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Vision of open health tools
VISION OF OPEN HEALTH TOOLS

Vision:

To enable a ubiquitous ecosystem where members of the Health and IT professions can collaborate to build open, standards-based interoperable systems that enable patients and their care providers to have access to vital and reliable medical information at the time and place it is needed.


What is open health tools
WHAT IS OPEN HEALTH TOOLS?

A community of National, Regional & Local Health Services Providerswho recognize that a common interoperable platform and exemplary tools for medical records is essential to meet the needs of patients, physicians, providers, payers as well as policy makers.

A community of health professionals who collaborate in providing the requirements for technology and interoperable information systems to improve the quality, safety and efficiency of human health.

A community of Open Standards Organizationswho collaborate in providing specifications for health interoperability.

A community of Open Source Developersfocused on developing a Health Information Platform of frameworks, exemplary tools and reference applications

A community of vendorswho utilize the Open Health Technology to create wealth, increase profit and market share, while providing expertise and assets to the community.

A community of academic and researcherswho bring their experiences, research, ideas and wisdom to provide innovation and evaluation of health information interoperability.


Vision of open health tools

Membership

National, Regional

& Local Health Services Providers

UK

National Cancer Institute

AU


Vision of open health tools

Membership

Open Standards Organizations

IHTSDO

Vendor Members


Membership universities research
MembershipUniversities & Research

  • Australian e-Health Research Centre (AEHRC)

  • Linkoping University

  • Mohawk College

  • Oregon State University


Goals of open health tools technology
GOALS OF OPEN HEALTH TOOLS (Technology)

Design and Develop Open Health Technology:Specifically we will create and enable an open source community of software developers to design and develop open standards based technology that meets interoperability requirements of early adopters.

  • Utilize an Open Source Paradigm to form a community and develop the technology which enforces an open and transparent communication and coordination software development process

  • Combine open standards programs, open source development, multiple cooperating vendors and major health consumers into successful software technology deliverables.

  • Combine a series of councils to integrate the technical/IT and clinical communities. Create Clinical (physician and health professional), Architecture, Planning, and Requirement Councils to assure the software technology is designed, tested and meets the needs of the targeted end users.

  • Create and maintain a technology harvesting program to identify, outreach and absorb aligned health industry software and provide the hosting environment to make publicly available under multiple licenses.


Open health tools strategy
OPEN HEALTH TOOLS STRATEGY

Collaboration - Bring together the major players into a single organization that includes national healthcare agencies, healthcare providers, practitioners, product/service companies, standards bodies, patients and clinicians

Design & Development - Enable healthcare information interoperability by developing a common software tool platform based on open standards for creating software as well as a range of exemplary tools and several reference / exemplary applications

Deployment - Create, nurture and enable suppliers to participate in an ecosystem that allows them to profit from open standards and open source software.


Goals of open health tools ecosystem
GOALS OF OPEN HEALTH TOOLS (Ecosystem)

Enable a Healthy Ecosystem to Deliver Open Health Technology :

Specifically we will support profit based organizations to create, enable and nurture a community of individuals, vendors, commercial and public organizations to deliver the Open Health Technology.

  • Grow the membership at a sustainable pace with broad participation from diverse communities including public institutions, vendors, users, academia, and developers.

  • Build self defining, self actualizing teams that share economies of scale and community collaboration to achieve their collective common self interests.

  • Create, enable and nurture a third party Open Health Certification program so that the Open Health Technology is a trusted source for interoperable health tools.


The approach to standards
THE APPROACH TO STANDARDS

Adopt recognized industry standards and best practices.

Maintain close working relationships with identified SDOs.

Provide feedback to SDOs via early adopter program and communities to foster creation of useful, usable healthcare standards that address real healthcare requirements.

Strategy:

SDOs:

  • HL7: CCD, Semantics, Documents, Services

  • OMG: technical specifications of services

  • IHE: pragmatic community for adoption

  • IHTSDO (SNOMED): Semantics, terminology definitions for healthcare

  • ASTM: CCR / CCD specifications

  • ISO/CEN/HL7: EHR requirements and specifications

OHT is NOT a Standards organization.

OHT implements standards in the development of software.


Measuring open source maturity
Measuring Open-Source Maturity

  • Functionality

  • Usability

  • Quality

  • Security

  • Performance

  • Scalability

  • Support

  • Documentation

  • Adoption

  • Community

  • Process and Governance


Open source software is becoming ubiquitous
Open Source Software is Becoming Ubiquitous

  • By 2012, at least 80% of all commercial software solutions will include elements of open source.


Open source software is becoming ubiquitous1
Open Source Software is Becoming Ubiquitous

  • By 2010, at least 75% of all SOA initiatives will make extensive use of open source software.


