SEPTEMBER 2013 HL7 Mobile Health Work Group 101 By Gora Datta, Co-Chair, HL7 Mobile Health Work Group; Co-Lead, HL7 In- teroperability EHR Work Group; HL7 Ambassador; Group Chairman & CEO, CAL2CAL Corporation The HL7 Mobile Health (MH) Work Group is now • Identify and one year old! Over the past year, the work group promote mobile (WG) has rapidly matured from loosely held health concepts interested individuals to a cohesive group of ex- for interoper- perts that meets regularly. We welcome one and ability as Gora Datta all to join our Mobile Friday weekly calls every adopted and Friday at 11am ET. adapted for use in the mobile environment. • Coordinate and cooperate with other The group’s mission “The HL7 Mobile Health groups interested in using mobile health to Work Group creates and promotes health infor- promote health, wellness, public health, mation technology standards and frameworks for clinical, social media, and other settings. mobile health” captures the essence of its charter, • Provide a forum where HL7 members and as outlined: stakeholders collaborate in standardizing • Identify (and develop, as applicable) data to enable the secure exchange, storage, standards and functional requirements that analysis, and transmission of data and are specific to the mobile health environment. information for mobile applications and/ or mobile devices. One of the challenges the group has is that it is one of the few HL7 groups (like the EHR WG) that is not domain specific; and is more horizontal in nature. Therefore, its charter cuts across other vertical/domain oriented (work) groups. Given the tremendous interest and participation not only in the US but also globally, the HL7 Mobile Health WG is rapidly stepping up to identify and fill the gaps in the mobile health standards space. But before we delve into the areas on which the WG can and is focusing, let’s look at the various scenarios where mobile health is making its presence, scope and benefits felt: • Moving Around a Hospital: EHR system services follow providers around a hospital continued on next page ® Health Level Seven, HL7, CDA and FHIR are registered trademarks of Health Level Seven International, registered in the US Trademark Office • Independent Living: Assisted living • Easy access – Health information is just a In This Issue... draws on a range of mobile services tap/swipe away HL7 Mobile Health Work • Patient Empowerment: Support for long- • Security – Is health data safe and secure? Group 101................................... 1-3 term conditions across a wide range of • Usability – Are senior citizens and lifestyles younger generations using mobile devices New HL7 Work Group Taking on Quality Information........................ 3 • Individual Assistance: Behavioral health the same way? support anytime, anywhere • Affordability – Is there parity among users Update from Headquarters.......... 4-5 • Trusted Messages: Leveraging simple from different income categories? Pilot to Ballot IHE Profiles messaging capability to provide critical • Social Media – Is redefining what is through HL7 Launched with private amongst friends the Healthy Weight Profile.............. 6 services • Personal Health: Taking charge of one’s • Low and Middle Income Countries (LMIC) – Highest growth rate in adoption of FHIR® Connectathon 4 at the own health – wellness, healthy living, September Working Group mobile technology medication refill and reminders, fitness Meeting........................................... 6 • Interoperability – Many more devices, tracker, family member’s health (child 14th International HL7 systems and users to connect Interoperability Conference........... 7 immunization etc.) The HL7 Mobile Health WG is working on (or Transitions of Care and The use-cases/scenarios, the mobile healthcare Longitudinal Care Plans: plans on) developing related standards to fulfill The Need for Standards.................8-9 activities, the benefits of mobile health, and the gaps that exist today: the opportunities for innovation for each of the PBS Metrics Update...................... 10 1. MH Messaging Standards above scenarios will be covered in a subse- a. Use of mobile devices to send short but Education Department Corner...... 11 quent article. However, what is clear from the structured chunks of information for above scenarios is that mobile health is NOT Is HL7 Relevant to Clinicians?...... 12 rapid turnaround. Use of HL7 FHIR just a health app on a mobile device. resource may be one answer or critically HL7 Terminology Authority..... 13, 18 evaluate the need for a “mobile RIM” HL7 Version 3 Tools on Another area where mobile health is making a 2. MH Related Functional Model/Profile 64 bit Windows............................. 