1. Thomas C. Culpepper Technical Co-chair 17 November 2000 Overview/Tutorial Object Management Group Healthcare Domain Task Force Object Management Group http://www.omg.org/ http://www.omg.org/homepages/healthcare/index.htm

2. 1994 Healthcare Special Interest Group Healthcare Domain Task Force 1996 1997 Liaison with HL7 & DICOM European Healthcare Chapter PIDS & TQS adopted 1998 1999 Roadmap published COAS & RAD adopted Liaison with X12 formed Latin America Healthcare Chapter CIAS adopted 2000 Mission & History To improve the quality of care and reduce costs by use of CORBA technologies for interoperability throughout the global healthcare community

3. SDO Developers Stakeholders Patient Clinician Researcher Educator Administrator Specifications Roadmap Liaisons Education Chapters Building Blocks Recognition

4. SDO Developers Stakeholders Patient Clinician Researcher Educator AdministratorRoadmap Building Blocks An understanding of the business (today & tomorrow) Logical semblance of components to meet business needs 1.Produce and maintain the Healthcare Component-based Reference Architecture. 2.The purpose of the Component- based Reference Architecture is to delineate and describe the interfaces and interactions between the various logical components in health care systems. 3.The interactions and interfaces between the components will then serve as a reference against which the issuance of future health care related RFIs and RFPs can be considered.

5. SDO Developers Stakeholders Patient Clinician Researcher Educator AdministratorLiaison Building Blocks 1.To work collaboratively in moving Healthcare solutions forward. 2.Minimize redundancy. 3.Share experiences, ideas, and new perspectives. Expertise pertaining to Healthcare

6. Technology Viewpoint ISO/OMG Interface Definition Language (IDL) ISO/OMG Unified Modeling Language (UML) Computational Viewpoint Enterprise Viewpoint Results Retrieval RegistrationScheduling Order Communications StandardsConformance Engineering Viewpoint CORBADCOM DCEJavaBeans C++ Java COBOL SmallTalk Unix Win32 MVS PIDSCOAS TQS RADCIAS Information Viewpoint HL7DICOM NCPDPX12 ICO TC215 CEN TC251 Snomed Lonic ICD CPT DRG Reference Model for Open Distributed Processing (RM-ODP) Relating to the Healthcare Domain & the OMG Healthcare Domain Task Force © Copyright 1999 Tom Culpepper, and Tim Brinson Purpose, scope, policies. Business rules and content to be supported by the system. Encapsulation of capability, separation of functionality, and interface definition. Distributed interactions & mechanisms between the components. Description of the implementation of the system.

7. SDO Developers Stakeholders Patient Clinician Researcher Educator AdministratorSpecifications Building Blocks Provide use-cases and scenarios about the business. Turn functional requirements into standard interfaces. 1.Provide interoperability solutions to help individuals perform optimally. 2.Reduce software lifecycle and provide extensibility mechanisms to increase future growth. 3.Utilize the OMG OMA that maintains existence with every new “sliver bullet” that comes along. Minimizing complete re- writes. 4.Utilize existing standards within our specifications. Provide informational views for the business requirements.

8. PIDS TQS COAS RAD CIAS HILSOETS Specifications Service for uniquely identify a person in an enterprise. Service for accessing terminological information for use in mediation, presentation and dynamic discovery. Service used to retrieve content information about a person. Service used to obtain authorization decisions and administrating access decision policies for information. Service used to retrieve and manage images. Service used to locate information across the enterprise. Service used to enter and track orders.

9. SDO Developers Stakeholders Patient Clinician Researcher Educator AdministratorEducation Building Blocks Present and be presented to. Educate and become educated. 1.Web site Executive summaries Toolkit 2.Technical Conferences OOPSLA Objects 6000 Open Forum on Metadata Repositories Applied Computer Security Associates Conference Workshop on Distributed Object Computing Security 3.Medical Conferences RSNA Role of Distributed Objects in Healthcare HIMSS 4.Publish articles Healthcare Informatics Publication 5.Lectures to Medical Informatics Students 6.Present to SDOs

10. SDO Developers Stakeholders Patient Clinician Researcher Educator AdministratorChapters Building Blocks Work within the OMG Healthcare Domain Task Force Framework. 1.Work with the OMG Healthcare Domain Task Force in getting solutions incorporated into your specific environment. 2.Create unique solutions applicable only to your environment. 3.Work universally regardless of geographic boundaries.

11. SDO Developers Stakeholders Patient Clinician Researcher Educator AdministratorRecognition Building Blocks 1.OMG Homer R. Warner Healthcare Interoperability Award. 2.Distinguish yourself as a leader in Healthcare Informatics. 3.Provide interoperable solutions to assist others in the Healthcare profession. Nominate. Be nominated. Market yourself.

12. File Edit Patient Clinical Modules Tools View Window Help Patient:Unit#:Medical Record #: F25/06/1931Marianna, Mang Find Patient LaboratoryPharmacyAllergiesRadiologyVital Signs Find Data

13. CORBA Clinican Workdesk Application PIDS Interface Master Patient Index PIDS Interface Common Services Persistent Store Scenario Locate a given patient’s unit and medical record number given a set of identifying traits.

14. File Edit Patient Clinical Modules Tools View Window Help Find Patient LaboratoryPharmacyAllergiesRadiologyVital Signs Find Data Patient:Unit#: 169 Medical Record #: 98475369YF25/06/1931Marianna, Mang

15. CORBA Clinican Workdesk Application HILS Interface HILS Trader Primary Care Facility HILS Trader Interface Common Services Persistent Store Radiology Clinic HILS Trader Interface Common Services Persistent Store Scenario Keep track of locations where a given patient has had medical care given. Scenario Attain the locations where a particular patient has had medical care given.

