Clinical Decision Support Product Area Rong Chen MD PhD Chief Medical Informatics Officer

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Clinical Decision Support Product Area Rong Chen MD PhD Chief Medical Informatics Officer"

Transcription

1 Clinical Decision Support Product Area Rong Chen MD PhD Chief Medical Informatics Officer CAMBIO HEALTHCARE SYSTEMS

2 Patient CAMBIO HEALTHCARE SYSTEMS

3 Core Assumptions The complexity of modern medicine exceeds the inherent limitations of the unaided human mind. ~ David M. Eddy, MD, Ph.D.... man is not perfectible. There are limits to man s capabilities as an information processor that assure the occurrence of random errors in his activities. ~ Clement J. McDonald, MD CAMBIO HEALTHCARE SYSTEMS

4 Change of clinical practices Clinical outcomes Awareness of new knowledge Evidence-based clinical guidelines Takes 17 years in average CAMBIO HEALTHCARE SYSTEMS

5 Product solution Studies for monitoring Knowledge Manager Apps for interventions Open standards & Light-weight technologies Closed loop system for improvement CAMBIO HEALTHCARE SYSTEMS 27/05/

6 General requirements of GDL Formal language to express clinical logic Machine readable format, standards-based Agnostic to natural languages Add/update translations without invalidating logic Agnostic to reference terminologies Easy to change term bindings EHR model independent Reuse of common EHR models both for input and output Rules for single decision making But ready to be combined for more complex decision making Coherent and reusable For improved reusability and maintainability Rapid development / release cycles Independent of main EHR product Cambio Healthcare Systems AB

7 openehr Archetype??? => GDL SNOMED CT, ICD10, ATC, A L Rector PD Johnson S Tu C Wroe and J Rogers (2001) Interface of inference models with concept and medical record models. in S Quaglini, P Barahona and S Andreassen (eds) Proc Artificial Intelligence in Medicine Europe (AIME-2001 ) Springer: Cambio Healthcare Systems AB

8 Guideline Definition Language (GDL) A minimum language to glue together archetypes, terminologies and rules Three Pillars Bindings between archetype elements and variables in the rules Rule expressions easily converted to industry rule engine languages Bindings between local concepts used in the rules and concepts from reference terminologies Cambio Healthcare Systems AB

9 GDL Design Released through openehr Cambio Healthcare Systems AB

10 Updated GDL Design Specifications Cambio Healthcare Systems AB

11 Open Source GDL Ref Impl & Editor CAMBIO HEALTHCARE SYSTEMS 27/05/

12 Cambio CDS Knowledge Manager A repository of standard-based, fully structured clinical models for advanced clinical applications. CAMBIO HEALTHCARE SYSTEMS 14/10/

13 Cambio CDS Dashboard An overview of healthcare data and clinical performance in terms of treatment adherences to practice guidelines, quality indicators and healthcare outcome measurements. CAMBIO HEALTHCARE SYSTEMS 14/10/

14 Stroke Prevention in Atrial Fibrillation Atrial fibrillation (AF), most common arrhythmia in the heart. 10% prevalence in elderly population. Untreated AF has 4.5% chance of stroke yearly, and causes more severe and subtle strokes. Known treatment reduces strokes chance by 70% National treatment compliance is about 42% in 2013 study Increase from 42% to 75% will prevent about 3000 strokes yearly About 150 preventable stroke in Region Östergötland yearly CAMBIO HEALTHCARE SYSTEMS 27/05/

15 Knowledge of Stroke Prevention in AF ESC Guidelines on the Management of Atrial Fibrillation, European Heart Journal (2010) 31, focused update of the ESC Guidelines for the Management of atrial fibrillation, European Heart Journal (2012) 33, CAMBIO HEALTHCARE SYSTEMS

16 CAMBIO HEALTHCARE SYSTEMS

17 CAMBIO HEALTHCARE SYSTEMS 19/05/

18 About 24 million SEK saving for 10% compliance improvement in Östergötland (half million population) yearly okeriskvardering.pdf CAMBIO HEALTHCARE SYSTEMS 27/05/

19 Summary CDS product is independent of COSMIC Completely separated from the COSMIC Roadmap Open & flexible platform Based on standards, light-weight technologies Agnostic to natural languages and clinical areas Based on sharable CDS logic and modules Semantic EHR standards are prerequisites Necessary to share foundational models (archetypes) Sharing across countries and organizations a possibility CAMBIO HEALTHCARE SYSTEMS 27/05/

Clinical Decision Support Strategies

Clinical Decision Support Strategies Clinical Decision Support Strategies CIMI Meeting, Amsterdam Rong Chen MD PhD, CMIO rong.chen@cambio.se CAMBIO HEALTHCARE SYSTEMS 1/11/2014 WWW.CAMBIO.SE 1 Objectives The common goal of improving healthcare

More information

EHR Data Reuse through openehr Archetypes

EHR Data Reuse through openehr Archetypes EHR Data Reuse through openehr Archetypes Rong Chen MD, PhD Chief Medical Informatics Officer 2012.09.19-1- 2012-10-02 Agenda Background introduction (3 min) Experience of extracting EHR data from regional

