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Current Activities of Selected Healthcare Informatics Standards Organizations

(A Compilation)

Revised June 1996

Sponsored by

Center for Information Technology
Agency for Health Care Policy and Research

Prepared by

Moshman Associates, Inc.
Bethesda, Maryland

Introduction

The Center for Information Technology (CIT), Agency for Health Care Policy and Research (AHCPR), is pleased to sponsor this latest revision and updating of the compilation of activities voluntarily reported by selected healthcare informatics standards organizations.

Reports have been solicited from those organizations which are among the most active in drafting and promulgating standards in this restricted area of application. Each of the organizations was originally asked to provide information on published healthcare informatics standards and on meetings held within the past few years. Further information was solicited on work in progress in the form of subject areas in which groups were working to draft standards for approval by some sponsoring organization and on forthcoming meetings sponsored, or co-sponsored, by the respondent organization. Several additional organizations have voluntarily requested to have this compendium include summaries of their activities and are included herein.

Most reporting organizations have continued to provide revisions and updated information on the reported activities for subsequent revisions. If no updated information was received from any reporting organization, the most recent report is included in this compilation.

The collection and compilation of the information in this document was carried out by Moshman Associates, Inc. Suggestions for later editions or revisions may be made to AHCPR/CIT or to Moshman Associates.

J. Michael Fitzmaurice, Ph.D
Director
Center for Information Technology
Agency for Health Care Policy and Research
2101 E. Jefferson Street
Rockville, MD 20852

Jack Moshman, Ph.D
President
Moshman Associates, Inc.
Suite 1105, South Tower
4340 East West Highway
Bethesda, MD 20814

Table of Contents


Respondent

American Dental Association for Accredited Standards Committee MD156

Contact

Ms. Sharon Stanford
American Dental Association
211 East Chicago Avenue
Chicago, IL 60611
Phone: (312) 440-2509
Fax: (312) 440-2536

Recently Published Healthcare Informatics Standards

L.M. Abbey and John Zimmerman (eds.), Dental Informatics, Integrating Technology into the Dental Environment, New York, Springer-Verlag, 1991

Background

The American Dental Association (ADA) is sponsor and secretariat of Accredited Standards Committee MD156 for Dental Material, Instruments and Equipment. Through a Task Group of the ASC MD156, the ADA has initiated the development of technical reports, guidelines, and standards on electronic technologies used in dental practice. Five working groups for clinical information systems have been established to promote the concept of a dental computerized clinical work station and allow the integration of different software and hardware components into one system in order to provide for all of a clinician's information needs. Clinical information systems include all areas of computer-based information technologies such as digital radiography, digital intraoral video cameras, digital voice-text-image transfer, periodontal probing devices, and CAD/CAMs, etc. By establishing standards for these components we will eliminate the need for several stand-alone systems in the dental office.

Each working group encompasses a broad spectrum of projects under a central theme. Within each working group, subcommittees are responsible for the specific projects. Each subcommittee will be researching standards already in existence to determine if they could be applicable to dentistry. Participants were also interested in interfacing with standards groups active in medical informatics.

Working Groups

A listing of working groups and their proposed subcommittees follow:

  1. DENTAL PRACTICE SYSTEMS: Centers on identifying types of dental computer systems, documentation format and content, and guidelines for system implementation, training and user support.
    Subcommittees:
    1. Accounts Receivable/Third Party Processing
    2. Accounts Payable
    3. Imaging
    4. Charting/Record Keeping
  2. DIAGNOSTICS AND CLINICAL PERIPHERAL DEVICES AND SOFTWARE: Concentrates on technology applications and the interaction of human operators and automated systems. Covers all aspects of imaging related to dentistry, physiologic sensors and their incorporation into automated systems.
    Subcommittees:
    1. Physiologic parameters for sensors
    2. Data capture interfaces
    3. Digital imaging format
    4. Digital/clinical devices construction and safety
    5. Infection control requirements for clinical/intraoral systems
    6. Human/machine interface.
    7. Periodontal monitoring devices
    8. Vital signs monitoring
    9. File format for X,Y coordinate systems for orthodontic analysis systems
  3. ELECTRONIC DATA INTERCHANGE (EDI): Focuses on system elements and methods for communicating text and image data among systems at different locations as well as inter-application communications and integration.
  4. COMPUTER PATIENT ORAL HEALTH RECORD SOFTWARE INTERFACES: Designed to develop software interfaces for patient oral health records based on an open architecture information design. Focus is on system elements and design to ensure fit and flexibility of electronic communication between various dental record modular elements. Information content or attributes of record modules will be described by dental practitioners working in conjunction with the ADA Council on Dental Practice.
  5. DENTAL EDUCATION AND RESEARCH SYSTEMS: This new working group has been established to represent the interests needs of dental education.
    Subcommittees:
    1. Educational software
    2. Research

Expected Publications

The ADA is currently working on an Implementation Guide for dental claims submission based upon the GOAD X12 837 (claim submission) transaction set. The Association also participated in the development of several of the other implementation guides for claims processing (e.g. enrollment, eligibility, payment, etc.). Most of the guides should be completed within the next few months. The guides will assist practice management vendors, third-party payers and clearinghouses in the execution of the ASC X12 standards.

Forthcoming Meetings

  • May 20, 1996, San Antonio, TX
  • August 7, 1996, San Francisco, CA
  • September 26, 1996, Orlando FL
  • Expected Publications for Review


    Respondent

    American Health Information Management Association

    Contact

    Kathleen A. Frawley, JD, RRA
    Director, Washington, DC Office
    American Health Information Management Association
    Suite 500
    1225 Eye Street, N.W.
    Washington, DC 20005
    Phone: (202) 218-3535
    Fax: (202) 682-0078

    Linda Kloss
    Executive Director
    American Health Information Management Association
    Suite 1400
    919 North Michigan Avenue
    Chicago, IL 60611
    Phone: (312) 787-2672
    Fax: (312) 787-9793

    Recent Publications

    Glossary of Health Care Terms

    In Confidence - Newsletter

    Maintenance, Disclosure and Redisclosure of Health Information

    Documentation Requirements for the Acute Care
    Patient Record

    Professional Practice Standards

    Confidentiality of Patient Records

    TO ORDER PUBLICATIONS CALL 1-800-335-5535

    Recently Sponsored or Co-sponsored Meetings

    AHIMA is a participant in and/or co-sponsor of standards development activities of ASTM, HL7, X12, ANSI-HISPP, ACR/NEMA, IEEE/MEDIX and CEN.

