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

Agenda TopicTime Allotted Announcements and Updates5 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 University Professor 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 Questions15 minutes Next Steps10 minutes

Announcements Our Ballots close January 20 th 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 23 rd ) is CANCELED next week due to HL7 – we will resume meeting January 30 th –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 IG 1/19-2/15 Update artifacts based on ballot comments for publishing 1/20-2/20 Monitor off-cycle ballot votes 12/20-1/20 HL7 Workgroup Meeting 1/19-1/24 Create new Templates Pending 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 Artifact Publication Type Date of Publication Submitted for Re-ballot? (12/19/2013) Re-published As (02/2014) DSS IGDSTU12/19NoN/A DSS StandardDSTU12/19NoN/A vMR TemplatesInformative12/19YesDSTU vMR XML IGInformative12/19YesDSTU vMR Logical ModelInformative12/19YesDSTU CDS Knowledge Artifact (UC1) DSTU12/24NoN/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 Abstained Number that Have Not Voted TOTAL # Votes vMR Logical Model vMR Templates vMR XML IG TOTAL

A Model-driven Editor for Health e-Decisions Knowledge Artifacts Robert Greenes, MD, PhD Davide Sottara, PhD Peter Haug, MD, PhD Matthew Ebert Edinardo 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 Model Artifact 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) HermiiT Drools GraphML Graph manipulation UI HTML+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 PrimitiveTemplate Abstract “Patient on Med” Semantic (graph-based) Parameters “Med”  HeD Datatypes elements constraints Expression Templates 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 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 WeekdayMeetingTimeTopicsDetails January 21stCDS-HeD Working Meeting 3:00-4:00 EThttp://wiki.siframework.org/He alth+eDecisions+Homepage January 23rd All Community Call 11:00-12:30 ET alth+eDecisions+Homepage

Questions?

Contact Information For questions, please contact your support leads –Coordinator: Ken Kawamoto: –Co-Coordinators: Aziz Boxwala: Bryn Rhodes: –ONC Leadership: Alicia Morton: –Project Management: Jamie Parker: –Use Case 2: Atanu Sen: –Harmonization: Divya Raghavachari:

Useful Links Wiki – Use Case 1& 2 – –UC 2: Use Case 2: +CDS+Guidance+Servicehttp://wiki.siframework.org/UC+2+- +CDS+Guidance+Service Pilots – HL7 Ballot Submission: – #Ballothttp://wiki.siframework.org/Health+eDecisions+Reference+Materials #Ballot UC 1 Harmonization and IG: – Standards+%28Implementation%29http://wiki.siframework.org/Health+eDecisions+Harmonization+and+ Standards+%28Implementation%29 HeD Glossary –