Ian McNicoll Digital Assembly - HOPD Workshop Slides

8/9/2019 Ian McNicoll Digital Assembly - HOPD Workshop Slides

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Digital Health Assembly:HOPD / openEHR workshop

www.handihealth.orgDr Ian McNicoll

[email protected]

[email protected]

HANDIHealth

openEHR Foundation

freshEHR Clinical Informatics

Digital Health Assembl Cardi! Feb "#$%

mailto:[email protected]:[email protected]


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Introdution

! Dr Ian "#ioll

! $liniian

! %ormer &lasgow &P

! Health in'ormatis

! Diretor HA#DIHealth

! Diretor openEHR

%oundation

! 'reshEHR $linial In'ormatis

! $ommerial so'tware de(eloper

! )$linial Haker*

"


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HA#DIHealth $I$

! A not+'or+pro'it $ommunity Enterprise

$ompany

! ,here to support: - De(elopers

- Health and are pro'essionals

- Patients ser(ie users and arers


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HA#DI is agnosti

! About - Plat'orms

- usiness models

- 0tandards

- ,ools ser(ies and approahes

! 0how the ommunity the possibilities and let indi(iduals

deide

! 1obby 'or an en(ironment 2tehnial ultural and

ommerial3 in whih apps an 'lourish interoperate and

be orhestrated


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,he Holy &rail : eHealth )interoperability*

%

http&''cber.la(.har)ard.edu'research'interoperabilit


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Interop:

,owards an Open Digital $are Eosystem

Megasuite

*est of*reed

+latform

,penEcosstem

-One system to rule them all”! N+fI! Enterprise'/+ 0stems! 1imited e2ternal integrations

Many systems ~ 100! +ortals! Integration engines! *espo3e integrations

Own the Platform” Health 4ault5 Apple5 1oren6o5 etc 7$### apps +artner interfaces 89oodcote 1:;

The “Internet “of DigitalHealth! HANDI


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An open Ecosystem platform?

Closed ,00 Closed,00

4endor D4endor * 4endor C4endor A

A+I and messaging content basedon open source clinical contentde=nitions

,00components

4endorsolutions

erminolog0er)er +ath(as

>*

E0*'0pineI> Integrationcomponent

Commit

Retriee


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?

0MAR+latforms+luggable 9ebapp

A+I

H1 FHIRClinical Content

E2change NH0 A+I

in4i)oBDatastore

A+I

Detailed Clinical Content

De)elopment

Clinical leadership +R0*

erminolog Centre

H0CIC

NonopenEHRsstems

Archetpe 0N,MED ClinicalContent de=nitions

Apps de)elopers


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SMARTPlatforms API

$#

• 0copes and permissions& ,Auth"

• 0imple sign


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SMART-on-FHIR

$$

H1 FHIRdata model

replacing

0MAR+latforms

data model8RDF;


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HL FHIR API

$"


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!"at is FHIR #ood at?

! $ommuniation o' in'ormation between

systems with limited 4uerying

! 0trengths

! De(eloper 'riendly

! 1ightweight approah! &reat doumentation / ommunity

$:


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openEHR API

$%

• Designed for storing and Guering rich clinical dataset

• Ne( content is de=ned directlb clinicians and can be immediatel

uploaded into the clinical data repositor

• 4endor


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openEHR

! 8eaknesses

! $omple6 tehnology

! but new simpli'ying APIs appearing

! 0trengths

! linially+led data modelling

! sharing arc"etypes 9 interoperability! Enterprise strength per'ormane

! "ature (ersioning/go(ernane

$


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'Code(Healt")

$?


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#H0 $ode Health

$


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MedsRec*I+: "ttp:,,diy-"opdr"clo.dcom,

"#


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/!+0: "ttp:,,#%y$-"andi"opdr"clo.dcom,

"$

http://diy-hopd.rhcloud.com/http://diy-hopd.rhcloud.com/


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Code ( Healt" *ental App c"allen#e

""

http://gwyb-handihopd.rhcloud.com/http://gwyb-handihopd.rhcloud.com/


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Rapid onneted health app de(elopment

":


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0o what is openEHR5

"%


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8hat I0 openEHR5

! #O, a downloadable )open soure*

appliation

! e.g. openE"R open"R0

! an open 0pei'iation 'or an EHR or EHR

plat'orm

! De'ines an tehnology+neutral/ (endor+

neutral )in'ormation model*

"


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Data entry de'inition

"?

9hat e2actl do oumean b recordpulse and bloodpressure

9hat are reasonablemin'ma2 limits toput on atemperature record

9hat are the

allo(able si6es ofpupils in a drop<do(n bo2


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"egasuite In'ormation arhiteture

"

Application

Information Model

+ersistence 8Database;

!uery


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)open Plat'orm< In'ormation arhiteture

! ,ehnology and 7endor neutral

! De'ine in'ormation strutures independent o'

appliation layer

! Rih enough to support eHealth apps

! Handle audit/(ersioning

! De'ine in'ormation strutures independent o'persistene layer

! rapid inorporation o' new datasets

! (endor/teh neutral 4uerying

::


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1endor,tec"nolo#y-ne.tral information

:


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1endor-ne.tral 2.eryin#


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openEHR: Arhetypes

! open source computablemodels of discreteclinical concepts

! Familiar components of a health record! *lood pressure5 *od (eight5 0mptom! Medication order5 Famil histor! rea5 Creatinine results

! Ma2imal datasetB

! Capture as man clinical perspecti)es as possible! ni)ersal use case

:


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openEHR: ,emplates

! ,emplates deli(er the datasets by aggregating

arhetypes together

! =ey linial endpoint and starting point 'or generation

o' tehnial arte'ats

! i.e. openEHR arhetypes and

templates an be used diretly

! $lass libraries! &>I skeletons! "essage shema! De'ine API Pro'iles

:?


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0haring and ollaboration

:


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$linial In'ormation models %atory

#


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openEHR in pratie: 0pei'iations

$


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openEHR in pratie: tools and models

"


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How is it used: underpins App de(elopment


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How is it used : #ational standards de(elopment

%


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openEHR ? #eeds you @

mem"ers#o$enehr#org


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0MAR+latforms+luggable 9ebapp

A+I

H1 FHIRClinical Content

E2change NH0 A+I

in4i)oBDatastore

A+I

Detailed Clinical Content

De)elopment

Clinical leadership +R0*

erminolog Centre

H0CIC

NonopenEHRsstems

Archetpe 0N,MED ClinicalContent de=nitions

Apps de)elopers


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Interoperability is not a teh problem

“The real barriers to practical interoperability

are cultural and clinical”

Healthcare records are not just

buckets of biological facts

?

http://members.opener.org/


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Healthare In'ormation 0tandards Proess %AI1

Clinical sta3eholdersengage through top<do(n go)ernance

Committee


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$linially+led $ontent 0er(ie

%#

Clinical content service

Clinical sta3eholders5)endors engage directl(ith clinicall


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"ediation )arhetype*


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8eb+based )demoratised* ollaborati(e re(iew

%"

E l ti t d di ti


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E(olutionary standardisation

)distributed &o(ernane*

%:

Implementers

Secondaryendorsement


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%


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From model to soft%are3

Ian McNicoll Digital Assembly - HOPD Workshop Slides

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