    Forthcoming Meeting

    AHIMA National Convention

    October 6-9, 1996


    Respondent

    American Nurses Association

    Contact

    D. Kathy Milholland, PhD, RN
    American Nurses Association
    600 Maryland Ave., SW
    Washington, DC 20024
    Phone: (202) 651-7060
    Fax: (202) 651-7001
    KMILHOLL@ANA.ORG

    Recently Published Healthcare Informatics Standards

    Next-Generation Nursing Information Systems: Essential Characteristics for Professional Practice (Zielstorff, Hudgings, Grobe, 1992).

    Computers in Nursing Management (Saba, Johnson, Simpson, 1994).

    Scope of Practice for Nursing Informatics (1994).

    An Emerging Framework: Data System Advances for Clinical Nursing Practice (1995)

    (To order publications, call 1-800-637-0323)

    Working Groups

    Congress of Nursing Practice Steering Committee on Databases to Support Clinical Nursing Practice

    Established in 1989, this committee is charged:

    to propose policy and program initiatives regarding nursing classification schemes, uniform nursing data sets, and the inclusion of nursing data elements in national databases;

    to build national data sets for clinical nursing practice based on elements contained in standards, criteria, and guidelines; and

    to coordinate ANA's initiatives related to all public and private efforts regarding development of databases and the relationship to the development and maintenance of standards on practice and guidelines and payment reform for nursing services.

    Activities:

    Adoption of Nursing Minimum Data Set (NMDS) as minimum set of data elements necessary for defining the cost and quality of nursing care.

    Development of criteria for recognizing nursing practice classification schemes.

    Recognition of nursing nomenclatures meeting these criteria: Omaha System, Nursing Interventions Classification, Home Health Care Classification, North American Nursing Diagnosis Association set of nursing diagnoses.

    Publication of monograph on essential functions of systems to support clinical practice: Next-Generation Nursing Information Systems: Essential Characteristics for Professional Practice (Zielstorff, Hudgings, Grobe, 1992).

    Incorporation of recognized nomenclatures into UMLS Metathesaurus.

    Analysis of linkages between nomenclatures in UMLS Metathesaurus.

    Incorporation of recognized nomenclatures into International Council of Nurses International Classification of Nursing Practice (ICNP).

    Publication of monograph describing standards activities: An Emerging Framework for the Profession: Data Systems Advances for Clinical Nursing Practice (Lang et al., 1995).

    Congress of Nursing Practice Standing Committee on Nursing Practice Standards & Guidelines

    Development of criteria and procedures for reviewing nursing practice standards

    Uses criteria to review nursing practice standards developed within the Association and by specialty nursing organizations.

    Publication of Standards of Clinical Nursing Practice (1991).

    Council on Nursing Systems and Administration

    Publication of The Scope of Practice for Nursing Informatics (1994).

    Publication of Nursing Informatics Standards of Practice (1995).

    American Nurses Credentialing Center

    Development of a certification program in nursing informatics.
    First examination took place in October 1955.

    Nursing Information Data Set Evaluation Center

    ANA is establishing a Center which will provide developers of health care data sets the opportunity to be recognized by ANA as having data sets that accurately, completely and appropriately reflect clinical nursing practice. This Center will be operational in 1997.

    Recent Meetings

    Steering Committee on Databases to Support Clinical Nursing Practice, met in September 1995, Washington, DC.

    ANA is an active participant in standards development activities of ASTM, ANSI-HISB, and HIBCC. ANA maintains membership in related groups such as NCQA HUG, AMIA and HIMSS.

    Future Meetings

    June 15-17, 1996 - ANA Convention, 100th Anniversary
    June 27-28, 1996 - Steering Committee on Databases to Support Clinical Nursing Practice


    Respondent

    ASC X3

    Contact

    Mr. Jean-Paul Emard
    I T I
    1250 Eye Street, N.W, Ste. 200
    Washington, DC 20005
    Phone: (202) 737-8888
    Fax: (202) 638-4922

    Scope

    ASC X3 prepares "generic" standards in such areas as file formats and communications protocols for use by application specific groups.

    The X3 technical committees of specific healthcare informatics interest include:

    X3B10 - Identification Cards and Related Devices

    ISO 7810 (1985) 586 Identification Cards - Physical Characteristics and Test Methods
    ISO 7811-1 (1985) 590 Identification Cards - Recording Techniques - Part 1 -Embossing
    ISO 7811-2 (1985) Identification Cards - Recording Techniques - Part 2 -Magnetic Stripe
    ISO 7811-3 (1985) Identification Cards - Recording Techniques - Part 3 -Location of Embossed Characters on ID-1 Cards
    ISO 7811-4 (1985) Identification Cards - Recording Techniques - Part 4 -Location of Read-Only Magnetic Tracks - Tracks 1 & 2
    ISO 7811-4 (1985) Identification Cards - Recording Techniques - Part 5 -Location of Read-Write Magnetic Track - Track 3
    ISO 7812 (1987) Identification Cards - Numbering System and Registration Procedure for Issuer Identifiers
    ISO 7813 (1987) 609 Identification Cards - Financial Transaction Cards
    ISO 7816-1 (1987)
    ISO 7816-2 (1988) 372 Integrated Circuit Cards w/Contact
    ISO 7816-3 (1989) Identification Cards - Integrated Circuit Cards w/Contacts, Part 3 - Electronic Signals and Exchange Protocols.
    DIS 7816-4 Identification Cards - Integrated Circuit Cards w/Contacts, Part 4 - Interindustry Commands
    DIS 7816-5 Identification Cards - Integrated Circuit Cards w/Contacts, Part 5 - Numbering System and Registration Procedures for Application Identifiers

    X3H2 - Database

    X3.133 (1986) 355 Network Database Language (NDL

    X3.135 (1992)&
    ISO 9075 (1992) 525

    Extended Database Language SQL (SQL3) (Revision of SQL 2 X3.135-1992)(Target 1995)
    ISO 9579-1,2 583 Remote Database Access (RDA)- Part 1: Generic Model, Service and Protocol; Part 2: SQL Specification

    X3S3 - Data Communications

    Over 90 projects dealing with data communications (local area networks), the OSI network and transport layers, control procedures, communications systems performance, private integrated service networking (PISN), and public data network access. A complete listing of projects is available upon request.