14 big impact, even though it was not originally a. Mobile Health Functional Profile derived from the HL7 EHR System FDA Presents Unique Device envisaged, is the US Meaningful Use program, Identification................................ 15 colloquially referred to as “MU”. As one re- Functional Model views the various rules for Stage 1 (published b. Mobile Health Functional Profile Congratulations on Passing derived from the HL7 PHR System the HL7 Certification Exams.......... 16 in 2010-11), one will not note anything explicit pertaining to mobile health but there are subtle Functional Model Upcoming International Events.... 17 nudges toward it – in particular, encouraging c. Mobile Health System Functional Model based upon a minimal data set Save the Date for HIMSS 2014...... 17 patient involvement and engagement in the paradigm care process. MU Stage 2 (published in 2012- HL7 Benefactors............................ 18 3. MH Document Architecture 13) builds upon this and creates opportunities a. At a first glance this might seem too HL7 Organizational Members 19-21 for mobile health – data integration and patient farfetched but think of this use case: 2013 Technical Steering engagement is foundational to this stage. MU you are on the road, in a foreign land, Committee Members .................... 22 Stage 3 (slated for publication in 2013-14) rules and out of your medicine(s). You go to are still evolving, but given the trend and the Steering Divisions......................... 22 the local pharmacy but you don’t have rapid rise in the use and proliferation of mobile your prescription, and even if you do HL7 Work Group Co-Chairs......23-25 devices by both consumers (i.e., patients) the pharmacist is having difficulty HL7 Facilitators...................... 26-27 and caregivers, it is safe to predict that mobile understanding language. In addition, health will become key and central to health- the medication may be branded with Affiliate Contacts.......................... 28 care access and delivery by one and all. a different name in that country. You HL7 Staff Members....................... 29 find that the pharmacy has a kiosk Mobile health is making its impact felt and where you can “zap” your PHR device 2013 Board of Directors.............. 30 seen in the following areas: continued on page 3 Educational Summits....................31 Upcoming Working Group Meetings...................................... 32 is the official publication of: Health Level Seven International 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI • 48104-4261 USA Phone: +1 (734) 677-7777 • Fax: +1 (734) 677-6622 • www.HL7.org 2 Mark McDougall, Publisher • Andrea Ribick, Managing Editor • Karen Van Hentenryck, Technical Editor New HL7 Work Group Taking on Quality Information By Crystal Kallem, Floyd Eisenberg, Patty Craig, Chris Millet and Walter Suarez, MD, Co-Chairs of the Clinical Quality Information Work Group Crystal Kallem With expanded emphasis on healthcare quality, is also collaborating with the Clinical Deci- HL7 formed the Clinical Quality Information sion Support WG in an effort to harmonize the Work Group (CQI WG) to provide a single point Quality Data Model (QDM) and Virtual Medical of entry for clinicians and others represent- Record (vMR). ing the quality community. The intent of the CQI WG is to work in concert with existing In addition to advancing important new proj- work groups to assure content of standards ects, the CQI WG will soon coordinate with the Floyd Eisenberg and templates is sufficient to enable secondary Structured Documents WG to discuss transi- use for quality and measurement. The CQI WG tioning the management and maintenance of will also coordinate with other work groups to various quality measurement and reporting complete active standards impacting quality standards to the CQI WG, including the Health measurement and reporting, provide required Quality Measure Format (HQMF/eMeasure), domain expertise to maintain and enhance QDM-based HQMF Implementation Guide, these standards, and identify and develop new and Quality Reporting Document Architecture standards, as needed, in collaboration with (QRDA) specifications. other HL7 work groups. The CQI WG co-chairs include Crystal Kallem, Chris Millet The CQI WG has a variety of work efforts un- Floyd Eisenberg, Walter Suarez, Patty Craig, derway. Most recently, the group compiled com- and Chris Millet. Those interested in participat- ments in response to the Centers for Medicare ing in CQI WG activities should join the listserv and Medicaid Services (CMS) Fiscal Year 2014 and participate in weekly CQI WG meetings Inpatient Prospective Payment System (IPPS) on Fridays from 1:00 – 3:00 pm ET US. For Notice of Proposed Rulemaking (NPRM). These additional information, visit http://wiki.hl7.