distributed decision support services knowledge ......distributed decision support services &...
TRANSCRIPT
![Page 1: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/1.jpg)
Distributed Decision Support Services &
Knowledge Management Repository (KMR-II)
A Knowledge Management Architecture For Healthcare
Naval Health Research Center San Diego, CA
CAPT Emory Fry, MC, USN
24 Oct 2011
![Page 2: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/2.jpg)
The KMR project is supported by Award Number: W81XWH-06-2-0074, administered through the U.S. Army Medical Research Acquisition Activity, 820 Chandler Street, Fort Detrick, MD 21702-5014. The opinions of the author do not state nor reflect those of the Department of the Navy, the Department of Defense, or the United States Government, and shall not be used for advertising or product endorsement purposes.
Disclaimer
![Page 3: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/3.jpg)
Cognitive Environment
Healthcare is a knowledge management challenge • Data / information • Regulations • Process orchestration • Individualized care • Education • Access to care • Patient-empowerment
• “Cognitive” technologies must integrate and support all these dimensions if quality care and desired behavior is to be achieved
![Page 4: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/4.jpg)
Behavioral Entropy
![Page 5: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/5.jpg)
Will It Improve Outcomes?
![Page 6: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/6.jpg)
They Earned It
![Page 7: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/7.jpg)
They Deserve It
![Page 8: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/8.jpg)
DDSS-KMR Objectives
US Navy research effort to create a reference KNOWLEDGE MANAGEMENT architecture • System should be able to provide “real-time” analysis • System knowledge modules should be sharable between
systems and organizations • System should be able to request, receive, and process
distributed data • System should be able to leverage different inference
capabilities as appropriate • System should support generalized decision support for
populations AND rules individualized for a specific patient
![Page 9: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/9.jpg)
![Page 10: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/10.jpg)
![Page 11: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/11.jpg)
Common Access Layer (CAL)
![Page 12: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/12.jpg)
![Page 13: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/13.jpg)
Event Service
![Page 14: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/14.jpg)
![Page 15: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/15.jpg)
Decision Support Agent (DSA)
![Page 16: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/16.jpg)
New Fact
Stateful Decision Support Service Patient #1
Dx Fact Rx Fact Lab Fact Demographic Fact
Dx Fact Rx Fact Lab Fact Demographic Fact
Dx Fact Rx Fact Lab Fact Demographic Fact
Dx Fact Rx Fact Lab Fact Demographic Fact
Virtual Medical Record
Drools Rule Engine
Integration Engine
HIS
Source HL7
CAL
VMR
Session Virtual Medical Record
Decision Support Agent
NwHIN C32 Doc
Facts
![Page 17: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/17.jpg)
Email Pager System Message Order
Individualized Stateful Rule Sessions
Task Service
Rule & Workflow Service
Working Memory Patient #1
Integration Engine
HIS
Source HL7
CAL
Decision Support Agent
NwHIN C32 Doc
Rule & Workflow Service
Working Memory Patient #1
Rule & Workflow Service
Working Memory Patient #1
Facts
VMR
![Page 18: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/18.jpg)
![Page 19: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/19.jpg)
Action Manager
![Page 20: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/20.jpg)
![Page 21: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/21.jpg)
Predictive / Diagnostic Services
![Page 22: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/22.jpg)
![Page 23: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/23.jpg)
Optimization Service
![Page 24: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/24.jpg)
![Page 25: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/25.jpg)
Presentation Service
![Page 26: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/26.jpg)
HIMSS Demonstration
![Page 27: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/27.jpg)
Unified Clinical Portal
![Page 28: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/28.jpg)
Patient Perspective
![Page 29: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/29.jpg)
Provider Perspective
![Page 30: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/30.jpg)
Educational Content
![Page 31: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/31.jpg)
Diagnostic Guide
![Page 32: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/32.jpg)
Utility Calculations
![Page 33: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/33.jpg)
Resource Capacity Simulator
![Page 34: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/34.jpg)
CDS Workbench
![Page 35: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/35.jpg)
iDevices
![Page 36: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/36.jpg)
Key Functionality
• Standards compliant canonical object model • Defines clinical fact structure and semantics • Constrains rule authoring and run-time bindings
• Knowledge Repository semantically cross-indexed • Artifacts searchable by specialty, fact types, tasks,
disease, role, etc. across organizational boundaries • Integrates multiple inference technologies • Manages individualized, stateful inference sessions with
asynchronous workflows and task execution • Provides for user interaction / data visualization research • Tooling to facilitate domain knowledge creation and
translation
![Page 37: Distributed Decision Support Services Knowledge ......Distributed Decision Support Services & Knowledge Management Repository (KMR-II) A Knowledge Management Architecture For Healthcare](https://reader035.vdocuments.site/reader035/viewer/2022070720/5ee1020cad6a402d666c0c03/html5/thumbnails/37.jpg)
§ DDSS-KMR is a reference implementation for CDS and human process reengineering research
§ Open source and will be donated to FHA for inclusion in CONNECT and / or DIRECT as appropriate
§ Goal is to create a “stack” available to government, academia, and vendors for exploring concepts, sharing results, and improving the reference implementation over time
§ Infrastructure is decoupled, standards based, and semantically constrained - real-time hybrid architecture for healthcare
Conclusion