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Subject: Agenda Topic: Fwd: RE: OASIS standards for COVID-19

We will be looking at various organizations and discuss which of our standards and specifications should be included in the efforts of these organizations to get the values of interoperability embodied in our work into those efforts. You can look at the url in Scott's message by way of introduction to the topic. We will also discuss our participation in the HL7 FHIR SANER project and recommendations we think should be included.

Cheers,
Rex



-------- Forwarded Message --------
Subject: RE: OASIS standards for COVID-19
Date: Mon, 6 Apr 2020 17:46:11 +0000
From: Scott M. Robertson <Scott.M.Robertson@kp.org>
To: elysajones@yahoo.com <elysajones@yahoo.com>, rexb@starbourne.com <rexb@starbourne.com>


There are no OASIS code sets in CDC VADS COVID-19 directory. The things you found are OASIS="Outcome and assessment information setâ. Iâll search other areas in PHIN VADS, but I donât think weâll find anything.

Â

VADS is not about the standards, it is about coded concept values used/defined by the standards. We will need to find (and provide) what TEP/HAVE/others have defined and what external code sets we reference.Â

Â

Â

Scott M Robertson

PharmD, RPh, FHL7, GISP, CISSP

Principal Technology Consultant

Â

Kaiser Permanente
Technology Risk Office | Health IT Strategy & Policy
310-200-0231

tro.kp.org

----------
kp.org/thrive

Â

From: elysajones@yahoo.com <elysajones@yahoo.com>
Sent: Monday, April 6, 2020 9:46 AM
To: Scott M. Robertson <Scott.M.Robertson@kp.org>; rexb@starbourne.com
Subject: FW: OASIS standards for COVID-19

Â

Caution: This email came from outside Kaiser Permanente. Do not open attachments or click on links if you do not recognize the sender.

Hi Scott and Rex, I have looked at this directory and donât see any of the OASIS/EMTC standards. However, when I search âOASISâ some LOINC and other data is returned. I would like to respond to Nikolay before our call at 4EDT today if possible. Maybe Scott is aware of any other OASIS work in PH vocabulary? Otherwise, Iâll just tell him nothing resembling the EMTC specs. Would that be correct? I think we did some LOINC data for the TEP transform but not sure. Thoughts? Elysa

Â

From: Lipskiy, Nikolay (CDC/DDPHSIS/CPR/DEO) <dgz1@cdc.gov>
Sent: Monday, April 6, 2020 7:30 AM
To: elysajones@yahoo.com
Cc: Tyson, James (CDC/DDPHSIS/CPR/DEO) <icf8@cdc.gov>
Subject: OASIS standards for COVID-19

Â

Hi Elysa,

Â

Could you verify the CDC VADS COVID-19 directory and see if any OASIS standard are missing , please? If you see any gaps I will be happy to fix it.

Â

Thank you

Â

Nikolay

Â

Nikolay Lipskiy, MD, PhD, MBA

Medical Epidemiologist; Informatics Scientist

Centers for Disease Control and Prevention (CDC)

Center for Preparedness and Response

Division of Emergency Operations

Phone: 404-639-0567

Â

From: elysajones@yahoo.com <elysajones@yahoo.com>
Sent: Sunday, April 5, 2020 5:21 PM
To: Lipskiy, Nikolay (CDC/DDPHSIS/CPR/DEO) <dgz1@cdc.gov>
Subject: RE: Hospital Resource availability - work being done on the hospital and exchange side (HL7/FHIR)

Â

Hi Nikolay,

Â

I did not see where Rebecca sent you the details for the call, so here they are:

Per the email thread, sending along a cal invite for Monday, April 6 at 4:00pm EDT.

Purpose is to share and discuss various efforts underway in support of hospital and health/medical capabilities reporting and information management â and how we can coordinate/collaborate to achieve maximum benefit and desired outcomes in support of COVID-19 (and beyond).