16. File Edit Patient Clinical Modules Tools View Window Help Find PatientLaboratoryPharmacyAllergiesRadiologyVital SignsFind Data Patient:Unit#: 169 Medical Record #: 98475369YF25/06/1931Marianna, Mang Search Criteria All Filter: Date/Time: 01/01/00 – 01/12/00

17. CORBA Clinican Workdesk Application RAD Interface Resource Access Decision RAD Interface Common Services Persistent Store Scenario Determine the access privileges of a given user for a given patients medical information.

18. CORBA Clinican Workdesk Application COAS Interface Primary Care Facility COAS Interface Common Services Persistent Store Scenario Attain the particular type of medical information at the specified location where a given patient has had medical care given.

19. File Edit Patient Clinical Modules Tools View Window Help Find PatientLaboratoryPharmacyAllergiesRadiologyVital SignsFind Data Patient:Unit#: 169 Medical Record #: 98475369YF25/06/1931Marianna, Mang Search Criteria All Filter: Date/Time: 01/01/00 – 01/12/00 DateReportStatus 02/07/2000Chem19BFinal 08/08/2000HemogramComplete 09/10/2000 Blood Culture Pending 23/10/2000Chem 24Final 16/10/2000 Glucose serum Final

20. CORBA Clinican Workdesk Application COAS Interface Primary Care Facility COAS Interface Common Services Persistent Store Scenario Attain the detailed medical information at the specified location where a given patient has had medical care given.

21. File Edit Patient Clinical Modules Tools View Window Help Patient:Unit#: 169 Medical Record #: 98475369YF25/06/1931Marianna, Mang Search Criteria All Filter: Date/Time: 01/01/00 – 01/12/00 DateReportStatus 02/07/2000Chem19BFinal 08/08/2000HemogramComplete 09/10/2000 Blood Culture Pending 23/10/2000Chem 24Final 16/10/2000 Glucose serum Final CHEM24 - FinalNASKCLBICARBBUNGLU-SER PLAS 23/10/00 09:00 1384.31012730189 H 22/10/00 09:00 1394.01052732209 H 21/10/00 09:00 1364.21042239219 H 19/10/00 09:00 1414.61042236219 H  Find PatientLaboratoryPharmacyAllergiesRadiologyVital SignsFind Data

22. File Edit Patient Clinical Modules Tools View Window Help Patient:Unit#: 169 Medical Record #: 98475369YF25/06/1931Marianna, Mang Search Criteria Chest2 View Filter: Date/Time: 01/10/00 – 01/11/00 DateReportStatus 02/07/2000Chem19BFinal 08/08/2000HemogramComplete 09/10/2000 Blood Culture Pending 23/10/2000Chem 24Final 16/10/2000 Glucose serum Final CHEM24 - FinalNASKCLBICARBBUNGLU-SER PLAS 23/10/00 09:00 1384.31012730189 H 22/10/00 09:00 1394.01052732209 H 21/10/00 09:00 1364.21042239219 H 19/10/00 09:00 1414.61042236219 H  Find PatientLaboratoryPharmacyAllergiesRadiologyVital SignsFind Data

23. CORBA Clinican Workdesk Application RAD Interface Resource Access Decision RAD Interface Common Services Persistent Store Scenario Determine the access privileges of a given user for a given patients medical information.

24. CORBA Clinican Workdesk Application CIAS Interface Primary Care Facility CIAS Interface Common Services Persistent Store Scenario Attain the particular type of medical information at the specified location where a given patient has had medical care given.

25. File Edit Patient Clinical Modules Tools View Window Help Patient:Unit#: 169 Medical Record #: 98475369YF25/06/1931Marianna, Mang Search Criteria Chest2 View Filter: Date/Time: 01/10/00 – 01/11/00 DateReportStatus 05/10/00 Chest2 View Final 06/10/000 Chest2 View Final 09/10/2000 Chest2 View Final 16/10/2000 Chest2 View Final 23/10/2000 Chest2 View Final Find PatientLaboratoryPharmacyAllergiesRadiologyVital SignsFind Data

26. CORBA Clinican Workdesk Application CIAS Interface Primary Care Facility CIAS Interface Common Services Persistent Store Scenario Attain the detailed medical information at the specified location where a given patient has had medical care given.

27. File Edit Patient Clinical Modules Tools View Window Help Patient:Unit#: 169 Medical Record #: 98475369YF25/06/1931Marianna, Mang Search Criteria Chest2 View Filter: Date/Time: 01/10/00 – 01/11/00 DateReportStatus 05/10/00 Chest2 View Final 06/10/000 Chest2 View Final 09/10/2000 Chest2 View Final 16/10/2000 Chest2 View Final 23/10/2000 Chest2 View Final Find PatientLaboratoryPharmacyAllergiesRadiologyVital SignsFind Data Chest2 View – 09/10/00 Read by: Dr. X Ray

28. URLS OMG www.omg.org Healthcare Domain Task Force http://www.omg.org/homepages/healthcare/index.htm Specifications PIDS http://cgi.omg.org/cgi-bin/doc?corbamed/98-01-09 TQS http://cgi.omg.org/cgi-bin/doc?corbamed/98-03-22 COAS http://cgi.omg.org/cgi-bin/doc?dtc/http://cgi.omg.org/cgi-bin/doc?dtc/00-01-01 RAD http://cgi.omg.org/cgi-bin/doc?corbamed/99-04-04 CIAS http://cgi.omg.org/cgi-bin/doc?corbamed/00-02-01 Request for Proposal (RFP) HILS http://cgi.omg.org/cgi-bin/doc?corbamed/99-11-18 OETS http://cgi.omg.org/cgi-bin/doc?corbamed/00-09-01