interoperability: where are we now and where are we going? · standards and interoperability: hard...
TRANSCRIPT
![Page 1: Interoperability: Where are we now and where are we going? · STANDARDS AND INTEROPERABILITY: HARD IN THE CONCRETE, IMPOSSIBLE IN THE ABSTRACT. Interoperability only makes sense in](https://reader035.vdocuments.net/reader035/viewer/2022071023/5fd79f4b1d041e7ba36702b4/html5/thumbnails/1.jpg)
Interoperability: Where are wenow and where are we going?
amia.orgwww.amia.org
Interoperability: Where are wenow and where are we going?
![Page 2: Interoperability: Where are we now and where are we going? · STANDARDS AND INTEROPERABILITY: HARD IN THE CONCRETE, IMPOSSIBLE IN THE ABSTRACT. Interoperability only makes sense in](https://reader035.vdocuments.net/reader035/viewer/2022071023/5fd79f4b1d041e7ba36702b4/html5/thumbnails/2.jpg)
amia.org
STANDARDS AND INTEROPERABILITY:HARD IN THE CONCRETE, IMPOSSIBLEIN THE ABSTRACT
![Page 3: Interoperability: Where are we now and where are we going? · STANDARDS AND INTEROPERABILITY: HARD IN THE CONCRETE, IMPOSSIBLE IN THE ABSTRACT. Interoperability only makes sense in](https://reader035.vdocuments.net/reader035/viewer/2022071023/5fd79f4b1d041e7ba36702b4/html5/thumbnails/3.jpg)
Interoperability only makes sense in the context of whatyou want to DO
Interoperability (IEEE)• Ability of two or more systems to exchange information• Ability of those systems to use the information that has
been exchanged
![Page 4: Interoperability: Where are we now and where are we going? · STANDARDS AND INTEROPERABILITY: HARD IN THE CONCRETE, IMPOSSIBLE IN THE ABSTRACT. Interoperability only makes sense in](https://reader035.vdocuments.net/reader035/viewer/2022071023/5fd79f4b1d041e7ba36702b4/html5/thumbnails/4.jpg)
amia.org
THERE WILL NEVER BE ONE MODELTO RULE THEM ALL
![Page 5: Interoperability: Where are we now and where are we going? · STANDARDS AND INTEROPERABILITY: HARD IN THE CONCRETE, IMPOSSIBLE IN THE ABSTRACT. Interoperability only makes sense in](https://reader035.vdocuments.net/reader035/viewer/2022071023/5fd79f4b1d041e7ba36702b4/html5/thumbnails/5.jpg)
Different information models of thesame information
PatientsPatients TestsTests StudiesStudies
ClinicalCare
ResearchData warehouse Clinical Studies
amia.org
VisitsVisits
Lab testsLab tests
ResultsResults
ResultsResults
PatientsPatients
ArmsArms
PatientsPatients
ResultsResults
![Page 6: Interoperability: Where are we now and where are we going? · STANDARDS AND INTEROPERABILITY: HARD IN THE CONCRETE, IMPOSSIBLE IN THE ABSTRACT. Interoperability only makes sense in](https://reader035.vdocuments.net/reader035/viewer/2022071023/5fd79f4b1d041e7ba36702b4/html5/thumbnails/6.jpg)
Meaning
ContentStructure
Technical stack
How should well-defined values be coded so thatthey are universally understood?
How should the message be formatted so that itis computable?
amia.org6
How does the message move from A to B?
How do we ensure that messages are secure andprivate?
Transport
Security
ServicesPurpose-specific APIs and services that leveragethe 4 other building blocks
![Page 7: Interoperability: Where are we now and where are we going? · STANDARDS AND INTEROPERABILITY: HARD IN THE CONCRETE, IMPOSSIBLE IN THE ABSTRACT. Interoperability only makes sense in](https://reader035.vdocuments.net/reader035/viewer/2022071023/5fd79f4b1d041e7ba36702b4/html5/thumbnails/7.jpg)
amia.org
THE ONLY STANDARD YOU NEVERCHANGE, IS A STANDARD YOU NEVERUSE
![Page 8: Interoperability: Where are we now and where are we going? · STANDARDS AND INTEROPERABILITY: HARD IN THE CONCRETE, IMPOSSIBLE IN THE ABSTRACT. Interoperability only makes sense in](https://reader035.vdocuments.net/reader035/viewer/2022071023/5fd79f4b1d041e7ba36702b4/html5/thumbnails/8.jpg)
Standards life cycle
Widely adopted, but declining value
Currentstate-of-the-art
Mapping?