Enjoy the rest of your weekend,

Rebecca

Rebecca Harned | Director, National & Federal

National Alliance for Public Safety GIS Foundation

202-895-1711 | rharned@publicsafetygis.org | @AnalyticsChic

www.napsgfoundation.org | @napsgfoundation | USNG. 18S UJ 1935 1445

Enhancing public safety through the power of geospatial technology and data

Â

Â

Â

From: Lipskiy, Nikolay (CDC/DDPHSIS/CPR/DEO) <dgz1@cdc.gov>
Sent: Sunday, April 5, 2020 12:58 PM
To: Elysa Jones <elysajones@yahoo.com>
Subject: RE: Hospital Resource availability - work being done on the hospital and exchange side (HL7/FHIR)

Â

Hi Elysa,

Â

Thank you very much for keeping me posting. Could you forward to me an invitation for this meeting, please?

Â

Thank you

Â

Nikolay

Â

Nikolay Lipskiy, MD, PhD, MBA

Medical Epidemiologist; Informatics Scientist

Centers for Disease Control and Prevention (CDC)

Center for Preparedness and Response

Division of Emergency Operations

Phone: 404-639-0567

Â

From: Elysa Jones <elysajones@yahoo.com>
Sent: Sunday, April 5, 2020 10:21 AM
To: Lipskiy, Nikolay (CDC/DDPHSIS/CPR/DEO) <dgz1@cdc.gov>
Subject: Fw: Hospital Resource availability - work being done on the hospital and exchange side (HL7/FHIR)

Â

Hi Nikolay, I hope you are well. I know you are crazy busy but I want you to be aware of this activity. This call tomorrow will include FEMA and the HL7 FHIR group that are working on hospital resource availability. It is pretty exciting stuff. I want you to be aware of it and please join the call if you are able. ÂElysa


Sent from Yahoo Mail for iPhone

Begin forwarded message:

On Sunday, April 5, 2020, 8:43 AM, Rebecca Harned <rharned@publicsafetygis.org> wrote:

Elyse, et al

Â

Thank you for the prompt response and additional details.

Â

From what I can gather, our collective efforts (and that of the HIMSS EHRA Public Health Measure task force) would benefit from coordination / collaboration on these critical information management issues.

Â

I will send you a cal invite for Monday 4-5pm to discuss. I will include all others on this email thread + Keith Boone, and they can participate as relevant and available. Please feel free to forward on to you CDC/NHSN Liaison, as I donât have his email address.

Â

Look forward to connecting on Monday.

Rebecca

Â

Rebecca Harned | Director, National & Federal

National Alliance for Public Safety GIS Foundation

202-895-1711 | rharned@publicsafetygis.org | @AnalyticsChic

www.napsgfoundation.org | @napsgfoundation | USNG. 18S UJ 1935 1445

Enhancing public safety through the power of geospatial technology and data

Â

From: elysajones@yahoo.com <elysajones@yahoo.com>
Sent: Saturday, April 4, 2020 11:51 AM
To: Rebecca Harned <rharned@publicsafetygis.org>; 'Remchuk, Ryan' <ryan.remchuk@fema.dhs.gov>; 'Okada, Ted' <Ted.Okada@fema.dhs.gov>; 'Vaughan, Christopher' <Christopher.Vaughan2@fema.dhs.gov>; 'Workman, Joseph' <Joseph.Workman@fema.dhs.gov>
Cc: rexb@starbourne.com; 'Montgomery, Jack' <john.montgomery@fema.dhs.gov>; 'Scott M. Robertson' <Scott.M.Robertson@kp.org>
Subject: RE: Hospital Resource availability - work being done on the hospital and exchange side (HL7/FHIR)

Â

Hi Rebecca,

Â

Please note Keith Booneâs (lead for the SANER project) response to your questions below:

Â

Elysa, my responses are below:

Â

  1. The FEMA Template for Daily COVID-19 Reporting was an attachment in the e-mailed Letter from Vice President Pence. The American Hospital Association published a link to that spreadsheet.
  2. We are also aware of the COVID-19 Patient Impact Module, and coordinating through our CDC/NHSN Liaison, Austin Kreisler, ccâd above.
  3. Per our understanding
    1. The Pence letter asks for data from hospital in-house labs, rather than external labs, which are reporting this data already to CDC and/or states. Austin Kreisler, our Liaison from CDC might help clarify through which program
    2. The SANER Project is not coordinating between government agencies (i.e., CDC and FEMA), we are instead working to enable hospitals to address their reporting requirements to any and all agency needing it. However, the toolset we are producing can facilitate interagency data exchange, and we welcome opportunities to support such efforts.
  1. Finally, weâd be happy to collaborate on county and state level collection needs. We are already developing a process to coordinate on development of additional measures being suggested by a HIMSS EHRA Public Health Measure task force being formed now, and would welcome inputs for measures to support local and regional collection efforts. Iâve taken the liberty of sharing the information request with the project so that folks can start looking into it sooner, see https://github.com/AudaciousInquiry/saner-ig/wiki/Measure-Requests.

