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MDMI in Healthcare

MDMI in Healthcare. The Problem. Unaffiliated Healthcare organizations cannot exchange clinical data today. Not having electronic exchange of healthcare data is a problem $ billions in cost Decrease quality of healthcare (people die) Stopping innovation in healthcare

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MDMI in Healthcare

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  1. MDMIin Healthcare

  2. The Problem • Unaffiliated Healthcare organizations cannot exchange clinical data today. • Not having electronic exchange of healthcare data is a problem • $ billions in cost • Decrease quality of healthcare (people die) • Stopping innovation in healthcare • The US government understands this problem and is spending $ Billions in an attempt to solve this problem

  3. MDMI is a solution • Simplifies this problem for each and every healthcare organization • Significantly lowers the economic model for everyone; from the largest to the smallest. Everyone can participate. • Provides an environment designed to accommodate change and dramatically lower the cost of change

  4. How can MDMI do this? • Model Driven Architecture • It is a Standard - OMG • Open Source – Open Health Tools

  5. How does MDMI work? • The MDMI Standard is a model for a Map: There are tools to create MDMI Maps. (Declarative not Procedural) • These tools generate a MDMI Map has a clean, simple, “standard” interface to move data back and forth with any other MDMI Map. Source MDMI Map Target MDMI Map Source MDMI Map Target MDMI Map Source File Target File MDMI Runtime “Source” Map - Deconstructs Message (any syntax) - Using Semantic Elements (your Data) - Interface (move data to any MMDI map) “Target" Map - Interface (move data to any MMDI map) - Using your Semantic Elements - Reconstruct Message (any syntax)

  6. Use Case – Value to Healthcare Provider MDMI Map ONC TOC Ref MDMI Map ONC SD V2 MDMI Map ONC TOC SD MDMI Map ONC SD V3 MDMI Map HL7 V3 MDMI Map ONC SD V4 MDMI Map HL7 V2 MDMI Map NIEM V2 MDMI Map VLER MDMI Map NIEMV3 MDMI Map SSA Provider MDMI Map MDMI Map NIEM Provider Application ONC TOC Ref Message ONC TOC SD Message V2 ONC TOC SD Message ONC TOC SD Message V3 HL7 V3 Message OHT MDMIRuntime ONC TOC SD Message V4 Data File HL7 V2 Message NIEM Message V2 VLER Message NIEM Message V3 SSA Message NIEM Message Value to Healthcare Provider Don’t have to know as much Don’t have to do as much One to many: One map can talk to any other MDMI map The cost of change to the Provider Organization is dramatically lowered.

  7. Use Case– Value to Standards Organization Standard Map Provider 1 Provider 2 Provider 3 Provider 4 Provider N Standard Message • Value to Standards Organization • Easier for community to implement your solution; including healthcare solution providers (vendors) • Higher Quality: experts develop the maps and maps are reused. • The pain of change is dramatically reduce: Maps are versioned.

  8. Use Case– Future Innovations Provider 1 Foundation for new applications such as a healthcare semantic web Provider 2 Map for Query Consolidated Results Message Message Message Provider 3 Message Provider N

  9. Demonstration

  10. Technical Overview

  11. MDMI Specification The core Semantic model A SemanticElement and all of its context Core of the Syntax Model Mapping to the Referent Index

  12. MDMI Referent Index Business Elements in RI are like words in dictionary Similarities: • The meaning of a Business Element doesn’t change • Business Elements are not deleted • Adding a new Business Element is not difficult. • Adding a new Business Element doesn’t impact other words. • Business Elements have synonyms. Differences • A Business Element has only and only one meaning • There is only one Business Element for a term (semantic clarity). • There are near-synonyms. MDMI Referent Index Webster’s Dictionary is Equivalent to

  13. MDMI Healthcare Referent Index • Healthcare Domain • Leverages existing healthcare standards • Core Components of Referent Index • Business Elements • Basis is HITSP C154 • Unique ID – the basis for the clean, simple, interface for the MDMI Runtime Machine • Data Types • Simple data types are defined in the OMG MDMI Standard and are based on ISO standards. • There are complex data types. Reference Model is for the Healthcare MDMI Domain Referent Index is HL7 CDA R1 Data Types with extensions for HL CDA R2 Data Types. • Published on OHT WIKI • OHT MDMI RI Working Group governs MDMI Healthcare RI

  14. MDMI Referent Index Business Element Entry The unique ID is a permanent ID for this Element. Once defined the element can not be deleted but it can be made obsolete Element Name: Description: The Reference Datatype represents a required standard format for the value of the Business Element Unique ID: Pointers to existing message schema Reference datatype: Pointers to existing model attributes Near-Synonyms: Pointers to existing dictionary entries Synonyms: Contained indictionaries or hierarchies .. Contained in domain models .. Contained in messages formats ..

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