1. May 5, 2009 www.i2b2.com Identity Management

2. www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside 2 i2b2 Core Two Team Michael Mendis Shawn Murphy MD, Ph.D. Janice Donahoe Rajesh Kuttan Vivian Gainer Wensong Pan Lori Phillips

3. www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside 3 The i2b2 Hive Identity Management is a core cell Loosely coupled Makes no assumptions about proximity Connected by Web services Activity can be directed manually or automatically

4. www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside 4 Identity Management Cell Behaves as a functional service Manages a patient's protected health information in a manner consistent with the HIPAA privacy rule Patient data is available only as a HIPAA defined "Limited Data Set" to most of the hive Patient Mapping tables are encrypted No programming language restrictions

5. www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside 5 IM Server Model IM Ontology CRC Project Management Project Management IM Datamart IM Server IM Cell

6. www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside 6 Cell needs to have key Loaded by way of: 1. Parameter in PM Cell 2. Web service call 3. Local file system (USB Key) IM Database contains decrypted data Security

7. www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside 7 Loading Hospital MPI into the Hive Direct SQL PDO XML Data Importer Pros: Easy for DBAs Manageable files Cons: Linked to DB Non i2b2 xml Pros: Cross Cells Easy for read Cons: Large files Tied to i2b2 Pros: Fast Works in Excel Cons: Hard to read Non i2b2 xml

8. www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside 8 Updating in the i2b2 Hive with IM Send Patient Mapping IMClientCRC Get Status Send Encrypt Mapping Send Status Send Observation CompletedCompleted

9. www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside 9 Patient Data Requests with Paging Send PDO Request IMClientCRC Get PDO Request PDO Request w/IM (1000 patients) (250 patients) Send PDO Request PDO Request w/IM (750 patients) Send PDO Request Get PDO Request (750 patients)

10. www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside www.i2b2.com Informatics for Integrating Biology & the Bedsidenformatics for Integrating Biology & the Bedside 10 Questions?