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Open Health Tools Board Meeting February 24, 2012

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Presentation on theme: "Open Health Tools Board Meeting February 24, 2012"— Presentation transcript:

1 OpenCDS: an Open-Source, Standards-Based, Service-Oriented Framework for Scalable CDS
Open Health Tools Board Meeting February 24, 2012 Kensaku Kawamoto, MD, PhD Founder, OpenCDS (www.opencds.org) Director, Knowledge Management and Mobilization Assistant Professor, Department of Biomedical Informatics University of Utah

2 Background Clinical decision support (CDS) is one of the most promising strategies available for improving patient care E.g., alerts and reminders, disease management dashboards CDS is not widely available, due in part to the tight coupling of CDS capabilities with specific institutions and health IT systems A service-oriented approach to CDS could potentially enable CDS at scale SCT 14May

3 OpenCDS Multi-institutional effort to collaboratively develop standards-based, open-source CDS tools and resources to enable CDS at scale Builds on predecessor system (SEBASTIAN) developed from early 2000s – 2009 OpenCDS initiated 2009 1.0 Release March 2012

4 Collaborators Hospital Universitario Virgen del Rocío, Spain
University of Utah HLN Consulting, LLC Apelon, Inc. Intermountain Healthcare New York Citywide Immunization Registry Alabama Department of Public Health Kaiser Permanente of S. Calif. Veterans Health Administration Wolters Kluwer Health EBSCO Univ. of NC at Chapel Hill Main Line Health Stanford University Hospital Universitario Virgen del Rocío, Spain Keona Health Mass. General Hospital MaRS Innovation, Canada SmartCare, Africa Emetra AS, Norway Visumpoint, LLC Genesys, LLC df8health Religent, Inc. IsoDynamic, Inc. Calcudos.com, Inc. CogniTech Corporation

5 OpenCDS – Architectural Overview
Standard Interface: HL7/OMG Decision Support Service Standard (http://hssp-dss.wikispaces.com) Standard Data Models: HL7 Virtual Medical Record (vMR) Standard [ Virtual_Medical_Record_(vMR) ] Institution A Trigger Queries for required pt data Patient Data Sources Patient data, knowledge modules to use Client Decision Support Apps Conclusions about patient Institution B Client Decision Support Apps Patient Data Sources Queries for required pt data OpenCDS CDS Service Knowledge Modules SCT 14May

6 Decision Support Service
CDS Services – Example Eval. Result VMR CCD Pt data Patient Data Sources Decision Support Service EHR System SCT 14May

7 OpenCDS Deliverables Fully-featured, standards-based knowledge management platform Supports knowledge authoring, testing, and maintenance Uses relevant standards (e.g., HL7 vMR data model) Leverages relevant open-source resources (e.g., JBoss Drools, JBoss jBPM, Apelon DTS) Support for HL7/OMG DSS standard Enables delivery of CDS via standard service interface Domain-Optimized Tools and Resources E.g., next-gen vaccine validation and forecasting platform CDS platforms leveraging OpenCDS services E.g., for population health management

8 Summary Report Project Name: OpenCDS
Brief Project Description: Multi-institutional effort to collaboratively develop standards-based, open-source clinical decision support (CDS) tools and resources that can be widely adopted to enable CDS at scale. Major milestones to date: 1.0 RC9 in Feb 2012 Projected milestones: 1.0 in March 2012 Major release dates: 1.0 in March 2012 Contribution date: March 2012 Contribution value: (Person years or market value or lines of code) Approximately 6.5 person years invested in the original contribution plus new work within the OpenCDS project team.

9 OHT OpenCDS Feb 2012 Boca Chart
Content Pressures Added Integrate existing Web presence and collaboration infrastructure (opencds.org) with OHT platform Meet CDS business needs and timelines of contributing organizations Needs outpacing available resources Knowledge management platform – Implemented full stack for authoring, testing, and managing knowledge resources. Iteratively defining based on operational use. HL7/OMG Decision Support Service (DSS) interface – Implemented Evaluation interface with HL7 Virtual Medical Record (vMR) payload. Working on support for CCD/C32 payload. Domain-optimized resources – Developing vaccine validation and forecasting platform. N/A Deleted & Changed N/A Dependencies Packaging Editions JBoss Drools, in particular Drools Guvnor JBoss jBPM Apelon DTS Eclipse Helios 3.6 with M2Eclipse, Subclipse, and Drools plugins Milestones 1.0 Release, March 2012 Statistics .

10 Major Dates and Deliverables 1Q2012
12 Month Rolling Plan Major Dates and Deliverables 1Q2012 1Q13 1.1 Release, Feb 2013 1.1 Release Candidates, Sept 2012 – Jan 2013 4Q12 3Q12 2Q12 1.0 Release, March 2012 1Q12

11 For More Information…. OHT Day, March 5 (Mon) 10am ET  OpenCDS Overview OpenCDS Web site (www.opencds.org) Kensaku Kawamoto, MD, PhD Founder, OpenCDS Director, Knowledge Management and Mobilization Assistant Professor, Department of Biomedical Informatics University of Utah


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