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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
Continuity of Care virtual tour HL7-IHE Demonstration HIMSS 2004.
Cross-Enterprise Document Sharing-b (XDS.b)
September, 2005What IHE Delivers 1 CDA-based content integration profiles Philippe Lagouarde, Cegedim Co-chair Vendor, IHE-France.
September, 2005What IHE Delivers 1 IHE-Cardiology Technical Committee EP Key Data Elements February 21, 2011 Bryan Jennings - Medical Micrographics Nick.
IHE Pharmacy profiles Roadmap summary – June 2010.
© 2006 Canada Health Infoway Inc. 1 January 16, 2007 Dennis Giokas Chief Technology Officer Canada Health Infoway Inc. Architecture and Standards at Infoway.
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.
September, 2005What IHE Delivers 1 Francois Macary, Agfa HealthCare co-chair Lab Technical Committee co-chair Lab Technical Committee Sharing Laboratory.
September, 2005What IHE Delivers 1 Presenters: Keith W. Boone, John Donnelly, Larry McKnight, Dan Russler IHE Patient Care Coordination.
© 2006 Canada Health Infoway Inc. 1 HIMSS Interoperability Showcase February 15, 2006 Dennis Giokas Chief Technology Officer Canada Health Infoway Inc.
Achieving Interoperability Across Canada
Stark Bill Reversal: Making Hospital-Centric RHIOs Possible February 13, 2006.
Collaboration The Key to Interoperability Chuck Meyer Chair, HL7.
XDS.c Common SOAP interface to Clinical Sources Brief Profile Proposal for 2008/09 presented to the IT Infrastructure Planning Committee Alean Kirnak &
1 Using Ontologies in Clinical Decision Support Applications Samson W. Tu Stanford Medical Informatics Stanford University.
Semantic Interoperability in Health Informatics: Lessons Learned 10 January 2008Semantic Interoperability in Health Informatics: Lessons Learned 1 Semantic.
EMRLD A RIM-based Data Integration Approach Pradeep Chowdhury Manager, Data Integration.
Slide 0 EHR SD RM - EHR Way Forward Future State Reference Architecture Alean Kirnak Cochair for Public Health and Emergency Response January 19, 2009.
Depicting EHRs Immunization capability HL7 WGM – September 11, 2006 Immunization Storyboard project update.
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