individual project background

Project-1

CSE2102

Individual Project BackgroundIndividual Project Background What is Personal Health Assistant (PHA)?What is Personal Health Assistant (PHA)?

Patient Version for Medication and Chronic Disease Management and Authorizing Providers Identify Overmedication , adverse interactions, and

adverse reactions Provider Version for Viewing Patient Data that has

been Authorized Personal Health Record Microsoft HealthVaultPersonal Health Record Microsoft HealthVault

A Person Can Track Medical Information Used as Backend Repository to PHA

OpenEMR Standalone version for ProvidersOpenEMR Standalone version for Providers Seek to Integrate into PHA Support Medication Reconciliation

Project-2

CSE2102

Four Code RepositoriesFour Code Repositories Android PHA-PatientAndroid PHA-Patient iOS PHA-PatientiOS PHA-Patient iOS PHA-Provider using Titanium/JavascriptiOS PHA-Provider using Titanium/Javascript Security Backend for PHA Security Backend for PHA

Project-3

CSE2102

PHA Android VerisonPHA Android Verison

Project-4

CSE2102

PHA Android VersionPHA Android Version

Project-5

CSE2102


Project-6

CSE2102


Project-7

CSE2102


Project-8

CSE2102


Project-9

CSE2102

PHA Android Overview ScreenPHA Android Overview Screen

Project-10

CSE2102

Introduced Categories of MedsIntroduced Categories of Meds

OpenEMR

MSHV

Project-11

CSE2102

PHA iOS VersionPHA iOS Version

Project-12

CSE2102


Project-13

CSE2102


Project-14

CSE2102


Project-15

CSE2102


Project-16

CSE2102

Miscellaneous DeclarationsMiscellaneous Declarations Classes used by Other classes (inclusion)Classes used by Other classes (inclusion) Enumeration TypesEnumeration Types

Project-17

CSE2102

Misc Class DeclarationsMisc Class Declarations

Project-18

CSE2102

Misc Class DeclarationsMisc Class Declarations

Project-19

CSE2102

TrackedItem DeclarationsTrackedItem Declarations Tracks the DifferentTracks the Different

Conditions, ODLs, Meds that have or are being Tracked

Project-20

CSE2102

TrackedItem Class DeclarationsTrackedItem Class Declarations

Project-21

CSE2102

TrackPatientData HierarchyTrackPatientData Hierarchy Bring Together all of the ConceptsBring Together all of the Concepts

Project-22

CSE2102

TrackPatientData Class DeclarationsTrackPatientData Class Declarations

Project-23

CSE2102

Condition Class DeclarationsCondition Class Declarations

Project-24

CSE2102

ODLs and Medications DeclarationsODLs and Medications Declarations

Project-25

CSE2102

Person and Patient DeclarationsPerson and Patient Declarations

Project-26

CSE2102

Exercise DeclarationsExercise Declarations

Project-27

CSE2102

Instantiating the ClassesInstantiating the Classes

Project-28

CSE2102

The Big PictureThe Big Picture

Project-29

CSE2102

Other Capabilities Other Capabilities Two Types of ODLs

Condition/Exercise/ODL Collect Patient Entered data on

Condition/Exercise/ODL Modifying, if necessary, the ODL and Medication

screens that already exist Hooking the current ODL and Medication screens so

that information is stored in the new classes Lots of Sample Screens for Conditions Given in the

Rest of this Presentation

Project-30

CSE2102

Conditions/ODLs/ExerciseConditions/ODLs/Exercise Create a new Condition/Exercise/ODLCreate a new Condition/Exercise/ODL

Each New Condition/Exercise/ODL needs TrackedItems Entry

This is Part of Patient Class Placed in TrackedItemsListMSHV For Condition/Exercise/ODL

Collect Entered data on Condition/Exercise/ODLCollect Entered data on Condition/Exercise/ODL Actual Data for a Condition/Exercise/ODL E.g., Diabetes would have

Glucose Level Carbs Eaten Type of Fasting Insulin Taken

Project-31

CSE2102

PHA in EclipsePHA in Eclipse

Project-32

CSE2102

Additional FunctionalityAdditional Functionality Two Broad Focuses for

Update Prescription Screen with OpenEMR Integration and FDA Daily Meds Access

New Medication Reconciliation and Interaction Checking Screen and Algorithms

Project-33

CSE2102

Revised ArchitectureRevised Architecture

Middle-Layer ServerWith REST API

Patient App

Security Policies

• Medications• Allergies• Procedures• Demographic

Provider List

Personal Health Assistant (PHA)

New External Sources

RxTerms

NDF-RT

RxNorm

XMLJSON

JSON

MS Health Vault

XM

L

ASP.Net API

Proivder App

Authorization by Role


Patient List

JAVA APIs

XM

LOpenEMR

NewInteractionChecker Screen

FDA DailyMeds

XML

Project-34

CSE2102

Design new Interactions ScreenDesign new Interactions Screen

Use CurrentWeb Version as

Example

Project-35

CSE2102

Use of REST APIsUse of REST APIs RxNorm names for clinical drugs linked to drug

vocabularies used in pharmacies RxTerms interface terminology derived from RxNorm

for medication history recording NDF-RT is a concept-oriented terminology

http://rxnav.nlm.nih.gov/RxNormAPIs.html# http://rxnav.nlm.nih.gov/RxTermsAPIs.html# http://rxnav.nlm.nih.gov/NdfrtAPIs.html#

