Presenter Info: Bob Calco

Transcription

1 Session Abstract In this talk, Mr. Calco will discuss the use of HL7 FHIR as a data exchange format to (i) facilitate federated data domain reconciliation, (ii) support usable, discreet interfaces at the point-of-care and (iii) empower new business intelligence (BI) strategies. This is accomplished in part utilizing Apex s ForeverDB, a powerful knowledge management platform based on a new information model in which data is immutable, schema is just data, and the dimensions of time and truth are preserved forever.

2 Presenter Info: Bob Calco Mr. Calco is a seasoned enterprise architect and a proven software innovator with over 20 years of healthcare, financial services and retail industry experience. He excels at designing and implementing modern distributed systems. His extensive experience and talent with programming languages has given him a strong sense of the relative strengths and weaknesses of mainstream platforms in use today. Mr. Calco was the prime visionary and chief architect for the VistA.js Platform within the VA, including its current embrace of open source technologies to fulfill specific platform functions and capabilities. Mr. Calco is currently engaged leading the R&D and technical architecture for Apex s forthcoming commercial products.

3 First Came Zoetropes

4 Then Came RotoScoping

5 Now We Have IMAX

6 HL7 FHIR and the Multi-Tenant World Category: Interoperability

7 The Story Teller s Dilemma with Data It changes over time. History today looking back isn t necessarily history as it actually happened. No two people experience history as it happens the same way. What DID the story look like before it changed who changed it? When? Why?

8 How do we get to Story Telling? We need a new information model, one that deals with truth and time. We need a new database architecture for the modern world Multitier Database Architecture Independently Scalable Database Components HL7 FHIR (and never forget!) The new art of the possible with this model Collaborative multimodal & multiuser consuming interfaces Generating novel insights into User Experience and Domain Data

9 Let s Get Real Toward a Real-World Information Model We can t change the past Things are always becoming Everything is asynchronous Only the future is mutable

10 Let s Get Technical From CRUD to CRxx Immutability => Freedom from Updates and Deletes Eliminate entire class of problems No more locks No more semaphores No more race conditions No more collisions Dogs and cats living together (just kidding!) Handling novelty harmoniously

11 Let s Get (even more) Technical How can you possibly store all that data? Huge Populations Enormous number of Episodes Continually Streaming Novelty How can you possibly scale effectively and perform efficiently? Command Query Responsibility Separation (CQRS) at the client AND the server level Partitioning data by domain Sharding partitions by time Manage identity as a first class database citizen.

12 Federated Data Domain Reconciliation

13 Portable, Usable Interfaces at the Point of Care Scenario-Specific User Experiences Multi-Modal Collaborative Service Specific Introducing evidence based usability Better outcomes driven by improved UX

14 New Business Intelligence Strategies Comprehensive Clinical Summary Based on patient-based clinical experience Informed decisions about health and treatment Always up-to-date longitudinal patient record Real Time Insights Based on observing, not reconstructing, history

15 New Business Intelligence Strategies Reduced design & development time Refine the problem Focus on the answer Create BI repositories & data warehouses as needed Stays up to date with SORS Only delta s are communicated

16 The Story so far! True, Seamless Interoperability based on reality, not abstractions. Innovating toward a new information model Innovating toward a new database architecture HL7 FHIR everywhere, all the way down Focus on the Art of the Possible. Investigate every we wanted to do this, but Multimodal, multiuser, service specific interfaces driving improved outcomes A new way to create and consume truly insightful Business Intelligence

17 Q& A