More information

Clinical research based on EHR systems

Clinical research based on EHR systems Clinical research based on EHR systems Why is it so hard and what can be done about it? Gunnar O Klein professor in Health Informatics at NSEP Norwegian Centre for EHR Research Plenary presentation at

More information

Strategies and experiences in Sweden

Strategies and experiences in Sweden Strategies and experiences in Sweden Inger Wejerfelt Head of information structure group National Center for Coordination of ehealth NCCEH inger.wejerfelt@skl.se National IT strategi organisation Ministry

More information

Author: Una Ismaili Main supervisor: MD, PhD, Rong Chen, Department of LIME, Karolinska and

Author: Una Ismaili Main supervisor: MD, PhD, Rong Chen, Department of LIME, Karolinska and Master's Programme in Health Informatics Spring Semester 2014 Degree thesis, 30 Credits Evaluation of feasibility of openehr and Guideline Definition Language for automatic data transfer between electronic

More information

Archetype-Based Knowledge Management for Semantic Interoperability of Electronic Health Records

Archetype-Based Knowledge Management for Semantic Interoperability of Electronic Health Records Medical Informatics in a United and Healthy Europe K.-P. Adlassnig et al. (Eds.) IOS Press, 2009 2009 European Federation for Medical Informatics. All rights reserved. doi:10.3233/978-1-60750-044-5-1007

More information

Integration Information Model

Integration Information Model Release 1.0.1 The openehr Reference Model a. Ocean Informatics Editors: T Beale a Revision: 0.6 Pages: 15 Date of issue: 22 Jul 2006 Keywords: EHR, reference model, integration, EN13606, openehr EHR Extract

More information

EHR Archetypes in practice: getting feedback from clinicians and the role of EuroRec

EHR Archetypes in practice: getting feedback from clinicians and the role of EuroRec EuroRec - EHTEL Conference, Vienna, October 2007 EHR Archetypes in practice: getting feedback from clinicians and the role of EuroRec Dr Dipak Kalra Centre for Health Informatics and Multiprofessional

More information

Clinical Knowledge Manager. Product Description 2012 MAKING HEALTH COMPUTE

Clinical Knowledge Manager. Product Description 2012 MAKING HEALTH COMPUTE Clinical Knowledge Manager Product Description 2012 MAKING HEALTH COMPUTE Cofounder and major sponsor Member and official submitter for HL7/OMG HSSP RLUS, EIS 'openehr' is a registered trademark of the

More information

Binding Ontologies & Coding systems to Electronic Health Records and Messages

Binding Ontologies & Coding systems to Electronic Health Records and Messages Binding Ontologies & Coding systems to Electronic Health Records and Messages AL Rector MD PhD 1, R Qamar MSc 1 and T Marley MSc 2 1 School of Computer Science, University of Manchester, Manchester M13

More information

A National Clinical Decision Support Infrastructure to Enable Genetically-Guided Population Health Management at Scale

A National Clinical Decision Support Infrastructure to Enable Genetically-Guided Population Health Management at Scale A National Clinical Decision Support Infrastructure to Enable Genetically-Guided Population Health Management at Scale September 23, 2010 Kensaku Kawamoto, MD, PhD Assistant Professor Department of Community

More information

Clinical Research from EHR data

Clinical Research from EHR data Clinical Research from EHR data Gunnar O Klein professor in Health Informatics at NSEP Norwegian Centre for EHR Research Workshop at HelseIT in Trondheim 2012-09-19 1 Purpose of the workshop Together with

More information

Electronic Health Records: An introduction to openehr and archetypes

Electronic Health Records: An introduction to openehr and archetypes Electronic Health Records: An introduction to openehr and archetypes Dr. Sebastian Garde CCR Workshop Munich 29 th April 2008 Expectations Timely information and reports for ALL professions with a minimum

More information

Re: Comments on 2015 Interoperability Standards Advisory Best Available Standards and Implementation Specifications

Re: Comments on 2015 Interoperability Standards Advisory Best Available Standards and Implementation Specifications April 29, 2015 Karen DeSalvo, MD, MPH, MSc National Coordinator Office of National Coordinator for Health IT Department of Health and Human Services 200 Independence Ave, SW Washington, DC 20201 Re: Comments

More information

Binding Ontologies & Coding systems to Electronic Health Records and Messages

Binding Ontologies & Coding systems to Electronic Health Records and Messages KR-MED 2006 "Biomedical Ontology in Action" November 8, 2006, Baltimore, Maryland, USA Binding Ontologies & Coding systems to Electronic Health Records and Messages AL Rector MD PhD 1, R Qamar MSc 1 and

More information

Linköping University Post Print. Archetype-based conversion of EHR content models: pilot experience with a regional EHR system

Linköping University Post Print. Archetype-based conversion of EHR content models: pilot experience with a regional EHR system Linköping University Post Print Archetype-based conversion of EHR content models: pilot experience with a regional EHR system Rong Chen, Gunnar O Klein, Erik Sundvall, Daniel Karlsson and Hans Åhlfeldt

More information

Clinical Decision Support Consortium Knowledge Management Overview

Clinical Decision Support Consortium Knowledge Management Overview Clinical Decision Support Consortium Knowledge Management Overview Overview of key steps in creating, maintaining and publishing CDS content The Clinical Decision Support (CDS) Consortium (CDSC) Knowledge

