MDHT on FHIR Overview and Roadmap for Model Driven Health Tools (MDHT)

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1 MDHT on FHIR Overview and Roadmap for Model Driven Health Tools (MDHT) Dave Carlson, Ph.D. MDHT Project Lead hdp://clinicalcloud.soluhons January 10, 2016 FHIR & flame logo are registered trademarks of Health Level Seven Interna:onal. Reg. U.S. TM Office.

2 MDHT Summary Model Driven Health Tools (MDHT) is an open source sosware project at Eclipse.org Supported by VA, ONC S&I, FHA, IBM, & others since 2008 MDHT supports a full lifecycle standards development process, providing a soluhon that allows standards designers and implementers to achvely collaborate Consolidated CDA (C- CDA) ConHnuous ONC contract support for creahng and maintaining all versions of C- CDA specificahons in UML using MDHT editor Complete UML models containing all conformance rules for HL7 specificahons from C- CDA 1.0 through current C- CDA 2.1 MDHT Generated Java programming library for C- CDA is adopted by several major EHR vendors and 100 s of other developers 2

3 MDHT at Eclipse.org Open Health Tools organizahon will dissolve and become a new HL7 Open Source work group in January 2016 Model Driven Health Tools (MDHT) project has migrated to Eclipse.org hdps://projects.eclipse.org/projects/modeling.mdht MDHT source code at Eclipse.org IniHal contribuhon to Eclipse git repository completed in Nov 2015 Core CDA tools FHIR profile import/export and design MDHT project intends to be achve parhcipant in new HL7 WG 3

4 MDHT Roadmap MDHT on FHIR Profile design in UML, with terminology services Import/Export FHIR conformance resources StructureDefiniHon, ValueSet, DataElement, OperaHon, etc. Generate code from profiles: Java, SwiS,?? C- CDA UML Models Maintenance support from ONC Java implementahon, validahon ContribuHons from NEHTA.NET generator for CDA UML Schematron generator for CDA UML Model & Instance Mapping: MDHT + MDMI Model- Driven Message Interoperability (MDMI) OMG Standard Part of Tues Q6 BOF: Mapping Languages for FHIR 4

5 MDHT on FHIR: IniHal Scope Define UML profile and representahon for FHIR specs Import FHIR StructureDefiniHon & ValueSet resources Datatypes, Core Resources, Constraint profiles, Extension definihons Export FHIR StructureDefiniHon & ValueSet from UML MDHT UI enhancements for FHIR profile design Reuse UML table editor (same as CDA editor) Add customized menu commands and property view tabs for FHIR UML stereotypes Integrate FHIR terminology services for ValueSet design This inihal feature set was supported by an ONC Federal Health Architecture contract (summer 2015) 5

6 Import FHIR DSTU 2+ to UML 6

7 HL7 FHIR PublicaHon for CondiHon 7

8 FHIR CondiHon Resource in UML 8

9 UML FHIR CondiHon (Dynagram) 9

10 FHIR Constraint Profiles in UML FHIR profile must have one base type: Core data type (e.g. QuanHty) Core resource (e.g. ObservaHon) Another profile (no limit to profiles constraining other profiles) See hdp://hl7.org/nir/profiling.html MDHT UML modeling style for FHIR Define mapping for FHIR StructureDefiniHon and ValueSet to UML model elements Reuse exishng UML semanhcs, whenever possible (e.g. Property subset or redefine) Define UML stereotypes for addihonal FHIR metadata UML modeling style is similar to MDHT CDA templates 10

11 FHIR Profiles: DAF- ResultObs 11

12 UML DAF- ResultObs (Dynagram) 12

13 FHIR Terminology Services 13

14 CreaHng FHIR Value Sets 14

15 Profile ValueSet Binding 15

16 MDHT on FHIR: Next Steps Complete UML profile for FHIR Stereotypes for UML extensions and FHIR metadata Evaluate use of ISO MDR profile as part of FHIR profile Complete FHIR to UML mapping and import/export Complete customized UI for edihng UML FHIR profile models and FHIR metadata Integrate FHIR terminology services Browse/search/create FHIR Value Sets Assign concept semanhc meaning to FHIR elements Validate FHIR structure definihon models Assure that UML FHIR profile models are valid structure definihons for base resource/profile GeneraHon of Java APIs for FHIR constraint profiles 16

17 QuesHons for Implementers What can MDHT project do for FHIR that is of most benefit to implementers/developers? FHIR profile design and arhfact generahon Java libraries ValidaHon tools How would YOU like to get involved as a contributor to Eclipse.org MDHT? 17

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