1. ITK Telehealth: PHMR Draft Message Specification

2. Interoperability Toolkit: PHRM O VERVIEW  Summary of WebEx  Key dates and actions  Draft message: Where to find the message on TRUD How to ‘install it’ Short tour  Prioritised review items 2

3. Interoperability Toolkit: PHRM S UMMARY OF W EB E X  The WebEx focused on publication of the draft message specification and where and how to get it.  Simon, one of the message developers, walked through the specification and called out some of the key areas we are asking for feedback Vocabs SnomedCT See the summary slide for location of feedback documents.  Key review dates, e.g. 8 th August for feedback, were outlined. 3

4. Interoperability Toolkit: PHRM K EY DATES AND ACTIONS Key dates from the meeting: 4 DateAction 8 th August 2012All feedback on the draft message specification must be returned. Send to cfh.interoperabilityteam@nhs.netcfh.interoperabilityteam@nhs.net 20 th August 2012Release Candidate message specification published to TRUD web site. 23 rd August 2012Release Candidate message WebEx, 12:30 start. OctoberWe are organising a meeting to review the PHMR work, give a ‘state of the interoperability nation’ update, run workshops to start work on the remaining message types; Click Through, Referral, Clinicians Response. Venue and date under discussion and will be communicated as soon as possible.

5. Interoperability Toolkit: PHRM D RAFT MESSAGE S PECIFICATION  The next group of slides will give an overview of the TRUD site Where the message is on the site How to download it How to install it  In summary logon to TRUD, navigate to Collections, Specifications for Consultation or Draft Status, Telehealth – Domain Message Specification, click download, then under Telehealth DMS Version 2.0 (Draft A) click on “Download this release”. The download zip is 14.5MB in size. Extract the files and launch the index.htm in the root of the extraction directory. You will also need NHS Interoperability Specifications Tooling Pack, under the NHS Message Specifications.  A recording of the WebEx walk through of the message is available here - https://connectingforhealth.webex.com/connectingforhealth/ldr.php?AT=pb&S P=MC&rID=1530167&rKey=30E5B5077305CEA1 https://connectingforhealth.webex.com/connectingforhealth/ldr.php?AT=pb&S P=MC&rID=1530167&rKey=30E5B5077305CEA1 5

6. Interoperability Toolkit: PHRM D RAFT MESSAGE : TRUD S ITE  The TRUD site is separate to the NHS Networks site and requires registration. TRUD stands for "Technology Reference data Update Distribution" and from here you can download reference files from the Department of Health Informatics Directorate. Essentially all the ITK message specifications are held here. www.uktcregistration.nss.cfh.nhs.uk/trud3www.uktcregistration.nss.cfh.nhs.uk/trud3  If you do not already have an account you will need to ‘Create an account’ – registration takes about 5 mins and is quick to complete. 6

7. Interoperability Toolkit: PHRM D RAFT M ESSAGE : W HERE IS IT ?  The draft message is under the NHS Interoperability Framework collection, on the left hand side of the screen.  …then click on the specifications for Consultation or Draft Status…  …now under the Telehealth – Domain Message Specification item click on the Subscribe link. Once subscribed you can download the released message it self. Click on download and then under Telehealth DMS Version 2.0 (Draft A) click on “Download this release”. The download is 14.5MB in size. 7

8. Interoperability Toolkit: PHRM H OW TO I NSTALL THE M ESSAGE  The download is a ZIP file containing a number of files making up the message specification and other supporting documentation. Download to a file location and then extract to a suitable location.  The message is accessed via an HTML interface. This is launched by clicking on Index.htm which should open in your web browser. 8 Click on Index.htm… …to launch the Telehealth DMS ‘home page’…

9. Interoperability Toolkit: PHRM A T OUR OF THE M ESSAGE  To view the message definitions – click on the “Message Definitions” tab at the top of the home page…  Now click on the RMIM icon to view the CDA Model of the message… 9

10. Interoperability Toolkit: PHRM M ESSAGE T OUR 10 1 2 1.After opening the CDA RMIM click on the Coded Entry box – bottom right hand side. 2.This displays a list of all the coded entries – in the WebEx we clicked on the Blood Glucose entry – upper left hand quadrant.