More information

Introduction to openehr Archetypes & Templates. Dr Ian McNicoll Dr Heather Leslie

Introduction to openehr Archetypes & Templates. Dr Ian McNicoll Dr Heather Leslie Introduction to openehr Archetypes & Templates Dr Ian McNicoll Dr Heather Leslie Traditional Application Development Clinical Knowledge Data Model Ocean Informatics 2010 Tradi&onal Informa&on model 2 level

More information

Il lavoro di armonizzazione. e HL7

Il lavoro di armonizzazione. e HL7 Il lavoro di armonizzazione tra CEN 13606, openehr e HL7 Dr Dipak Kalra Centre for Health Informatics and Multiprofessional Education (CHIME) University College London d.kalra@chime.ucl.ac.uk Drivers for

More information

EHR Standards Landscape

EHR Standards Landscape EHR Standards Landscape Dr Dipak Kalra Centre for Health Informatics and Multiprofessional Education (CHIME) University College London d.kalra@chime.ucl.ac.uk A trans-national ehealth Infostructure Wellness

More information

DIPS Arena New Archetype-based EHR. Sigurd From, DIPS ASA

DIPS Arena New Archetype-based EHR. Sigurd From, DIPS ASA DIPS Arena New Archetype-based EHR Sigurd From, DIPS ASA The largest EHR vendor in Norway Product areas Clinical Process Support - EHR Administative Process Support Medical Services & Integration Main

More information

The Healthcare Services Platform Consortium

The Healthcare Services Platform Consortium The Healthcare Services Platform Consortium 1 FEBRUARY 24, 2015 STANLEY M. HUFF, MD CHIEF MEDICAL INFORMATICS OFFICER INTERMOUNTAIN HEALTHCARE HSPC Mission Statement 2 Improve health by creating a vibrant,

More information

Models of Meaning and Models of Use: Binding Terminology to the EHR An Approach using OWL

Models of Meaning and Models of Use: Binding Terminology to the EHR An Approach using OWL Models of Meaning and Models of Use: Binding Terminology to the EHR An Approach using OWL AL Rector MD PhD 1, R Qamar MSc 1 and T Marley MSc 2 1 School of Computer Science, University of Manchester, Manchester

More information

What s next for openehr. Sam Heard Thomas Beale

What s next for openehr. Sam Heard Thomas Beale What s next for openehr Sam Heard Thomas Beale Current situation (2010-) General industry movement toward SOA, growing use of terminology SOA: IHE Information / messages HL7 v3 failed, org in fresh look

More information

Population Health Management Systems

Population Health Management Systems Population Health Management Systems What are they and how can they help public health? August 18, 1:00 p.m. 2:30 p.m. EDT Presented by the Public Health Informatics Working Group Webinar sponsored by

More information

A Terminology Server for Integrating Clinical Information Systems: The GALEN Approach

A Terminology Server for Integrating Clinical Information Systems: The GALEN Approach A Terminology Server for Integrating Clinical Information Systems: The GALEN Approach PE Zanstra* AL Rector WD Solomon T Rush+WA Nowlan+ S Bechhofer *Katholieke Universiteit Nijmegen, Department of Medical

More information

Clinical Decision Support: What is it? Why is it so hard?

Clinical Decision Support: What is it? Why is it so hard? Clinical Decision Support: What is it? Why is it so hard? Dean F. Sittig, Ph.D. UT Memorial Hermann Center for Healthcare Quality and Safety The University of Texas School of Health Information Sciences,

More information

A Service Oriented Approach for Guidelines-based Clinical Decision Support using BPMN

A Service Oriented Approach for Guidelines-based Clinical Decision Support using BPMN e-health For Continuity of Care C. Lovis et al. (Eds.) 2014 European Federation for Medical Informatics and IOS Press. This article is published online with Open Access by IOS Press and distributed under

More information

A Repository of Semantic Open EHR Archetypes

A Repository of Semantic Open EHR Archetypes International Journal of Artificial Intelligence and Interactive Multimedia, Vol. 3, Nº 2. A Repository of Semantic Open EHR Archetypes Fernando Sánchez, Samuel Benavides, Fernando Moreno, Guillermo Garzón,

More information

Evolution or revolution?

Evolution or revolution? Towards interoperable clinical systems Evolution or revolution? Gustav Bellika gustav@cs.uit.no Medical Informatics and Telemedicine (MIT) group Department of Computer Science, University of Tromsø Agenda

More information

The Model for Managing Real Media Contents in Terms of EHR

The Model for Managing Real Media Contents in Terms of EHR The Model for Managing Real Media Contents in Terms of EHR You-Jin Song 1, Jang-Mook Kang 2 and Jaedoo Huh 3 1 Department of Information Management, Dongguk University, 707 Seokjang-dong, Gyeongju, Gyeongsangbuk-do,

More information

CMS & ehr - An Update

CMS & ehr - An Update Health Informatics in Hong Kong CMS & ehr - An Update Dr NT Cheung HA Convention 2010 CMS / epr is essential in the HA Each Day... 12,000 users 90,000 patients 8M CMS transactions 700,000 epr views In

