the open library of hie presented by: alesha r. adamson john bozada
TRANSCRIPT
Introduction to OLHIEThe Open Library of HIE
Presented by: Alesha R. AdamsonJohn Bozada
What is OLHIE
History of OLHIE
Stakeholders
◦ Open Health Tools (OHT) and Pronoia Health
OLHIE the Library Paradigm and Framework
Governance and policy
Project plan
Getting involved
Agenda
What is OLHIELet Us Inform One Another
The Open Library of HIE (OLHIE) is an online ecosystem that will allow “Authors” of HIE-related assets to share their work and provide “Readers” with real-world resources to inform their work.◦ Interfaces: requirements, work-flow, templates,
datasets, technical and user documentation◦ Policies, tool-kits, and forms◦ Model RFP and Contract language to encourage/require
federal/state funded assets be contributed to the library
◦ Other source code for connecting EHRs, labs, pharmacies, and public health agencies
Open Library of HIE
Promote reuse, cooperation, and learning in order to reduce the cost of building and operating HIE.
Create a web application that allows readers to search, categorize, “like”, review, and create their own bookshelves that can be shared with other readers and inform authors.
Streamlined workflow for authors to publish, version, make private, and remove assets.
OLHIE’s Goals
History of OLHIEWhere was OLHIE born?
Stephen says:“the HIE side of things will
largely be bridged in the near and even mid term by
developing interfaces…
LOTS of interfaces…lots of CUSTOM interfaces…lots of EXPENSIVE custom
interfaces.”Stephen PalmerDirector, Office of eHealth Coordination,Texas
• Accelerate connections between Health Information Exchanges (HIE).
• Facilitate the reuse of HIE interfaces, and other assets, especially those developed with federal or state funding. • Reduce cost of interoperability• Increase the potential for interoperability• Promote community learning
Guiding Principles
Community Engagement
◦HIEs
◦Vendor Community
Library Development
Workflow and Vetting
Areas of Focus
StakeholdersWho is interested in OLHIE?
Delaware: Mark Jacobs
Georgia: Kelly Gonzalez
Texas: Stephen Palmer
Vermont: Terry Bequette
Executive Steering Committee
Arizona
California
Colorado
Delaware
Georgia
Texas
Vermont
State Support
Hawaii
Illinois
Maryland
Nebraska
North Dakota
Wyoming
Cerner General Dynamics, Information Technology
(GDIT) Mirth Corp Orion Health
Vendor Support
Consortia Support College of Health Information and
Management Executives (CHIME) National eHealth Collaborative (NeHC)
Name change (ILP OLHIE)
Asset repository, not just an interface
repository
Tools and services for the future
Robust community
“Dollars for Deltas”
Availability of real-world assets to academia
What do the stakeholders want?
California eHealth Quality
◦ Requirements gathering session April 25
◦ Committed to contributing code and non-code
assets
HIE Ready Toolkit
Public Health Interfaces, and others
◦ Working with Redwood MedNet, Inland Empire
HIE, Santa Cruz HIE and other State agencies
Early Adopters
Holding a joint requirements gathering
session with VT and DE
Planning requirements gathering session in
TX
◦ Local HIEs will be included
Scheduling a mid-phase “sanity check” with
GA in June
Other Early Adopters
Open Health ToolsWhat is OLHIE’s heritage?
Open Health Tools
• 501(c)(6) Non-profit Organization
• Provides facilitation, resources and governance to Open Source projects
Improving the world's health and well-being by unleashing health IT innovation
World Class Leadership
Robert Kolodner, MDChief Health Informatics Officer
Dr. Brian BarryChief Technology Officer
Skip McGaugheyExecutive DirectorChairman of the Board
World Class Membership
Government AgenciesCanada Health Infoway (CA)Indian Health Services (US) National Health Service (UK)National eHealth Transition Authority (AU)Veterans Health Administration (US)
Academic InstitutionsAustralian Health Research Centre (AU)Cardiff University (UK)Linkoping University (SE)Mohawk College (CA)Georgia Tech (US)Oregon State University (US)Florida International University (US)
Healthcare Systems (US)Mayo Clinic Hartford Healthcare SystemSoutheast Texas Health System
Standards Organizations and Open Source FoundationsEclipse Foundation, Inc.HL7IHTSDOObject Management Group (OMG)Open Health Data
Other Non-Profit OrganizationsAHIMA FoundationGlobal Patient Identifiers, Inc.Internet2MITRE Corp.
World Class MembershipVendors5AM
AEGISAndagoApelonBedarra ResearchBlack DuckCambio HealthcareCognitive MedicineCollabNetCollaborative Software InitiativeDSS, Inc.Discovery MachineFEIFirestar SoftwareGDITGlobal Patient Identifiers, Inc.Harris CorporationHewlett PackardIBM
InprivaITG HealthJembi Health SystemsJP SystemsLamprey Networks, Inc.MedsphereNetGen SoftwareNexJNitor GroupOcean InformaticsOpenMRSOraclePalamidaPhastPHIIPronoia HealthRed HatSageShoulders CorporationSETHSTBSTolven
Charter ProjectsOpen Library of HIE (formerly ILP)
Platform Implementation ProjectAcademic Outreach
HL7 ToolingCommon Terminology Services (CTS2)
Conformance ServicesPrivacy, Access and Security Services
Model Driven Health Tools (MDHT)Medical Devices Interoperability Platform
SNOMED CT ProjectSupply Chain Tooling Project
IHE Profiles ProjectCanadian HER
OpenCDSOpenExchange
OHT ToolkitApplication Integration Platform
Proven governance framework
Provide an environment conducive for
collaborative development
Can achieve synergistic benefits
Why OHT?