Tools architecture
Tools Architecture

Artifact

Repository

Services

Content Definition

Requirements

Application Development

UI

Compliance and Testing

Messaging

Terminology

Eclipse Platform


Vision of open health tools

Interoperability

OHT Platform

Other Tools

Other

Application

Rules

Reusable

components

Your Tool

Standard

open

interfaces

Your

Application

Guidelines

Their Tool

Compliant

Standards


Vision of open health tools

Personal

Health Record

Electronic

Health Record

Laboratory

Pharmacy

Public Health

Viewer/

Portal

Hospital /

Clinic

Radiology /

Imaging

Health Service Bus

Services View of OHT Platform and Standard Reference Applications

DATA ACCESS

APPLICATIONS

SERVICE DELIVERY

Public Health Provider

Pharmacist

Radiologist

Physician/Nurse

Lab Clinician

Patient

POINT OF SERVICE

APPLICATIONS

l

  • Extensibility Technologies

  • OSGi

  • Web Services

  • Analysis Services

  • Reporting

  • Analytics

  • Data Warehouse

  • Patient Information Services

  • Record Location & Management

  • Entity Identification

  • Distributed Data Access (CRUD)

  • Indexing

  • Replication

  • Workflow & Business Rules

Terminology Service

  • Infrastructure Services

  • Security & Privacy

  • Provider/Patient Registries

  • Communications

  • Medical device integration

  • Public Health Services

  • Outbreak Management

  • Detection & Notification

  • Visualization

  • Interoperability Services

  • Data Interchange

  • Legacy System Adapters

  • Simulator

Service Library

Common Services

OHT Platform


Data view of oht platform

Heath Service Bus

Health Record

Bank

Public Health

Database

Laboratory

Viewer/

Portal

Legacy

EMR

Health Service Bus

Patient Information Services

Infrastructure Services

Interoperability Services

Analysis Services

Data View of OHT Platform

Secure Communications

OHT Platform

Extensibility Technologies

Analysis

Patient Information

Terminology Service

  • Interoperability

Infrastructure

  • Public Health

Service Library

Common Services

Terminology Service

Secure Communications


Technical architecture
Technical Architecture

Service

Provider

Service

Provider

Healthcare Services Bus

Semantics

Repository

Services

Directory


Vision of open health tools

Health

Data Tools

Academic

&

Outreach

Conformance

HL7 Tools &

Messaging

Architecture

Research

User Interface

Security

Open Source Projects

Modeling Tools

Clinical Content Tools

Legacy

Integration

Terminology

Health Content

Device Integration

Supply Chain Management

OHT Platform


Business contribution model

Foundations

Individuals

Vendors

Government

Projects

Open Source

Ecosystem

Friends of eHealth

Charitable Non Profit

Open Health Tools

Board of Stewards

BUSINESS / CONTRIBUTION MODEL

Contributes

People & Money

Contributes Money

Allocates MoneyPump priming

Matching Funds for Projects

Membership Dues, Contributions, Marketing

Membership Technical Contributions

OHT Professional Services

Members are not obligated for financial contribution or dues.


Vision of open health tools

Commercial Products & Services

Common Healthcare

Infrastructure

Common IT Infrastructure

Multi Platform

Multi Vendor

Vendor Neutral

Business Model

Profit Based

Distribute

Deploy

Brand

Sell

Price

Package

Promote

Fee support

Fee services

High margin

products &

services

Open Source

Free

Community Developed Commercial Friendly Lic

Formal Development Process

Design

Develop

Test

Free Support

Free Code


Deployment

Universities

Research Organizations

Deployment

  • End User

  • Education

  • Training

  • Service & Support

  • Implementation Services

  • Requirement Gathering

  • Testing & Conformance

  • Integrated Data Test Centers

  • Simulation Environment

  • Self Certification Programs

  • Developer & Development

  • Harvesting Programs

  • Jump Start

  • Standards Training

  • Tutorials, Samples, Examples

  • Training & Workshops

  • Knowledge Transfer Centers

Academic & Research

Device Integration

Community Outreach

Franchise Programs


Membership qualifications
MEMBERSHIP QUALIFICATIONS

Participate in the health industry. The following are examples:

Governmental institutions and standards bodies;

Producers and consumers

National, regional, state and local health service providers

Vendors and non profit organizations

Payers and public health organizations

Industry domain experts

Make a significant contribution to the success of Open Health Tools. The following are contribution examples:

Source code, designs and specifications

Intellectual property

Resources and expertise

Express public support for Open Health Tools

Sign the Open Health Tools Membership Agreement and Logo Agreement

Public and private organizations and individuals who:


Membership responsibilities
MEMBERSHIP RESPONSIBILITIES

Each member organization appoints one person to serve as a Steward (ie voting member of Board of Directors)

Steward represents your organization in establishing the Open Health Tools policies, behavior, plans, priorities, technology plans and directions.