More information

DEMONSTRATING CLOUD-BASED CLINICAL DECISION SUPPORT AT SCALE: THE CLINICAL DECISION SUPPORT CONSORTIUM

DEMONSTRATING CLOUD-BASED CLINICAL DECISION SUPPORT AT SCALE: THE CLINICAL DECISION SUPPORT CONSORTIUM DEMONSTRATING CLOUD-BASED CLINICAL DECISION SUPPORT AT SCALE: THE CLINICAL DECISION SUPPORT CONSORTIUM Brian E. Dixon, MPA, PhD, FHIMSS Marilyn D. Paterno, MBI Outline Part 1 Introductions Overview of

More information

What do clinical data standards mean for clinicians? Dr Nick Booth GP and Informatician, Warden, Northumberland, UK

What do clinical data standards mean for clinicians? Dr Nick Booth GP and Informatician, Warden, Northumberland, UK What do clinical data standards mean for clinicians? Dr Nick Booth GP and Informatician, Warden, Northumberland, UK Outline of Presentation Assertions What are we trying to do in the English NHS IT programme?

More information

SNOMED CT AND ICD-10-BE: TWO OF A KIND?

SNOMED CT AND ICD-10-BE: TWO OF A KIND? Federal Public Service of Health, Food Chain Safety and Environment Directorate-General Health Care Department Datamanagement Arabella D Havé, chief of Terminology, Classification, Grouping & Audit arabella.dhave@health.belgium.be

More information

Clinical Decision Support: Core Capability of Evolving CPR

Clinical Decision Support: Core Capability of Evolving CPR Tutorials, B. Hieb, M.D. Research Note 6 November 2003 Clinical Decision Support: Core Capability of Evolving CPR More-sophisticated computer-based patient record systems can offer increasing value to

More information

Improving EHR Semantic Interoperability Future Vision and Challenges

Improving EHR Semantic Interoperability Future Vision and Challenges Improving EHR Semantic Interoperability Future Vision and Challenges Catalina MARTÍNEZ-COSTA a,1 Dipak KALRA b, Stefan SCHULZ a a IMI,Medical University of Graz, Austria b CHIME, University College London,

More information

Design and development of a decision support system for screening of Lynch syndrome using openehr

Design and development of a decision support system for screening of Lynch syndrome using openehr Master's Programme in Health Informatics Spring Semester 2015 Degree thesis, 30 Credits Design and development of a decision support system for screening of Lynch syndrome using openehr Author: Blanca

More information

OpenCDS: an Open-Source, Standards-Based, Service-Oriented Framework for Scalable CDS

OpenCDS: an Open-Source, Standards-Based, Service-Oriented Framework for Scalable CDS OpenCDS: an Open-Source, Standards-Based, Service-Oriented Framework for Scalable CDS SOA in Healthcare 2011 Conference July 13, 2011 Kensaku Kawamoto, MD, PhD Founder, OpenCDS (www.opencds.org) Co-Chair,

More information

IHE Australia Workshops July 2011. Prepared by: Heather Grain Chair: Standards Australia IT14 Health Informatics and Ehealth Education

IHE Australia Workshops July 2011. Prepared by: Heather Grain Chair: Standards Australia IT14 Health Informatics and Ehealth Education IHE Australia Workshops July 2011 Prepared by: Heather Grain Chair: Standards Australia IT14 Health Informatics and Ehealth Education Standards are key to healthcare at all levels service, fiscal, administrative

More information

Problem-Centered Care Delivery

Problem-Centered Care Delivery HOW INTERFACE TERMINOLOGY MAKES STANDARDIZED HEALTH INFORMATION POSSIBLE Terminologies ensure that the languages of medicine can be understood by both humans and machines. by June Bronnert, RHIA, CCS,

More information

The Healthcare Services Platform Consortium

The Healthcare Services Platform Consortium The Healthcare Services Platform Consortium JULY 31, 2014 STANLEY M. HUFF, MD CHIEF MEDICAL INFORMATICS OFFICER INTERMOUNTAIN HEALTHCARE Suggested National Strategy Develop truly interoperable data services

More information

SNOMED CT in the EHR Present and Future. with the patient at the heart

SNOMED CT in the EHR Present and Future. with the patient at the heart SNOMED CT in the EHR Present and Future ` SNOMED CT in the EHR Present and Future Christopher Alban, MD Epic Systems Corporation Objectives Describe the use of SNOMED CT to enable decision support, analytics,

More information

VistA Evolution Presentation to World Vista

VistA Evolution Presentation to World Vista VistA Evolution Presentation to World Vista Theresa A. Cullen, MD, MS Chief Medical Information Officer Director, Health Informatics Office of Informatics and Analytics Veterans Health Administration Department

More information

High Integrity Systems in Health Environment. Mark Nicholson

High Integrity Systems in Health Environment. Mark Nicholson High Integrity Systems in Health Environment Mark Nicholson Introduction National Patient Safety Agency (NPSA - 2003) has described patient safety as process by which an organisation makes patient care

More information

An archetype-based solution for the interoperability of computerised guidelines and electronic health records

An archetype-based solution for the interoperability of computerised guidelines and electronic health records An archetype-based solution for the interoperability of computerised guidelines and electronic health records Mar Marcos 1, Jose A. Maldonado 2, Begoña Martínez-Salvador 1, David Moner 2, Diego Boscá 2,

