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© Copyright 2005 dbMotion Ltd. By dbMotion RIM Based Semantic Interoperability Assaf Halevy, Co – Founder & VP Strategic Accounts Assaf@dbMotion.com
© Copyright 2005 dbMotion Ltd.
2 Agenda The challenge of Interoperability Interoperable Data Model The Semantic Context and Vocabularies Business Services in use Demo
© Copyright 2005 dbMotion Ltd. Community Record Architecture 3 Data Displayed, Pulled or Published Back Organize Virtual Patient Utilize Applications & Tools Interoperable Patient Viewer Physician Results/Events App Population Manager Software Dev Kit PHR Connector Analytics Research NHIN/RHIO IHE Data Use Tools Examples Other Sources Publish EMR Sources
© Copyright 2005 dbMotion Ltd. HIN Multi-Hospital Organization Primary Care & Specialized Clinics Commercial Lab Pharmacies Tertiary Medical Center
© Copyright 2005 dbMotion Ltd. Architecture 5 Security Layer Shared Services System Management Layer Operational Environment Presentation Layer Business Layer Communication Layer – Message Bus Data Layer Data Integration Layer
© Copyright 2005 dbMotion Ltd. Longitudinal Patient Record Semantically Harmonized Discretely Consumable Standards Based Integration - CDA/CCD/CCR/XML - IHE - SOA 6 Architecture: Virtual Patient Object
© Copyright 2005 dbMotion Ltd. Unified Medical Schema
© Copyright 2005 dbMotion Ltd. 8 UMS Vision Define a data model that supports semantic clinical information sharing, while maintaining its meaning, standardization and context. The data model should provide any consumer with actionable, reusable data in a timely manner.
© Copyright 2005 dbMotion Ltd. 9 HL7 v3.0: What and Why Version 3.0 is a model-driven methodology described in UML diagrams The HL7 v3.0 development methodology includes - Use of a Reference Information Model (RIM) - Robust datatypes and vocabulary specifications - Modeling of the dynamic requirements of messages. HL7 v3.0 increases the quality and reduces the variability in HL7 standards enabling it to address the more complex and diverse needs of the HL7 members. v3.0 enables HL7 implementers to leverage emerging web services standards, conventions, and technologies
© Copyright 2005 dbMotion Ltd. 10 Patient Medical Schema
© Copyright 2005 dbMotion Ltd. 11 UMS Methodology HL7 RIM D-MIM Previous UMS CDM LDM Logical Data Model Contains subject areas, classes, atomic attributes, data types and associations. Tangible representation of dbMotion semantics
© Copyright 2005 dbMotion Ltd. UMS Domains - Summary Encounters Labs Diagnosis Imaging Substance Administration Procedures Allergies Clinical Documents …
© Copyright 2005 dbMotion Ltd. Medications from a Machine Perspective Therapeutic Duplication Medication Reconciliation Drugs Interaction MedicationDateSource system Coumadin 2 mg oral tablet07/15/2008 10:00CernerH1 Bactrim DS oral tablet01/11/2008 08:30CernerH2 PRAVACHOL 80 MG TAB09/06/2007 13:30EPIC WARFARIN 1 MG TAB04/27/2008 15:00EPIC Pravastatin 80 mg oral tablet07/15/2008 10:00CernerH1 LIPITOR 20 MG TAB04/27/2008 15:00EPIC Drug Allergy
© Copyright 2005 dbMotion Ltd. Diagnoses Local Medications Allergies Labs Adminst. dbMotion Ontology (Baseline) RxNorm (Subset) NDF-RTNDF-RT Conditi on SNOMED (Subset) Substa nce Allerge n Finding LOINC
© Copyright 2005 dbMotion Ltd. Diabetes Clinical View 15
© Copyright 2005 dbMotion Ltd. dbMotion SOA Services dbMotion Business Layer (SOA Based Clinical Business Domains) dbMotion Business Domains (Patient Admin, Labs, Meds, Proc, Diag, Problems … ) Business Methods Event Broker Business Processes Business Activities KFW + KNEO Get Labs Get Meds Get Encounters Get Anemia_Level Is_Hypertensive Get Liver Enzyme State
© Copyright 2005 dbMotion Ltd. Wireless Applications Other Uses & Apps Virtual Patient available to multiple applications & uses Agility with IT: Using the Interoperable Patient Record NHIN Hospitals - Clinics Registries IBM-Cognos Analytics Untethered PHR
© Copyright 2005 dbMotion Ltd. Thank you… Assaf Halevy Assaf@dbMotion.com
© 2006 Canada Health Infoway Inc. 1 January 16, 2007 Dennis Giokas Chief Technology Officer Canada Health Infoway Inc. Architecture and Standards at Infoway.
September, 2005What IHE Delivers 1 IHE-Cardiology Technical Committee EP Key Data Elements February 21, 2011 Bryan Jennings - Medical Micrographics Nick.
September, 2005What IHE Delivers 1 CDA-based content integration profiles Philippe Lagouarde, Cegedim Co-chair Vendor, IHE-France.
Collaboration The Key to Interoperability Chuck Meyer Chair, HL7.
Joint TC Meeting: EHR – RCRIM RCRIM Overview HL7 Working Group Meeting January, 2007 Presented by: Ed Tripp Program Director, eSubmissions Abbott (RCRIM.