    Respondent

    ASC X12N - Insurance

    Contact

    Leon Barrett
    Barrett Consulting Group, LLC
    84 Main Street
    P. O. Box 8093
    Middletown, CT 06457
    Phone: (203) 343--0133
    Fax: (203) 343-0161
    Robert Owens
    American Dental Association
    211 East Chicago Aveue
    Chicago, IL 60611-2678

    Publications

    Previously published standards include:

    835 - Healthcare Claim Payment
    837 - Healthcare Claim
    270 - Eligibility Request
    271 - Eligibility Response
    834 - Enrollment
    148 - Report of Injury or Illness
    186 - Life and Annuity Lab Report
    276 - Claims Status Request
    277 - Claims Status Response
    278 - Health Care Services Response and Request
    837 - Crossover COB

    Tutorials approved include:

    837 - Claims
    834 - Enrollment
    270 - Eligibility Request
    271 - Eligibility Response

    Work in Progress

    Interactive Eligibility (IHCEBI/IHCEBR)
    275 - Patient Information Record
    837 - Managed Care Encounter
    835/271 - Capitated Payment
    Interactive Claim
    253 - HMO Reporting
    274 - Provider Information

    Recent Meetings

    December 1995 Kansas City, MO
    February 1996 San Francisco, CA
    April 22-24, 1996 Denver, CO (Joint Meeting with HL7)
    June 3- 6, 1996 Atlanta, GA

    Respondent

    ANSI Z80

    Contact

    James Sheedy, O.D. Ph.D
    University of California
    School of Optometry
    Berkeley, CA 94720
    Phone: (510) 256-1855
    Fax: (510) 256-1857

    Recently Published Healthcare Informatics Standards

    Standard on Data Processing and Information Interchange September 1995

    Recently Sponsored or Co-sponsored Meetings

    The "Ophthalmic Instruments" subcommittee of Z80 meets biennially with an attendance of about 8 to 12 people.

    A subcommittee meeting was held November 9, 1995.

    Expected Publications

    A draft has been accepted by the vote of the ANSI Z80 committee and is out for public comment. It is a communications standard for ophthalmic instruments and office patient management systems.

    Forthcoming Meetings

    April 18-19, 1996


    Respondent

    ASTM Committee E31 on Healthcare Informatics

    Contact

    Terri L. Luthy
    Staff Manager
    Technical Committee Operations
    ASTM
    100 Barr Harbor Drive
    West Conshohocken, PA 19428-2959
    Phone: (610) 832-9737
    Fax: (610) 832-9666

    Published Healthcare Informatics Standards

    E 792 Standard Guide for Computer Automation in the Clinical Laboratory
    E1029 Standard Guide for Documentation of Clinical Laboratory Systems
    E1238 Standard Specification for Transferring Clinical Observations Between Independent Systems
    E1239 Standard Guide for Description of Reservation/Registration Admission, Discharge, Transfer (R-ADT) Systems for Automated Patient Care Information Systems
    E1246 Standard Practice for Reporting Reliability of Clinical Laboratory Computer Systems
    E1284 Standard Guide for Nosologic Standards and Guides for Construction of New Biomedical Nomenclature
    E1381 Standard Specification for the Low-Level Protocol in Transferring Messages Between Clinical Laboratory Instruments and Computer Messages
    E1384 Standard Guide for Description for Content and Structure on an Automated Patient Health Record
    E1394 Standard Specification for Transferring Information between Clinical Instruments
    E1460 Specification for Defining and Sharing Modular Health Knowledge Bases
    E1466 Specification for the Use of Bar Codes in Clinical Laboratory Specimen Management
    E1467 Specification for Transferring Digital Neuro-physical Data Between Independent Computer Systems
    E1633 Specification for the Coded Values Used in the Automated Primary Record of Care
    E1639 Guide for Functional Requirements of Clinical Laboratory Information Management Systems
    E1712 Specification for Representing Clinical Laboratory Test and Analyte Names
    E1713 Specification for Transferring Digital Waveform Data Between Independent Computer Systems
    E1714 Guide for the Proporties of a Unique Healthcare Identifier
    E1715 Specification for an Object-Oriented Model for Registration, Admitting, Discharge and Transfer (Radt) functions in Computer Based Patient Record Systems
    E1744 Guide for a View of Emergency Medical Care in the Computerized Patient Record
    E1762 Guide for Electronic Authentication of Health Care Information
    E1769 Guide for Properties of Electronic Health Records and Record Systems

    Expected Publications

    Subcommittee E31.17 on Access, Privacy, and Confidentiality of Medical Records

    Standard Guide for Access, Privacy, and Confidentiality of Medical Records

    Subcommittee E31.18 on Health Data Cards

    Standard Specification for Health Data Cards

    Forthcoming Meetings

    Washington, DC October 24-27, 1996
    Nashville, TN April 1997
    San Francisco, CA August 1997

    New Activities

    E31.01 on Terminology

    The first meeting was held on May 12, 1996 in San Diego. The Chairman is Chris Chute of the Mayo Foundation. All interested persons are welcome to participate. Contact Terri Luthy, ASTM, for more information.

