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An Architecture for CDS and Quality Measurement. September 2013. Architecture. The manner in which the components of a computer or computer system are organized and integrated -- Merriam-Webster Online Dictionary. Building Architectural Components. HL7 (SAIF) Architectural Components.

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An Architecture for CDS and Quality Measurement


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architecture
Architecture

The manner in which the components of a computer or computer system are organized and integrated

-- Merriam-Webster Online Dictionary

saif in simple terms1
SAIF in Simple Terms

Common Meta

data

QI Policy

what is a template
What is a Template
  • A set of constraints on a model.
  • Further refines existing models to narrow scope.
  • Represented by a formal definition.
  • Used to validate instances.

Summarized from HL7 Templates DSTU and Ballot Draft

what is metadata
What is Metadata

Used to Find & Manage Things [Governance]

  • Subject
  • Provenance
  • Security & Privacy
  • Descriptive
  • Exchange
  • Object Lifecycle
  • Relationships

-- See Healthcare Metadata

hl7 specifications related to quality improvement
HL7 Specifications Related to Quality Improvement
  • VMR for CDS Logical Model
  • VMR for CDS Templates
  • VMR for CDS XML Implementation Guide
  • HED Knowledge Artifact Implementation Guide
  • Decision Support Service Implementation Guide
  • HQMF Specification
  • HQMF QDM-Based Implementation Guide
  • CCDA Specification
  • QRDA Specification
  • Arden Syntax
  • GELLO
  • InfoButton
  • QDM
  • XML ITS (1 & 2)
  • Data Types
  • RIM
  • Clinical Statement Pattern
reverse engineering a product architecture
Reverse Engineering a Product Architecture
  • Specification Teardown
  • Overlaps and Gaps
  • Similarities and Differences
  • Identify Opportunities
  • Agree to disagree, or to work it out
  • Plan the Journey Ahead
specification teardown
Specification Teardown
  • Using your PSS and Specification
  • Write down the Spec Name on several Post-it Notes
  • Identify SAIF Components in your Spec/PSS
  • Put it up on the chart
  • Repeat until Done
  • Don’t Sweat the Small Stuff
overlaps gaps similarities and differences
Overlaps & Gaps, Similarities and Differences
  • Identify Overlaps
  • If two components are similar, put them closer together.
  • If different, farther apart.
  • Is anything missing? Are you sure?
  • Look for hidden assumptions
opportunities and variations
Opportunities and Variations
  • What’s the low hanging fruit?
  • Successes? Failures?
  • What Variations are OK? Not?
  • How long will it take to fix?
plan and prioritize
Plan and Prioritize
  • What can be delivered by November for Ballot, or January for Publication
  • What needs more time?
  • Where will the puck be …
    • In 6 months?
    • In 12 months?
  • How do we get there? What is the path of least regret?