Subject: Trip Report: Computer-Based Patient Record Institute (CPRI) meeting to discuss Healthcare Informatics Standards, 7 January 1994 Traveler: Luke J. Rheaume: Member of the Technical Staff, MITRE Department G044, Network Technology Systems; Vice-Chair of ASTM Committee E-31 on Computerized Systems Purpose: To participate in a CPRI meeting for the purpose of discussing its concept of a National Task Force to Complete Standards Requirements Necessary to Support the Computer-based Patient Record. This meeting was held at the Hyatt Regency Crystal City, 2799 Jefferson Davis Highway, Arlington, VA 22202 on 7 January 1994 from 10:00 to 16:00. Discussion: Due to weather related flight cancellations and delays, I arrived at the meetings at 11:00, one hour into the meeting. I received handouts (Contact CPRI - Address Below) identifying the attendees, the CPRI Sponsors, a Task Force Concept Document, and information about the next meetings. CPRI has proposed a three phased approach to create and put into use standards for Computer-based Patient Records. 1. An Accelerated Standards Development Period: A one year period during which a group of specialist (paid by the project) would takeover and write the standards documents (now being developed by various standards groups: HISPP, ASTM, HL7, ACR/NEMA, ASC X12, IEEE MEDEX/MIB, NCPDP,...). Upon completion of the documents, the document would be approved by the group that was writing it and then submitted for ANSI approval. 2. A Prototyping Period: Two years during which a number of prototypes, based upon the standards developed in phase 1 would be implemented and tested. 3. A Selected Site Test Period: Several years during which the prototypes and projects developed by phases 1 and 2 would be tested in a working environment across several health care facilities/groups where the capabilities of sharing the patient information in different systems would be tested. At 12:00, a luncheon was held during which the meeting and the concept were discussed. At 13:00, there were a number of Facilitated Discussion meetings held (five groups of 20-25 persons). The purpose these discussions was to give a first response to the Concept Document and proposal made during the morning presentations. The groups may have been a bit too large to get more than general feelings about the proposal. At 14:20, attendees were all gathered to report on the discussions of the groups. The Reports of the groups were varied, however in general they indicated: % There needs to be standards in this area. % The Scope of the Task Force needs to be better defined. What is being standardized? The contents of the patient record; the functionality of accessing the patient record; the transfer of the patient record or a subset of its data to a care provider/payee/researcher. % There needs to be a concept of how the system will work. % Security of the information: is it valid information, how is it protected, who has access to the information % There needs to be a national recognition of the need for the system. The need for medical informatics system legislation is not a goal of the Task Force. % There should be a set of tools to use the standards that are replaced by efficient products in the market place. % The task does not end with phase 3, but continues. % Phases 2 & 3 should begin at the same time as phase 1, allowing for input to phase 1. At 15:20, based upon the input of the meeting, a summary of the meeting was presented. A modified concept document would be generated and another meeting of the task force was scheduled for 3 February to discuss the proposal prior to the ANSI HISPP (Healthcare Informatics Standards Planing Panel) Meeting. Follow-up: The next meeting scheduled by CPRI to discuss the acceleration of Medical Informatics Standards Development is scheduled for February 3, the day before the next scheduled HISPP meeting. Luke J. Rheaume Member of the Technical Staff Network Technology Systems CPRI may be contacted through the following: Margret Amatayakul, MBA, RRA Executive Director Computer Based Records Institute c/o AHIMA 919 N. Michigan Ave., Suite 1400 Chicago IL 60611-1683 Voice: (800)382-2973 Voice: (312)787-9721 FAX: (312)787-5926 InterNet: margret@ahima.mhs.compuserve.com -- Standard Disclaimer Applies: These are my opinions, not my employers. Luke J. Rheaume, Technical Staff, Department G044, ms K319 The MITRE Corporation, 202 Burlington Rd., Bedford, MA 01730-1420 Voice: (617)271-7001, FAX: (617)271-2423, E-Mail: ljr@mitre.org IITYWIMWYBMAD? :-)