More information

8th Medical Open Source Software Symposium

8th Medical Open Source Software Symposium 8th Medical Open Source Software Symposium openehr as A New Approach to Electronic Health Record System in Cambodia Maternity Care Program Kakada Hok 2009.10.31 1 Objectives of the Research Study To identify

More information

Healthcare Professional. Driving to the Future 11 March 7, 2011

Healthcare Professional. Driving to the Future 11 March 7, 2011 Clinical Analytics for the Practicing Healthcare Professional Driving to the Future 11 March 7, 2011 Michael O. Bice Agenda Clinical informatics as context for clinical analytics Uniqueness of medical

More information

MED 2400 MEDICAL INFORMATICS FUNDAMENTALS

MED 2400 MEDICAL INFORMATICS FUNDAMENTALS MED 2400 MEDICAL INFORMATICS FUNDAMENTALS NEW YORK CITY COLLEGE OF TECHNOLOGY The City University Of New York School of Arts and Sciences Biological Sciences Department Course title: Course code: MED 2400

More information

OpenCDS: Overview, Demonstration, and Potential Implications for HeD Use Case 2

OpenCDS: Overview, Demonstration, and Potential Implications for HeD Use Case 2 OpenCDS: Overview, Demonstration, and Potential Implications for HeD Use Case 2 January 10, 2012 Health edecisions All-Hands Call Kensaku Kawamoto, MD, PhD Director, Knowledge Management and Mobilization,

More information

Using Health Information Technology to Improve Quality of Care: Clinical Decision Support

Using Health Information Technology to Improve Quality of Care: Clinical Decision Support Using Health Information Technology to Improve Quality of Care: Clinical Decision Support Vince Fonseca, MD, MPH Director of Medical Informatics Intellica Corporation Objectives Describe the 5 health priorities

More information

Welcome! E-Health and Data Analytics: Behavioral Health

Welcome! E-Health and Data Analytics: Behavioral Health Welcome! E-Health and Data Analytics: Behavioral Health For the duration of this presentation, please have your cell phones available. You will be asked to use them. 2014 Poll Everywhere Polling application

More information

Universitat Jaume I, Castellón, Spain, Mar.Marcos@icc.uji.es, Begona.Martinez@icc.uji.es, http://www.keg.uji.es/

Universitat Jaume I, Castellón, Spain, Mar.Marcos@icc.uji.es, Begona.Martinez@icc.uji.es, http://www.keg.uji.es/ Towards the interoperability of computerised guidelines and electronic health records: an experiment with openehr archetypes and a chronic heart failure guideline M. Marcos and B. Martínez-Salvador Universitat

More information

SNOMED CT General Practitioner/Family Practitioner subset Baseline Release.

SNOMED CT General Practitioner/Family Practitioner subset Baseline Release. SNOMED CT General Practitioner/Family Practitioner subset Baseline Release. Date 20150930 Version 1.0 Amendment History Version Date Editor Comments 0.1 19/09/2014 IGR 0.2 27/08/2015 MHA Updated version

More information

Helping Members & Prospective Members Build the Business Case for SNOMED CT. Project Report

Helping Members & Prospective Members Build the Business Case for SNOMED CT. Project Report Helping Members & Prospective Members Build the Business Case for SNOMED CT Project Report Overview Project Genesis Project Approach Delivered Result Members and prospective members are seeking materials

More information

Implementing reusable software components for SNOMED CT diagram and expression concept representations

Implementing reusable software components for SNOMED CT diagram and expression concept representations 1028 e-health For Continuity of Care C. Lovis et al. (Eds.) 2014 European Federation for Medical Informatics and IOS Press. This article is published online with Open Access by IOS Press and distributed

More information

Bench to Bedside Clinical Decision Support:

Bench to Bedside Clinical Decision Support: Bench to Bedside Clinical Decision Support: The Role of Semantic Web Technologies in Clinical and Translational Medicine Tonya Hongsermeier, MD, MBA Corporate Manager, Clinical Knowledge Management and

More information

National Integrated Services Framework The Foundation for Future e-health Connectivity. Peter Connolly HSE May 2013

National Integrated Services Framework The Foundation for Future e-health Connectivity. Peter Connolly HSE May 2013 National Integrated Framework The Foundation for Future e-health Connectivity Peter Connolly HSE May 2013 The Context Introduction A national approach to interoperability is essential for Ireland s E-Health

More information

A Metabolic Syndrome Health Check EHR based on openehr

A Metabolic Syndrome Health Check EHR based on openehr Seagaia Meeting 2009, Okinawa A Metabolic Syndrome Health Check EHR based on openehr 2009/05/15 早 稲 田 大 学 国 際 情 報 通 信 研 究 科 Waseda University, GITS Kano Lab Hsu WanYen (Nora) 徐 婉 晏 1 Research Background

More information

Going With The (Knowledge) Flow: The Future Of Decision Making In Improving Outcomes

Going With The (Knowledge) Flow: The Future Of Decision Making In Improving Outcomes Going With The (Knowledge) Flow: The Future Of Decision Making In Improving Outcomes Ian Z. Chuang, MD, MS, CCFP SVP, Healthcare Informatics and Chief Medical Officer Dennis Morrison, PhD Chief Clinical