Â

Iâm generally available for discussion this weekend, my cell phone number is 617-640-7007. Next week I am free or can open up slots on Monday: 1-2, 4-5; Tuesday: 10-12, 2-4; Wednesday: 3-5. I can open up other times later in the day if needed, I generally reserve time after 5 for technical development. All times are Eastern.

Â

Keith

Keith Boone, Enterprise Architect
kboone@ainq.com | (617) 640-7007

I am also available for discussions this weekend and at the times next week Keith has noted. Â

Best regards,

Elysa Jones, Chair OASIS

Emergency Management Technical Committee

Emergency Member Section Steering Committee

Â

From: Rebecca Harned <rharned@publicsafetygis.org>
Sent: Friday, April 3, 2020 9:05 PM
To: elysajones@yahoo.com; 'Remchuk, Ryan' <ryan.remchuk@fema.dhs.gov>; 'Okada, Ted' <Ted.Okada@fema.dhs.gov>; 'Vaughan, Christopher' <Christopher.Vaughan2@fema.dhs.gov>; 'Workman, Joseph' <Joseph.Workman@fema.dhs.gov>
Cc: rexb@starbourne.com; 'Montgomery, Jack' <john.montgomery@fema.dhs.gov>
Subject: RE: Hospital Resource availability - work being done on the hospital and exchange side (HL7/FHIR)

Â

Hi, Elysa

Â

Thank you for the notes on this.

Â

I was not previously familiar with the Saner project until now (though I am familiar with OASIS). I took a look at the documentation you provided and identified a few notes and questions:

  1. It appears that âFEMA Template for Daily COVID-19 Reportingâ is limited to case reporting
  2. Whereas the new CDCâs âCOVID-19 Patient Impact and Hospital Capacity Moduleâ is the official mechanism for case reporting
  3. Per above, itâs unclear what the intent is of the âFEMA Template for Daily COVID-19 Reportingâ.
    1. Are there two separate efforts for case reporting? OR
    2. Are you working through the conversation of CDCâs case reporting data into a specific format (and fields) that FEMA is looking for?

Â

There are additional data/information reporting needs that still need to be addressed and coordinated, that go beyond collecting case data. Specifically, weâve identified core information/data needs on county-level medical/health capability & capacity status. Aside from the few (very limited) fields in the new CDC form that cover a basic level of reporting on ICU beds and ventilators â it does not get to the level of granularity needed to inform resource management/allocation on a statewide or regional basis, much less nationally. Further, I confirmed that this additional data on medical/health capability & capacity reporting would be valuable to the modeling efforts in development now. See attached for reference.

Â

It raises the question â We donât expect CDC to change their reporting process, but if the community develops their own reporting process for this additional information, what would be needed to ensure integration/interoperability with the other healthcare IT systems referenced?

Â

That being said, Iâd like to touch base with you regarding your project to see if there is a nexus with efforts to address/fulfill the other core information needs for county-level medical/health capability & capacity status. I have time over the weekend and early next week for a brief call. Please let me know what works best for you.

