1. ® MedBiquitous Virtual Patient Standard: A Technical Overview

2. ® What are virtual patients? “interactive computer programs that simulate real life clinical scenarios and provide an effective way for healthcare professionals to not only learn about a wide range of clinical topics, but to practice in a virtual and therefore safe environment.”

3. ® MedBiquitous Virtual Patient Standard (MVP) A technical specification for the exchange of Virtual Patient activities across Virtual Patient systems Institution AInstitution B

4. ® Does my VP System fit? Digital – XML Delivery Web-based Mobile Virtual worlds Navigation Linear Branching Global A representation of data Must be interpreted by a runtime system Output: zip file of XML documents and media

5. ® Current Limitations Does NOT encode artificial intelligence algorithims Does NOT encode physiology engine rules and models

6. ® The MVP Architecture Virtual Patient Data Data Availability Model Media Resource Activity Model Player Functional Specification

7. ® Personal and clinical data Similar to a clinical chart May include references to healthcare terminologies Virtual Patient Data

8. ® Images, animations, videos, etc. Media Resource

9. ® Aggregates virtual patient data and media resources for reference in an activity Enables progressive disclosure of virtual patient data and media resources Data Availability Model Part 1: Patient History Part 2: Diagnostics Media Resources Virtual Patient data Text Interview item Diagnostic test DAM

10. ® Integrates data and media into a cohesive learning activity Node based Activity flow (node sections, p 84; links, p 99) Counters (p 75, p 87) Timers (p 81) Rules (p 79) Activity Model Node 1: Start Node 2: Option 1 Node 3: Option 2 Node 4: Option 3 Node 5: Option 4 Node 5: Option 6

12. ®

13. /VirtualPatientData/VPDText[@id=‘23'] /DataAvailabilityModel/DAMNode[@id=‘463']

14. /VirtualPatientData/VPDText[@id=‘23'] /DataAvailabilityModel/DAMNode[@id=‘463']

15. /VirtualPatientData/VPDText[@id=‘23'] /DataAvailabilityModel/DAMNode[@id=‘463']

16. /VirtualPatientData/VPDText[@id=‘23'] /DataAvailabilityModel/DAMNode[@id=‘463']

17. /VirtualPatientData/VPDText[@id=‘23'] /DataAvailabilityModel/DAMNode[@id=‘463']

18. /DataAvailabilityModel/DAMNode[@id=‘321'] /VirtualPatientData/VPDText[@id=‘6']

19. /DataAvailabilityModel/DAMNode[@id=‘321'] /VirtualPatientData/VPDText[@id=‘6']

20. /DataAvailabilityModel/DAMNode[@id=‘321'] /VirtualPatientData/VPDText[@id=‘6']

21. /DataAvailabilityModel/DAMNode[@id=‘321'] /VirtualPatientData/VPDText[@id=‘6']

22. ® Next Steps Read the specifications and samples in the implementation toolkit: http://bit.ly/mbq_vphttp://bit.ly/mbq_vp Questions? Contact Valerie Smothers vsmothers@jhmi.edu