1. Using the MedBiq VP Data Standard: A Reality Check May 2011 James B. McGee, Dmitriy Babichenko, Chris Toth, Jane Alexander, Teppituk Krinchai

2. Chair, Scientific Advisory Board & equity holder Decision Simulation, LLC - licensee of virtual patient simulation technology from the University of Pittsburgh Disclosure

3. WHY A VP STANDARD? sharing | repurposing |adoption

8. vpSim Experience: Export & Import with the MedBiq VP spec export is hard – import is (very) hard > 5000 lines of code vpSim Player application is 1800 lines THREE steps: 1) export to valid XML and content package 2) import back into vpSim or “round-trip” 3) import others’ cases into vpSim

9. The Reality Test selected 26 representative cases from eVip Referatory www.virtualpatients.eu criteria: technical import (y/n), text, media, questions, logic examples…

10. CASUS

13. Campus

14. OpenLabyrinth

17. NAMESCHOOLORIGINALIMPORTTEXTMEDIAQ’sLOGIC AlbinKIWeb-SPno - only backbonelittleno Ana DamainUMF ClujWeb-SPno - only backbonelittleno Anna-Lena OlofssonSGLOLyes - allall yes Bei der GartenarbeitLMUCASUSyes - limitedyes nopartial ErikKIWeb-SPno - only backbonelittleno MilowiczSGLvpSimyes - fullyes Derek BryantSGLvpSimyes - fullyes FlorianSGLOLyes - full, map issueall yes RodinSGLOLyes - full, map issueall yes EnzdererLMUCASUSyes - limitedyes nopartial HerzjagenLMUCASUSyes - limitedyes nopartial KaszlącaJagCASUSyes - limitedyes nopartial KleinkindHeidelbergCASUSyes - mostyesno yes LailaKIWeb-SPno - only backbon`elittleno Mr AngermeierSGLOLyes - full, map issueall yes Mr MallerSGLOLyes - full, map issueall yes Mr. MüllerLMUOLyes - full, map issueall yes Mr. MurasicLMUOLyes - full, map issueall yes Mr.KrämerLMUOLyes - full, map issueall yes Mrs. FoxWittenOLyes - full, map issueall yes Mrs. KippanWittenOLyes - full, map issueall yes Peter GavrisUMF ClujWeb-SPno - only backbonelittleno SkillsLab - LumbalpunktionHeidelbergCAMPUSyes - no originalallyes (video)noyes SkillsLab - Reanimation KleinkindHeidelbergCAMPUSyes - no originalallyesnoyes Thomas MillerLMUCAMPUSyes - no originalallyesnoyes Zu viel ist zu vielLMUCASUSyes - mostyesno yes

18. * body text but not questions

19. sharing | repurposing | adoption

20. Observations everyone likes “free” cases over 550 cases on DecisionSim, none were imported Web-SP has imported all CASUS cases better if similar case design (linear vs. branching) import/export technically challenging why not just cut & paste from browser window? many VPs are not MedBiq VPs – DxR, MedU (CLIPP)

21. thankYou vpSim vpSim.pitt.edu Lab for Educational Technology let.pitt.edu JB McGee mcgee@medschool.pitt.edu | +1-412-648-9679

22. The way forward… sharing within VP families linear linear branched branched community of VP implementers and users mash-ups, crowd sourcing…Wiki Cases? mix of prepared, instant and from scratch network virtual patient