Hoot72Capture the Care Process

www.hoot72.org

A land of Silo’s

•Health Data in “islands”, “silo’s”

• Admissions/Pharmacy/Lab ... Systems

• Billing data does leave the premises!

•“Clinical Process” data is scattered

•Research, portable records, management?

Possible?

A View for Everyone

Linked Health Data

Patient

Doctor

Manager

Researcher

Insurance

IT

Enabler: the Silo’s chat

Source: Neotool, V3 vs V2

“HL7 version 2 is a major breakthrough and market success. More than 93% hospitals in US are using this standard” - Health Level Horizon (HLH) Project

One “tweet” ...MSH|^~\&|REGADT|MCM|IFENG||199112311501||ADT^A04^ADT_A01|000001|P|2.4|||EVN|A04|199901101500|199901101400|01||199901101410PID|||191919^^GENHOS^MR~371-66-9256^^^USSSA^SS|253763|MASSIE^JAMES^A||19560129|M|||171 ZOBERLEIN^^ISHPEMING^MI^49849^""^||(900)485-5344|(900)485-5344||S^^HL70002|C^^HL70006|10199925^^^GENHOS^AN|371-66-9256||NK1|1|MASSIE^ELLEN|SPOUSE^^HL70063|171 ZOBERLEIN^^ISHPEMING^MI^49849^""^|(900)485-5344|(900)545-1234~(900)545-1200|EC1^FIRST EMERGENCY CONTACT^HL70131NK1|2|MASSIE^MARYLOU|MOTHER^^HL70063|300 ZOBERLEIN^^ISHPEMING^MI^49849^""^|(900)485-5344|(900)545-1234~(900)545-1200|EC2^SECOND EMERGENCY CONTACT^HL70131NK1|3NK1|4|||123 INDUSTRY WAY^^ISHPEMING^MI^49849^""^||(900)545-1200|EM^EMPLOYER^HL70131|19940605||PROGRAMMER|||ACME SOFTWARE COMPANYPV1||O|O/R||||0148^ADDISON,JAMES|0148^ADDISON,JAMES||AMB|||||||0148^ADDISON,JAMES|S|1400|A|||||||||||||||||||GENHOS|||||199501101410|PV2||||||||199901101400|||||||||||||||||||||||||199901101400ROL||AD|CP^^HL70443|0148^ADDISON,JAMESOBX||NM|3141-9^BODY WEIGHT^LN||62|kg|||||F

James was admitted ... his wife is his emergency contact ... here’s his weight ...

What if?

From obscure Soup to query-ready Graph

OR|20010331605||ORU^R01|20010422GA03|T|2.3.1|||AL|725^^^^MR||Doe^John^Fitzgerald^JR^^^L||20001007|M||2106-3^White^HL70005|123 Peachtree St^APT 3B^Atlanta^GA^30210^^M^^GA067||(678) 555-1212^^PRN||||||||||Peachtree Clinic|101 Main Street^^Atlanta^GA^38765^^O^^GA121|(404) 554-9097^^WPN|101 Main Street^^Atlanta^GA^38765^^O^^GA121|

Graph?

•Mechanism behind the Web of Data

• “common formats for integration and combination of data drawn from diverse sources” -- w3c

•For the “semi-structured” like Health-data

• many forms for the “same” thing

Enter Hoot72

• Hoot (w3c’s OWL), 72 (HL7 v2)

• A Mapping: message to graph assertions

• presumes little so generally applicable

• A Reference Implementation

• Open Source

Two plus Two

Hoot72 Mapper

HL7 Message

s

HL7 Message Definitions

Hoot72 Ontology

Clinical Data Graph

Observation (OBX)PID|||1234^^^^SR~1234-12^^^^LR~00725^^^^MR||Doe^John^Fitzgerald^JR^^^L|...OBX|4|CE|30949-2^Vaccination adverse event outcome^LN|1|H^required hospitalization^NIP005|

LN 30949-2

CodingSystem Code

H NIP005

CodingSystemCode

observation observationValue

Doe

John Fitzgerald

personName

familyName

givenName

middleName

contextPatient

type

Identifiers and Time not shown

Just a query away ...

•The care-process in one accessible place

•Follow a patient’s path

•Analyse a facility’s ways

•Enable Interoperability

Interested?

•Hear more?

•Your messages graphed?

•Participate?

Go to: http://www.hoot72.org and Contact!