1. The CareWeb Framework An Update
Doug Martin MD

2. Regenstrief Institute www.regenstrief.org

3. Regenstrief Institute
Non-profit
Indiana University Affiliate
Founded in 1969
Healthcare research
Funding sources
Grants (primary)
Regenstrief Foundation
Industry Partnerships
Not a vendor!

4. CareWeb Framework Features
Provides a foundation for building modular applications
Leverages existing open source technologies
Is highly extensible through plugin modules
Has a composable user interface (UI layouts)
Coordinates shared functions (events, contexts)
Heavily promotes code re-use / sharing
Facilitates collaborative development

5. Foundational Technologies
Spring Framework
Spring Security
ZK Framework
JQuery
Bootstrap
Apache Maven
All Open Source!

6. Architecture Interface User Internal Services External Services Order
Entry
Flowsheet
User Preferences
SMART
Plug-in
Chart Search
Plug-in
Widgets
Electronic
Signature
Patient
Selection
User
Authentication
SMART Adaptor
Plug-in
Services
Layout
Manager
Layout
Designer
Framework
Services
Internal
Services
Electronic
Signature
Patient
Context
User
Context
SMART
API Registry
Plug-in
Services
Context
Management
Event
Management
Component
Registration
Help
Subsystem
Theme
Support
Framework
Services
External
Services
Data
Access
Security
Services
Messaging
Services
Web
Services
Solr Search Engine
Core
Services

7. VueCentric vs CareWeb Framework
Same
Extensible via plugin architecture
Context management
Event pub/sub with local/remote delivery
Composable user interface (design mode)
VueCentric
Thick client
Proprietary deployment
Proprietary depnd management
Window only
Delphi (COM / ActiveX)
Metadata separate
CareWeb Framework
Web app
Browser-based deployment
Maven
Windows, Linux, OSX
Java / JavaScript / HTML
Metadata bundled

8. CareWeb Framework is not just for VistA
Regenstrief Medical Record System (RMRS)
Oracle/Postgres
OpenMRS
MySQL
VistA/RPMS
FileMan
Any FHIR-compliant EMR (future)

9. Current Development Work
VA Innovation Project
Demonstrate use of CareWeb Framework in a VistA/RPMS environment.
Demonstrate port of selected RPMS-EHR components to CWF (MU focus)
Immunizations
Chief Complaint
Patient Goals
Family History
Clinical Reconciliation Tool (Allergies, Problems, Meds)

10. Current Development Work
NETSERV Network Services
TCP Connection and I/O Management
RPC Broker
Async RPC calls
Event propagation
Web Services
Restful FHIR endpoint
Basic and OAuth2 authentication

11. Current Development Work
Serialization Framework
FHIR resources (patient, encounter, etc.)
Non-FHIR resources (user, parameter definitions)

12. Current Development Work
Clinical Abstraction Layer
FHIR-based plugins
EHR platform agnostic
Truly interoperable plugins

13. Current Development Work
ZK Sandbox
For prototyping and testing of UI layouts.
Test layout designs without restarting web service with each change.
Better than existing tools (ZKFiddle, ZKSandbox, ZK Eclipse plugin)

14.
Wiki
Documentation
Blog
Source Code (MPL 2.0)

15. Github Repositories carewebframework-core carewebframework-icons
carewebframework-themes
carewebframework-cal
carewebframework-fhir
carewebframework-smart
carewebframework-ohj
carewebframework-highcharts
carewebframework-openmrs
carewebframework-vista
carewebframework-rpms

16. Questions?