Planning Guide_2011 Open Health Tools Academic Challenge__v1.1

8/8/2019 Planning Guide_2011 Open Health Tools Academic Challenge__v1.1

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2011 Open Health Tools Ac ad emic Challenge“Consumer Emp owerment in Hea lthcare Improvem ent”

April 14, 2011

Virtual Presentations

Co-Orga nized By:

Op en Health Too ls (OHT)

Exec utive Direc tor – Skip Mc Gaug hey

Transform ations at the Edge (TATE)

Executive Direc tor – Tom M. Gom ez

America n Ac ad emy of Fam ily Physic ians National Research Network (AAFP NRN)

Direc tor – Wilson D. Pac e, MD

The Cha llenge :For the 2011 Challenge , the c onsume r is Ruth Johnson, a 70 year old , men tally ac ute, retired military sec retary with

c hronic c ong estive hea rt failure (CHF) and c hronic kidney d isea se (CKD), who is on ho me ab do minal d ialysis. She is

to b e mo nitored remote ly by d aily home med ica l device c omm unic ations. She is fac ed with the dec ision on

whethe r to a llow her home me dic al devic e d ata to b e used in resea rch for the improvement o f home dialysis.

The 2011 Challenge is divided into three pa rtic ipa tion levels:

1. Community College students (2 year programs) will demonstrate their ability to configure a federally

c ertified p rovider EHR to c om munic ate with an instanc e of CONNECT an d view a c onsume r c onsent

do c ume nt loc ate d in the OHT Doc ume nt Rep ository via their EHR. Students will pa rtic ipa te in this level from

their c ollege loc ations via w eb c onference.

2. University or Colleg e und ergrad uate students (4 year p rog ram s) will co mp ete on the d evelopm ent o f an

op en source softwa re a pp lication that inc lude s the a bility for a c onsumer to subm it home med ica l device

da ta from the hom e to a n instanc e of CONNECT and de monstrate the ab ility to view the home med icalde vic e d ata loc ated in the OHT Doc ument Rep ository throug h a n innovative c onsumer GUI on the

c onsume r devic e used to submit the d a ta . Students will pa rtic ipa te in this level from their university

locations via web conference.

3. All levels of students up to the PhD level will compete on the development of an open source software

application that includes the ability for a consumer to submit signed documents to an instance of

CONNECT hosted by OHT authorizing their me dic al de vice d ata to b e used for resea rch. Contestan t will

de monstrate the a bility to view the c onsumer c onsent d oc uments loc ated in the OHT Doc ument

Rep ository through an innovative c onsumer GUI on the c onsumer de vic e used to c hoose the ap propriate

c onsume r pe rmissions, sign the do c ume nts, and sub mit the do c ume nts. Stude nts will pa rtic ipa te in this level

via live presentations in Miami.

Add itiona l de tails ma y be found at http:/ / www.openhea lthtools.org/ . All pa rtic ipa nts will be required to subm it any

softwa re co de they de velop for the Cha llenge and extend their c op yrights to the OHT Op en Source Com munity.

Program Co- Cha irs:Dan Russler, MD Op en Hea lth Too ls Ac ad em ic Outrea c h Projec t

Tom M. Go me z Transforma tions a t the Edge

Wilson D. Pac e, MD Ame ric an Acade my of Family Physicians Nationa l Resea rch Netwo rk

Elliot B. Sloa ne , PhD Drexe l University & Co -Chair of IHE Interna tiona l

Pre-Registration: Send em ail to Cha lleng e 2011 with c ontac t informa tion including phone num be r,

level of pa rtic ipation, and ac ad emic affiliation.

Contacts:Da n Russler, MD 404-276-1718 dan.russler@orac le.com

Tom M. Go me z 917-304-7149 tgo me z@bra inshield.co m

http://www.openhealthtools.org/


mailto:[email protected]?subject=Pre-Registration%20-%202011%20Open%20Health%20Tools%20Academic%20Challenge,%20Miami%20FL


mailto:[email protected]



http://www.aafp.org/online/en/home/clinical/research/natnet.html

http://www.transformationsattheedge.org/








OHT Ac ad emic Outreac h.