    E31.18 on Health Data Cards will be holding a meeting to discuss new initiatives. All interested persons are welcome to participate. Contact Terri Luthy, ASTM, for more information.


    Respondent

    Health Level Seven (HL7)

    Contact

    Mark McDougall
    Executive Director
    Health Level Seven
    3300 Washtenaw Avenue, Suite 227
    Ann Arbor, MI 48104-4250
    Phone: (313)677-7777
    Fax:(313)677-6622
    Email: HQ@HL7.WIN.NET

    James Adams
    Director - Membership Services
    Health Level Seven
    3300 Washtenaw Avenue, Suite 227
    Ann Arbor, MI 48104-4250
    Phone: (313)677-7777
    Fax:(313)677-6622
    Email: HQ@HL7.WIN.NET

    Background

    HL7 was founded in 1987 to develop standards for the electronic interchange of clinical, financial and administrative information among independent health care oriented computer systems; e.g., hospital information systems, clinical laboratory systems, enterprise systems and pharmacy systems.

    In the last four years, its membership has tripled to over 1,500 hospital, professional society, health care industry, and individual members including almost all of the major health care systems consultants and vendors. The HL7 standard is supported by most system vendors and used in the majority of large U.S. hospitals today. It is also used internationally in such countries as Australia, Austria, Germany, Holland, Israel, Japan, New Zealand and the United Kingdom.

    In June of 1994, HL7 was designated by the American National Standards Institute (ANSI) as an ANSI accredited standards developer. In February 1996, ANSI announced that the H standard version 2.2 has been approved as an AMERICAN NATIONAL STANDARD.

    In late 1995 and throughout 1996, HL7 has also dedicated resources to the acceleration of its version 3.0 standard. Such resources will enable HL7 to develop the version 3.0 standard in a much quicker time frame and still follow the ANS{I balloting procedures.

    HL7 Transactions

    The current standard defines transactions for transmitting data about patient registration, admission, discharge and transfers, insurance, charges and payors, orders and results for laboratory tests, image studies, nursing and physician observations, diet orders, pharmacy orders, supply orders, and master files. HL7 is currently developing transactions for exchanging information about appointment scheduling, problem lists, clinical trial enrollments, patient permissions, voice dictations, advanced directives, and physiologic signals. Task forces in HL7 are also busy developing prototype transactions with new state of the art technologies such as CORBA and Microsoft's OLE objects.

    Cooperation with Other Standards Developing Organizations

    HL7 has a pure focus on health care informatics standards and cooperates closely with other standards developers such as American Society for Testing and Materials (ASTM), Accredited Standards Committee X12N (ASC X12N), American College of Radiology (ACR), National Electrical Manufacturers Association (NEMA), National Council for Prescription Drug Programs (NCPDP), and Institute of Electronics and Electrical Engineers (IEEE) directly and via the ANSI Health Informatics Standards Board, formerly the ANSI Health Informatics Planning Panel. Examples of such cooperative efforts include planning future joint meetings with X12N, cross-copyrights with ASTM, and hosting joint working group meetings with IEEE, ACR-NEMA, and ASTM.

    HL7 has pioneered the provision of its minutes and standard drafts at no cost through Internet FTP servers on [dumccss.mc.duke.edu] Internet and supports a discussion group on the HL7@ Virginia.EDU list server. We encourage other standards organizations do the same.

    HL7 also maintains a robust world wide web home page on the Internet. The address is:

    http://dumccss.mc.duke.edu:/ftp/standards.htlml

    Published Healthcare Informatics Standards

    Application Protocol for Electronic Exchange in Healthcare Environments, Version 1.0, 1987

    Application Protocol for Electronic Exchange in Healthcare Environments, Version 2.0, 1989

    Application Protocol for Electronic Exchange in Healthcare Environments, Version 2.1, 1990

    Application Protocol for Electronic Exchange in Healthcare Environments, Version 2.2, 1994

    HL7's Implementation Support Guide, Versions 2.1 and 2.2

    Application Protocol for Electronic Exchange in Healthcare Environments,
    Version 2.3 - ballot #1, February 1996
    Version 2.3 - ballot #2, July 1996

    Expected Publications

    Application Protocol for Electronic Exchange in Healthcare Environments,
    Version 2.3, 1996
    Version 3.0, 1997

    HL7 Sponsored Meetings

    HL7 has been meeting regularly since March 1987. HL7 meetings have generally been held three times each year in January, May and September. The traditional meeting schedule is as follows: an introductory Tutorial on HL7 is provided on Tuesday; Working Group meetings convene on Wednesday through Friday morning. HL7's Fall meeting also includes a Plenary meeting that features presentations on various topics of interest to information technology professionals in health care.

    In an attempt to better coordinate activities with ASC X12N, HL7 has moved some of its meetings to coincide with the X12N interim meeting schedule (i.e., December, April and August). A schedule of recent and future HL7 Working Group meetings is provided below:

    HL7 MEETING DATES LOCATION
    1995
    January 10 - 13 Orlando, FL
    May 16 - 19 Atlanta, GA
    September 26 - 29 Kansas City, MO
    .
    1996
    January 16 - 19 San Diego, CA
    April 23 - 26 Denver, CO
    August 20 - 23 Washington, DC
    .
    1997
    January 21-25 Tampa, FL
    April 14-19 Chicago, IL
    August 18-22 San Francisco, CA

    Key Contacts

    HL7 EXECUTIVE COMMITTEE

    Chair

    Ed Hammond, Ph.D., Duke University Medical Center
    Ph: (919)684-6421 Fax: (919684-8675
    Email: hammo001.mc.duke.edu

    Treasurer

    George W. (Woody) Beeler, Jr., Mayo Foundation
    Ph: (507)284-9129 Fax: (507)284-0796
    Email: beeler@mayo.edu

    Secretary

    Don Johnston, Children's Hospital of Philadelphia
    Ph: (215)590-2146 Fax: (215)590-2526
    Email: johnston@email.chop.edu

