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Sustainable infostructure for semantic assets

Sustainable infostructure for semantic assets. Dipak Kalra. Drivers for semantic interoperability. The adoption, use and interoperability of Electronic Health Records has become a major focus of European and US eHealth policies,  strategies and investments

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Sustainable infostructure for semantic assets

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  1. Sustainable infostructure for semantic assets Dipak Kalra

  2. Drivers for semantic interoperability • The adoption, use and interoperability of Electronic Health Records has become a major focus of European and US eHealth policies,  strategies and investments • Drivers for Integrated EHRs and Semantic Interoperability are: • Manage increasingly complex clinical (multi professional) care • Support collaboration between multiple locations of care delivery • Deliver evidence based health care • Need for intelligent decision support in medicine • Better exploit biomedical research • Improve safety and cost effectiveness of health care • Enrich population health management and prevention • Empower and involve citizens

  3. Health information flows needing semantic interoperability rapid bench to bed translation real-time knowledge directed care Education Research Epidemiology Data mining Public health Health care management Clinical audit Wellness Fitness Complementary health implied consent implied consent de-identified Teaching Research Clinical trials Social care Occupational health School health Disease registries Screening recall systems Long-term shared care (regional national, global) explicit consent Citizen in the community Point of care delivery Continuing care (within the institution) +/- consent

  4. Essential needs • Guideline and decision support systems, notification and alerting components, and analytic tools need to process integrated health data drawn from multiple EHR systems in a consistent manner • Intelligent personal health guidelines interoperating with PHRsand EHRs need to support the centring of care on patients • Health services, insurers and public health bodies need fine grained activity and outcome data to inform service planning, commissioning and prevention/wellness programmes • New generation personalised medicine, underpinned by ‘omics sciences and translational research such as the VPH, needs to integrate EHRs with data from research: fundamental biomedical science, clinical and population health research, and clinical trials

  5. ARGOS and Semantic Interoperability • The ARGOS Transatlantic Observatory for Meeting Global Health Policy Challenges through ICT Enabled Solutions is an international platform for dialogue and collaboration on health policy issues that surround making Health ICT a success • Co-ordinated by EuroRec, in partnership with AMIA • Semantic interoperability is one of the priority themes • Experts from the EU and US met during 2010-11 and shared understanding of the problem space, solutions found and priority areas to be tackled • Published as a policy brief

  6. ARGOS book: editor Georges J.E. De Moor • ‐ Foreword by Herman Van Rompuy‐ E.Council President • - Memorandum of Understanding signed by: • - Neelie Kroes - E.Commission Vice-President • - Kathleen Sebelius – Secretary of HHS • - Policy briefs for Transatlantic cooperation • The current status of Certification of Electronic Records in the US and Europe • Semantic interoperability • Modelling and simulation of human physiology and diseases with a focus on the Virtual Physiological Human • Policy Needs and Options for a Common Approach towards Measuring Adoption, Usage and Benefits of eHealth • eHealth Informatics Workforce challenges

  7. Resources needed to support rich semantic interoperability guidelines care pathways decision support algorithms architecture identifiers for people policy models structural roles functional roles purposes of use care settings pseudonymisation Rich EHR interoperability Consistent representation, access and interpretation privacy workflow record structure and context clinical terminology reference models data types archetypes templates near-patient device interoperability clinical terminology systems classification systems terminology sub-sets value sets and micro-vocabularies post-co-ordination multi-lingual mappings semantic context model categorial structures

  8. ARGOSSemantic interoperability recommendations • Nine strategic actions that now need to be championed,as a global mission • 1. Establish good practice • 2. Scale up semantic resource development • 3. Support translations • 4. Track key technologies • 5. Align and harmonise standardisation efforts • 6. Support education • 7. Assure quality • 8. Design for sustainability • 9. Strengthen leadership and governance

  9. Initiatives striving for harmonisation • Clinical Information Modeling Initiative (CIMI) • SemanticHealthNet

  10. Clinical Information Modeling Initiative (CIMI) • International collaboration of several SDO’s, national eHealth programmes, and large providers e.g. IHC, VA, Kaiser • providing a common format for the specification of clinical models • so that semantically interoperable information may be created and shared in health records, messages and documents • Building on the openEHR archetype approach as its starting point • Specifications will be openly accessible, freely usable

  11. European Commission sponsored Network of Excellence in Semantic Interoperability • Dec 2011 to Nov 2014 • 3m Euro • 17 Partners • > 40 internationally recognised experts

  12. SemanticHealthNet concept and objectives • Leverage a clinically-driven work-plan • heart failure, exemplifying chronic disease management, evidence based care and shared care • cardiovascular prevention, exemplifying public health and national / global strategies • Bring together the globally best of breed semantic resource producers including commitment from the top SDOs • to develop harmonised resources meeting the clinical needs,adapting their standards as necessary • Engage stakeholders: patients, clinicians, industry, ministries, insurers, research organisations, on priorities, scope, governance, adoption • Establish a scalable, sustainable, well-governed European Virtual Organisation for semantic interoperability

  13. SHNet sustainability activities • Work with the clinical, public health and patient stakeholders to define a formal process for the governance of semantic interoperability resources • Design an overall infostructure (a virtual platform and services) that can publish or reference resource “bundles” and manage their maintenance • Specify how EHR systems, public health systems, CRO systems etc. should ensure consistent and verifiable adoption of semantic interoperability resources • Develop a business plan for certifying semantically interoperable systems • Liaise with industry, professional bodies, ministries, insurers, SDOs on business drivers and incentives to foster rapid adoption of semantic interoperability resources and certification of such systems

  14. European Virtual Organisation for Semantic Interoperability

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