Steward should be a senior executive who can allocate resources and represent their respective organization.

Time commitment is one day per quarter for board meetings.

Each board member can appoint a delegate and an employee to be a member of the executive committee, which meets periodically and is responsible for operations.

Specific Board Member Responsibilities:

  • There are no financial obligations for membership

  • All contributions are voluntary and based upon self interest. Beyond the initial contribution there are no obligations to contribute.

  • No member can bind the Open Health Tools or other members.

  • All technology is provided on an “as is basis”, without warranties or conditions, no liability

Sign Same Governance Agreements

  • Membership Agreement & Bylaws & Application

  • Intellectual Property Policy

  • Terms of Use

  • Logo Agreement


Open health tools governance principles
Open Health Tools Governance Principles

All members have single vote

All members sign same agreements:

Membership Application and bylaws

IP Policy

Web Site Terms of Reference

Logo Agreement

Committer and Contributor guidelines and agreements

Low barriers to entry with all members meeting same criteria

Members are all equal

  • No confidential information

  • Well established open software development processes and guidelines which are published and open to all.

  • All deliberations of Board and Councils are open. (Only personnel matters are private.)

  • All projects are open and transparent

Open transparent environment

Commercially friendly license to build vibrant eco-system

Contribution Model

  • Those who contribute decide

  • No obligations to contribute

  • Merit based contributions as selected by peers


Open health tools communities
OPEN HEALTH TOOLS COMMUNITIES

Open Health Tools

Open Source Community

Open Health Tools

Eco-system

Private Public

Commercial

Applications

Code & Data

Non-Eclipse

Open

Source

Community

Eclipse Open Source Community

Eclipse Eco-system

The Open Health Tools Open Source

The community builds common services, frameworks, exemplary tools and example applications.

For example:

Record Locator Services & Hl7 Messaging Terminology Services & Identity Management

The Open Health Tools Eco-system

The community takes the Open Health Tools Technology and builds, packages, and sells the technology as products, applications, tools, for profit and use.


Oht s approach to open source
OHT’s APPROACH TO OPEN SOURCE?

Delivers quality software on schedule, within budget, by small collaborative teams.

Enables vendors to optimize their self interest while collaborating and competing.

Enable vendors to incur lower costs and to gain market advantages by leveraging an extensive base of high quality free source code, proven skills, and resources.

Enables a large virtual community of developers to grow with the software, resulting in:

improved quality due to open rigorous peer review with many developers,

extensive tuning and improvement of the software,

rapid porting of code to new hardware and platforms,

rapid response to changing requirements and conditions,

detailed understanding of how the system works due to the open, transparent nature of process.

Enables multi vendor, multi platform and multi language solutions.

Advantages of Open Health Open Source Technology


Open source is defined by the license
Open Source Is DEFINED by the License?

  • Open source is licensed software in which the source code is made available to users so that they are freed to modify it for their own purposes and (within certain restrictions) redistribute original and derived works as they see fit.

  • The "open source" software model describes a set of characteristics and properties for developing, delivering, and supporting software.


The open source definition
The Open-Source Definition

  • Free Redistribution

  • Source Code

  • Derived Works

  • Integrity of the Author's Source Code

  • No Discrimination Against Persons or Groups

  • No Discrimination Against Fields of Endeavor

  • Distribution of License

  • License Must Not Be Specific to a Product

  • License Must Not Restrict Other Software

  • License Must Be Technology-Neutral

(www.opensource.org)


Oht open source technical projects
OHT Open Source Technical Projects

Technical Projects & Leadership Roles

Committed

Academic Outreach Oracle

Analysis & Reporting Open

Canadian .EHR Mohawk, Canada Infoway

Clinical Content Tools NHS

Common User Interface NHS

Conformance Tools Canada Infoway

Device Interoperability

latform Project OHT

Data Modeling MexJ

Privacy Access Security Inpriva

Health Legacy Interoperability Open

HL 7 Tools Project NHS

IHE IBM

Modeling Tools for Healthcare IBM VHA

Supply Chain Tooling for Healthcare ITG

Publishing IBM

Terminology Tools Project, IHTSDO, NHS NeHTA


Open health ecosystem projects
OPEN HEALTH ECOSYSTEM PROJECTS

Enable niche market creation:

  • Enable rich after markets e.g. Education, Services ,

  • Enable multiple total product solutions,

  • Provide links and aggregation services for Members & their products.

    Enable Member collaboration and networking:

  • Enable tools to self identify and self organize,

  • Enable language specific target markets (French Japanese, Korean, German, Mandarin)

    Enable Member lead mindshare and PR activities:

  • Analysts briefings,

  • Press and mindshare activities,

  • Collaborative advertising,

  • Joint reference accounts,

  • Joint collateral and content creations and distributions

    Enable academic and research full participation