health edecisions (hed) all hands meeting january 16th, 2014
TRANSCRIPT
Health eDecisions (HeD)All Hands Meeting
January 16th, 2014
Meeting Etiquette• Remember: If you are not speaking, please keep your
phone on mute• Do not put your phone on hold. If you need to take a call,
hang up and dial in again when finished with your other call • Hold = Elevator Music = frustrated speakers and
participants• This meeting is being recorded
• Another reason to keep your phone on mute when not speaking
• Use the “Chat” feature for questions, comments and items you would like the moderator or other participants to know.• Send comments to All Panelists so they can be
addressed publically in the chat, or discussed in the meeting (as appropriate).
From S&I Framework to Participants:Hi everyone: remember to keep your phone on mute
All Panelists
AgendaTopic Time Allotted
Announcements and Updates 5 minutes
Sharp C Grantees presentation of the HeD Editor Tool • Robert Greenes MD, PhD Professor and Ira A. Fulton
Chair in Biomedical Informatics Arizona State UniversityProfessor of Biomedical Informatics, College of Medicine, Mayo Clinic
• Davide Sottara PhD, Assistant Professor, Department of Biomedical Informatics, Arizona State University, and Research Affiliate, Mayo Clinic
• Krisanne Graves MSN, RN, CQPH Executive Operations Director for the SHARPC program and the National Center for Cognitive Informatics and Decision Making in Healthcare, UTHealth
60 minutes
Questions 15 minutes
Next Steps 10 minutes
Announcements
• Our Ballots close January 20th
• Ballots are still open so please vote if you are a voting member of HL7 if you are not please submit your comments to a member of the HeD support team and we will compile a “submitted by the HeD Community” list of comments
• Our All Hands meeting (January 23rd) is CANCELED next week due to HL7 – we will resume meeting January 30th
– Updates on HL7 meeting and activities including follow-up tasks and plans
Use Case 2 HL7 Update
SDS & Harmonization HeD
• Timeline Overview• Ballot Votes
6
Ballot Reconciliation
Dec 30 Feb 21
HeD Use Case 2 Timeline
Legend: Not Started; In progress; Ready
vMR Templates
Publishing Artifacts
(1/10) (1/24)
Publish Artifacts
(2/7)(Today)
7
Reconcile ballot comments for vMR Templates, vMR Logical Model, and vMR XML IG1/19-2/15
Update artifacts based on ballot comments for publishing1/20-2/20
Monitor off-cycle ballot votes12/20-1/20
HL7 Workgroup Meeting
1/19-1/24
Create new TemplatesPending availability of resources
All six HeD artifacts, including both UC1 & UC2, have been published
vMR Templates, vMR Logical Model, and vMR XML IG have been submitted for re-ballot on 12/19, with the ballot closing on 1/20
Continue to communicate between QI and HeD initiatives to ensure proper harmonization & development of the QI model
Determine next steps for alignment with the Tacoma Project
8
HeD Use Case 2 Timeline Overview
ArtifactPublication
TypeDate of
PublicationSubmitted for
Re-ballot?(12/19/2013)
Re-published As (02/2014)
DSS IG DSTU 12/19 No N/ADSS Standard DSTU 12/19 No N/AvMR Templates Informative 12/19 Yes DSTUvMR XML IG Informative 12/19 Yes DSTUvMR Logical Model Informative 12/19 Yes DSTUCDS Knowledge Artifact (UC1)
DSTU 12/24 No N/A
SDS & Harmonization HeD
• Timeline Overview• Ballot Votes
9
Ballot Voting as of 01/16/14
10
Artifact Number of Affirmative Votes
Number of Negative Votes
Number of Votes
AbstainedNumber that
Have Not Voted TOTAL # Votes
vMR Logical Model 36 15 96 44 147
vMR Templates 39 8 88 40 135
vMR XML IG 39 7 84 43 130
TOTAL 114 30 268 -- 412
A Model-driven Editor forHealth e-Decisions Knowledge Artifacts
Robert Greenes, MD, PhD
Davide Sottara, PhD
Peter Haug, MD, PhD
Matthew EbertEdinardo Potrich
Outline
• Requirements• Architecture• Features• Roadmap
Requirements
• Build a scalable CDS Artifact authoring tool• user (SME)-friendly• compatible with the HeD standard