More information

Future Tense. How everything is going to be different and why you should care. David A Stumpf, MD, PhD

Future Tense. How everything is going to be different and why you should care. David A Stumpf, MD, PhD Future Tense How everything is going to be different and why you should care David A Stumpf, MD, PhD Senior Vice President for Innovation and Transformation Presentation Outline Big Changes Ahead! Context:

More information

EuroRec (http://www.eurorec.org )

EuroRec (http://www.eurorec.org ) EuroRec (http://www.eurorec.org ) The «European Institute for Health Records» A not-for-profit organisation, established April 16, 2003 Mission: the promotion of high quality Electronic Health Record systems

More information

Emerging Computational Approaches to Interoperability the Key to Long Term Preservation of EHR Data

Emerging Computational Approaches to Interoperability the Key to Long Term Preservation of EHR Data Emerging Computational Approaches to Interoperability the Key to Long Term Preservation of EHR Data William W. Stead, M.D. Associate Vice Chancellor for Health Affairs Chief Strategy & Information Officer

More information

Semantic interoperability of dual-model EHR clinical standards

Semantic interoperability of dual-model EHR clinical standards Semantic interoperability of dual-model EHR clinical standards Catalina Martínez-Costa Departamento de Informática y Sistemas, Facultad de Informática Universidad de Murcia, CP 30100, Murcia cmartinezcosta@um.es

More information

Terminology: A Clinical Documentation Improvement Opportunity

Terminology: A Clinical Documentation Improvement Opportunity Terminology: A Clinical Documentation Improvement Opportunity Sue Schneider Director, ehealth Standards ehealth 2015 Toronto, Ontario June 1, 2015 Today s Session What ehealth Standards Program does Why

More information

Standardised and Flexible Health Data Management with an Archetype Driven EHR System (EHRflex)

Standardised and Flexible Health Data Management with an Archetype Driven EHR System (EHRflex) Standardised and Flexible Health Data Management with an Archetype Driven EHR System (EHRflex) Anton Brass 1, David Moner 2, Claudia Hildebrand 1, Montserrat Robles 2 1 Helmholtz Zentrum München, Germany

More information

Clinical Decision Support Systems An Open Source Perspective

Clinical Decision Support Systems An Open Source Perspective Decision Support Systems An Open Source Perspective John McKim CTO, Knowledge Analytics Incorporated john@knowledgeanalytics.com http://www.knowledgeanaytics.com OSEHRA Open Source Summit 2014 Agenda CDS

More information

DISCUSSION PAPER ON SEMANTIC AND TECHNICAL INTEROPERABILITY. Proposed by the ehealth Governance Initiative Date: October 22 nd, 2012

DISCUSSION PAPER ON SEMANTIC AND TECHNICAL INTEROPERABILITY. Proposed by the ehealth Governance Initiative Date: October 22 nd, 2012 DISCUSSION PAPER ON SEMANTIC AND TECHNICAL INTEROPERABILITY Proposed by the ehealth Governance Initiative Date: October 22 nd, 2012 Introduction Continuity of care is a key priority for modern healthcare

More information

Interconnected Health 2012 April 3, 2012. Daryl Chertcoff, Project Manager, HLN Consulting, LLC Angel Aponte, Computer Specialist

Interconnected Health 2012 April 3, 2012. Daryl Chertcoff, Project Manager, HLN Consulting, LLC Angel Aponte, Computer Specialist An Implementation of OpenCDS An Open-Source, Standards-Based, Service- Oriented Framework for Clinical Decision Support for Immunization Information Systems and Electronic Health Records Interconnected

More information

European Quality Labelling, Certification, Electronic Health Record systems (EHRs) gf v1

European Quality Labelling, Certification, Electronic Health Record systems (EHRs) gf v1 European Quality Labelling, Certification, Electronic Health Record systems (EHRs) gf v1 EuroRec: current standing on EHR certification in Europe AGENDA 1. The EuroRec Institute 2. EHR-systems Certification:

More information

Translation Protégé Knowledge for Executing Clinical Guidelines. Jeong Ah Kim, BinGu Shim, SunTae Kim, JaeHoon Lee, InSook Cho, Yoon Kim

Translation Protégé Knowledge for Executing Clinical Guidelines. Jeong Ah Kim, BinGu Shim, SunTae Kim, JaeHoon Lee, InSook Cho, Yoon Kim Translation Protégé Knowledge for Executing Clinical Guidelines Jeong Ah Kim, BinGu Shim, SunTae Kim, JaeHoon Lee, InSook Cho, Yoon Kim Agenda 1. 1. Motivation 2. 2. How to to translate 3. 3. Implementation

More information

The Do s and Don ts of Medical Device integration

The Do s and Don ts of Medical Device integration Advances in Wireless Technologies for Healthcare The Do s and Don ts of Medical Device integration Shahid N. Shah, CEO Visit Dräger and Shahid at HIMSS 2012 Dräger Booth on the main floor: Booth #5734

More information

Medication Therapy Management: Data Exchange

Medication Therapy Management: Data Exchange ASAP 2014 Conference Medication Therapy Management: Data Exchange Dr. Mike Case Haub, Pharm.D. Director- Network Performance OutcomesMTM Disclosure Mike Case Haub is an employee of OutcomesMTM. The conflict

