Presentation on theme: "Open Health Tools Board Meeting February 24, 2012"— Presentation transcript:
1OpenCDS: an Open-Source, Standards-Based, Service-Oriented Framework for Scalable CDS Open Health Tools Board MeetingFebruary 24, 2012Kensaku Kawamoto, MD, PhDFounder, OpenCDS (www.opencds.org)Director, Knowledge Management and MobilizationAssistant Professor, Department of Biomedical InformaticsUniversity of Utah
2BackgroundClinical decision support (CDS) is one of the most promising strategies available for improving patient careE.g., alerts and reminders, disease management dashboardsCDS is not widely available, due in part to the tight coupling of CDS capabilities with specific institutions and health IT systemsA service-oriented approach to CDS could potentially enable CDS at scaleSCT 14May
3OpenCDSMulti-institutional effort to collaboratively develop standards-based, open-source CDS tools and resources to enable CDS at scaleBuilds on predecessor system (SEBASTIAN) developed from early 2000s – 2009OpenCDS initiated 20091.0 Release March 2012
4Collaborators Hospital Universitario Virgen del Rocío, Spain University of UtahHLN Consulting, LLCApelon, Inc.Intermountain HealthcareNew York Citywide Immunization RegistryAlabama Department of Public HealthKaiser Permanente of S. Calif.Veterans Health AdministrationWolters Kluwer HealthEBSCOUniv. of NC at Chapel HillMain Line HealthStanford UniversityHospital Universitario Virgen del Rocío, SpainKeona HealthMass. General HospitalMaRS Innovation, CanadaSmartCare, AfricaEmetra AS, NorwayVisumpoint, LLCGenesys, LLCdf8healthReligent, Inc.IsoDynamic, Inc.Calcudos.com, Inc.CogniTech Corporation
5OpenCDS – 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 ATriggerQueries for required ptdataPatient Data SourcesPatient data,knowledge modules to useClient Decision Support AppsConclusions about patientInstitution BClient Decision Support AppsPatient Data SourcesQueries for required ptdataOpenCDSCDS ServiceKnowledge ModulesSCT 14May
6Decision Support Service CDS Services – ExampleEval. ResultVMRCCDPt dataPatient Data SourcesDecision Support ServiceEHR SystemSCT 14May
7OpenCDS DeliverablesFully-featured, standards-based knowledge management platformSupports knowledge authoring, testing, and maintenanceUses 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 standardEnables delivery of CDS via standard service interfaceDomain-Optimized Tools and ResourcesE.g., next-gen vaccine validation and forecasting platformCDS platforms leveraging OpenCDS servicesE.g., for population health management
8Summary 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 2012Projected milestones: 1.0 in March 2012Major release dates: 1.0 in March 2012Contribution date: March 2012Contribution 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.
9OHT OpenCDS Feb 2012 Boca Chart ContentPressuresAddedIntegrate existing Web presenceand collaboration infrastructure(opencds.org) with OHT platformMeet CDS business needs andtimelines of contributingorganizationsNeeds outpacing availableresourcesKnowledge managementplatform – Implemented fullstack for authoring, testing, andmanaging knowledge resources.Iteratively defining based onoperational use.HL7/OMG Decision SupportService (DSS) interface –Implemented Evaluation interfacewith HL7 Virtual Medical Record(vMR) payload. Working onsupport for CCD/C32 payload.Domain-optimized resources –Developing vaccine validation andforecasting platform.N/ADeleted & ChangedN/ADependenciesPackaging EditionsJBoss Drools, in particularDrools GuvnorJBoss jBPMApelon DTSEclipse Helios 3.6 withM2Eclipse, Subclipse, and DroolspluginsMilestones1.0 Release, March 2012Statistics.
10Major Dates and Deliverables 1Q2012 12 Month Rolling PlanMajor Dates and Deliverables 1Q20121Q131.1 Release, Feb 20131.1 Release Candidates, Sept 2012 – Jan 20134Q123Q122Q121.0 Release, March 20121Q12
11For More Information….OHT Day, March 5 (Mon) 10am ET OpenCDS OverviewOpenCDS Web site (www.opencds.org)Kensaku Kawamoto, MD, PhDFounder, OpenCDSDirector, Knowledge Management and MobilizationAssistant Professor, Department of Biomedical InformaticsUniversity of Utah