ART-DECOR. Introduction anddemos. IHE CARD Tech December 8, 2016

Transcription

1 ART-DECOR Introduction anddemos IHE CARD Tech December 8, 2016 Dr Kai U. Heitmann, MD, FHL7 Heitmann Consulting and Services ART-DECOR Expert Group ART-DECOR Open Tools Gefyra GmbH, Germany Template WG co-chair, HL7 International Advisory Board, HL7 Foundation CEO HL7 Germany HL7 Germany / Netherlands / International

2 About Kai Dr Kai U. Heitmann, MD, FHL7 Heitmann Consulting and Services ART-DECOR Expert Group ART-DECOR Open Tools Gefyra GmbH, Germany Template WG co-chair, HL7 International Advisory Board, HL7 Foundation CEO HL7 Germany HL7 Germany / Netherlands / International

3 Agenda Introduction and Demos ART-DECOR what is it? Datasets Scenarios and Transactions Vocabulary and Terminology Associations CDA Templates Issue Management Building Block Repositories Questions (and answers)

4 What is it? ART-DECOR

5 Life Cycle Communication need Production Scenarios * Test Specification Implementation Lev 1

6 Implementation Guides A CDA Implementation Guide specifies A document type Mandatory and optional header parts Mandatory and optional sections Level 2 codes for those sections Mandatory and optional Level 3 entries Terminologies, identification schemes Other constraints, e.g. based on business rules CDA Document Header Header Header Section Entry

7 Implementation Guides CDA Implementation Guides and Profiles Discharge Letter Patient Summary Operation Note EKG Report Lab Results Medication List Prescription

8 Implementation Guides Requirements Users Regulation/Law Payors Research... Use Cases Process, Data, Technology Implementation Guide Interoperable Applications

9 ART-DECOR in 4 bullets (1)...is an open-source tool and a methodology for various stakeholders of healthcare information exchange Lev 1 WANG HSIU-HUA - Fotolia.com auremar - Fotolia.com

10 ART-DECOR in 4 bullets (2)...supports comprehensive collaboration of team members within and between governance groups...allows separation of concerns and different views on one single documentation for different domain experts...supports creation and maintenance data sets, scenarios, HL7 templates (STU), value sets, and more

11 ART-DECOR: Tool and Methodology Comprehensive collaboration tool to support governance groups: Concept, model, conversion, cooperation, documentation, publication User interface, rules, test framework, RESTful services, terminology browser, demo and sandbox applications

12 ART-DECOR main objective One of the main objectives Separation of concerns towards a comprehensive specification Different views on one single documentation With changing focus on different artifacts For different domain experts

13 project name descriptions authors contributors versions copyrights issues description status trackings assignments data sets concepts value domains DECOR rules instructions constraints validation conditions scenarios use cases actors transactions terminology value sets code systems terminology associations identification OIDs

14 Multi-Language Support Interface Language vs. Project Language Four supported languages English Dutch German Polish More in preparation French, Spanish, Italian

15 Projects (some of them) International projects (mainly in Europe) Austria (ELGA National ehealth programme) Netherlands (national screening programmes) Netherlands (Nictiz, multiple projects) Norway (HL7, regional Health networks) epsos/expand (European ehealth programme) Germany (HL7, national ehealth programme) HL7 Poland European Templates and Value Set Repository (nascent) IHE Profile / Value Set Repository (PCC, XDLAB, PHARM, )

16 internet art-decor.org Documentation International site and international projects host blog.art-decor.org etc. Sourceforge decor.nictiz.nl Dutch projects host Documentation, specification

17 ART-DECOR articles see also art-decor.org à... HL7 EU Newsletter #4: download at hl7.eu HL7 International Newsletter September 2014

18 Datasets

19 Dataset in former times Excel Spreadsheet Mapping Table Healthcare Professional Content Mapping to technical artefacts per scenario Scenarios with cardinalities

20 ART-DECOR: tasks +definitions Data sets Concepts and their properties descriptions, data types, choice lists, ranges, operationalizations, rationale etc. Scenarios Use Case based Actors Transactions Concepts from Dataset with Cardinalities and Conditions

21 Dataset and scenario Collection of concepts in a specific domain Navigation Details

22 Overview Concept Scenario Rules Identifiers Codes Issues Healthcare professional concept concept concept concept item concept item concept item Choice of concepts out of data set for a specific use case à scenario