More information

Development of an EHR System for Sharing A Semantic Perspective

Development of an EHR System for Sharing A Semantic Perspective Medical Informatics in a United and Healthy Europe K.-P. Adlassnig et al. (Eds.) IOS Press, 2009 2009 European Federation for Medical Informatics. All rights reserved. doi:10.3233/978-1-60750-044-5-113

More information

A Virtual Medical Record for Guideline-Based Decision Support

A Virtual Medical Record for Guideline-Based Decision Support A Virtual Medical Record for Guideline-Based Decision Support Peter D. Johnson MB BS a, Samson W. Tu MS b, Mark A. Musen MD PhD b, Ian Purves MB BS MRCGP MD a a Sowerby Centre for Health Informatics at

More information

Open Source Modular Units for Electronic Patient Records. Hari Kusnanto Faculty of Medicine, Gadjah Mada University

Open Source Modular Units for Electronic Patient Records. Hari Kusnanto Faculty of Medicine, Gadjah Mada University Open Source Modular Units for Electronic Patient Records Hari Kusnanto Faculty of Medicine, Gadjah Mada University Open Source Initiatives in Patient Information System electronic health records, scheduling

More information

Software as a Medical Device (SaMD): Possible Framework for Risk Categorization and Corresponding Considerations. Proposed Final IMDRF WG(PF)/N12 R10

Software as a Medical Device (SaMD): Possible Framework for Risk Categorization and Corresponding Considerations. Proposed Final IMDRF WG(PF)/N12 R10 Software as a Medical Device (SaMD): Possible Framework for Risk Categorization and Corresponding Considerations Proposed Final IMDRF WG(PF)/N12 R10 Bakul Patel, IMDRF WG Chair Goals International convergence

More information

HL7 CDA, Clinical Modelling and openehr

HL7 CDA, Clinical Modelling and openehr HL7 CDA, Clinical Modelling and openehr Thomas Beale NHS Scotland, February 2007 Thomas Beale Introductions Chief Technology Officer Ocean Informatics Senior Researcher, Centre for Health Informatics,

More information

Imagining Knowledge-Driven Care. Ian Chuang, SVP Health Care Informatics and CMO Scott Green, GM CarePathways

Imagining Knowledge-Driven Care. Ian Chuang, SVP Health Care Informatics and CMO Scott Green, GM CarePathways Imagining Knowledge-Driven Care Seamless Knowledge Flow for Continuous Improvement Ian Chuang, SVP Health Care Informatics and CMO Scott Green, GM CarePathways Agenda Limitations of current approach to

More information

Overview of ehr Development. Slide - 1

Overview of ehr Development. Slide - 1 Overview of ehr Development Slide - 1 Where are we today? Hospital Authority 8 million patient records 800 million laboratory results 340 million prescribed drugs 34 million Xray images 33 million transactions

More information

Technology Mediated Translation Clinical Decision Support. Marisa L. Wilson, DNSc, MHSc, CPHIMS, RN-BC. January 23, 2015.

Technology Mediated Translation Clinical Decision Support. Marisa L. Wilson, DNSc, MHSc, CPHIMS, RN-BC. January 23, 2015. Technology Mediated Translation Clinical Decision Support Marisa L. Wilson, DNSc, MHSc, CPHIMS, RN-BC January 23, 2015 Background Presidents Bush, President Obama American Recovery and Reinvestment Act

More information

Supporting Clinical Decision Making With Technology

Supporting Clinical Decision Making With Technology Supporting Clinical Decision Making With Technology A Complimentary Webinar From healthsystemcio.com Your Line Will Be Silent Until Our Event Begins Thank You! Housekeeping Moderator Kate Gamble, Managing

More information

A Hybrid Artificial Intelligence System for Assistance in Remote Monitoring of Heart Patients

A Hybrid Artificial Intelligence System for Assistance in Remote Monitoring of Heart Patients A Hybrid Artificial Intelligence System for Assistance in Remote Monitoring of Heart Patients Theodor Heinze, Robert Wierschke, Alexander Schacht and Martin v. Löwis Hasso-Plattner-Institut, Prof.-Dr.-Helmert-Str.

More information

Patient Safety: Achieving A New Standard for Care. Institute of Medicine Committee on Data Standards for Patient Safety November, 2003

Patient Safety: Achieving A New Standard for Care. Institute of Medicine Committee on Data Standards for Patient Safety November, 2003 Patient Safety: Achieving A New Standard for Care Institute of Medicine Committee on Data Standards for Patient Safety November, 2003 Outline Committee charge and definitions System support of patient

More information

Advanced Aspects of Hospital Information Systems

Advanced Aspects of Hospital Information Systems Advanced Aspects of Hospital Information Systems EHR- and related Standards DI Harald Köstinger (harald.koestinger@inso.tuwien.ac.at) INSO - Industrial Software Institut für Rechnergestützte Automation

More information

Theodoros. N. Arvanitis, RT, DPhil, CEng, MIET, MIEEE, AMIA, FRSM

Theodoros. N. Arvanitis, RT, DPhil, CEng, MIET, MIEEE, AMIA, FRSM TRANSFoRm Theodoros. N. Arvanitis, RT, DPhil, CEng, MIET, MIEEE, AMIA, FRSM Biomedical Informatics, Signals & Systems Research Laboratory School of Electronic, Electrical & Computer Engineering College

