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© Copyright 2005 dbMotion Ltd. By dbMotion RIM Based Semantic Interoperability Assaf Halevy, Co – Founder & VP Strategic Accounts
© 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/ :00CernerH1 Bactrim DS oral tablet01/11/ :30CernerH2 PRAVACHOL 80 MG TAB09/06/ :30EPIC WARFARIN 1 MG TAB04/27/ :00EPIC Pravastatin 80 mg oral tablet07/15/ :00CernerH1 LIPITOR 20 MG TAB04/27/ :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
© 2006 Canada Health Infoway Inc. 1 January 16, 2007 Dennis Giokas Chief Technology Officer Canada Health Infoway Inc. Architecture and Standards at Infoway.
© 2006 Canada Health Infoway Inc. 1 HIMSS Interoperability Showcase February 15, 2006 Dennis Giokas Chief Technology Officer Canada Health Infoway Inc.
September, 2005What IHE Delivers 1 IHE-Cardiology Technical Committee EP Key Data Elements February 21, 2011 Bryan Jennings - Medical Micrographics Nick.
Standards & Interoperability Kickoff HHS – ONC September 20, 2010 Office of Standards and Interoperability 1.
March 17, 2005IHE and medical Standards in Denmark 1 Integrating the Healthcare Enterprise IHE for cross-enterprise interoperability Charles Parisot, GE.
EMRLD A RIM-based Data Integration Approach Pradeep Chowdhury Manager, Data Integration.
MITA with HL7 Information Out of Cycle HL7 WGM, May, 2009, St. Paul, MN Health Level 7.
RSNA 2007 – Course 039 Electronic Reports: HL7 CDA (Clinical Document Architecture) and DICOM SR (Structured Reporting) Harry Solomon GE Healthcare DICOM.
Active Clinical Decision Support in a RHIO. Introduction The Clinical Document Architecture has emerged as a means of making systems interoperable. Clinical.
Purpose of HIPAA Administrative Simplification to improve... the efficiency and effectiveness of the health care system, by encouraging the development.
Invitation to Join Open Health Tools Draft by Skip McGaughey
Introduction to the Clinical Document Architecture Gay Giannone MSN, RN June 10, For the HL7 Child Health Work Group.
HL7s Clinical Document Architecture Liora Alschuler HIMSS Dallas, Texas February, 2005.
Slide 0 EHR SD RM - EHR Way Forward … Future State Reference Architecture HSSP Practitioners Guide Volume II Immunization and Adverse Event Reporting Prototype.
September, 2005What IHE Delivers Michael H. Zaroukian, MD, PhD, FACP Chief Medical Information Officer Associate Professor of Medicine Michigan State University.
The Importance of Dynamism in the OpenVistA Model Chris Richardson & David Whitten WorldVistA June 16, 2005.
Joint TC Meeting: EHR – RCRIM RCRIM Overview HL7 Working Group Meeting January, 2007 Presented by: Ed Tripp Program Director, eSubmissions Abbott (RCRIM.
Quality, Research, and Public Health (QRPH) IHE North America Webinar Series 2009.
HL7 Work Group Report September , Atlanta, GA USA HL7 Project Prototype: EHR System Design Reference Model (EHR-SD RM) Immunization and Adverse.
September, 2005What IHE Delivers 1 XDS Document Source and Consumer Implementation Strategies IHE Vendors Workshop 2006 IHE IT Infrastructure Education.
Collaboration The Key to Interoperability Chuck Meyer Chair, HL7.
IHE IT Infrastructure Domain Update Karen Witting – IBM IT Infrastructure Technical Committee co-chair.
New Care Paradigms Require Health Information Exchange Combining IHE interoperability profiles to enable interoperability between care providers.
Why Initiate: The foundation for healthcare interoperability Lorraine Fernandes, RHIA Senior Vice President, Healthcare Practice Bill Klaver Product Manager.
Didi Davis, HIMSS Senior Director, Informatics/IHE International Introduction to Integrating the Healthcare Enterprise (IHE) and IHEs contribution to standards.
Copyright © 2006 Data Access Technologies, Inc. Open Source eGovernment Reference Architecture Approach to Semantic Interoperability Cory Casanave, President.
Day 2: Hands-on UML Using UML to put MITA to work to solve the immediate process improvement needs of states.
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