Zorgarchitecturen. Health Informatics Service Architecture
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1 Health Informatics Service Architecture HISA als Fundament onder Zorgarchitecturen. Dr William Goossen Voorzitter NEN Directeur/ onderzoeker Results 4 Care wgoossen@results4care.nl
2 Content Why do we need architectures in health care? The obvious analogy. HISA three core parts RM-ODP / GCM Example health IT architectures MDA Conclusions
3 Sagrada Familia in Barcelona ontworpen door Antoni Gaudi Start bouw 1882 Verwachte oplevering Bouwen zonder een ontwerp leidt tot chaos. Zonder architectuurontwerp van Gaudi had men nooit aan de Sagrada Familia verder kunnen werken.
4 Architectuur is overzicht houden
5 Core approach HISA
6 Three parts of EN/ISO Part One: Enterprise Viewpoint open distributed processing approach RM ODP Part Two: Information Viewpoint information model Part Three: Computational Viewpoint computational model 1997 ENV prestandard 2007 HISA EN standard 3 p CEN 2009 HISA ISO standard 3 p ISO
7 Part one of EN/ISO Part One: Enterprise Viewpoint Provides health services with guidance in describing, planning and developing new IT systems, Open distributed processing approach Provides direction for the integration of existing information systems Covers integration within one enterprise and across different healthcare organizations Addresses common enterprise-level requirements (e.g. workflows, authorizations)
8 Part two of EN/ISO Part Two: Information Viewpoint Fundamental characteristics of the information model Implemented by the middleware Provide comprehensive, integrated storage of the common enterprise data Support the fundamental business processes of the healthcare organisationof part 1. Overall organisationand individual information objects, identified as fundamental and common to all healthcare organizations
9 Part three of EN/ISO Part Three: Computational Viewpoint Details on the fundamental characteristics of the computational model Implemented by the middleware Provide a comprehensive and integrated interface to the common, fundamental business processes of the health service Computational model is designed to be universally relevant, whilst still being sufficiently specific to allow implementers to derive an efficient design of the system for their organisation, Irrespective of the specifics of the pre-existing information technology environment in which it will be implemented
10 The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. DCM in architecture Domain n Domain 2 Domain 1 Business Concepts Relations Networks Aggregations Details DAM FM SFM D C M Enterprise View Courtesy of dr. Bernd Blobel D-MIM R MIM CMET R- RMIM CMET CDA Information View ITS Computational View Engineering View Technology View System Com mponent Composition System Viewpoint Blobel et al, 2010
11 Example Implementations of Architectures
12 Twee dimensionaalrdz
13 Multidimensional ISO/HL EHR-System Functional Model Overkoepelend Zorgverlening Care Provision Support Population Health Admin Support Dossier Infrastructuur Beveiligings infrastructuur Relationships!!
14 Architecture HIT example Dr Karl-Henrik Lundell, Sweden
15 Globale architectuurschets GGD KD+ JGZ & BO Reis & SOA & etc Epidem iologie Planning GGD Data Ware House: alle data Personeel Kantoorautomatisering, ODBC, Outlook Standaardisatielaag (data definities, waardensets, codes, DCM) Beveiligingslaag (identity, autorisatie, security, logging) GGD Service bus voor data communicatie (inkomend, intern, verzending)
16 Model Driven Architecture Conceptual Logical + reference model D C M Physical or Implementable
17 Use of architectural models
18 Globaal ontwerp data ware house voor GGD Metadata: Detailed Clinical Models DCM ISO TS Bron Systemen Alle Data, inclusief BSN Doel Systemen Apps KD+ Datamart anoniem (doelbinding & consent) Groot Onderzoek Outco mes Reis CBS, SCP, GGD-NL Bron systeem 4-n Enquête Epidemiologie Invo er Standaarden Beveiligd VRD/GGD Data Ware House - Data - Betekenis: - Cliënten - Professionals - Gemeenten Datamart pseudoniem Datamart anoniem Datamart - n Gemeentelijke rapportage GIS laag Landelijk Standaarden Outco mes Outco mes Outco mes Gebaseerd op: Goossen en Dille, 2013
19 Plaats van terminologie en DCM service in architectuur
20 Conclusions Architectures shed light on complex situations of information and communication technology in health care HISA offers a three level approach of enterprise, information and computation, assuming independence the fourth level of technical implementation Architectures will continue to have many visualizations Model Driven Architecture facilitates consistency between components and services.
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