday, April 6, 2020 9:46 AM To: Scott M. Robertson <[email protected]> ; [email protected] Subject: FW: OASIS standards for COVID-19 Caution: This email came from outside Kaiser Permanente. Do not open attachments or click on links if you do not recognize the sender. Hi Scott and Rex, I have looked at this directory and don t see any of the OASIS/EMTC standards. However, when I search OASIS some LOINC and other data is returned. I would like to respond to Nikolay before our call at 4EDT today if possible. Maybe Scott is aware of any other OASIS work in PH vocabulary? Otherwise, I ll just tell him nothing resembling the EMTC specs. Would that be correct? I think we did some LOINC data for the TEP transform but not sure. Thoughts? Elysa From: Lipskiy, Nikolay (CDC/DDPHSIS/CPR/DEO) < [email protected] > Sent: Monday, April 6, 2020 7:30 AM To: [email protected] Cc: Tyson, James (CDC/DDPHSIS/CPR/DEO) < [email protected] > Subject: OASIS standards for COVID-19 Hi Elysa, Could you verify the CDC VADS COVID-19 directory and see if any OASIS standard are missing , please? If you see any gaps I will be happy to fix it. Thank you Nikolay Nikolay Lipskiy, MD, PhD, MBA Medical Epidemiologist; Informatics Scientist Centers for Disease Control and Prevention (CDC) Center for Preparedness and Response Division of Emergency Operations Phone: 404-639-0567 From: [email protected] < [email protected] > Sent: Sunday, April 5, 2020 5:21 PM To: Lipskiy, Nikolay (CDC/DDPHSIS/CPR/DEO) < [email protected] > Subject: RE: Hospital Resource availability - work being done on the hospital and exchange side (HL7/FHIR) Hi Nikolay, I did not see where Rebecca sent you the details for the call, so here they are: Per the email thread, sending along a cal invite for Monday, April 6 at 4:00pm EDT. Purpose is to share and discuss various efforts underway in support of hospital and health/medical capabilities reporting and information management and how we can coordinate/collaborate to achieve maximum benefit and desired outcomes in support of COVID-19 (and beyond). Join Zoom Meeting https://zoom.us/j/377106386?pwd=MDlpS3FRM1pVQVdVMTNBc2FWUmxVQT09 Meeting ID: 377 106 386 Password: 015440 One tap mobile +13126266799,,377106386# US (Chicago) +16465588656,,377106386# US (New York) Dial by your location +1 312 626 6799 US (Chicago) +1 646 558 8656 US (New York) +1 346 248 7799 US (Houston) +1 669 900 6833 US (San Jose) +1 253 215 8782 US +1 301 715 8592 US Meeting ID: 377 106 386 Find your local number: https://zoom.us/u/aumTdvXG0 Enjoy the rest of your weekend, Rebecca Rebecca Harned Director, National & Federal National Alliance for Public Safety GIS Foundation 202-895-1711 [email protected] @AnalyticsChic www.napsgfoundation.org @napsgfoundation USNG. 18S UJ 1935 1445 Enhancing public safety through the power of geospatial technology and data From: Lipskiy, Nikolay (CDC/DDPHSIS/CPR/DEO) < [email protected] > Sent: Sunday, April 5, 2020 12:58 PM To: Elysa Jones < [email protected] > Subject: RE: Hospital Resource availability - work being done on the hospital and exchange side (HL7/FHIR) Hi Elysa, Thank you very much for keeping me posting. Could you forward to me an invitation for this meeting, please? Thank you Nikolay Nikolay Lipskiy, MD, PhD, MBA Medical Epidemiologist; Informatics Scientist Centers for Disease Control and Prevention (CDC) Center for Preparedness and Response Division of Emergency Operations Phone: 404-639-0567 From: Elysa Jones < [email protected] > Sent: Sunday, April 5, 2020 10:21 AM To: Lipskiy, Nikolay (CDC/DDPHSIS/CPR/DEO) < [email protected] > Subject: Fw: Hospital Resource availability - work being done on the hospital and exchange side (HL7/FHIR) Hi Nikolay, I hope you are well. I know you are crazy busy but I want you to be aware of this activity. This call tomorrow will include FEMA and the HL7 FHIR group that are working on hospital resource availability. It is pretty exciting stuff. I want you to be aware of it and please join the call if you are able. Elysa Sent from Yahoo Mail for iPhone Begin forwarded message: On Sunday, April 5, 2020, 8:43 AM, Rebecca Harned < [email protected] > wrote: Elyse, et al Thank you for the prompt response and additional details. From what I can gather, our collective efforts (and that of the HIMSS EHRA Public Health Measure task force ) would benefit from coordination / collaboration on these critical information management issues. I will send you a cal invite for Monday 4-5pm to discuss. I will include all others on this email thread + Keith Boone, and they can participate as relevant and available. Please feel free to forward on to you CDC/NHSN Liaison, as I don t have