The Vision for Connected Healthcare For an idea that does not at first seem insane, there is no hope” (Albert Einstein) 14/07/ 2011 By: Eitan Melamed The.
Moving from V2 to V3 – Consequences of the RIM RIMBAA Presentation November 14,
Introduction to HL7 Version 3 W. Ed Hammond February 25, 2008.
7/14/11 The Vision for Connected Healthcare For an idea that does not at first seem insane, there is no hope” (Albert Einstein) 14/07/ 2011 By: Eitan Melamed.
A Successful RHIO Implementation
Networking and Health Information Exchange Unit 5b Health Data Interchange Standards.
West Virginia Information Technology Summit November 4, 2009.
Initial slides for Layered Service Architecture
September, 2005What IHE Delivers 1 Presenters: Keith W. Boone, John Donnelly, Larry McKnight, Dan Russler IHE Patient Care Coordination.
BRIDG Overview Clinical Observation Interoperability March 18, 2008.
IEHR Standards Project HL7 PC Presentation HL7 WGM Boca Raton September 2006.
October 7, 2009 SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT Health IT Provider Registry IHE Proposal Overview Proposed Editor: Shanks Kande, Marty Prahl.
1 Using Ontologies in Clinical Decision Support Applications Samson W. Tu Stanford Medical Informatics Stanford University.
IHIC 2011 – Orlando, FL Amnon Shabo (Shvo), PhD HL7 Clinical Genomics WG Co-chair and Modeling Facilitator HL7 Structured Documents WG.
EMRLD A RIM-based Data Integration Approach Pradeep Chowdhury Manager, Data Integration.
New Care Paradigms Require Health Information Exchange Combining IHE interoperability profiles to enable interoperability between care providers.
Dedicated to Hope, Healing and Recovery 0 Dec 2009 Interim/Proposed Rules Meaningful Use, Quality Reporting & Interoperability Standards January 10, 2010.
Archetypes in HL7 2.x Archetypes/Structure in HL7 Version 2.x Andrew McIntyre Medical-Objects 10 th HL7 Australia Conference,
1 February 15, 2006 The Community Health Record: Beyond Interoperability Dan Soule Director, Provider & National Health Strategies.
1 CSE 2102 CSE 2102 Ph.D. Proposal A Process Framework For Ontology Modeling, Design, And Development Realized By Extending OWL and ODM Candidate: Rishi.
Why and where CDA François Macary, Christel Daniel.
November 10, 2009 SOCIAL SECURITY ADMINISTRATION-HIT SUPPORT Health IT Provider Registry IHE Proposal Overview Proposed Editor: Shanks Kande, Nitin Jain.
HealthBridge is one of the nation’s largest and most successful health information exchange organizations. An Overview of the IT Strategies for Transitions.
Depicting EHRs Immunization capability HL7 WGM – September 11, 2006 Immunization Storyboard project update.
Slide 0 EHR SD RM - EHR Way Forward Future State Reference Architecture Alean Kirnak Cochair for Public Health and Emergency Response January 19, 2009.
BlueMedics Evidence-based Patient Empowerment. Challenges Integration of clinical data –Horizontal - Sources –Vertical – Data Dynamic incorporation of.
IHE CDA Templates HL7 UK 2007 Keith W. Boone Interoperability Architect, GE Healthcare Co-chair, IHE Patient Care Coordination TC Co-chair, HL7 Structured.
4/12/2015 7:43 AM HL7 Interoperability Paradigms September 2007 WGM, Atlanta, GA John Koisch, OCTL Consulting Alan Honey, Kaiser Permanente Grahame Grieve,
David Blevins 28 July, 2014 Ontologies in Medical Care Data Integration and Reuse Challenges Ontologies in Medical Care: Data Integration and Reuse Challenges.
This material was developed by Duke University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information.
CCD and CCR Executive Summary Jacob Reider, MD Medical Director, Allscripts.
© 2006 Canada Health Infoway Inc. 1 HIMSS Interoperability Showcase February 15, 2006 Dennis Giokas Chief Technology Officer Canada Health Infoway Inc.
Electronic Medical Record Vincent N. Carrasco, MD LAIR MSIS ‘14.
© Medinorma LLC Switzerland Medinorma LLC Slide 1 Electronic Health Records and Supply Chain Data Standards GS1 Healthcare,
Semantic Interoperability in Health Informatics: Lessons Learned 10 January 2008Semantic Interoperability in Health Informatics: Lessons Learned 1 Semantic.
Tung Tran, Ph.D. What is the EMR? Computerized legal medical record created by healthcare organizations Enables storage and retrieval of patient information.
Interoperability and testing in the Netherlands Lies van Gennip CEO - Nictiz June 6th, 2014.
Continuity of Care virtual tour HL7-IHE Demonstration HIMSS 2004.
Christopher Carr Director of Informatics, RSNA
IHE Pharmacy profiles Roadmap summary – June 2010.
Health IT Workforce Curriculum Version 1.0 Fall Networking and Health Information Exchange Unit 3b National and International Standards Developing.
1 Intermountain Healthcare Clinical Genetics Institute Marc S. Williams, M.D. Director Grant M. Wood Senior IT Strategist Introduction to HL7 Clinical.
18 Copyright © 2005, Oracle. All rights reserved. Distributing Modular Applications: Introduction to Web Services.
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