Mdmi in healthcare
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MDMI in Healthcare. The Problem. Unaffiliated Healthcare organizations cannot exchange clinical data today. Not having electronic exchange of healthcare data is a problem $ billions in cost Decrease quality of healthcare (people die) Stopping innovation in healthcare

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MDMI in Healthcare

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Mdmi in healthcare

MDMIin Healthcare


The problem

The Problem

  • Unaffiliated Healthcare organizations cannot exchange clinical data today.

  • Not having electronic exchange of healthcare data is a problem

    • $ billions in cost

    • Decrease quality of healthcare (people die)

    • Stopping innovation in healthcare

  • The US government understands this problem and is spending $ Billions in an attempt to solve this problem


Mdmi is a solution

MDMI is a solution

  • Simplifies this problem for each and every healthcare organization

  • Significantly lowers the economic model for everyone; from the largest to the smallest. Everyone can participate.

  • Provides an environment designed to accommodate change and dramatically lower the cost of change


How can mdmi do this

How can MDMI do this?

  • Model Driven Architecture

  • It is a Standard - OMG

  • Open Source – Open Health Tools


How does mdmi work

How does MDMI work?

  • The MDMI Standard is a model for a Map: There are tools to create MDMI Maps. (Declarative not Procedural)

  • These tools generate a MDMI Map has a clean, simple, “standard” interface to move data back and forth with any other MDMI Map.

Source

MDMI Map

Target

MDMI Map

Source

MDMI Map

Target

MDMI Map

Source File

Target File

MDMI Runtime

“Source” Map

- Deconstructs Message (any syntax)

- Using Semantic Elements (your Data)

- Interface (move data to any MMDI map)

“Target" Map

- Interface (move data to any MMDI map)

- Using your Semantic Elements

- Reconstruct Message (any syntax)


Use case value to healthcare provider

Use Case – Value to Healthcare Provider

MDMI Map

ONC TOC Ref

MDMI Map

ONC SD V2

MDMI Map

ONC TOC SD

MDMI Map

ONC SD V3

MDMI Map

HL7 V3

MDMI Map

ONC SD V4

MDMI Map

HL7 V2

MDMI Map

NIEM V2

MDMI Map

VLER

MDMI Map

NIEMV3

MDMI Map

SSA

Provider

MDMI Map

MDMI Map

NIEM

Provider Application

ONC TOC Ref

Message

ONC TOC SD

Message V2

ONC TOC SD

Message

ONC TOC SD

Message V3

HL7 V3

Message

OHT MDMIRuntime

ONC TOC SD

Message V4

Data

File

HL7 V2

Message

NIEM

Message V2

VLER

Message

NIEM

Message V3

SSA

Message

NIEM

Message

Value to Healthcare Provider

Don’t have to know as much

Don’t have to do as much

One to many: One map can talk to any other MDMI map

The cost of change to the Provider Organization is dramatically lowered.


Use case value to standards organization

Use Case– Value to Standards Organization

Standard

Map

Provider 1

Provider 2

Provider 3

Provider 4

Provider N

Standard

Message

  • Value to Standards Organization

  • Easier for community to implement your solution; including healthcare solution providers (vendors)

  • Higher Quality: experts develop the maps and maps are reused.

  • The pain of change is dramatically reduce: Maps are versioned.


Use case future innovations

Use Case– Future Innovations

Provider 1

Foundation for new applications such as a healthcare semantic web

Provider 2

Map for

Query

Consolidated

Results

Message

Message

Message

Provider 3

Message

Provider N


Demonstration

Demonstration


Technical overview

Technical Overview


Mdmi specification

MDMI Specification

The core Semantic model

A SemanticElement and all of its context

Core of the Syntax Model

Mapping to the Referent Index


Mdmi referent index

MDMI Referent Index

Business Elements in RI are like words in dictionary

Similarities:

  • The meaning of a Business Element doesn’t change

  • Business Elements are not deleted

  • Adding a new Business Element is not difficult.

  • Adding a new Business Element doesn’t impact other words.

  • Business Elements have synonyms.

    Differences

  • A Business Element has only and only one meaning

  • There is only one Business Element for a term (semantic clarity).

  • There are near-synonyms.

MDMI Referent Index

Webster’s Dictionary

is

Equivalent

to


Mdmi healthcare referent index

MDMI Healthcare Referent Index

  • Healthcare Domain

    • Leverages existing healthcare standards

  • Core Components of Referent Index

    • Business Elements

      • Basis is HITSP C154

      • Unique ID – the basis for the clean, simple, interface for the MDMI Runtime Machine

    • Data Types

      • Simple data types are defined in the OMG MDMI Standard and are based on ISO standards.

      • There are complex data types. Reference Model is for the Healthcare MDMI Domain Referent Index is HL7 CDA R1 Data Types with extensions for HL CDA R2 Data Types.

  • Published on OHT WIKI

    • OHT MDMI RI Working Group governs MDMI Healthcare RI


Mdmi referent index1

MDMI Referent Index

Business Element Entry

The unique ID is a permanent ID for this Element. Once defined the element can not be deleted but it can be made obsolete

Element Name:

Description:

The Reference Datatype represents a required standard format for the value of the Business Element

Unique ID:

Pointers to existing message schema

Reference datatype:

Pointers to existing model attributes

Near-Synonyms:

Pointers to existing dictionary entries

Synonyms:

Contained indictionaries or hierarchies

..

Contained in domain models

..

Contained in messages formats

..


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