his email address. Look forward to connecting on Monday. Rebecca Rebecca Harned Director, National & Federal National Alliance for Public Safety GIS Foundation 202-895-1711 [email protected] @AnalyticsChic www.napsgfoundation.org @napsgfoundation USNG. 18S UJ 1935 1445 Enhancing public safety through the power of geospatial technology and data From: [email protected] < [email protected] > Sent: Saturday, April 4, 2020 11:51 AM To: Rebecca Harned < [email protected] >; 'Remchuk, Ryan' < [email protected] >; 'Okada, Ted' < [email protected] >; 'Vaughan, Christopher' < [email protected] >; 'Workman, Joseph' < [email protected] > Cc: [email protected] ; 'Montgomery, Jack' < [email protected] >; 'Scott M. Robertson' < [email protected] > Subject: RE: Hospital Resource availability - work being done on the hospital and exchange side (HL7/FHIR) Hi Rebecca, Please note Keith Boone s (lead for the SANER project) response to your questions below: Elysa, my responses are below: The FEMA Template for Daily COVID-19 Reporting was an attachment in the e-mailed Letter from Vice President Pence . The American Hospital Association published a link to that spreadsheet . We are also aware of the COVID-19 Patient Impact Module, and coordinating through our CDC/NHSN Liaison, Austin Kreisler, cc d above. Per our understanding The Pence letter asks for data from hospital in-house labs, rather than external labs, which are reporting this data already to CDC and/or states. Austin Kreisler, our Liaison from CDC might help clarify through which program The SANER Project is not coordinating between government agencies (i.e., CDC and FEMA), we are instead working to enable hospitals to address their reporting requirements to any and all agency needing it. However, the toolset we are producing can facilitate interagency data exchange, and we welcome opportunities to support such efforts. Finally, we d be happy to collaborate on county and state level collection needs. We are already developing a process to coordinate on development of additional measures being suggested by a HIMSS EHRA Public Health Measure task force being formed now, and would welcome inputs for measures to support local and regional collection efforts. I ve taken the liberty of sharing the information request with the project so that folks can start looking into it sooner, see https://github.com/AudaciousInquiry/saner-ig/wiki/Measure-Requests . I m generally available for discussion this weekend, my cell phone number is 617-640-7007. Next week I am free or can open up slots on Monday: 1-2, 4-5; Tuesday: 10-12, 2-4; Wednesday: 3-5. I can open up other times later in the day if needed, I generally reserve time after 5 for technical development. All times are Eastern. Keith Keith Boone, Enterprise Architect [email protected] (617) 640-7007 I am also available for discussions this weekend and at the times next week Keith has noted. Best regards, Elysa Jones, Chair OASIS Emergency Management Technical Committee Emergency Member Section Steering Committee From: Rebecca Harned < [email protected] > Sent: Friday, April 3, 2020 9:05 PM To: [email protected] ; 'Remchuk, Ryan' < [email protected] >; 'Okada, Ted' < [email protected] >; 'Vaughan, Christopher' < [email protected] >; 'Workman, Joseph' < [email protected] > Cc: [email protected] ; 'Montgomery, Jack' < [email protected] > Subject: RE: Hospital Resource availability - work being done on the hospital and exchange side (HL7/FHIR) Hi, Elysa Thank you for the notes on this. I was not previously familiar with the Saner project until now (though I am familiar with OASIS). I took a look at the documentation you provided and identified a few notes and questions: It appears that FEMA Template for Daily COVID-19 Reporting is limited to case reporting Whereas the new CDC s COVID-19 Patient Impact and Hospital Capacity Module is the official mechanism for case reporting Per above, it s unclear what the intent is of the FEMA Template for Daily COVID-19 Reporting . Are there two separate efforts for case reporting? OR Are you working through the conversation of CDC s case reporting data into a specific format (and fields) that FEMA is looking for? There are additional data/information reporting needs that still need to be addressed and coordinated, that go beyond collecting case data. Specifically, we ve identified core information/data needs on county-level medical/health capability & capacity status. Aside from the few (very limited) fields in the new CDC form that cover a basic level of reporting on ICU beds and ventilators it does not get to the level of granularity needed to inform resource management/allocation on