MDMI in Healthcare

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21 Οκτ 2013 (πριν από 3 χρόνια και 10 μήνες)

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Copyright ©
2012,
FireStar Software, Inc. All rights reserved.


Slide
1

MDMI

in Healthcare

Slide
2

Copyright ©
2012,
FireStar Software, Inc. All rights reserved.


The Problem


Unaffiliated Healthcare organizations cannot exchange
clinical data today.


Not having electronic exchange of healthcare data is a
problem


$ billions in cost


Decrease quality of healthcare (people die)


Stopping innovation in healthcare


The US government understands this problem and is spending
$ Billions in an attempt to solve this problem

Slide
3

Copyright ©
2012,
FireStar Software, Inc. All rights reserved.


MDMI is a solution


Simplifies this problem for each and every healthcare
organization


Significantly lowers the economic model for everyone; from
the largest to the smallest. Everyone can participate.


Provides an environment designed to accommodate change
and dramatically lower the cost of change


Slide
4

Copyright ©
2012,
FireStar Software, Inc. All rights reserved.


How can MDMI do this?


Model Driven Architecture


It is a Standard
-

OMG


Open Source


Open Health Tools

Slide
5

Copyright ©
2012,
FireStar Software, Inc. All rights reserved.


How does MDMI work?



The MDMI Standard is a model for a Map: There are tools to create MDMI
Maps. (Declarative not Procedural)


These tools generate a MDMI Map has a clean, simple, “standard” interface to
move data back and forth with any other MDMI Map.

Source

MDMI Map

Target

MDMI Map

MDMI Runtime

Source

MDMI Map

Target

MDMI Map


Source File




Target File



“Source” Map

-

Deconstructs Message (any syntax)

-

Using Semantic Elements (your Data)

-

Interface (move data to any MMDI map)

“Target" Map

-

Interface (move data to any MMDI map
)

-

Using your
Semantic Elements

-

Reconstruct Message (any syntax)

Slide
6

Copyright ©
2012,
FireStar Software, Inc. All rights reserved.


MDMI Map

ONC TOC
Ref

Use Case


Value to Healthcare Provider

OHT MDMI

Runtime


ONC TOC Ref

Message



Provider

MDMI Map


Data

File



Provider
Application

MDMI Map

ONC TOC SD


ONC TOC SD

Message



MDMI Map

HL7 V3

MDMI Map

HL7 V2

MDMI Map

VLER

MDMI Map

SSA


HL7 V3

Message




HL7 V2

Message




VLER

Message




SSA

Message



MDMI Map

NIEM



NIEM

Message



Value to Healthcare Provider

1.
Don’t have to know as much

2.
Don’t have to do as much

3.
One to many: One map can talk to any other MDMI map

4.
The cost of change to the Provider Organization is dramatically lowered.


MDMI Map

ONC
SD V2


ONC TOC SD

Message V2



MDMI Map

ONC
SD V3

MDMI Map

ONC
SD V4

MDMI Map

NIEM V2

MDMI Map

NIEMV3


ONC TOC SD

Message V3




ONC TOC SD

Message V4




NIEM

Message V2




NIEM

Message
V3


Slide
7

Copyright ©
2012,
FireStar Software, Inc. All rights reserved.


Use Case


Value to Standards Organization



Standard

Message



Provider 1






Standard

Map

Value to Standards Organization

1.
Easier for community to implement your solution; including healthcare
solution providers (vendors)

2.
Higher Quality: experts develop the maps and maps are reused.

3.
The pain of change is dramatically reduce: Maps are versioned.

Provider 2






Provider 3






Provider 4






Provider N






Slide
8

Copyright ©
2012,
FireStar Software, Inc. All rights reserved.


Use Case


Future Innovations

Message

Provider 1






Provider 2






Provider 3






Provider N






Message

Message

Message

Consolidated

Results

Map for

Query

Foundation for new applications
such as a healthcare semantic
web

Slide
9

Copyright ©
2012,
FireStar Software, Inc. All rights reserved.


Demonstration


Slide
10

Copyright ©
2012,
FireStar Software, Inc. All rights reserved.


Technical Overview


Slide
11

Copyright ©
2012,
FireStar Software, Inc. All rights reserved.


MDMI Specification

Mapping to the
Referent Index

The core


Semantic model

A SemanticElement
and all of its context

Core of the Syntax Model

Slide
12

Copyright ©
2012,
FireStar Software, Inc. All rights reserved.


MDMI Referent Index

Business
Elements
in RI

are
like words
in dictionary

Similarities
:


The meaning of a Business Element doesn’t change


Business Elements are not deleted


Adding a new Business Element is not difficult.


Adding a new Business Element
doesn’t
impact other words
.


Business Elements have synonyms.

Differences


A Business Element has only and only one meaning


There is only one Business Element for a term (semantic clarity).


There are near
-
synonyms.

Webster’s Dictionary

MDMI Referent Index

i
s

Equivalent

to

Slide
13

Copyright ©
2012,
FireStar Software, Inc. All rights reserved.


MDMI Healthcare Referent Index


Healthcare Domain


Leverages existing healthcare standards


Core Components of Referent Index


Business Elements


Basis is HITSP C154


Unique ID


the basis for the clean, simple, interface for the MDMI
Runtime Machine


Data Types


Simpl
e

data types are defined in the OMG MDMI Standard and
are based on ISO standards.


There are complex data types. Reference Model is for the
Healthcare MDMI Domain Referent Index is HL7 CDA R1 Data
Types with extensions for HL CDA R2 Data Types.


Published on OHT WIKI


OHT MDMI RI Working Group governs MDMI Healthcare RI


Slide
14

Copyright ©
2012,
FireStar Software, Inc. All rights reserved.


MDMI Referent
Index

Business Element Entry

Contained
in domain
models

Element Name:

Description:

Unique ID:

.
.

.
.

Pointers to existing model attributes

Pointers to existing message schema

Pointers to existing dictionary entries

.
.

Contained in

dictionaries or hierarchies

Contained
in messages
formats

Reference datatype:

The unique ID is a permanent ID
for this Element. Once defined
the element can not be deleted
but it can be made obsolete

The Reference Datatype
represents a required standard
format for the value of the
Business Element

Synonyms:

Near
-
Synonyms: