1. TECHNICAL

2. The iMDHT technical team Shared Technical Objective: Toolkit that lowers the bar and accelerates development of innovative applications Shared Vision – Model Driven Tools creating computable artifacts – Community Development Open Standards Open Source – Service Oriented Architecture; necessary to address a complex healthcare eco-systems.

3. iMDHT Software Components Software: – MDHT (OHT project). Used by ONC and NIST in achieving Meaningful Use. Funded by IBM and VA. Information modeling tool that generates computable artifacts for developers. – MDMI (OHT project). Approved Object Management Group Standard. Implementation Guide being developed by the HL7 SOA Cross Paradigm group. Transformation modeling tool that generates computable artifacts for semantic interoperability. – DTS (OHT project). Terminology services technology used by VA and IHS. Terminology repository and modeling tool that manages industry standard and proprietary terminologies, and supports services (and computable artifacts) required for semantic interoperability. – Socratic Grid (Github Project). Thought leaders in military and business services healthcare software. A platform for real-time analysis services using inferencing technologies. The integrated toolkit is achieved by using open standards and computable artifacts.

4. Design Time: Model Driven Tools iEHR / OSEHRA CIIF iMDHT

5. iMDHT Workbench: Design Industry Standards Computable Artifacts Model Driven Tools Industry Standards APIs Validation Apps DocumentationTransformation TerminologyMessage(s) Translations The iMDHT Design Workbench creates artifacts that deliver computable interoperability for the iMDHT Runtime Environment and Application Development environments

6. WebSphere Services Terminology Service (DTS) Validation Service (MDHT) Transformation Service (MDMI) iMDHT Runtime: Services iMDHT Generated Artifacts Translation Maps Validation Maps Transform Maps iMDHT Runtime Environment The iMDHT Runtime Environment uses the computable artifacts generated in the iMDHT Design Workbench

7. Application Developer: User Simplified Service Interface Innovative Applications Real-time Analysis Services Information Services (Transform and Translate ) Other Services Generated by MDHT, uses MDHT runtime, and enhances existing IDEs

8. iMDHT: Managing Change FHIR / MU+1 Example MDHT (Information Models) MDMI (Transformation Model) Referent Index (Meta Data) Industry Standards Computable Artifacts Model Driven Tools FHIR/ MU+1 APIs Validation Apps Documentation Transformation

9. iMDHT is adaptable and extensible New APIs for innovative applications: Sharp, Meaningful Use n+1, and others Dynamic Querying across Distributed Systems Innovative terminology efforts: CIMI, Legos, and others New business services Extensible to workflow processes: care coordination New applications to address the above can be accelerated with iMDHT and extensions to iMDHT

10. Value iMDHT – Is pragmatic. (See Immunization Use Case Proof of Concept) – Provides a simplified interface for any and all developers to deliver new, innovative, point of care healthcare solutions faster. – Is an adaptable platform that can incorporate inevitable changes due to new healthcare practices, medicines, discoveries, and technologies that will be able to produce a continuous stream of innovative applications. – Enhances existing assets and investments. “ We need this approach” Clayton Curtis, VHA, at the OSEHRA 2013 Conference “iMDHT is core to the Open Health Tools Strategy” Skip McGaughey, CEO, Open Health Tools