23 An example: Vaccinations WHO Document: International Certificates of Vaccination

24 Example

25 Data set

26 Dataset in ART-DECOR

27 Dataset in ART-DECOR Dataset with concepts and proper descriptions Hierarchical list Properties ~ understood by Healthcare Professionals Inheritance, also from foreign Repositories Concept and dataset versioning Multiple views on datasets, scenarios (and value sets, templates)

28 Health Care views par Excel-lence

29 Vocabulary and Terminology

30 ART-DECOR: tasks +definitions Terminology Document proper terminologies Connect concepts with terminologies Create value sets Link value sets to choice lists Identifier management

31 Concepts and concepts Dataset concept and choices of concepts Eye Color blue brown green other Concept Choice list A B Code + Code System... Code + Code System... Code + Code System...

32 Terminology ART-DECOR: browsers + support when creating Value Sets

33 Associations

34 Associations get more out of your specifications Dataset Template Template element Concept Concept Concept Choice list A B Code + Code System... Code + Code System... Code + Code System... Value Set Code + Code System... Code + Code System...

35 Overview Concept Scenario Rules Identifiers Codes Issues HCP terminologist

36 Templates

37 ART-DECOR: tasks + definitions Analyst, modeler, templater definitions of items for messages/documents based on data set / scenario Links to The right value sets The right message/document specification (template) element Template element Representing concepts with HL7 v3 templates

38 Overview Concept Scenario Rules Identifiers Codes Issues HCP terminologist templater templater templater

39 Advantages of templates Re-usable blocks Semantics clear Use in many contexts (scenarios) with link to concepts and terminologies Make specification and implementation of messages / documents much easier

40 Overview vendor Concept Scenario Rules Identifiers Codes Issues HCP terminologist templater templater templater

41 Vaccination Certificate Structure of the CDA-Document Section: List of all Vaccinations (human) Entries with Medication Information (computer) Header structured and coded Body structured content with coded sections Section: Vaccinations code titel text (list) Vaccine#1 Vaccine#2

42 ...with CDA you aren t there yet... Generic models...need something...to fill the gap...to semantic interoperability Creativa - Fotolia.com

43 HL7 / CDA Templates A template is a set of further constraints on top of an underlying model Example: patient Model: the patient shall have one or more identifications (id) Patient id: II 1..1 addr: AD 0..* telecom: TEL 0..* Template: our patients shall have exactly one NHS patient identifier Documentation of rules in HL7 s Templates Exchange Format (DSTU)

44 Features of ART-DECOR for HL7 / CDA Templates (1) Template Viewer based on the Templates DSTU R1 exchange format Documentation of templates in ART, as HTML or PDF Two Template editors for HL7v3 / CDA Templates Terminology Browser for various terminologies Value Set Editor WANG HSIU-HUA - Fotolia.com

45 Features of ART-DECOR for HL7 / CDA Templates (2) Building Block Repositories with various standard templates and value sets, e.g. C-CDA R 1.1 and 2.1, CCD 1, epsos, IHE ISO schematron generator, works with open and closed templates RESTful services to get various artifacts Under investigation: FHIR profile and value sets import/export functions and profile editor

46 ART-DECOR templates

47 Items: elements, attributes, hierarchy Data types, Template cardinalities, details conformance, constants, containments Template details

48 Templates Vacc Doc Document Level Template Header Level Templates Section Level Template Entry Level Templates Client Author Custodian Vaccinations Vaccines Reasons

49 Templates Version Management Id (=unique identification of the semantic concept) effectivedate statuscode versionlabel (labelßeffectivedate)

50 Templates HL7 Templates Standard: Specification and Use of Reusable Information Constraint Templates, Release 1 September 2014 HL7 STU

51 ART-DECOR Prototypes and Templates

52 Templates and Validation Directly derived from Template Definitions

53 Building Block Repositories

54 BBRs = Building Block Repositories Shared repositories with collection of artifacts Prototypes for Templates Ready-to-use Templates to refer to, to specialize or to adapt à Template Repository & Registry Also all necessary Value Sets etc. List, Get ART-DECOR ART-DECOR BBR BBR Reference My ART-DECOR references BBRs

55 BBRs = Building Block Repositories Official ART-DECOR servers Server Description Host art-decor.org Main Server Server hosts various international projects and repositories ART-DECOR Expert Group (ADEG), ART-DECOR OPEN TOOLS (ADOT) decor.nictiz.nl Server hosts various Dutch projects and repositories Nictiz art-decor.ihe-europe.net Server hosts various IHE projects and repositories IHE Europe