March 03, 2011 2011 Ope n Health Tools Ac ad em ic Challenge Pag e 2 of 6

Ac ademic Challenge – An Overview

BACKGROUND INFORMATION The C ha llenge was introduc ed in 2010 by TATE, OHT and AAFP NRN to sup p lemen t wo rkforce training e fforts in the

US in sup port of the NHIN. These g ove rnment e fforts includ e g rants to c rea te the HIT Reg iona l Extension C enters for

supporting implementation and workforce training within provider organizations as well as grants to community

c olleg es and universities for the ac ad em ic training of students who plan to e nter the w orkforc e. Student suc c ess in

c om pleting the Cha lleng e a c tivities de mo nstrates to the US HIT c om munity an inde pe ndent mea sure of

ac hievement o f the skills nec essary to supp ort the NHIN. Eac h yea r, the O HT Ac ad em ic O utreac h Project selec ts athem e illustrated with a series of “ use c ases” for the Cha lleng e. In 2011, the them e is “Consumer Emp owe rment in

Healthca re Imp rovement.”

For the 2011 Challenge, the consumer is Ruth Johnson, who is a 70 year old, mentally acute, retired military

sec retary with chronic c ong estive hea rt fa ilure (CHF) and c hronic kidne y disea se (CKD), who is on home ab dom inal

dialysis. She is to b e mo nitored remot ely by da ily home me dic al de vice c om munic at ions. She is fac ed with the

de c ision on whe ther to allow he r home me dica l de vic e da ta t o be used in resea rc h for the improveme nt of home

d ialysis.

ELIGIBLEINDIVIDUALS

1. Comm unity Colleg e Students (2 year prog rams)

2. University/Colleg e Undergrad uate Students (4 yea r prog rams)

3. Gradua te Students inc luding PhD Cand idates

The Op en Health Tools Aca demic Outrea ch Projec t strong ly enc ourages students to pa rticip ate in the Challenge.

PARTICIPATION CATEGORIES The 2011 Challenge is divided into three student pa rtic ipation levels:

1. Community College two-year students will demonstrate their ability to configure a federally certified

provider EHR to c om munic ate with an instanc e of CONNECT, the op en source reference app lic ation for

the NHIN Gatewa ys. The 2011 Cha lleng e will host the central instanc e of C ONNECT nee de d to suppo rt the

Comm unity Co lleg e EHR implementa tions. The measure o f suc c ess will include the ab ility of the students to

view a c onsume r c onsent d oc ument locate d in the OHT Doc ume nt Rep ository via an EHR they ha ve

implem ente d loc ally. Students will pa rtic ipa te in this level from their c olleg e loc ations via we b c onferenc e.

2. University or College four-year undergraduate students will compete on the development of an open

source softwa re a pp lica tion that inc lude s the a bility for a c onsumer to subm it home med ica l device da tafrom the home to an instanc e of CO NNECT hosted by OHT for the 2011 Cha lleng e. One m ea sure of

success will include the ability of the judges to view the home medical device data located in the OHT

Doc ume nt Rep ository. The o ther mea sure of suc c ess will be the judg ing of the c onsume r GUI on the

c onsume r devic e used to subm it the da ta . Students will pa rtic ipa te in this level from their c olleg e loc ations

via web co nference .

3. All levels of students up to the PhD level will compete on the development of an open source software

ap plic ation tha t includes the ab ility for a c onsumer to submit signed do c uments authorizing their medica l

de vice d ata to be used for resea rch. These d oc ume nts will be submitted to an instanc e of CO NNECT

hosted by OHT for the 2011 Cha lleng e. One measure o f suc cess will include the ab ility of the judge s to view

the c onsume r c onsent d oc ume nts locate d in the OHT Doc ume nt Rep ository. The other mea sure of suc c ess

will be the judging of the consumer GUI on the consumer device used to choose the appropriate

c onsume r pe rmissions, sign the do c ume nts, and submit the do c ume nts. Students will pa rtic ipa te in this level

via live presentations in Miami.