Â

Thank you in advance,
Rebecca

Â

Rebecca Harned | Director, National & Federal

National Alliance for Public Safety GIS Foundation

202-895-1711 | rharned@publicsafetygis.org | @AnalyticsChic

www.napsgfoundation.org | @napsgfoundation | USNG. 18S UJ 1935 1445

Enhancing public safety through the power of geospatial technology and data

Â

From: elysajones@yahoo.com <elysajones@yahoo.com>
Sent: Friday, April 3, 2020 11:29 AM
To: 'Remchuk, Ryan' <ryan.remchuk@fema.dhs.gov>; 'Okada, Ted' <Ted.Okada@fema.dhs.gov>; Rebecca Harned <rharned@publicsafetygis.org>; 'Vaughan, Christopher' <Christopher.Vaughan2@fema.dhs.gov>; 'Workman, Joseph' <Joseph.Workman@fema.dhs.gov>
Cc: rexb@starbourne.com; 'Montgomery, Jack' <john.montgomery@fema.dhs.gov>
Subject: Hospital Resource availability - work being done on the hospital and exchange side (HL7/FHIR)

Â

Hello Ryan and Ted,

Â

Please see the brief attached on the âSanerâ project going on at HL7. This is the FHIR (Fast Healthcare Interoperability Resource) standard that will be used in the health sector for tracking hospital resources and emergency situations. We need to see what we can do to develop an interface between the FEMA efforts and this. After the connect-a-thon last weekend and the work this week, there should be a demonstration ready soon (likely next week).

Â

Let me know what I/we can do at OASIS in this regard. We have an ongoing liaison relationship between these two standards bodies. This HL7 project is being fast tracked.

Â

Best,

Â

Elysa Jones, Chair OASIS

Emergency Management Technical Committee

Emergency Member Section Steering Committee

Â

Â

Â

From: Remchuk, Ryan <ryan.remchuk@fema.dhs.gov>
Sent: Monday, March 30, 2020 3:50 PM
To: Okada, Ted <Ted.Okada@fema.dhs.gov>; Elysa Jones <elysajones@yahoo.com>; Rebecca Harned (rharned@publicsafetygis.org) <rharned@publicsafetygis.org>; Vaughan, Christopher <Christopher.Vaughan2@fema.dhs.gov>; Workman, Joseph <Joseph.Workman@fema.dhs.gov>
Cc: rexb@starbourne.com; Montgomery, Jack <john.montgomery@fema.dhs.gov>
Subject: RE: Hospital Resource availability data standard

Â

Thank you Elysa.

Â

Are you referring to EDXL HAVE (v2.0)?

Â

Thanks again.

Â

Ryan Remchuk

Data Management Branch Chief | Enterprise Analytics Division | Office of Policy & Program Analysis

Mobile: 202.664.9016

Ryan.Remchuk@Fema.Dhs.Gov

Â

Federal Emergency Management Agency

Fema.gov

Â

From: Okada, Ted <Ted.Okada@fema.dhs.gov>
Sent: Monday, March 30, 2020 3:54 PM
To: Elysa Jones <elysajones@yahoo.com>; Rebecca Harned (rharned@publicsafetygis.org) <rharned@publicsafetygis.org>; Remchuk, Ryan <ryan.remchuk@fema.dhs.gov>; Vaughan, Christopher <Christopher.Vaughan2@fema.dhs.gov>; Workman, Joseph <Joseph.Workman@fema.dhs.gov>
Cc: rexb@starbourne.com; Montgomery, Jack <john.montgomery@fema.dhs.gov>
Subject: RE: Hospital Resource availability data standard

Â

Hi Elysa,

Â

Long time. Putting you in touch with Rebecca at NAPSG, Ryan who manages our internal FEMA data governance council, Chris who is our GIO, and Nate who manages our geospatial infrastructure and OpenFEMA.

Â

Thanks.

Â

R, TO

Â

From: Elysa Jones <elysajones@yahoo.com>
Sent: Monday, March 30, 2020 3:06 PM
To: Okada, Ted <Ted.Okada@fema.dhs.gov>
Cc: rexb@starbourne.com
Subject: Hospital Resource availability data standard

Â

Hi Ted,Â

Â

WeÂhave not spoken in a while but I would like to remind you of our discussion sometime ago. The OASIS standards body has a standard for data interoperability of hospital resource data. The standard has been coordinated and jointly released with the HL7 standards body thatÂtakes care of in-hospital messaging.ÂThis is a very important standard with COVID-19.Â

Â

It is important for FEMA to know of this.Â

Â

Please call me to discuss when you have time. Â

Â

Best regards,Â

Elysa Jones chair,Â

OASIS emergency management technical committeeÂ

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