    Past Chair

    Dave Carlson, Enterprise Systems, Inc.
    Ph: (708)537-4800 Fax: (708)537-4866
    Email: dcarlson@esicorp.com

    Membership Chair

    Mike Glickman, Computer Network Architects, Inc.
    Ph: (301)340-7955 Fax: (301)279-2211
    Email: mglickman@aol.com

    IAB Chair

    Frank Cavanaugh, Coopers & Lybrand
    Ph: (312)701-5595 Fax: (312)701-6540
    Email: Internet fcavanau@reach.com

    HPAB Chair

    Sam Schultz II, Ph.D., University Hospital Consortium
    Ph: (708)954-1700 Fax: (708)954-5886
    Email: schultz%is%@mailgate.uhc.edu

    Technical Committee Chair

    John Quinn, Ernst & Young
    Ph: (216)737-1242 Fax: (216)622-0198
    Email: jquinn@jquinn.win.net

    Technical Committee Secretary

    Jeff Gautney, Ernst & Young
    Ph: (412)644-5316 Fax: (412)644-0676
    Email: jeffgautney@poplar.anes.upmc.edu

    HL7 TECHNICAL COMMITTEE CO-CHAIRS

    ADT/Financial/Inter-Enterprise Committee

    Robert Burkhead, Oacis Healthcare Systems
    Ph: (415)925-4423 Fax: (415)925-4455
    Email: rburkehea@oacis.com

    Francine Kitchen, Ph.D., Software Technologies Corporation
    Ph: (206)284-1724 Fax: (206)284-1724
    Email: francine@stc.com

    Robert Evola, Alltel Information Services, Healthcare Division
    Ph: (404)847-5304 Fax: (404)847-5700
    Email: bevola@tds.hsc.com

    Joe Peterson, Wismer Martin
    Ph: (509)466-0396 Fax: (509)466-2183
    Email: jpeterson@corp.wismer.com

    Control/Query Committee

    Mark Shafarman, Oacis Healthcare Systems, Inc.
    Ph: (415)925-4570 Fax: (415)925-4455
    Email: mshafarm@oacis.com

    Pat Cahill, Mayo Foundation
    Ph: (507)284-2737 Fax: (507)284-0796
    Email: pcahill@mayo.edu

    Home Health Chair

    Meg Infiorati, Home Care Information Systems - HCIS
    Ph: (201)338-2020 Fax: (201)338-4946

    Image Management

    W. Dean Bidgood, Jr., MD, Univ. of No. Carolina at Chapel Hill
    Ph: (919)967-7922 Fax: (919)967-7922
    Email: bidgood@med.unc.edu

    Implementation Committee

    Deborah Murray, Kaiser Permanente
    Ph: (510)926-5734
    Email: debbie.murray@ncal.kaiperm.org

    Information Management (Medical Records)

    Wayne Tracy, SpaceLabs Medical
    Ph: (913)897-3670 Fax: (913)897-6889
    Email: wrtracy@wrt.win.net

    Mary Brandt, American Health Information Management Association
    Ph: (713)668-3425
    Email: mbrandt@ahima.mhs.compuserve.com

    Order Entry/Clinical Observation Committee

    Clem McDonald, MD, Regenstrief Health Center - Indiana University
    Ph: (317)630-7070 Fax: (317)630-6962
    Email: clem@regen.rg.iupui.edu

    Hans Buitendijk, SMS
    Ph: (610)219-2087 Fax: (610)647-1328
    Email: hans.buitendijk@shrmed.com

    Quality Assurance and Data Modeling Committee

    Mead Walker, SMS-HDX
    Ph: (610)219-1504 Fax: (610)219-1655
    Email: mwalker@sms-hdx.mhs.compuserve.com

    Ted Klein, HBO & CompanyPh: (516)435-2300 ext. 2425Fax: (516)231-2577
    Email: pp000038@interramp.com

    Abdul-Malik Shakir, Kaiser Foundation Health Plan
    Ph: (510)271-6856 Fax: (510)271-6859
    Email: 74353.1431@compuserve.com

    SPECIAL INTEREST GROUPS

    Automated Data

    Wayne Tracy, SpaceLabs Medical
    Ph: (913)897-3670 Fax: (913)897-6889
    Email: wrtracy@wrt.win.net

    Fritz Friedhoff, SpaceLabs Medical
    Ph: (206)882-4095 Fax: (206))882-3897

    Object Broker Technologies

    Chair, OLE Subgroup
    Wes Rishel, Wes Rishel Consulting
    Ph: (510) 522-8135 Fax: (510) 521-2423
    Email: wes@wes.win.net

    Chair, CORBA Subgroup
    Larry Streepy Jr., Healthcare Communications, Inc.
    Ph: (214)851-7035 Fax: (214)851-7045
    Email: streepy@healthcare.com

    Patient Care

    Karen Keeter, IBM Healthcare Solutions
    Ph: (770)835-7972
    Email: kkeeter@vnet.ibm.com

    Thomas Marlin, SpaceLabs Medical, Inc.
    Ph: (206)882-3755
    Email: tmarlin@delphi.com

    Timothy Snyder, Productivity Innovations
    Ph: (406)586-2347


    Respondent

    Institute for Electrical and Electronic Engineers (IEEE) P1157 Medical Data Interchange, (MEDIX)

    Contact

    (Primary)

    (Alternate)

    Jack Harrington
    Hewlett Packard
    Medical Products Group
    3000 Minuteman Road
    Andover, MA 01810-1085
    Phone: (508) 659-3517
    Fax: (508) 686-1319
    NET: jackh@hpangrb.an.hp.com
    Luigi Napoli
    IEEE Standards
    445 Hoes Lane
    P. O. Box 1331
    Piscataway, NJ 08855-1331
    Phone: (908) 562-3812
    Fax: (908) 562-1571
    NET: l.napoli@ieee.org

    Recently Published Healthcare Informatics Standards

    Draft P1157 Standard for Healthcare Data Interchange - Overview and Framework (Version 1.10 May 12, 1995)

