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14:52:06 <RRSAgent> logging to http://www.w3.org/2012/06/26-hcls-irc
14:52:14 <michel> Meeting: W3C HCLS – Health Care Forum 
14:52:24 <michel> Chair: Michel Dumontier
14:55:31 <bobP> bobP has joined #hcls
14:57:51 <matthias_samwald> matthias_samwald has joined #hcls
15:01:51 <michel> zakim, this is hcls
15:01:52 <Zakim> ok, michel; that matches SW_HCLS()11:00AM
15:02:02 <michel> zakim, who is here?
15:02:07 <Zakim> On the phone I see Bob_Powers, +1.617.500.aaaa, michel
15:02:12 <Zakim> On IRC I see matthias_samwald, bobP, RRSAgent, Zakim, michel, achille_zappa, JoshM, MacTed, ericP
15:02:24 <Zakim> +Kerstin_Forsberg
15:02:30 <Zakim> + +1.519.638.aabb
15:02:38 <mscottm> mscottm has joined #hcls
15:02:39 <JoshM> 617.500.aaaa is Josh Mandel
15:02:40 <Zakim> +??P46
15:02:48 <Marc> Marc has joined #hcls
15:02:52 <michel> zakim, aabb is Marc
15:03:04 <Zakim> +Marc; got it
15:03:07 <matthias_samwald> zakim, ??P46 is matthias_samwald
15:03:12 <kerfors> kerfors has joined #hcls
15:03:14 <michel> zakim, who is here?
15:03:20 <Zakim> +matthias_samwald; got it
15:03:24 <Zakim> On the phone I see Bob_Powers, +1.617.500.aaaa, michel, Kerstin_Forsberg, Marc, matthias_samwald
15:03:35 <Zakim> On IRC I see kerfors, Marc, mscottm, matthias_samwald, bobP, RRSAgent, Zakim, michel, achille_zappa, JoshM, MacTed, ericP
15:03:43 <JoshM> zakim: aaaa is JoshM
15:03:45 <Zakim> +??P49
15:04:09 <Zakim> + +1.715.389.aacc
15:04:33 <JoshM> zakim, aaaa is JoshM
15:04:35 <Zakim> +JoshM; got it
15:04:43 <michel> ??P49 is Simon Lee
15:04:56 <mscottm> zakim, who is on the phone?
15:04:57 <Zakim> On the phone I see Bob_Powers, JoshM, michel, Kerstin_Forsberg, Marc, matthias_samwald, ??P49, +1.715.389.aacc
15:05:06 <matthias_samwald> Simon Lin, not Lee
15:05:25 <StuartTurner> StuartTurner has joined #HCLS
15:05:41 <mscottm> zakim, +1.715.389.aacc is SimonLin
15:05:41 <Zakim> +SimonLin; got it
15:05:57 <mscottm> zakim, ??P49 is mscottm
15:05:57 <Zakim> +mscottm; got it
15:06:36 <Zakim> +??P54
15:06:59 <SimonLin_Marshfie> SimonLin_Marshfie has joined #hcls
15:07:17 <mscottm> zakim, SimonLin is SimonLin_Marshfie
15:07:17 <Zakim> +SimonLin_Marshfie; got it
15:07:57 <michel> topic: Marc on OSCAR
15:08:09 <michel> marc: busy on producing on the next official release
15:08:19 <michel> ... working on a CDS
15:08:34 <michel> ... using on parts of the MR for measurements, warnings
15:08:39 <Zakim> +Tony
15:08:42 <BobF> BobF has joined #hcls
15:08:56 <michel> ... wants to talk to physicians about NLP for the clinical narrative
15:09:05 <michel> ... on the agenda for the month of july
15:09:14 <michel> ... to talk to primary physicians and specialists
15:09:50 <michel> ... CDS is fairly simplistic; looking at single or multi-valued entries; 
15:10:07 <michel> ... certain values of hemogloblin would pre-empt particular tests
15:10:31 <michel> ... rules filter ; area on the page that prompts warnings, referrals
15:10:52 <michel> ... good start, not storing as much structured data as desired
15:11:01 <michel> matthias: how did you implement the rules
15:11:16 <michel> marc: rules are simple enough to implement in code ; using javascript
15:11:25 <michel> ... timelines were a consideration; first pass
15:11:44 <michel> ... another release by august until funding is up; time to improve the backend
15:12:05 <michel> ... time to try different strategies;  add/remove rules dynamically would be nice
15:12:12 <michel> ... use an outside component to set those rules
15:12:24 <michel> matthias: do you plan to have this certified as a medical product
15:12:46 <Zakim> + +1.410.550.aadd
15:13:39 <michel> marc: certification in ontario - meet a set of baseline requirements; no specific section on CDS except for drug and allergy
15:14:01 <michel> ... for health infoway - standards body ... HL7 ... much more robust requirements
15:16:25 <michel> topic : PCAST report
15:17:19 <michel> http://www.dodsbir.net/sitis/display_topic.asp?Bookmark=42567
15:19:05 <michel> mediation service for exchangeability of health care information
15:19:54 <michel> ... point-to-point protocol; connect network of smaller providers
15:20:37 <michel> ... connor pseudo-RDF on vista; feasible with OSCAR?
15:20:44 <SimonLin> SimonLin has joined #hcls
15:21:38 <mscottm> conor-dowling@caregraf.com did the work on openvista in OWL
15:22:04 <michel> marc: interesting. we've created a web service to go from OSCAR to OSCAR. integrated information across clinics. to go across EMRs is a technological and business problem
15:22:49 <michel> could we connect VISTA and OSCAR?
15:23:18 <Zakim> + +1.617.324.aaee
15:23:30 <ericP> Zakim, aaee is me
15:23:30 <Zakim> +ericP; got it
15:23:34 <ericP> hi all
15:23:57 <michel> marc: talked to people of SMART to see how we could interact
15:24:19 <michel> VISTA in OSCAR to speak in SMART...
15:25:09 <michel> expose as a service;  similar to MINT - financial resource integrator
15:25:35 <mscottm> q+
15:26:23 <michel> Rafael Richards was speaking above; 
15:28:22 <Marc> is vista data model publicly/readily available? 
15:28:53 <michel> scott: start with a small focused use case; 
15:29:08 <michel> michel: perhaps we could focus on referral
15:30:03 <michel> rafael: patient identity  - people get married, change their name; even with probabilistic methods is not optimal.  iris scan now being put in some MRs
15:30:40 <ericP> rafael: VISTA deployment in Jordan uses retinal scan for patient identification
15:30:44 <michel> ... VA VISTA in Jordan; 950 hospitals and clinics; first truly integrated system
15:31:43 <michel> rafael: in sierra leone; health card is shared among family members
15:31:55 <michel> ... have to rely on biometrics to identify patients
15:32:04 <mscottm> scott: biometrics is a nice solution
15:32:42 <mscottm> rafael: patient identity is a prerequisite for interoperability
15:33:15 <ericP> q+ to mention FHIR's nod to REST (via separation of resources?)
15:33:24 <mscottm> q-
15:33:55 <michel> marc: is the data model available for VISTA?
15:34:15 <JoshMandel> http://vista.caregraf.org/schema#2
15:34:23 <JoshMandel> (caregraf's FileMan Schema Browser)
15:34:39 <JoshMandel> (link above is for the Patient file)
15:34:39 <michel> rafael: yes, available online; 4800 tables; vocabs
15:34:44 <JoshMandel> Entire table list:  http://vista.caregraf.org/schema
15:35:53 <michel> simon: like the MINT analogy; good for the SBIR proposal!
15:35:58 <michel> +1 on MINT
15:36:14 <mscottm> very interesting! I have to run. I look forward to the minutes. bye.
15:36:23 <Zakim> -mscottm
15:36:58 <michel> rafael: near real time pull from financial resources; fantastic because it pulls out service fees, etc that people need to pay attention to - smart alerts
15:37:59 <michel> ... patient has the best view of the data; doctors - can i look at your record
15:38:37 <michel> marc: that's what we're trying to with myOSCAR record from Indivo
15:38:41 <Zakim> -ericP
15:39:02 <Zakim> +ericP
15:39:18 <michel> rafael: looking for small business to participate in an SBIR grant together
15:40:00 <michel> ... is there a small company associated with VISTA or OSCAR that might be interested?
15:41:14 <michel> ericP: strategy. lots of us define our own RDF graph for data; MINT probably first consumes default offering from different sources, but with the long term goal of adopting a common representation
15:41:35 <michel> ... has anybody done the work of working up the different formats into a common model?
15:41:49 <michel> ... what's the chance that we could convince people to adopt RDF
15:42:32 <michel> ... FHIR folks will write all the data in a way that is REST-friendly; identifiers for different components
15:43:28 <michel> marc: the main push is HL7 v3; not open; not many open source tools to work with v3. most work with HL7 v2, many open source tools there.
15:43:46 <michel> ... interop through integration engines that have rules to convert from one to another.
15:44:24 <michel> ericP: FHIR is to be open in standard, closed in implementation
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15:45:04 <michel> rafael: 15 subcommittee on HL7; no rulebook for writing standards. pretty ad hoc. proprietary licensed. 35 years old and predates the internet.
15:45:08 <JoshMandel> q+
15:45:20 <ericP> q-
15:45:35 <michel> ... having a mediation tool similar to "mirth" (sp?) for RDF might be the way to go
15:46:00 <JoshMandel> Mirth (Mirth Corp). Their product is Mirth Connect (http://www.mirthcorp.com/products/mirth-connect)
15:46:49 <ericP> -> http://healthit.hhs.gov/portal/server.pt?open=512&objID=1142&parentname=CommunityPage&parentid=4&mode=2 NHIN
15:47:27 <michel> rafael: money made in consulting, as some "open" standards are overly complex
15:48:19 <michel> marc: we use MULE; part of Mirth
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15:52:18 <michel> rafael: VA does a good job of integration; master national dictionary shared between VA hospitals
15:53:05 <michel> ... very large database of integrated patient data
15:53:18 <michel> ... for small EHRs; how do we get coordinated care
15:53:24 <JoshMandel> q-
15:53:44 <Zakim> -Kerstin_Forsberg
15:53:50 <michel> zakim, who is talking?
15:54:01 <Zakim> michel, listening for 11 seconds I could not identify any sounds
15:54:22 <michel> matthias: CDS - a couple of weeks ago introduced medical safety codes project
15:54:25 <matthias_samwald> http://safety-code.org/
15:54:45 <michel> ... aim is to put pharmacogenomic data in the hands of patients
15:54:51 <rafael> rafael has joined #hcls
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15:55:16 <michel> ... one of the current problems is that there is no support for pharmacogenomic data, or algorithms to operate on them
15:55:29 <michel> ... hundreds of relevant markers for decision making
15:55:43 <michel> ... so the goal of the project is to make all of this simpler and relevant to clinical practice
15:56:12 <michel> ... the safety code is a 2d barcode for 400 biomarkers; can be decoded with any common smartphone that can read these barcodes
15:56:51 <michel> ... algorithms like warfarin dosing could act on this
15:57:04 <michel> ... implemented in RDF using the Translational Medicine Ontology
15:59:43 <michel> ... common extension to TMO needs to be discussed
16:03:28 <Zakim> -SimonLin_Marshfie
16:03:41 <StuartTurner> StuartTurner has left #HCLS
16:03:44 <Zakim> -Tony
16:03:48 <Zakim> -matthias_samwald
16:03:51 <Zakim> -??P54
16:03:53 <Zakim> -Marc
16:03:54 <Zakim> -michel
16:04:03 <sprog> rafaelrichards@jhu.edu
16:04:43 <michel> michel: have implemented the RDF representation of portions of dbSNP records; to discuss at next CDS/pharmacogenomics or HCLS-wide calls
16:04:45 <michel> rrsagent, draft minutes
16:04:45 <RRSAgent> I have made the request to generate http://www.w3.org/2012/06/26-hcls-minutes.html michel
16:04:53 <michel> rrsagent, make log world-visible
16:06:20 <Zakim> -ericP
16:06:21 <Zakim> - +1.410.550.aadd
16:06:23 <Zakim> -Bob_Powers
16:06:40 <ericP> Zakim, who is here?
16:06:40 <Zakim> On the phone I see JoshM
16:06:41 <Zakim> On IRC I see sprog, matthias_samwald, RRSAgent, Zakim, michel, achille_zappa, MacTed, ericP
16:06:56 <sprog> michel - please send anyone in group my email re SBIR 
16:07:03 <Zakim> SW_HCLS()11:00AM has ended
16:07:03 <Zakim> Attendees were +1.617.500.aaaa, Bob_Powers, michel, Kerstin_Forsberg, +1.519.638.aabb, Marc, matthias_samwald, JoshM, mscottm, SimonLin_Marshfie, Tony, +1.410.550.aadd,
16:07:04 <Zakim> ... +1.617.324.aaee, ericP
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