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HL7 Italia "Open Days" & HL7 International RIMBAA Meeting

in collaboration with:. National Research Council Institute of Clinical Physiology. ASL Br. Managing COPD The Reference Model Adopted by ASL Brindisi, Italy. HL7 Italia "Open Days" & HL7 International RIMBAA Meeting. September 15 ~ 16, 2010 Rome, Italy. Saverio Sabina

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HL7 Italia "Open Days" & HL7 International RIMBAA Meeting

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  1. in collaboration with: National Research Council Institute of Clinical Physiology ASL Br Managing COPD The Reference Model Adopted by ASL Brindisi, Italy HL7 Italia "Open Days" & HL7 International RIMBAA Meeting September 15 ~ 16, 2010 Rome, Italy Saverio Sabina Researcher at the National Research Council Institute of Clinical Physiology

  2. The context Pulmonary Service & HRC (implementation and start-up) SIATA Project (February 2008) ISO 9001 – Quality Certification Started (January 2009) Achieved (May 2010) t 2007 2008 2010 2006 2009 CCM project: “Territorial Care Model for Patients with CRI” (July 2010) Research project “Methodologies and tools for the standardization of diagnostic and therapeutic pathways” – Management of patients with CRI (October 2006) Joint activities – planned and implemented (2009 – 2010): – CCM project: “Support for Tobacco Control Initiatives” – Web site: pneumologiaterritoriale.it / .org – Web-based implementation of SGHRQ – COPD Reference Model (and its implementation)

  3. Why a Reference Model? Specification: vital to understand and agree upon all requirements An easy to interpret intermediate representation method Very complex Nonintuitive Technology driven + ER diagrams Flow charts

  4. Why a Reference Model? ‘A Reference Model consists of a minimal set of unifying concepts, axioms and relationships within a particular problem domain, and is independent of specific standards, technologies, implementations, or other concrete details’ MacKenzie M, et al. Reference Model for Service Oriented Architecture. OASIS Committee Draft 1.0, February 2006. Health workers are people engaged in actions whose primary intent is to enhance health (doctors, nurses, midwives, pharmacists, laboratory technicians, hospital managers, financial officers, cooks, drivers and cleaners). Health workers and their activities WHO definition: http://www.who.int/mediacentre/factsheets/fs301/en/index.html Types of modeling

  5. Levels of abstraction Next step High Informative level: Domain maps, models, ontologies Processes, practices, workflows, scenarios, use cases, context and systems Medium Normative level: Specifications, orchestration / choreographic models, reference implementations, architectures Low

  6. Why UML? Most of the research in the field of reference modeling concentrates on an application or domain-specific selection of established languages for information modeling. The spectrum of reasons for the selection of these languages ranges from the basic orientation on paradigms (e.g. object-oriented or non-object-oriented) or modeling methods (e.g. ARIS or UML) to the absolutely uncritical and unreflected use of these languages. Thomas O, et al. REFERENCE MODEL-BASED EVENT MANAGEMENT. International Journal of Event Management Research. 2008. 4 (1):38-57. Needs according temporal and human context (100 % true)

  7. Investigated guidelines - GOLD 2008 - Thoracic British Society 2004, commissioned by NICE UML package diagram – dependence of the reference model from the GOLD guidelines on COPD

  8. UML package diagram of COPD diagnosis and management

  9. UML activity diagram of COPD diagnosis

  10. UML activity diagram of Severe COPD (stage III) – laboratory tests

  11. Working Group • Saverio Sabina • (Health IT Researcher) • Carlo Giacomo Leo • (Health Economics Researcher) National Research Council Institute of Clinical Physiology • Roberto Guarino • (Health IT Technician) • Eugenio Sabato • (Head of Pulmonary Service) • Roberto Malorgio • (Responsible of Respiratory Physiopathology Laboratory) • Mariarita Minerba • (Health IT Technologist)

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