– Rules / Order Sets / Documentation Templates – (future) Measures / Guidelines
• Assisting with the management of large knowledge bases• facilitating customization / localization• facilitating storage / indexing / retrieval• facilitating integration / deployment
Goals
• Short Term– Allow to create / modify HeD documents
• Long Term– Automate the authoring process– Manage large knowledge bases– Integrate editing and runtime platforms
Architecture
ModelArtifact Instance
XML DB Runtime
Authoring Knowledge
Presentation
---
-
Core
Future
Added Value
Architecture (technical)
OWL(A-Box)
SHARP
Java
HeD
XML
Stanbol
(Semantic)Content Management Systems
Persistency
Reasoner(s)
HermiiTDrools
GraphML Graph manipulation
UIHTML+JS
CTS2
REST - WS
Abstraction Layer
Model Driven Approach
• Ontology Based– Modular
• Decouples:– Artifact Model : HeD ontologies– Information Model : vMR / SKOS– Terminologies : CTS2
integration
– Compatible with Standards • HL7, OMG
– Advantages :• Schemas and Code generation• Robust w.r.t. changes• Serialization agnostic• Transparent• Add semantics to the syntax
Model
Modular Ontologies
Persistence• Supported storage formats:
– XML (filesystem)– CMS (Stanbol)
• Compatible(to be implemented)– Object Store– Relational Database– Triple Store
Artifact Instance
XML DB
Deployment
• Model-driven translation into actionable formats– HeD
• Compatible(mapping exists, to be implemented)
– Arden (ML)– Drools
Artifact Instance
Runtime
User Interface
• Browser-Based – Html + javascript– “Core” functionalities exposed as REST-WS
• Deployable on the cloud
Management Screen
Import Artifacts
Open from Repository
Metadata
Metadata - Details
Expression Overview
Domain Navigation
Logic
Primitives
Parameters
Templates
Primitive Template
Abstract“Patient on Med”
Semantic(graph-based)
Parameters“Med”
HeD Datatypes
elementsconstraints
ExpressionTemplates
Query by
example
“Aspirin ?”
Classification
Actions
Roadmap
• January – March 2014– Consolidate the core editor
• UI Improvement, Bug fixes, Usability, …
– Complete and release the template library– Prepare a redistributable package
• Source code (Maven)• Virtual Machine Image
Roadmap
• Community Engagement– Code available on GitHub
• https://github.com/SHARPC2B/HeD-editor• Licensed under ASLv2.0
– Documentation, Website, Demos– Scientific Paper(s)– Collaborators
Roadmap
• Future Works– Build a Knowledge Repository
• Semantic CMS– Versioning– Manage relationships between artifacts
– Integrate Runtime Environments• “Customize and Deploy”
Schedule Next week—All Meetings Canceled due to HL7
Weekday Meeting Time Topics Details
January 21st CDS-HeD Working Meeting
3:00-4:00 ET http://wiki.siframework.org/Health+eDecisions+Homepage
January 23rd
All Community Call
11:00-12:30 ET
http://wiki.siframework.org/Health+eDecisions+Homepage
Questions?
Contact Information
• For questions, please contact your support leads– Coordinator:
• Ken Kawamoto: [email protected]
– Co-Coordinators:• Aziz Boxwala: [email protected]• Bryn Rhodes: [email protected]
– ONC Leadership: • Alicia Morton: [email protected]
– Project Management:• Jamie Parker: [email protected]
– Use Case 2:• Atanu Sen: [email protected]
– Harmonization: • Divya Raghavachari: [email protected]
Useful Links
• Wiki– http://wiki.siframework.org/Health+eDecisions+Homepage
• Use Case 1& 2– http://wiki.siframework.org/Health+eDecisions+Use+Case – UC 2: Use Case 2:
http://wiki.siframework.org/UC+2+-+CDS+Guidance+Service
• Pilots– http://wiki.siframework.org/Health+eDecisions+Pilots
• HL7 Ballot Submission:– http://wiki.siframework.org/Health+eDecisions+Reference+Materials#Ballot
• UC 1 Harmonization and IG:– http
://wiki.siframework.org/Health+eDecisions+Harmonization+and+Standards+%28Implementation%29
• HeD Glossary – http://wiki.siframework.org/HeD+Glossary