WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 Pilot WP 6.4 Genomics & colon cancer.

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Presentation transcript:

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 Pilot WP 6.4 Genomics & colon cancer

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September genetic dept. 4 laboratories 50 surg.dept. >20 gyn.dept. HNPCC-register Today: Paper based Future Aims: Interoperability Communication Further IT-support Web-reporting of data

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 HNPCC-register Today: Paper based Future Aims: Interoperability Communication Further IT-support Web-reporting of data

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 Danish Health Data Network Web Server Laboratory / Surgery Dep. / Genetic Dep. Web Service Provider Front end HNPCC DB HTML Web ServiceNot part of InfoBioMed Web Page ClientWeb Service Client Vali- dation

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 Invited departments Genetic Department Århus Odense Vejle Hvidovre Surgical Department Herning Ålborg Odense Hvidovre Århus Laboratory Ålborg Copenhagen Hvidovre Århus 100% functioning IP-addresses

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 Herning Ålborg Odense Genetic Department Surgical Department Laboratory Ålborg Copenhagen Århus Vejle Hvidovre Odense Århus Hvidovre

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 Herning Ålborg Odense Genetic Department Surgical Department Laboratory Ålborg Copenhagen Århus Vejle Hvidovre Odense Århus Hvidovre II:1 Max Bergren

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 Herning Ålborg Odense Genetic Department Surgical Department Laboratory Ålborg Copenhagen Århus Vejle Hvidovre Odense Århus Hvidovre

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 Herning Ålborg Odense Laboratory Ålborg Copenhagen Århus Vejle Hvidovre Odense Århus Hvidovre MLH1, exon4, c.350C>T, p.T117M Genetic Department Surgical Department

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 HHUD – evaluation

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 International HL7 Interoperability Conference IHIC 2006 August 24-25, 2006, Cologne, Germany

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 FORTH Family Information HL7v3 model

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 FORTH Individual Information HL7v3 model

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 Example: CDA for Surveillance messages

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 Overview •INFOBIOMED European Network of Excellence •Danish Hereditary Non-polyposis Colon Cancer (HNPCC) Registry •Data flows that involve the Registry –XML models –web-reporting •HL7 v3 approaches investigated for interoperability –Developing a bottom-up HL7 v3 solution –Utilizing Genomics SIG: Family History Model –Extending the Family History Model –Employing CDA Release 2 •Summary & Conclusions

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 Summary •HL7 interoperability can eliminate heterogeneity and speed-up reporting of laboratories, surgery, and genetic counseling departments to the Danish HNPCC registry. •In the long run it can also facilitate cooperation among HNPCC registries in Europe. •We have experimented with the HL7 v3 tools, Family History Model of the Clinical Genomics SIG and CDA release 2 to facilitate information exchange and promote interoperability.

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 Conclusions HL7 v3 tools are useful but require a long time of work. Interoperability of the result is limited. •Family History topic is the most promising solution in the long term. –collaboration with the Clinical Genomics SIG is envisioned to share understanding and reach consensus. •CDA release 2 currently provides early feedback and max flexibility among the solutions we investigated. •Implementation guides should be developed and shared with the community for the CDA and the Family History model. –they are the key to interoperability!

WEB XML/HL7 SNP2005 Leicester SNP2005 Leicester FORTHUPM Implementation FUNEN HNPCC 2007 HHUD Evaluation CustodixAveiro ISCIII

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 Specific output WP 6.4 •Current status data exchange HNPCC •4 XML standards on clinical content •Design of XML documents •WEB service client •Implementation & evaluation of WEB-client •Ethical, legal and security issues •Early HL7 and CDA experience •Dissemination experience

WP 6.4 Genomics & colon cancer 9 th Consortie Meeing Rome September 2006 Experience ??