FDA Daily MedsFDA Daily Meds http://dailymed.nlm.nih.gov/dailymed/help.cfm#w

ebservices

Project-36

CSE2102

Component OrganizationComponent Organization Develop Test Java Program with Client Classes that

Gets you Familiar with Retrieving from all Four APIs RxNorm, RxTerms, NDF-RT, FDA Daily Meds

Consider Following Decomposition of ProjectConsider Following Decomposition of Project Java Test/API Program for Interaction Checking Mods to Current Med Screen New Checking Interaction Screen

Project-37

CSE2102

Final CapabilitiesFinal Capabilities Revisions to Medication Screen:

Organize Drugs by MSHV and OpenEMR OpenEMR are read-only - cannot be changed

Link from Med to FDA Daily Meds New Medication Checking Screen: This can be

Combined list of meds (MSHV & OpenEMR) Returns a list of meds and their interactions

Usage of External Web Services: FDA Daily Meds, RxNorm, RxTerms, NDF-RT

Updated Doc: Updated Doc: http://www.engr.uconn.edu/~steve/Cse2102/MSHVandOpenEMRAccess.pdf

Project-38

CSE2102

Observations of Daily LivingObservations of Daily Living Observations of Daily Living and PHRsObservations of Daily Living and PHRs

Passive – Once Initiated, Collects Data Accelerometer Pedometer Pill Bottle that Sends a Time Stamp Message (over

Bluetooth?) to SmartPhone Active – Patient Initiated

Providing Information via Smartphone on:– Diabetes (Glucose, Weight, Insulin)

– Asthma (Peak Flow, use of Inhaler)

– Heart Disease (Pulse, BP, Diet)

– Pain, Functional status, Fatigue, etc.

Project-39

CSE2102

Architecture DiagramArchitecture Diagram

Personal HealthRecord (PHR)

Microsoft Healtvault

Figure 1: Architecture Diagram of the Project this Semester.

PHA Provider

OpenEMR

Medication & Observations of Chronic Disease Daily Living (ODL)Management

Apache/TomcatWeb/Application

Server

MySQL Database

Server

Medication/Supplement

Interaction Checker

ODL and ChronicDisease Analyzer

PHA Patient

Project-40

CSE2102

Diabetes ManagementDiabetes Management

Project-41

CSE2102

Overall ArchitectureOverall Architecture

Management System

Current glucose

level

Meals

Exercises

CurrentMedications

Glucose level 1hr

after meal

Glucose level 2hr

after meal

Decision SupportSystem

Dose of insulin from

pumps

Dose of medications

Project-42

CSE2102

Current Architecture Current Architecture

Health Vault Middle-Layer Server

Patient App

Security Policies


Provider List

Personal Health Assistant (PHA)

SMART Container

SMARTSync

RxTerms NDF-RT RxNorm

Harvard SMART

EMR

RD

F

Rest API

JSONJSONJSON

MS Health Vault

XM

L

ASP.Net API

XACML

XML-RR

Proivder App

Authorization by Role


Patient List

XACML

RDF-RR

Project-43

CSE2102

Current Architecture Current Architecture

SMART Container

openEMR

SMART Dashboard

SMARTREST API

RDF DataModel

SMARTConnect

SMARTSync

HealthVault

HealthVault Middleware Server

JSON API

RxTermsRxTerms NDF-RTNDF-RT RxNormRxNorm

SMART Container

openEMR

SMARTREST API

Figure 2: SMARTSync Architecture and Application.

Project-44

CSE2102

HealthVault RESTful Exchange ServiceHealthVault RESTful Exchange ServiceWeb-Services

User Profile

Medication List

Allergies List

Conditions List

Lab Tests and Results List

Procedure List

Observations of Daily Living List

.NET ↔ JSON Conversion

HealthVault Record Finder and Access

HealthVault Offline Connection

Person ID

Offline Connection

Record ID

.NET → JSON on GET requests

JSON → .NET on POST requests

Demographic Information

Medications

Allergies

Conditions

Lab Tests

Procedures

Observations of Daily Living (ODLs)

Project-45

CSE2102

HealthVault Class – JSON Mapping.HealthVault Class – JSON Mapping.

JSON StructureMSHV Class

Member Properties

DateDiscontinued (ApproximateDateTime)

DateStarted (ApproximateDateTime)

Dose (GeneralMeasurement)

Frequency (GeneralMeasurement)

Name (CodableValue)

Route (CodableValue)

Strength (GeneralMeasurement)

[{"Key":"String content","DateDiscontinued":"String

content","DateStarted":"String content","Dose":"String content","Frequency":"String content","Route":"String content","Name":"String content","Note":"String content","Prescribed":"String content","Strength":"String content"

}]

Medications

Note (CommonItemData)

JSON StructureMSHV Class

Member Properties

AllergenCode (CodableValue)

AllergenType (CodableValue)

FirstObserved (ApproximateDateTime)

IsNegated (Nullable)

Name (CodableValue)

Treatment (CodableValue)

[{"Key":"String content","AllergenCode":"String content","AllergenType":"String content","FirstObserved":"String content","IsNegated":2147483647,"Name":"String content","Reaction":"String content","Treatment":"String content"

}]

Allergies

Reaction (CodableValue)

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