NAACCR Interoperability Activities

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NAACCR Interoperability Activities

• Lori A. Havener, CTR
• Program Manager of Standards

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Background

• Standards Volumes I and II
• Data exchange record layout
• National health information technology initiatives

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NAACCRs Number One Priority

• Achieve syntactic and semantic interoperability
  of cancer registration standards with national
  standards by 2010 or at the earliest possible
  time.

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Definitions

• Semantic Interoperability the ability to
  exchange and use data allows the exchange of
  both structure and meaning (of terms or
  vocabularies) among systems.
• Syntactic Interoperability the ability to
  exchange data refers to the ability for
  different systems to interpret interfaces,
  interchange formats, messaging standards, etc.

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Interoperability Ad Hoc Committee Structure
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Interoperability Ad Hoc Committee

• Conducted first meeting at the NAACCR annual
  conference.
• Developed goals and objectives for the ad hoc
  committee and the new work groups.
• Reviewed goals and objectives for existing work
  groups.

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Semantic Interoperability WG

• The Semantic Interoperability WG will review
  ontologies and vocabularies to ensure NAACCR data
  standards are either interoperable or mapable to
  national standards.

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Syntactic Interoperability WG

• The Syntactic Interoperability WG will assess
  data exchange mechanisms to ensure NAACCR is
  consistent with national standards.

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Clinical Data WG Charge

• Explore alternate mechanisms or messages to
  transmit and receive the cancer abstract.
• Examine not only the steps to transmit and
  receive data within the cancer registry
  community, but also consider transmissions to
  organizations typically outside that community.

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Clinical Data Work Group HL7 CDA Pilot Project

• Pilot test transmission of cancer data using HL7
  CDA from a hospital cancer registry to a central
  cancer registry.
• Participants included two central cancer
  registries, two hospital registry software
  vendors and two central registry vendors.

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Clinical Data Work Group Pilot Project Major
Milestones

• Strawman July 2007
• Preliminary Implementation Guide September 2007
• Translation Tool October 2007
• Pilot Alpha Software December 2007
• Pilot Alpha Deployment February 2008
• Final Implementation Guide April 2008
• Advantages/Disadvantages Report May 2008
• Financial Costs and Non-financial Benefits
  Analysis Report May 2008

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Pathology Data Work Group

• Update Standards Volume V to HL7 version 2.5.1.
• Develop conformance testing tools using the HL7
  Messaging Workbench.
• Review CAP Cancer Checklists and the SNOMED CT
  Encoded CAP Cancer Checklists.

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Health Information Technology Initiatives

• Health Information Technology Standards Panel
  (HITSP)
• Sponsored by the American National Standards
  Institute (ANSI).
• Serves as a cooperative partnership between
  public and private sectors for the purpose of
  achieving a widely accepted and useful set of
  standards specifically to enable and support
  widespread interoperability among healthcare
  software applications, as they will interact in a
  local, regional and national health information
  network for the U.S.

(www.ansi.org/hitsp)
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Health Information Technology Initiatives

• Public Health Data Standards Consortium (PHDSC)
• Promotes data standards for population health
  practice and research.
• Committed to bring a common voice from the public
  health community to the national efforts of
  standardization of health and healthcare
  information.

(www.phdsc.org)
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Health Information Technology Initiatives

• Health Level Seven (HL7)
• ANSI accredited Standards Developing
  Organization.
• An international community of healthcare subject
  matter experts and information scientists
  collaborating to create standards for the
  exchange, management and integration of
  electronic healthcare information. Promotes use
  of standards within and among healthcare
  organizations to increase the effectiveness and
  efficiency of healthcare delivery for the benefit
  of all.

(www.hl7.org)
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Health Information Technology Initiatives

• SNOMED Surgical Pathology Work Group
• Works closely with the CAP Cancer Committee to
  work on formatting of the checklists for computer
  systems.
• Comprised of pathologists, cancer registrars,
  pathology and cancer registry software suppliers
  and CDC representatives.

(www.snomed.org)
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The Challenge

• These interoperability activities are new to the
  NAACCR members and staff.
• There is not an existing trail to followwe are
  trail blazing.