SUBMISSIO NS TO THEOHTOPEN SOURCECOM MUNITY ACADEMIC CHALLENGE PROJECT

Prior to the Challenge presentations, all participants will be required to submit the code they develop

for the Cha lleng e to the OHT Collabnet rep ository name d “ Ac ad emic C hallenge Projec t” .

COPYRIGHTS

The sub mission to the OHT Op en Source Comm unity Ac ad em ic C ha lleng e Projec t includes the extension of their

c op yrights to the Op en Source Comm unity unde r the Ac ad em ic Cha lleng e Projec t open source

lic ensing terms.





KEY CONSIDERATIONS FORDEMONSTRATIONS There are five key c onside rations for de mo nstrations:

1. An e rror-free de mo nstration

2. A c lea r presentation o f the improved value for the e nd-user

3. An attrac tive a nd a pp ea ling GUI display

4. An e ffic ient use o f the end -user’s time

5. Imp roved d ec ision ma king w ith innovative da ta display c ap ab ilities

JUDGING The judging p ane l will be a nnounce d a t a later date.

Contestants will record a walkthrough of the application – max time allowed 5 minutes.

Qua lifying Rounds will be held o n Ma rch 16, 2011 to selec t 3 fina lists in eac h level of pa rtic ipa tion. Judge s will

provide feed ba c k and c ritique to a ll the pa rtic ipants.

Finalists will present on March 17, 2011.

REFERENCES& RELATED DOCUMENTS [1] NHIN

[2] CONNECT

[3] NHIN Direc t

[4] IHE

Add itiona l doc uments will be ma de ava ilab le p rior to the tec hnic al c alls in Sep temb er 2010.

REVISION HISTORY

da te revision desc ription

Jul-10-2010 Initial Baselined

Ma r-3-2011 1.1 Loc ation & Date s

SPECIAL NOTE

This doc ument will be revised on a reg ular b asis with a dd itiona l informa tion a nd references. Click hereto be no tified regarding revisions to this document.

CONTACTS

Da n Russler, MD 404-276-1718 dan.russler@orac le.com

Tom M. Go me z 917-304-7149 tgo me z@bra inshield.co m

http://healthit.hhs.gov/portal/server.pt?open=512&objID=1142&parentname=CommunityPage&parentid=3&mode=2&in_hi_userid=10741&cached=true

http://www.connectopensource.org/

http://nhindirect.org/

http://www.ihe.net/

mailto:[email protected]?subject=2011%20Open%20Health%20Tools%20Academic%20Challenge%20Notifications






mailto:[email protected]?subject=2011%20Open%20Health%20Tools%20Academic%20Challenge%20Notifications

http://www.ihe.net/

http://nhindirect.org/

http://www.connectopensource.org/

http://healthit.hhs.gov/portal/server.pt?open=512&objID=1142&parentname=CommunityPage&parentid=3&mode=2&in_hi_userid=10741&cached=true





Challenge Use Cases

DISCLAIMER Deta ils of t he fo llow ing Use C ases ma y be sub jec t to minor revisions to me et t he judg ing requirements for the 2011

Cha lleng e. These revisions will be finalized as prog ram planning mo ves into the Reg istration Phase in Sep tem be r

2010.

1)

PHYSICIAN

’S

OFFICE

VIEWS

CONSENT

DOCUMENTS

- C

OMMUNITYC

OLLEGE(T

WO-YEAR

STUDENTS

)

Purpose: To illustrate the Basic 2011 Open Hea lth Too ls Ac ad em ic Cha lleng e for Comm unity

Co lleg e stude nts.

End Produc t: Configure any US Fed erally Ce rtified EHR, allow ing it to retrieve a nd view do c ume nts

from the IHE XDS.b Do c ument Rep ository ho sted by OHT.