56 ART-DECOR in Europe Shared repositories with collection of artifacts Template Repository (building bocks for clinical document definitions) and Value Sets (code lists) Sharing artifacts between countries has already started by Germany, Austria, Netherlands, Poland, Switzerland ART-DECOR specs à Input for Testing Tool Testing Scripts

57 ART-DECOR 2.0: New Features Live Runtime Compile (LRC) Instance Fragment Validation (IVF) Template Design Standard Check for CDA Check against Base CDA Std

58 Issue Management

59 Issue Management Issue Management Change Requests Incidents Request for Information/ Education For future consideration Signal issue associated with an artefact (e.g. a template) or just as-is

60 Deliverables

61 Artefact Output Options Stakeholders ART-DECOR HCP HTML Data set and scenarios Termino logists Architects Test tooling Systems XML PDF Wiki WEB INTERFACE + DECOR SERVICES Value sets and identifications Templates and schematrons

62 Items: elements, attributes, hierarchy Data types, Template cardinalities, details conformance, constants, containments Systems Template details

63 Test tooling Systems Publication : HTML

64 Test tooling Systems Publication : WikiàPDF

65 Test tooling Systems Getting the REST Almost all artefacts are reachable through the ART-DECOR RESTful interface

66 ART-DECOR as an Organization Benefactors

67 Further Developments... following the roadmap Extension of Building Block Repositories e.g. Extend the EU Template Repository IHE Profile and Value Set Repository Extending our Testing Framework Extending our Terminology Framework Support of FHIR resources, profiles and value sets Organizational Enhancements à ART-DECOR Open Tools (ADOT)

68 ART-DECOR is driven by the ART-DECOR Expert Group...supported by a Team of Testers......and the Community...is a Trademark

69 ART-DECOR Open Tools...an Entrepreneurial Company with limited liability...handles commercial aspects of the ART-DECOR tool suite development, services and support...complements the ART-DECOR Expert Group that drives the development ART-DECOR remains open source, neither licensing nor intellectual property rights have changed

70 ART-DECOR Benefactors ART-DECOR is developed with funding by Nictiz, Den Haag (NL) and Heitmann Consulting and Services, Hürth (DE) Gerrit Boers, Maastricht (NL) HL7 Germany, Köln (DE) ehealth Suisse (CH) ELGA (AT)

71 Visit ART-DECOR Main site: art-decor.org Also blog.art-decor.org etc. Sourceforge decor.nictiz.nl In Dutch

72 Questions I Are the HL7 Consolidated CDA R2.1 templates already populated in ART-DECOR? Are any of the IHE Cardiology content profiles already populated in ART-DECOR - CIRC, CRC, EPRC-IE, RCS-C, RCS-EP possibly for IHE Connectathon testing? How can we reuse CDA templates across document types? Use Building Block Repository Feature

73 Questions II Is it possible to interchange CDA content with Trifolia CDA tooling? Is there an export/import exchange mechanism between the two products? HL7 Templates Standard: Specification and Use of Reusable Information Constraint Templates, R1 STU Trifolia does not support that, a proprietary export format instead that may change format at any time No import functions in Trifolia Neverthelesswe used the Trifolia exportformat for several proprietary conversions

74 Questions III How to handle HL7 CDA extensions (e.g. SDWG CDA extensions for race )? Already used in C-CDA in-line we can share a library of extension fragments What are the options for publishing CDA content for review and implementers by the IHE community? HTML site or package, PDF, Wiki-platform and PDFs Publication and Archive Manager (ADRAM)

75 Questions IV What content profile specification export formats are supported by Art-Decor (Word, XML, XSD, Schematron, etc.) Humans: HTML, PDF, Wiki-extracts (transclusions) Machines: XML in Templates ITS format, Value Sets, ISO Schematrons and more How does Art-Decor support the development of a single content profile with multiple document types? Is it possible to publish subsets of such a content profile for one or more document types only? What are the plans to support FHIR? (this is a future so would only address if time allows)

76 Thank you! Questions? Dr Kai U. Heitmann, MD, FHL7 Heitmann Consulting and Services ART-DECOR Expert Group Template WG co-chair, HL7 International Advisory Board, HL7 Foundation CEO HL7 Germany HL7 Germany / Netherlands / International