11. Interoperability Toolkit: PHRM M ESSAGE T OUR 11 The Blood Glucose model is opened. To drill down to the Blood Glucose Threshold vocab entry… Click on Threshold Reference – lower right corner. (1) Then the BloodGlucoseThresholdRef (2) And then the expanded BloodGlucoseThresholdRef (3) And finally the ‘link to the BloodGlucoseThreshold Model (4)

12. Interoperability Toolkit: PHRM M ESSAGE T OUR 12 The BloodGlucoseThreshold Model is now shown. Click on the Threshold Interpretation box (1) This opens the tabular view. Click on the Thresholdinterpretation link (2) The vocab values are shown (3) We are looking for feedback on Vocab values!

13. Interoperability Toolkit: PHRM P RIORITISED REVIEW ITEMS We are looking for feedback on  Vocab – use the vocab feedback sheet on NHS Networks. You can jump to the Vocab directly by opening the directory the message was extracted to and then going to the Vocab sub dir. http://www.networks.nhs.uk/nhs-networks/interoperability-toolkit- itk/documents/PHMR_Vocab-Feedback.zip/view http://www.networks.nhs.uk/nhs-networks/interoperability-toolkit- itk/documents/PHMR_Vocab-Feedback.zip/view  SNOMEDCT – use the SNOMEDCT feedback sheet on NHS Networks. This lists all the draft SNOMEDCT codes for Telehealth. http://www.networks.nhs.uk/nhs-networks/interoperability-toolkit- itk/documents/PHMR_SnomedCT-Feedback.doc/view http://www.networks.nhs.uk/nhs-networks/interoperability-toolkit- itk/documents/PHMR_SnomedCT-Feedback.doc/view 13

14. Interoperability Toolkit: PHRM S UMMARY  End date for feedback is the 8 th August. Feedback should be sent to cfh.interoperabilityteam@nhs.net cfh.interoperabilityteam@nhs.net  Use the feedback sheets on NHS Networks Vocab – download the zipped document and extract it to the same directory as the index.htm file used to launch the message home page. There are links in the file to the review items that can be corrupted if the file is opened and then saved outside this directory. The file is held here – http://www.networks.nhs.uk/nhs-networks/interoperability-toolkit- itk/documents/PHMR_Vocab-Feedback.zip/viewhttp://www.networks.nhs.uk/nhs-networks/interoperability-toolkit- itk/documents/PHMR_Vocab-Feedback.zip/view SNOMEDCT – this is just a plain document that contains a list of, prioritised, SNOMEDCT concept IDs for review. The document is here – http://www.networks.nhs.uk/nhs-networks/interoperability-toolkit- itk/documents/PHMR_SnomedCT-Feedback.doc/viewhttp://www.networks.nhs.uk/nhs-networks/interoperability-toolkit- itk/documents/PHMR_SnomedCT-Feedback.doc/view  The RC will be released on the 20 th of August followed by a WebEx on the 23 rd. Meeting invite can be found here – https://connectingforhealth.webex.com/connectingforhealth/j.php?ED=11682492&UID=0&IC S=MI&LD=1&RD=18&ST=1&SHA2=ASJOArL5GfmMdaiFX6lpHwTL2-- CCnjVXfVcYWiO9Yg=&RT=MTgjMjE%3D https://connectingforhealth.webex.com/connectingforhealth/j.php?ED=11682492&UID=0&IC S=MI&LD=1&RD=18&ST=1&SHA2=ASJOArL5GfmMdaiFX6lpHwTL2-- CCnjVXfVcYWiO9Yg=&RT=MTgjMjE%3D 14