amia.org
You are here
Newand emergingva
lue
time
![Page 9: Interoperability: Where are we now and where are we going? · STANDARDS AND INTEROPERABILITY: HARD IN THE CONCRETE, IMPOSSIBLE IN THE ABSTRACT. Interoperability only makes sense in](https://reader035.vdocuments.net/reader035/viewer/2022071023/5fd79f4b1d041e7ba36702b4/html5/thumbnails/9.jpg)
amia.org
A PATH OF LEAST REGRET: THREETHINGS WE NEED
![Page 10: Interoperability: Where are we now and where are we going? · STANDARDS AND INTEROPERABILITY: HARD IN THE CONCRETE, IMPOSSIBLE IN THE ABSTRACT. Interoperability only makes sense in](https://reader035.vdocuments.net/reader035/viewer/2022071023/5fd79f4b1d041e7ba36702b4/html5/thumbnails/10.jpg)
amia.org
BUILD DOCUMENTS FROM DATA,NOT THE OTHER WAY AROUND
![Page 11: Interoperability: Where are we now and where are we going? · STANDARDS AND INTEROPERABILITY: HARD IN THE CONCRETE, IMPOSSIBLE IN THE ABSTRACT. Interoperability only makes sense in](https://reader035.vdocuments.net/reader035/viewer/2022071023/5fd79f4b1d041e7ba36702b4/html5/thumbnails/11.jpg)
What is needed: A common formatfor granular data• Quality Measures• Clinical Decision Support• Registries• Common data formats for
– Text data– Categorical data– Numerical data– More…
amia.org
• Quality Measures• Clinical Decision Support• Registries• Common data formats for
– Text data– Categorical data– Numerical data– More…
![Page 12: Interoperability: Where are we now and where are we going? · STANDARDS AND INTEROPERABILITY: HARD IN THE CONCRETE, IMPOSSIBLE IN THE ABSTRACT. Interoperability only makes sense in](https://reader035.vdocuments.net/reader035/viewer/2022071023/5fd79f4b1d041e7ba36702b4/html5/thumbnails/12.jpg)
amia.org
FULL EXPORT OF THE PATIENTRECORD (AND NARRATIVE)
![Page 13: Interoperability: Where are we now and where are we going? · STANDARDS AND INTEROPERABILITY: HARD IN THE CONCRETE, IMPOSSIBLE IN THE ABSTRACT. Interoperability only makes sense in](https://reader035.vdocuments.net/reader035/viewer/2022071023/5fd79f4b1d041e7ba36702b4/html5/thumbnails/13.jpg)
Restore the importance of thenarrative and unstructured text• Move patient between vendor “ecosystems”• Precision medicine• Restore the balance of power for access to
data• Maintain the importance of the narrative in
the medical record
amia.org
• Move patient between vendor “ecosystems”• Precision medicine• Restore the balance of power for access to
data• Maintain the importance of the narrative in
the medical record
![Page 14: Interoperability: Where are we now and where are we going? · STANDARDS AND INTEROPERABILITY: HARD IN THE CONCRETE, IMPOSSIBLE IN THE ABSTRACT. Interoperability only makes sense in](https://reader035.vdocuments.net/reader035/viewer/2022071023/5fd79f4b1d041e7ba36702b4/html5/thumbnails/14.jpg)
amia.org
TEST BOTH SIDES OF EXCHANGE
![Page 15: Interoperability: Where are we now and where are we going? · STANDARDS AND INTEROPERABILITY: HARD IN THE CONCRETE, IMPOSSIBLE IN THE ABSTRACT. Interoperability only makes sense in](https://reader035.vdocuments.net/reader035/viewer/2022071023/5fd79f4b1d041e7ba36702b4/html5/thumbnails/15.jpg)
Postel’s principle
• When you send, conform to the standard– Pick a set of options and make sure it conforms to
a valid instance of the standard• When you receive, accept ANY version that
conforms to the standard– Any variation that is valid
• Create the conditions of interoperability whenyou create the standard, rather than whenyou implement it
amia.org
• When you send, conform to the standard– Pick a set of options and make sure it conforms to
a valid instance of the standard• When you receive, accept ANY version that
conforms to the standard– Any variation that is valid
• Create the conditions of interoperability whenyou create the standard, rather than whenyou implement it