a statewide or regional basis, much less nationally. Further, I confirmed that this additional data on medical/health capability & capacity reporting would be valuable to the modeling efforts in development now. See attached for reference. It raises the question We don t expect CDC to change their reporting process, but if the community develops their own reporting process for this additional information, what would be needed to ensure integration/interoperability with the other healthcare IT systems referenced? That being said, I d like to touch base with you regarding your project to see if there is a nexus with efforts to address/fulfill the other core information needs for county-level medical/health capability & capacity status. I have time over the weekend and early next week for a brief call. Please let me know what works best for you. Thank you in advance, Rebecca Rebecca Harned Director, National & Federal National Alliance for Public Safety GIS Foundation 202-895-1711 [email protected] @AnalyticsChic www.napsgfoundation.org @napsgfoundation USNG. 18S UJ 1935 1445 Enhancing public safety through the power of geospatial technology and data From: [email protected] < [email protected] > Sent: Friday, April 3, 2020 11:29 AM To: 'Remchuk, Ryan' < [email protected] >; 'Okada, Ted' < [email protected] >; Rebecca Harned < [email protected] >; 'Vaughan, Christopher' < [email protected] >; 'Workman, Joseph' < [email protected] > Cc: [email protected] ; 'Montgomery, Jack' < [email protected] > Subject: Hospital Resource availability - work being done on the hospital and exchange side (HL7/FHIR) Hello Ryan and Ted, Please see the brief attached on the Saner project going on at HL7. This is the FHIR (Fast Healthcare Interoperability Resource) standard that will be used in the health sector for tracking hospital resources and emergency situations. We need to see what we can do to develop an interface between the FEMA efforts and this. After the connect-a-thon last weekend and the work this week, there should be a demonstration ready soon (likely next week). Let me know what I/we can do at OASIS in this regard. We have an ongoing liaison relationship between these two standards bodies. This HL7 project is being fast tracked. Best, Elysa Jones, Chair OASIS Emergency Management Technical Committee Emergency Member Section Steering Committee From: Remchuk, Ryan < [email protected] > Sent: Monday, March 30, 2020 3:50 PM To: Okada, Ted < [email protected] >; Elysa Jones < [email protected] >; Rebecca Harned ( [email protected] ) < [email protected] >; Vaughan, Christopher < [email protected] >; Workman, Joseph < [email protected] > Cc: [email protected] ; Montgomery, Jack < [email protected] > Subject: RE: Hospital Resource availability data standard Thank you Elysa. Are you referring to EDXL HAVE (v2.0)? Thanks again. Ryan Remchuk Data Management Branch Chief Enterprise Analytics Division Office of Policy & Program Analysis Mobile: 202.664.9016 [email protected] Federal Emergency Management Agency Fema.gov From: Okada, Ted < [email protected] > Sent: Monday, March 30, 2020 3:54 PM To: Elysa Jones < [email protected] >; Rebecca Harned ( [email protected] ) < [email protected] >; Remchuk, Ryan < [email protected] >; Vaughan, Christopher < [email protected] >; Workman, Joseph < [email protected] > Cc: [email protected] ; Montgomery, Jack < [email protected] > Subject: RE: Hospital Resource availability data standard Hi Elysa, Long time. Putting you in touch with Rebecca at NAPSG, Ryan who manages our internal FEMA data governance council, Chris who is our GIO, and Nate who manages our geospatial infrastructure and OpenFEMA. Thanks. R, TO From: Elysa Jones < [email protected] > Sent: Monday, March 30, 2020 3:06 PM To: Okada, Ted < [email protected] > Cc: [email protected] Subject: Hospital Resource availability data standard Hi Ted, We have not spoken in a while but I would like to remind you of our discussion sometime ago. The OASIS standards body has a standard for data interoperability of hospital resource data. The standard has been coordinated and jointly released with the HL7 standards body that takes care of in-hospital messaging. This is a very important standard with COVID-19. It is important for FEMA to know of this. Please call me to discuss when you have time. Best regards, Elysa Jones chair, OASIS emergency management technical committee 256- 694 8702 Sent from Yahoo Mail for iPhone NOTICE TO RECIPIENT: If you are not the intended recipient of this e-mail, you are prohibited from sharing, copying, or otherwise using or disclosing its contents. 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