OLHIE the Application
The Library Paradigm
DisclaimerOnly 1 of 4 requirements gathering sessions
have occurred at the time of this presentation.
Atomic unit for all assets is “Book” A Book may have different Chapters
◦ Table of Contents, keywords, category◦ Interface code, requirements specifications,
diagrams◦ Links to outside resources
A Book may be downloaded in part or in its entirety
Books can be rated and reviewed by members◦ Peer promotion◦ Search engine weights
Library Paradigm:Books
Revisions will be maintained Level set of Categories provided by OLHIE:
◦ Interfaces, Policy, Forms, Contract/RFP Language Additional categorization is managed by the
members◦ HL7, North Dakota, Minors, Interstate
Interfaces are a special kind of Book Source and destination systems Engine vendor Message type
Library Paradigm:Books (cont.)
Enable search engine indexing◦ Google, Yahoo, Bing
Search by Category◦ I’m new to this, where do I get started◦ I want to see all the affinity domain documents◦ I want to see everything from Hawaii
Hover-over review of content and authorship
Open a Book Put Book on your Bookshelf
Library Paradigm:Search and Retrieve
Must sign contributor agreement◦ Author attests that they own the IP or that they have authority to
share the content◦ Agreement will be counter-signed
Control their content◦ Create, update, delete◦ Approve Co-authors◦ Promote contributors to Co-authors◦ Approve content from Contributors◦ Publish, keep private
View all Books contributed◦ Author’s Bookshelf
Be alerted when reviewed or rated Choose to allow messages from Readers
◦ With or without exposing their contact information
Library Paradigm:Authors
Readers have created accounts, but may still be anonymous (IamElvis)
Search and retrieve Books Promote and review Books My Bookshelf, My Favorites Can request to be a Contributor Can request to be an Author or Co-author Send messages to Authors
Library Paradigm:Readers
Anyone may access the Library from a tablet or PC
Do not have a personal bookshelf Are not able to leave ratings or reviews Are not able to publish or suggest content May create a Reader account
Library Paradigm:Visitors
Think of your local library
Suzallo Library at UW
Collections of Books as a Book ◦ “California – The Book” or “I’m In – The Book of Authorization Forms”
or “JohnBob’s Book of Lab Interfaces” Free and subscription content “Publishers” that manage many authors Protected content Link walking to outside resources Reading clubs Informing search criteria/weights with Reader ratings Establish content affinities
◦ If you liked *that* you’ll love *this* Subscribe to someone else’s bookshelf
…What else you can think of?
OLHIE’s Parking Lot
Development TechnologiesClient Technology:Runs in a modern browserBuilt with Google Web Toolkit gwtBootstrap gwt-dnd
Database:? MySQL v 5.2? OrientDB 1.3.0 (http://www.orientdb.org/)
Build tools:Maven v3 Development process management:LeanKit
Server Platform:JBoss AS 7.11? OpenShift
Content Management Repository (CMR):? HingX ? ModeShape
Code Repsoitory:GitHub (https://github.com/pronoiahealth/olhie)
User Story Development:FreeMind
IDE:Eclipse Java EE IDE for Web Developers - Juno Service Release 1
Optional:JBoss Tools
Governance Framework
How is OLHIE governed?
Governed by a set of bylaws that provide
for:
1. Membership in OLHIE
2. An Executive Steering Committee (ESC)
3. Project Director
4. Committees
Governance Framework
Includes US states and/or territories, HIEs,
vendors, other parties that wish to contribute
ESC will determine if prioritization is necessary
Members must
◦ Complete a membership application
◦ Be approved by a majority vote of the ESC
◦ Execute a membership agreement.
Membership
Manages business and technical affairs
Members will include:
◦ Project Director
◦ At least three State Health IT Coordinators
◦ Representatives of HIEs, vendors and other
interested parties
◦ Other appointments will be made by the ESC
before adopting bylaws
Executive Steering Committee
Responsible for day-to-day management of OLHIE
Project Director
Architecture and Technology Committee
(ATC)
Change Control Committee (CCC)
Legal and Policy Committee (LPC)
Committees
Make recommendations to the ESC about the technology platform,
development methodology, operations methodology and other technical
issues.
Architecture and Technology
Responsible for managing the content contained within the OLHIE repository.
Responsible for establishing standards for data quality and completeness, and
reviewing and approving data contributions.
Change Control Committee
Responsible for reviewing and taking appropriate actions about the
intellectual property (IP), contractual and other legal policies
Legal and Policy Committee
OLHIE will be available to anyone, including:
◦ Discovery of interface assets
◦ Viewing and downloading assets distributed under
open source or creative commons licensing
Ongoing discussion regarding commercially
licensed assets
Governance Structure
Sustainability Plan
Committee Development
IP Policy
Other policies and procedures
RFP and contract language
Phase 2 Governance Work
Project PlanWhen will OLHIE be ready?
Getting InvolvedHow can I contribute?
Committees
Contributions
Early adopter
Sustainability
Let Us Inform One Another!
Getting Involved