    Draft P1157.1 Standard for Healthcare Data Interchange - Information Model Methods (June 6, 1994)

    Draft P1157.1.2 Standard for Healthcare Data Interchange - Registration - Admission/Discharge/Transfer (P1157.ADT) (Version 1.1, February 5, 1990)

    Draft P1157.1.3 Standard for Healthcare Data Interchange - Laboratory (Version 2.0, November 9, 1990)

    Draft P1157.5 Recommendations for Healthcare Data Interchange - User Needs (Version 2, September 1991)

    Recently Sponsored or Co-sponsored Meetings

    General Committee

    Gaithersburg, MD March 18-22, 1991
    Crans-Montana, Switzerland October 13-15, 1991
    Gaithersburg, MD November 11-15, 1991
    Rockville, Maryland March 1-6, 1992
    Paris, France October 31-November 1992
    Atlanta, Georgia May 19, 1995
    Kansas City, Missouri September 25, 1995
    Denver, CO April 26, 1996

    P1157.1.X

    Vancouver, BC July 22-26, 1991
    San Diego, CA January 20-21, 1992
    Tromso, Norway June 29-July 2, 1992
    Manchester, England October 26-27, 1992
    Boston, MA May 17-18, 1993
    Dallas, TX September 20-21, 1993
    Washington, DC October 30-31, 1993
    San Francisco, CA February 3-9, 1994
    Washington, DC November 9-10, 1994
    San Diego, CA January 16-19, 1996

    MEDIX Organization

    Sydney/Melbourne, Australia April 12-16, 1991
    London, England July 8-9, 1991
    Brisbane, Australia August 3, 1993

    ANSI HISPP MSDS

    Chicago, Illinois January 8, 1993
    Atlanta, Georgia April 16, 1993
    Washington, DC June 17, 1993
    Chicago, Illinois January 16, 1994
    Chicago, Illinois May 13, 1994

    Joint ACR/NEMA, ASTM, HL7, IEEE MEDIX Ad Hoc Meeting

    Baltimore, Maryland November 1993

    Expected Publications

    P1157 Standard for Healthcare Data Interchange - Overview and Framework (Ballot group being formed)
    P1157.1 Standard for Healthcare Data Interchange - Information Model Methods (Ballot group being formed)
    P1157.1.1 Standard for Healthcare Data Interchange - Common Healthcare Objects (Ballot group being formed)
    P1157.1.2 Standard for Healthcare Data Interchange - Registration/Admission/ Discharge/Transfer
    P1157.1.3 Standard for Healthcare Data Interchange - Laboratory
    P1157.1.4 Radiology
    P1157.2 Standard for Healthcare Data Interchange - Interchange Format Methods
    P1157.2.1 Standard for Healthcare Data Interchange - EDI/EDIFACT Interchange Formats
    P1157.2.2 Standard for Healthcare Data Interchange - ODA/ODIF/SGML Interchange Formats
    P1157.2.3 Standard for Healthcare Data Interchange - CMIS/CMIP Interchange Formats
    P1157.3 Standard for Healthcare Data Interchange - Communication Profile Methods
    P1157.4 Standard for Healthcare Data Interchange - Semantics and Knowledge Representation of the Medical Record
    P1157.5 Recommendations for Healthcare Data Interchange - User Needs

    Forthcoming Meetings

    Gen'l Committee August 20-23, 1996 Washington, DC (with IEEE P1073 & HL7)


    Respondent

    Institute for Electrical and Electronic Engineers (IEEE) P1073 Medical Information Bus (MIB)

    Contact

    (Primary)

    (Alternate)

    Bob Kennelly
    LinkTech
    30 Orville Drive
    Bohemia, NY 11716
    Phone: (516) 567-5656
    Fax: (516) 563-2819
    NET: back@linktech.ilcddc.com
    Jack Harrington
    Hewlett Packard
    Medical Products Group
    3000 Minuteman Road
    Andover, MA 01810-1085
    Phone: (508) 659-3517
    Fax: (508) 686-1319
    NET: jackh@hpangrb.an.hp.com

    Recently Published Healthcare Informatics Standards

    1073 Standard for Medical Device Communications - Overview and Framework (Draft 3.6 approved by IEEE March 1996)

    Draft P1073.1 Standard for Medical Device Communications - Medical Device Data Language (MDDL) - Overview and Framework (Rev. 0.10, December 28, 1993)

    Draft P1073.1.1 Standard for Medical Device Communications - Medical Device Data Language (MDDL) - Common Definitions (December 23, 1993)

    Draft P1073.1.2 Standard for Medical Device Communications - Medical Device Data Language (MDDL) Virtual Medical Device Generalized (Rev. 0.01 November 1, 1991)

    Draft P1073.2 Standard for Medical Device Communications - Medical Device Application Profiles (MDAP)- Framework and Overview Rev. 0.4 (September 15, 1995, Ballot Approval)

    1073.3.1 Standard for Medical Device Communications - Transport Profile Approved IEEE Standard

    1073.4.1 Standard for Medical Device Communications - Physical Layer Interface - Cable Connected Approved IEEE Standard

    Recently Sponsored or Co-sponsored Meetings

    General Committee

    Salt Lake City, UT January 14-21, 1994
    Washington, DC May 24, 1994
    Copenhagen, Denmark June 20-23, 1994
    San Diego, CA January 23-25, 1995
    Atlanta, GA May 16-18, 1995
    Kansas City, MO September 26-29, 1995
    San Diego, CA January 16-19, 1996
    Denver, CO April 22-24, 1996

    P1073.3.1

    Milwaukee, WI September 13-14, 1994

    P1073.4.1

    Bohemia, NY August 23, 1993
    Milwaukee, WI September 13-14, 1994

    CEN WG5/IEEE P1073

    London, England September 3, 1993
    Madrid, Spain March 3, 1994
    Copenhagen, Denmark June 24-25, 1994
    Dublin, Ireland September 8-10, 1994
    Paris, France January 19-21, 1995

