<JoshM> 617.500.aaaa is Josh Mandel

<JoshM> zakim: aaaa is JoshM

??P49 is Simon Lee

<matthias_samwald> Simon Lin, not Lee

Marc on OSCAR

marc: busy on producing on the next official release
... working on a CDS
... using on parts of the MR for measurements, warnings
... wants to talk to physicians about NLP for the clinical narrative
... on the agenda for the month of july
... to talk to primary physicians and specialists
... CDS is fairly simplistic; looking at single or multi-valued entries;
... certain values of hemogloblin would pre-empt particular tests
... rules filter ; area on the page that prompts warnings, referrals
... good start, not storing as much structured data as desired

matthias: how did you implement the rules

marc: rules are simple enough to implement in code ; using javascript
... timelines were a consideration; first pass
... another release by august until funding is up; time to improve the backend
... time to try different strategies; add/remove rules dynamically would be nice
... use an outside component to set those rules

matthias: do you plan to have this certified as a medical product

marc: certification in ontario - meet a set of baseline requirements; no specific section on CDS except for drug and allergy
... for health infoway - standards body ... HL7 ... much more robust requirements

<scribe> topic : PCAST report

http://www.dodsbir.net/sitis/display_topic.asp?Bookmark=42567

mediation service for exchangeability of health care information

scribe: point-to-point protocol; connect network of smaller providers
... connor pseudo-RDF on vista; feasible with OSCAR?

<mscottm> conor-dowling@caregraf.com did the work on openvista in OWL

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

could we connect VISTA and OSCAR?

<ericP> hi all

marc: talked to people of SMART to see how we could interact

VISTA in OSCAR to speak in SMART...

expose as a service; similar to MINT - financial resource integrator

Rafael Richards was speaking above;

<Marc> is vista data model publicly/readily available?

scott: start with a small focused use case;

michel: perhaps we could focus on referral

rafael: patient identity - people get married, change their name; even with probabilistic methods is not optimal. iris scan now being put in some MRs

<ericP> rafael: VISTA deployment in Jordan uses retinal scan for patient identification

rafael: VA VISTA in Jordan; 950 hospitals and clinics; first truly integrated system
... in sierra leone; health card is shared among family members
... have to rely on biometrics to identify patients

<mscottm> scott: biometrics is a nice solution

<mscottm> rafael: patient identity is a prerequisite for interoperability

marc: is the data model available for VISTA?

<JoshMandel> http://vista.caregraf.org/schema#2

<JoshMandel> (caregraf's FileMan Schema Browser)

<JoshMandel> (link above is for the Patient file)

rafael: yes, available online; 4800 tables; vocabs

<JoshMandel> Entire table list: http://vista.caregraf.org/schema

simon: like the MINT analogy; good for the SBIR proposal!

+1 on MINT

<mscottm> very interesting! I have to run. I look forward to the minutes. bye.

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
... patient has the best view of the data; doctors - can i look at your record

marc: that's what we're trying to with myOSCAR record from Indivo

rafael: looking for small business to participate in an SBIR grant together
... is there a small company associated with VISTA or OSCAR that might be interested?

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
... has anybody done the work of working up the different formats into a common model?
... what's the chance that we could convince people to adopt RDF
... FHIR folks will write all the data in a way that is REST-friendly; identifiers for different components

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.
... interop through integration engines that have rules to convert from one to another.

ericP: FHIR is to be open in standard, closed in implementation

rafael: 15 subcommittee on HL7; no rulebook for writing standards. pretty ad hoc. proprietary licensed. 35 years old and predates the internet.
... having a mediation tool similar to "mirth" (sp?) for RDF might be the way to go

<JoshMandel> Mirth (Mirth Corp). Their product is Mirth Connect (http://www.mirthcorp.com/products/mirth-connect)

<ericP> NHIN

rafael: money made in consulting, as some "open" standards are overly complex

marc: we use MULE; part of Mirth

rafael: VA does a good job of integration; master national dictionary shared between VA hospitals
... very large database of integrated patient data
... for small EHRs; how do we get coordinated care

matthias: CDS - a couple of weeks ago introduced medical safety codes project

<matthias_samwald> http://safety-code.org/

matthias: aim is to put pharmacogenomic data in the hands of patients
... one of the current problems is that there is no support for pharmacogenomic data, or algorithms to operate on them
... hundreds of relevant markers for decision making
... so the goal of the project is to make all of this simpler and relevant to clinical practice
... the safety code is a 2d barcode for 400 biomarkers; can be decoded with any common smartphone that can read these barcodes
... algorithms like warfarin dosing could act on this
... implemented in RDF using the Translational Medicine Ontology
... common extension to TMO needs to be discussed

<sprog> rafaelrichards@jhu.edu

michel: have implemented the RDF representation of portions of dbSNP records; to discuss at next CDS/pharmacogenomics or HCLS-wide calls

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Guessing input format: RRSAgent_Text_Format (score 1.00)

No ScribeNick specified.  Guessing ScribeNick: michel
Inferring Scribes: michel

WARNING: No "Present: ... " found!
Possibly Present: BobF Bob_Powers JoshM JoshMandel Kerstin_Forsberg MacTed Marc P46 P49 P54 SimonLin SimonLin_Marshfie StuartTurner Tony aaaa aabb aacc aadd aaee achille_zappa bobP egonw__ ericP kerfors matthias matthias_samwald michel mscottm rafael scott simon sprog
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Got date from IRC log name: 26 Jun 2012
Guessing minutes URL: http://www.w3.org/2012/06/26-hcls-minutes.html
People with action items: