OMG Standard MDMI in
Healthcare
4th Annual SOA Conference
Washington, DC
July 2011
Slide 1
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Agenda
• Why MDMI is important
• Industry Initiatives
• Healthcare Initiatives
SEMHIE
ONC Transition of Care Pilot
Slide 2
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Healthcare Problem
Paper-Based PCPs
Automated PCPs
Automated
Hospitals
Paper-Based
Hospitals
Paper-Based Labs
Research
Centers
Automated Clinics,
Labs, Nursing Homes
Paper-based
Nursing Homes
Paper-Based ‘other’
Payers
Slide 3
Copyright © 2006, FireStar Software, Inc. All rights reserved.
What is MDMI
• Model Driven Message Interoperability (MDMI) is an approved OMG
Standard.
• It provides an open, standard approach that enables exchange of electronic
healthcare information.
“Center of Town” Approach
Slide 4
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MDMI Benefits
• Simplifies the implementation of information exchange
• Increases the quality of information exchange
• Information exchange can be provided to all members of the
healthcare community
• Provides an agile approach to information exchange.
Slide 5
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How MDMI provides Information Exchange
Message 1
Message 2
MDMI
Map 1
MDMI
Map 2
Industry
Standard
MDMI Development of MDMI Maps Proprietary
Message
Format
Editor and Tools
1
MDMI Referent Index
OHT
Creation
andMDHT
Maintenance of
MDMI Tools
Referent Index
Slide 6
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Slide 7
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OMG – Open Standard
• MDMI is an approved OMG Standard (2009)
• www.omg.org/mdmi
Slide 8
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Open Health Tools (OHT)
• The OHT MDMI program is a sub-project of Model
Driven Health Tools (MDHT) Charter OHT program.
• www.openhealthtools.org
• What will be available through the OHT
Slide 9
The MDMI Referent Index and associated tools
MDMI Maps
Software to build your MDMI maps (Editor)
Software to run your MDMI maps to convert your data into (Runtime)
Copyright © 2006, FireStar Software, Inc. All rights reserved.
Southeast Michigan Health Information Exchange
(SEMHIE)
• SEMHIE website is www.semhie.org
• MDMI is currently being used at SEMHIE in the Social
Security Administration Contract
• Present Status of project
Infrastructure is in place
MDMI Referent Index reversed engineered from scope of project
MDMI map for SSA message (“Charlie Test”) built
Next phase: Development of MDMI maps for Oakwood Hospital and
Henry Ford Hospital
• After initial project, goal is to extend to other practitioners in
SEMHIE.
“Town Center” - Develop an MDMI Map for their systems.
Slide 10
Copyright © 2006, FireStar Software, Inc. All rights reserved.
ONC Transition of Care Reference Implementation
• The Open Health Tools (OHT) Model Driven Health Tools
(MDHT) is working with the ONC on the Transition of Care
Reference Implementation
• ONC ToC Use Cases
Discharge Summary
Patient Referral
Complex Care Transaction
• Objective of ToC: Provide Reference Implementations for
how organizations can achieve Meaningful Use 2.
• WE ARE LOOKING FOR PILOTS SITES FOR THE
REFERENCE IMPLEMENTATIONS
Slide 11
Copyright © 2006, FireStar Software, Inc. All rights reserved.
In Conclusion
• MDMI continues to promise for addressing the problem of
exchange of electronic healthcare information in a low-cost,
high quality, extensible approach
• We are working on several fronts:
OMG
OHT
SEMHIE
ONC
• FireStar is actively seeking partnerships for ONC ToC
(Meaningful Use II Compliance)
Slide 12
Copyright © 2006, FireStar Software, Inc. All rights reserved.
MDMI Referent Index
Other Extensions
SNOMED
Name (Synonym)
Pointer to usage in SNOMED
Data Type
Slide 13
Model
Geographic / Domestic
Language
Non-Healthcare
Proprietary
Core Elements
Industry Messages
Business Element
Unique ID
Definition / Description
Near- Synonym
Data Type
Message
Pointer to Documentation
Copyright © 2006, FireStar Software, Inc. All rights reserved.