    Forthcoming Meetings

    Washington, DC August 20-23, 1996 (With IEEE 1157 and HL7)
    Tampa, FL January 21-25, 1997 (With IEEE 1157 and HL7)
    TBA April 1997
    San Francisco, CA August 16-22, 1997 (With IEEE 1157 and HL7)

    Expected Publications

    1073 Standard for Medical Device Communications - Overview and Framework (Document approved by Standards Board)
    P1073.1 Standard for Medical Device Communications - Medical Device Data Language (MDDL) - Overview and Framework (Ballot Group formed)
    P1073.1.1 Standard for Medical Device Communications - Medical Device Data Language (MDDL) - Common Definitions
    P1073.1.2 Standard for Medical Device Communications - Medical Device Data Language (MDDL) - Virtual Medical Device - Generalized
    P1073.1.3 Standard for Medical Device Communications - Medical Device Data Language (MDDL) - Virtual Medical Device - Specialized
    P1073.2.1 Standard for Medical Device Communications - Applications Profile - Connection Mode
    1073.3.1 Standard for Medical Device Communications - Transport Profile - Connection Mode {Approved ANSI Standard}
    1073.4.1 Standard for Medical Device Communications - Physical Layer Interface - cable Connected {Approved ANSI Standard}
    P1073.2 Medical Device Application Profiles - MDAP - Framework and Overview - (Ballot approval)

    Respondent

    National Council for Prescription Drug Programs

    Contact

    Lee Ann C. Stember
    National Council for Prescription Drug Programs
    Suite 365
    4201 North 24th Street
    Phoeniz, AZ 85016-6268
    Phone: (602) 957-9105
    Fax: (602) 955-0749
    NET: ncpdp@ncpdp.org

    Recently Published Standards

    1994

    Standard Billing Unit Format - Version 1 Release 2

    Recently Sponsored or Co-Sponsored Meetings

    1995 Annual Membership Conference
    Annual four day meeting of approximately 600 members held February 18-21, 1995 in Scottsdale, AZ.

    Joint Quarterly Work Group Meetings
    Quarterly, three day meetings of NCPDP work groups and maintenance and control groups. Held each quarter, the most recent, full three-day meeting took place May 8-10, 1996 in Scottsdale, AZ.

    Board of Trustees Meetings
    Three two-day meetings annually of NCPDP Board of Trustees. The most recent meeting took place on June 21-22, 1996 in New York, NY.

    Expected Publications

    Prior Authorization Implementation Guide
    Compound Implementation Guide
    Professional Pharmacy Services Implementation Guide
    SCRIPT Standard Document

    Forthcoming Meetings

    Quarterly Joint Work Group Meetings
    August 12-14, 1996 Chicago, Illinois

    Quarterly Joint Work Group Meetings
    November 6-8, 1996 Dallas, Texas

    20th Annual Membership Conference
    February 17-20, 1997Scottsdale, Arizona

    Description of Current NCPDP Projects by Work Group

    WG1 - Telecommunications

    Members of WG1 designed and implemented NCPDP's Telecommunication Standard, Version 3.2, which transmits prescription drug and pharmaceutical care benefit/distribution and delivery information including On-Line, Real-Time drug utilizaiton review and financial claims data between pharmacies and trading partners. Maintenance of that standard is continuing and an interim meeting of one of the group's task groups was held in Atlanta in October to discuss a strategic plan for a new version of the Standard. The Compound Implementation Guide was also completed.

    Future Projects: Continued discussions and enhancements toward a new version of NCPDP's Telecommunication Standard

    WG2 - Product Identification

    WG2 recently changed its name (from Standard Billing Unit) and its scope statement. This group will continue to deal with issues relating to the identification of drugs and health related products within NCPDP's stated mission. The group developed a task group to monitor the phase-in of the Metric Decimal Quantity field into the data capture logic and continues with routine maintenance of the Billing Unit Standard.

    Future Projects: Ongoing enhancement, maintenance and implementation of the standard. Development of a standard to incorporate the use of Universal Product Codes (UPCs).

    WG3 - Standard Identifiers

    This group also recently changed its name (from Standard Prescriber Identification Number). WG3 continues its work with HCFA in the development of their National Provider Identifier and the new PayerID number. They will continue monitoring HCFA's work and make recommendations where appropriate.

    Future Project: The group will continue to work with HCFA and DEA on the release of the National Provider Identification (NPI) file, as well as the PayerID 'number.

    WG4 - Enrollment Standard

    WG4 continues routine maintenenance of their standard for processing drug benefit enrollment information between employers, their agents, insurers and prescription benefit managers. Created an Implementation Guide for their Enrollment Standard.

    Future Project: Continued enhancement of the Standard and Implementation Guide as well as mappping the standard to the X12 834 Implementation Guide.

    WG5 - Payment Reconciliation

    Continued efforts toward mapping the NCPDP Batch Tape Reconciliation standard over to X12 835 and continued the creation of an 835 Implementation Guide for pharmacy.

    Future Project: Development of an Implementation Guide for Pharmacy using the X12 835 Report, as well as mapping NCPDP elements to the X12 835.

    WG6 - Universal Health Care Form

    WG6 worked on revisions to the Direct Reimbursemenmt paper claim form, including allowing the use of a prescriber identification field to include the prescriber's telephone number.

    Future Projects: WG6 will go dormant until May 1996.

    WG7 - Manufacturer's Rebates

    Continued maintenance and enhancements to their X12 837 based standard and implementation guide for processing financial rebate information between PICOs, prescription benefit managers, insurers, manufacturers and others.

    Future Projects: Looking at costs of transmitting rebate claim information electronically, as well as other EDI capabilities.

    WG8 - Drug Utilization Review

    Modifications were made to the On-Line, Real-Time Drug Utilization Review) (ORDUR) Applications Manual and continued work on Formulary Messages. At the last work group meeting of 1995, WG8 officially merged with WG10 Professional Pharmacy Services.

    Future Projects: See WG10 Professional Pharmacy Services.

