Adoption of IHE PCD in Brazil and the 2073 Law of 31/08/11 of the health ministry.
jorg...@hotmail.com
Monroe Pattillo
Jorge,
SNOMED-CT is usable within the HL7 messages of the IHE PCD profile. Please read the IHE PCD domain Technical Framework, Version 5.0, Volume 2
Section B.7 OBR – Observation Request Segment
page 99, line 2330
Section B.8 OBX – Observation/Result Segment
page 107, line 2580
page 126, line 3060
Section C.2 CWE Data Type – coded with exceptions
Page 154, line 4035
http://www.ihe.net/Technical_Frameworks/#pcd
It is possible to create mappings of US DOC NIST supported RTMMS (Rosetta Terminology Mapping Maintenance System) IEEE 11073 observations to SNOMED-CT. A number of IEEE 11073 observations may be more detailed for which there are might not be directly equivalent SNOMED-CT terms. As such there may be a loss in detail when mapping from 11073 to SNOMED-CT so both observations might be included in the values within the message so you have the mandated SNOMED-CT value and there is no loss in detail as the 11073 value is available for reference.
https://rtmms.nist.gov/rtmms/index.htm
http://browser.ihtsdotools.org
Regards,
Monroe Pattillo
IHE PCD Planning Committee Co-Chair
Practical Health Interoperability, LLC
Managing Member
Mobile 954-850-7405
E-mail monroe....@gmail.com
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Monroe Pattillo
Jorge,
You are reading it correctly.
There is a part of the IHE Technical Frameworks that permits national extensions or differences. For example, this permits HL7 v2.4 to be used in Japan as mandated by the government when the PCD TF expects HL7 v2.6 (with according loss of OBX-20 Observation Site which originated in HL7 v2.6).
A National Extension for Brazil could be proposed that prioritized SNOMED-CT over 11073 as mandated by the government where there are SNOMED-CT equivalents else would use 11073 and would also permit HL7 v2.4 instead of v2.6 (with according loss of OBX-20 Observation Site which originated in HL7 v2.6).
Regards,
Monroe Pattillo
HIMSS 2016 IO Showcase TPM
IHE 2016 NA Connectathon Testing Monitor
Integrations Consultant
Member IEEE, IHE, ACCE, AAMI, HIMSS
IHE PCD Planning Committee Co-Chair
IHE ACM Working Group Co-Lead
IHE MEM DMC & LS Working Group Lead
-----Original Message-----
From: jorge.loureiro [mailto:jorge.l...@ieb.ufsc.br]
Sent: Tuesday, March 22, 2016 2:43 PM
To: monroe_...@bellsouth.net
Cc: jorg...@hotmail.com; pcdco...@googlegroups.com
Subject: RE: Adoption of IHE PCD in Brazil and the 2073 Law of 31/08/11 of the health ministry.
Monroe,
thanks for your response and attention to my question.
I read IHE PCD domain Technical Framework, Version 5.0, Volume 2 and highlight the part below (page 107):
"...For the IHE PCD transactions, implementations shall use the terms defined in the current version of the Harmonized Rosetta Terminology (Volume 3 of the Technical Framework contains further details and references on the Rosetta Terminology Mapping as well as important information on system responsibilities regarding terminology). The Rosetta codes are based on terms from the ISO/IEEE 11073 Nomenclature where available, and where the Nomenclature does not currently contain a matching term, gives provisional vendor-neutral terms to be submitted to the IEEE 11073 Upper Layers Committee as suggestions for adoption into the Nomenclature. If term cannot be found in this way and a matching term is available in LOINC, then the next preference is to use the LOINC term. If LOINC also does not support a term then SNOMED CT or another coding scheme recognized by the HL7® standard takes precedence if a matching term is available."
In this case, I believe there is an obligation to use the terms of nomenclature IEEE 11703 in IHE PCD and only I can use the SNOMED-CT in case of missing term in IEEE 11703. If you all terms exist in IEEE 11703 could not use the SNOMED-CT.
Our library uses SNOMED-CT terms and would like to adopt medical equipment with IHE PCD's declaration of conformity using HL.7 v.2.6 without changing the nomenclature of the library.
I would like your opinion on my interpretation.
Sorry about my English ...
Best Regards,
Jorge Loureiro
Biomedical Engineering Institute - Brazil
Em 2016-03-22 12:06, Monroe Pattillo escreveu:
> Jorge,
>
> SNOMED-CT is usable within the HL7 messages of the IHE PCD profile.
