ART-DECOR Introduction anddemos

Transcription

1 ART-DECOR Introduction anddemos ehealth Member States Expert Group (ehmseg) SemanticTask Force February 23, 2017 Dr Kai U. Heitmann, MD, FHL7

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 / Europe /International

3 Agenda Introductionand 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 ART-DECOR......is an open-source tool suite for various stakeholders supports the creation and maintenance of HL7 templates, value sets, scenarios and data sets....features cloud-based federated Building Block Repositories (BBR) for Templates and Value Sets....supports comprehensive collaboration of team members within and between governance groups Lev 1

8 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

9 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

10 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

11 Datasets

12 Dataset in former times Excel Spreadsheet Mapping Table Healthcare Professional Content Mapping to technical artefactsper scenario Scenarios with cardinalities

13 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

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

15 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

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

17 Example

18 Data set

19 Dataset in ART-DECOR

20 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)

21 Health Care views par Excel-lence

22 Vocabulary and Terminology

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

24 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...

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

26 Associations

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

28 Overview Concept Scenario Rules Identifiers Codes Issues HCP terminologist

29 Templates

30 ART-DECOR: tasks + definitions Analyst, modeler, templater definitionsof 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 conceptswith HL7 v3 templates

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

32 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

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

34 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

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

36 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)

37 Features of ART-DECOR for HL7 / CDA Templates (1) Template Viewer based on the Templates STU 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

38 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 and beyond, IHE Profiles ISO schematron generator, works with open and closed templates RESTful services to get various artifacts (e.g. terminologies)

39 ART-DECOR templates

40 Template meta data Identification, names, status Description, purpose, context Relationships, classifications, overall examples

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

42 CDA Templates Types Vacc Doc Document Level Template Header Level Templates Section Level Template Entry Level Templates Client Author Custodian Vaccinations Vaccines Reasons

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

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

45 ART-DECOR Prototypes and Templates

46 Templates and Validation Directly derived from Template Definitions

47 Building Block Repositories

48 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

49 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

50 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

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

52 Issue Management

53 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

54 Deliverables

55 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

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

57 Test tooling Systems Publication : HTML

58 Test tooling Systems Publication : WikiàPDF

59 Test tooling Systems Getting the REST Almost all artefacts are reachable through the ART-DECOR RESTfulinterface

60 ART-DECOR as an Organization Benefactors

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

62 ART-DECOR Open Tools...an Entrepreneurial Company with limited liability...handlescommercial 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 propertyrightshave changed

63 ART-DECOR Benefactors ART-DECOR is developed withfundingby Nictiz, Den Haag (NL) and Heitmann Consulting and Services, Hürth (DE) Gerrit Boers, Maastricht (NL) HL7 Germany, Köln (DE) ehealthsuisse (CH) ELGA (AT)

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

65 Thank you! Questions? Dr Kai U. Heitmann, MD, FHL7