HL7 Domain Analysis Model: Common Clinical Registry Framework, Release 2

DESCRIPTION

It is hoped that the registry DAM will serve as foundational material for other HL7 standards work, such as the development of HL7 Fast Healthcare Interoperability Resources (FHIR) profiles and/or implementation guides for common registry use cases. Due to the specificity and high level of structure that is typical in registry data, their collection often requires difficult and expensive custom interfacing. When source data are not readily available nor transferable to registries in electronic formats, registries then must resort to manual data entry, which is labor-intensive and doesn’t scale well. The registry DAM can act as a guide to those who, through HL7’s work groups or otherwise, works to improve registry interoperability.

ALTERNATIVE NAMES

HL7 Domain Analysis Model: Common Clinical Registry Framework, Release 2 may also go by the following names or acronyms:

TARGETS

Standards Development Organizations (SDOs) 

Clinical registry operators and participants

BENEFITS

Supports development of HL7 Fast Healthcare Interoperability Resources (FHIR) profiles and/or implementation guides for common registry use cases

Guides improvements in registry interoperability to overcome difficult and expensive custom interfacing due to the specificity and high level of structure that is typical in registry data; When source data are not readily available nor transferable to registries in electronic formats, registries then must resort to manual data entry, which is labor-intensive and doesn’t scale well. 

DEVELOPMENT BACKGROUND

The registry DAM was developed under the auspices of the Health Level Seven International (HL7) Clinical Interoperability Council (CIC) work group, organized as the Common Clinical Registry Framework project. The CCRF team included participants from national and international registry operators, industry groups, vendors, and clinical registry participants. The content of the DAM draws heavily upon the guidance provided in the AHRQ Handbook for Registries (Registries for Evaluating Patient Outcomes: A User's Guide: 3rd Edition¹), the collective wisdom and experience of the CCRF project team, and contributions by third party reviewers.

RELATED DOCUMENTS

HL7 Domain Analysis Model: Common Clinical Registry Framework, Release 2

(Download) (1.84 MB)

ADDITIONAL DETAILS

The Common Clinical Registry Framework (CCRF) Domain Analysis Model (DAM) describes the function, organization, structure and major workflows of a general clinical registry. The goal of the registry DAM is to express these aspects of clinical registries to those involved in the work of developing registries or making them interoperate with other health information systems. In this way, the document can serve as a resource to close the gap between registry experts and data standards & interoperability experts. 

For the purpose of defining the scope of the CCRF DAM a clinical registry is defined as: “an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more pre-determined scientific, clinical, or policy purposes.”1 

This definition includes registries that are used for research, clinical decision support, public health, performance monitoring, and policy making. The common thread is that the registry contains clinical data and serves a clinical purpose. Excluded from the scope of the CCRF DAM are registries used a master files for clinical entities, such as a device registry, provider registry, or patient identifier registry. The registry DAM was developed under the auspices of the Health Level Seven International (HL7) Clinical Interoperability Council (CIC) work group, organized as the Common Clinical Registry Framework project. The CCRF team included participants from national and international registry operators, industry groups, vendors, and clinical registry participants. The content of the DAM draws heavily upon the guidance provided in the AHRQ Handbook for Registries (Registries for Evaluating Patient Outcomes: A User's Guide: 3rd Edition1), the collective wisdom and experience of the CCRF project team, and contributions by third party reviewers.

TOPICS

• Cardiology
• Care Provision
• Clinical Quality
• Community-Based Health
• Decision Support
• Laboratory
• Medical Records
• Patient Administration
• Patient Care
• Patient Referral
• Personnel Management
• Pharmacy
• Public Health

BALLOT TYPE

• Informative

STATUS DATE

2020-12-21

RESPONSIBLE WORK GROUP

PRODUCT TYPE

• Domain Analysis Model

STAKEHOLDER

• Standards Development Organizations (SDOs)

FAMILY

• Cross-paradigm

CURRENT STATE

• Active

REALM

• Universal