> Please read the IHE PCD domain Technical Framework, Version 5.0,
> Volume 2
>
> Section B.7 OBR – Observation Request Segment
>
> page 99, line 2330
>
> Section B.8 OBX – Observation/Result Segment
>
> page 107, line 2580
>
> page 126, line 3060
>
> Section C.2 CWE Data Type – coded with exceptions
>
> Page 154, line 4035
>
>
>
> It is possible to create mappings of US DOC NIST supported RTMMS
> (Rosetta Terminology Mapping Maintenance System) IEEE 11073
> observations to SNOMED-CT. A number of IEEE 11073 observations may be
> more detailed for which there are might not be directly equivalent
> SNOMED-CT terms. As such there may be a loss in detail when mapping
> from 11073 to SNOMED-CT so both observations might be included in the
> values within the message so you have the mandated SNOMED-CT value and
> there is no loss in detail as the 11073 value is available for
> reference.
>
>
>
>
> Regards,
>
> Monroe Pattillo
>
> IHE PCD Planning Committee Co-Chair
>
> Practical Health Interoperability, LLC
>
> Managing Member
>
> Mobile 954-850-7405
>
> E-mail monroe....@gmail.com
>
> FROM: pcdco...@googlegroups.com
> [mailto:pcdco...@googlegroups.com] ON BEHALF OF
> SENT: Monday, March 21, 2016 9:09 PM
> TO: pcdcomments
> SUBJECT: Adoption of IHE PCD in Brazil and the 2073 Law of 31/08/11 of
> the health ministry.
>
> Dear IHE PCD Technical Committee,
>
> the 2073 law in Brazil specifies the SNOMED-CT standard to support
> semantic interoperability between information systems. How can we
> adopt the IHE PCD in Brazil if this domain specifies HL.7 V2.6 using
> the semantics of the IEEE 11073? Is it possible adopt the IHE PCD with
> HL.7 v.2.4 and SNOMED-CT standard?
>
> Best Regards,
>
> Jorge Loureiro
>
> biomedical engineering institute - Brazil
>
>
> --
> You received this message because you are subscribed to the Google
> Groups "pcdcomments" group.
> To unsubscribe from this group and stop receiving emails from it, send
> an email to pcdcomments...@googlegroups.com.
> For more options, visit https://groups.google.com/d/optout [4].
>
> Links:
> ------
> [1] http://www.ihe.net/Technical_Frameworks/#pcd
> [2] https://rtmms.nist.gov/rtmms/index.htm
jorge.loureiro
>
> SNOMED-CT is usable within the HL7 messages of the IHE PCD profile.
> Please read the IHE PCD domain Technical Framework, Version 5.0,
> Volume 2
>
> Section B.7 OBR – Observation Request Segment
>
> page 99, line 2330
>
> Section B.8 OBX – Observation/Result
> Segment
>
> page 107, line 2580
>
> page 126, line 3060
>
> Section C.2 CWE Data Type – coded with exceptions
>
> Page 154, line 4035
>
>
> It is possible to create mappings of US DOC NIST supported RTMMS
> (Rosetta Terminology Mapping Maintenance System) IEEE 11073
> observations to SNOMED-CT. A number of IEEE 11073 observations may
> be more detailed for which there are might not be directly equivalent
> SNOMED-CT terms. As such there may be a loss in detail when mapping
> from 11073 to SNOMED-CT so both observations might be included in the
> values within the message so you have the mandated SNOMED-CT value and
> there is no loss in detail as the 11073 value is available for
> reference.
>
> https://rtmms.nist.gov/rtmms/index.htm
>
> http://browser.ihtsdotools.org [3]
>
>
> Regards,
>
> Monroe Pattillo
>
> IHE PCD Planning Committee Co-Chair
>
> Practical Health Interoperability, LLC
>
> Managing Member
>
> Mobile 954-850-7405
>
> E-mail monroe....@gmail.com
>
> [mailto:pcdco...@googlegroups.com] ON BEHALF OF
> jorg...@hotmail.com
> TO: pcdcomments
> SUBJECT: Adoption of IHE PCD in Brazil and the 2073 Law of 31/08/11 of
>
> Dear IHE PCD Technical Committee,
>
> the 2073 law in Brazil specifies the SNOMED-CT standard to support
> semantic interoperability between information systems. How can we
> adopt the IHE PCD in Brazil if this domain specifies HL.7 V2.6 using
> the semantics of the IEEE 11073? Is it possible adopt the IHE PCD with
> HL.7 v.2.4 and SNOMED-CT standard?
>
> Best Regards,
>
> Jorge Loureiro
>
> biomedical engineering institute - Brazil
>
> jorge.l...@ieb.ufsc.br
>
> --
> You received this message because you are subscribed to the Google
> Groups "pcdcomments" group.
> To unsubscribe from this group and stop receiving emails from it, send
> an email to pcdcomments...@googlegroups.com.