    WG9 - Government Programs

    Assist state and other government programs with needed maintenance of NCPDP standards and with the smooth implementation of those standards in government programs. Worked on the Batch Transmission Standard and Implementation Guide, as well as the Prior Authorization Standard and its Implementation Guide. Consistently reviewed and updated the On-Line Summaries for State Medicaids.

    Future Projects: Will continue mainteneance and enhancements of Batch and Prior Authorization Standards

    WG10 - Professional Pharmacy Services

    Completed work on the professional Pharmacy Services Implementaton Guide. The PPS codes, developed by this work group, were released to the public. At the last work group meeting of 1995, WG10 officially merged with WG8 Drug Utilization Revfiew to form one work group, which will be known as WG10 Professional Pharmacy Services.

    WG10 - Professional Pharmacy Services

    Future Projects: Will continue making enhancements to the PPS Implementation Guide and will continue to explore and discuss issues regarding the transmission of clinical and billing data as it applies to the delivery of professional pharmacy services.

    WG11 - Prescriber/Pharmacist Interface

    After WG11's interim meeting in December of 1994, the group began mapping to UN/EDIFACT messaging syntax and a letter was sent to State Boards of Pharmacies educating them on the group's work.

    Future Projects: SCRIPT standard was approved by the membership and will be reviewed by the Board of Trustees in June.

    MC - Maintenance & Control

    Continued to monitor the data elements that are added or changed in the standards that NCPDP has developed and set for the pharmacy industry. Updated the Data Element Request Form (DERF) process.

    Future Projects: Will continue to monitor all added or changed data elements to NCPDP standards.


    Respondent

    National Electrical Manufacturers Association

    Contact

    David R. Snavely
    National Electrical Manufacturers Association
    2101 L Street, N.W.
    Washington, DC 20037
    Phone: (202) 457-8400
    Fax: (202) 457-8411

    Recently Published Healthcare Informatics Standards

    PS 1-1992 Standard for Magnetic Tape
    PS 2-1989 Data Compression Standard

    ACR-NEMA PS-3.1 through PS-3.10 comprise the Draft DICOM Standard as follows:

    PS- 3.1-1992 Introduction and Overview
    PS- 3.2-1993 Conformance
    PS- 3.3-1993 Information Object Definitions
    PS- 3.4-1993 Service Class Specifications
    PS- 3.5-1993 Data Structure and Semantics
    PS- 3.6-1993 Data Dictionary
    PS- 3.7-1993 Message Interchange
    PS- 3.8-1992 Network Communication Support for Message Exchange
    PS- 3.9-1993 Point-to-Point Communication Support for Message Exchange

    The DICOM Standard facilitates interoperability of medical imaging equipment by specifying:

    Recently Sponsored or Co-sponsored Meetings

    Maintenance and Extensions to the DICOM Standard
    WG VI (Base Standard), ACR-NEMA Committee
    Bi-monthly, week-long meetings of 15-20 people; most recent on
    January 17-20, 1995

    DICOM Standard
    ACR-NEMA Committee
    Quarterly meetings, most recent on February 28, 1995 with
    21 in attendance

    Evaluatioon of the Compression Schemes for the DICOM Standard
    WG IV (Compression), ACR-NEMA Committee
    Monthly meetings, most recent on March 15, 1995

    Draft Part 10 of DICOM-Media Storage and File Format
    Draft Part 11 of DICOM-Media Storage Application Profiles
    Draft Part 12 of DICOM-Media Formats and Physical Media
    WG V (Exchange Media), ACR-NEMA Committee, most recent meeting February 25-26, 1995

    Recently Sponsored or Co-sponsored Meetings

    ACC, ACR and NEMA X-Ray Cardiovascular Information Object Ad Hoc Group
    January 18, 1994

    X-Ray Angiographic Image Objects for DICOM and Selection Criteria for Interchange Media for X-Ray Angiography
    ACC, ACR and NEMA X-Ray Digital Angiographic Media Selection Ad Hoc Group
    Most recent meeting, February 9, 1995

    Expected Publications

    PS- 3.10-199X Media Storage and File Format for Data Interchange {Letter ballot approved}
    PS- 3.11-199X Media Storage and Application Profiles {Letter ballot approved}
    PS- 3.12-199X Media Formats and Physical Medifa for Data Interchange {Letter ballot approved}
    Supplement 4 X-ray Angiographic Image Objects to DICOM {Letter ballot approved}
    Supplement 6 X-ray Radio Fluoroscopic Image Object to DICOM {Letter ballot approved}
    PS- 3.13-199X Print Management Point-to-Point Communications Support {In press}

    Forthcoming Meetings

    Maintenance and Extensions to the DICOM Standard,
    WG VI (Base Standard), ACR-NEMA Committee
    April 26-28, 1995, May 23-26, 1995

    Development of 1024 x-ray Angiographic Application Profile
    Digital Angiographic Media Selection Ad Hoc Group
    April 18, 1995

    Harmonization of DICOM and IS&C Standard
    WG V (Exchange Media) ACR-NEMA Committee
    April 11-13, 1995, May 8-12, 1995

    Prepare for Evaluating Compression Schemes
    WG IV (Compression), ACR-NEMA Committee
    April 21, 1995


    Selected Acronyms

    ACC American College of Cardiology
    ACR American College on Radiology
    AHCPR Agency for Health Care Policy and Research, PHS
    AHIMA American Health Information Management Association
    ANSI American National Standards Institute
    ASC Accredited Standards Committee
    CPRI Computerized Patient Record Institute
    DETAG Dental Electronic Technology Advisory Group
    DICOM Digital Imaging and Communications in Medicine
    EDI Electronic Data Interchange
    HIS Hospital Information System
    HISPP Healthcare Informatics Standards Planning Panel
    NEMA National Electrical Manufacturers Association
    OSDD Office of Science and Data Development, AHCPR
    OSI Open Systems Interconnection
    PACS Picture Archiving and Communication System
    PHS Public Health Service
    R-ADT Registration - Admission, Discharge, Transfer
    RIS Radiology Information System