More information

From Lawrence Weed to Apex and ICD-10. Paul Brakeman MD PhD Physician Lead for Provider Practice Change and Education

From Lawrence Weed to Apex and ICD-10. Paul Brakeman MD PhD Physician Lead for Provider Practice Change and Education From Lawrence Weed to Apex and ICD-10 Paul Brakeman MD PhD Physician Lead for Provider Practice Change and Education The Question: Why is optimizing Problem List use important for patient care and the

More information

Clinical Quality Measures (CSI) Electronic Copy of Health Information

Clinical Quality Measures (CSI) Electronic Copy of Health Information Clinical Quality Measures (CSI) Electronic Copy of Health Information Presenters David Taylor, MHS, RPh, PA-C, RN Deborah Alcorn, MSN, RN, CPC Chris Lamer, PharmD, MHS, BCPS, CDE Electronic Copy of Health

More information

Meaningful use. Meaningful data. Meaningful care. The 3M Healthcare Data Dictionary: Standardizing lab data to LOINC for meaningful use

Meaningful use. Meaningful data. Meaningful care. The 3M Healthcare Data Dictionary: Standardizing lab data to LOINC for meaningful use Meaningful use. Meaningful data. Meaningful care. The 3M Healthcare Data Dictionary: Standardizing lab data to LOINC for meaningful use Executive summary By using standard terminologies to report on core

More information

IBM Watson and Medical Records Text Analytics HIMSS Presentation

IBM Watson and Medical Records Text Analytics HIMSS Presentation IBM Watson and Medical Records Text Analytics HIMSS Presentation Thomas Giles, IBM Industry Solutions - Healthcare Randall Wilcox, IBM Industry Solutions - Emerging Technology jstart The Next Grand Challenge

More information

The next generation EHR

The next generation EHR The next generation EHR European EHR standard OpenEHR Ocean Informatics Gerard Freriks v1 7-11-2007 Electronic Patient Record What do we expect? We need and expect EHR-systems that: 2 Electronic Patient

More information

Techniques for ensuring interoperability in an Electronic health Record

Techniques for ensuring interoperability in an Electronic health Record Techniques for ensuring interoperability in an Electronic health Record Author: Ovidiu Petru STAN 1. INTRODUCTION Electronic Health Records (EHRs) have a tremendous potential to improve health outcomes

More information

A Semantic Foundation for Achieving HIE Interoperability

A Semantic Foundation for Achieving HIE Interoperability A Semantic Foundation for Achieving HIE Interoperability Introduction Interoperability of health IT systems within and across organizational boundaries has long been the holy grail of healthcare technologists.

More information

OpenCDS: an Open-Source, Standards-Based, Service-Oriented Framework for Scalable CDS

OpenCDS: an Open-Source, Standards-Based, Service-Oriented Framework for Scalable CDS OpenCDS: an Open-Source, Standards-Based, Service-Oriented Framework for Scalable CDS IHIC 2011 Conference May 14, 2011 Kensaku Kawamoto, MD, PhD Founder, OpenCDS (www.opencds.org) Co-Chair, HL7 Clinical

More information

Electronic Case Reporting to Public Health An EHR Vendor s Perspective Public Health - EHR Vendors Collaboration Initiative

Electronic Case Reporting to Public Health An EHR Vendor s Perspective Public Health - EHR Vendors Collaboration Initiative Electronic Case Reporting to Public Health An EHR Vendor s Perspective Public Health - EHR Vendors Collaboration Initiative June 30, 2015 1 Joint Public Health Forum & CDC Nationwide phconnect Community:

More information

Implementing Electronic Health Records in the Kurdistan Region

Implementing Electronic Health Records in the Kurdistan Region Implementing Electronic Health Records in the Kurdistan Region By: Hiwa Ali Faraj MSC Computer Systems Management E-mail: hiwa@hotmail.co.uk Agenda Objectives & Methodology. The Terminology & Concept.

More information

Healthcare Services - education and research - developed in the INSEED project

Healthcare Services - education and research - developed in the INSEED project Healthcare Services - education and research - developed in the INSEED project Radu DOBRESCU Universitatea Politehnica din Bucureşti Program Strategic pentru Promovarea Inovarii în Servicii prin Educaţie

More information

For the enterprise application environment utilizing the SOA Paradigm

For the enterprise application environment utilizing the SOA Paradigm Terminology Services For the enterprise application environment utilizing the SOA Paradigm Michael Riben, MD, Medical Director of Vocabulary Services Department of Data Management and Application Services

More information

National ld Drug Abuse Treatment Clinical Trials Network

National ld Drug Abuse Treatment Clinical Trials Network NIDA NATIONAL INSTITUTE ON DRUG ABUSE National ld Drug Abuse Treatment t Clinical Trials Network September 15, 2010 Betty Tai, Ph.D. Director, Center for the Clinical Trials Network NIDA/NIH/DHHS Development

More information

An overview of Health Informatics Standards

An overview of Health Informatics Standards An overview of Health Informatics Standards Management and Information Systems in Health Care in the Russian Federation, Moscow Y.Samyshkin, A.Timoshkin Centre for Health Management The Business School

More information