Primary Actor(s): Physician Office Clerk

Sec ond ary Ac tor(s): Patient

Organization(s): Prima ry Care Prac tice

Context: Physician’ s Office Clerk wishes to view c onsent d oc ume nts

Moda lities, Form

Factor:

Sma rtphones, Tab lets, Lap top / Desktop s

Minimum Qualifying

Requirement:

Demonstrate One (1) de vice

Ope rating System : Any

Transport Protoc ol: IHE XDS.b via TLS

Content Protoco l: IHE Doc ume nt C onsume r, View Only

Minimum StandardsIncluded:

• IHE XDS.b Do c ument Consume r• TLS via OHT d istribu ted C A Certific a te

Workflows: 1. Office Clerk log s into IHE Doc ume nt Co nsume r App lic ation

2. Office C lerk selec ts pa tient spe c ified b y judg es

3. Office Clerk queries for do cume nt list

4. Office Clerk selects Consent Document specified by judges

5. Office C lerk view s Consent Doc ume nt

6. Office Clerk log s out

Validation: Judge s will view the OHT Aud it Server log , which must c onta in a rec ord o f the a cc ess to

the same IHE BPPC Consent Document viewed by judges in the web conference

presentation.

Judging: Remo te Web Conferenc e Demo nstration; Challenge Tea ms are sc ored and ranked byJudging Panel.





2) CONSUMERSUBMITSHOMEMEDICAL DEVICEDATA – UNIVERSITY TRACK (FOUR-YEARSTUDENTS)

Purpose: To illustrate the Intermedia te 2011 Op en Hea lth Too ls Ac ad em ic C hallenge for

undergrad uate students.

End Produc t: Design and c od e a loc al devic e a pp lication that a llows a c onsumer to transform hom e

med ica l device da ta into a CCD (C32) do c ument w ith a Result Sec tion, and subm it the

CCD d oc ume nts to the O HT Doc ume nt Rep ository.

Primary Actor(s): Patient, Home Hea lth Nurse

Sec ond ary Ac tor(s): Physicians and othe r health c are e c osystem stakeholde rs

Organization(s): Patient’ s Hom e

Context: Ruth Johnson (Patient) is a 70 year old, mentally acute, retired military secretary with

c hronic c ong estive he art failure a nd chronic kidne y disea se, who is on ho me ab do minal

dia lysis. She is to b e mo nitored remo tely by daily med ica l devic e c om munic ations. She is

visited by a Hom e Hea lth Nurse who assists Ruth w ith installing her home medic al d evic es

and device data submission software.

Moda lities, FormFactor:


Minimum Qualifying

Requirement:

Demonstrate One (1) de vice

Ope rating System : Android; Apple; Linux; Windows

Transport Protoc ol: SMTP Co nsumer Ema il, e.g . ISP ema il; Go og le; Yahoo

Content Protoco l: S/ MIME enc rypte d IHE XDM.zip w ith CC D (C32) Results (C83, C80) sec tion a s disc rete and

coded data

Minimum Standards

Included:

• IHE ITI (inc luding the US CC D, the C32 supported by C83 and C80)

• US Fed eral C83 Add ress Spec ifica tion (used to p op ulate C CD add ressattributes)

• IHE Medic al Device M essag es (will be provide d by jud ge s via e ma il just p rior to

presenta tion as XML files in a zip file)

Workflows: 1. Under instruction from Home Health Nurse, Ruth signs into to her device data

submission authoring a pp lication loc ated on her d evice.

2. Ruth selec ts multiple types of d evice d ata to sub mit via the C CD, e.g. a weight

sc ale, a he art rate monitor, a p ulse oxime ter, and BP mo nitor

3. Ruth “ subm its” the C CD d oc ument to S/ MIME-encrypted pa c kaging p rior to

emailing

4. Ruth e nters the em ail ad dress(es) a c c ording to judges' instructions and send s the

do c ume nt via Consume r SMTP em ail.

Validation: Ruth Johnson's Sec ure Ema il with home medic al d evic e results provided by the judge s is

received b y the Aca de mic Cha lleng e em ail de stination via Consume r SMTP em ail, and

the CC D (C32) with Results c onte nt is viewed and va lida ted by judg es.

Judging: Remo te Web Conferenc e Demo nstration; Challenge Tea ms are sc ored and ranked by

Judging Panel.





3) CONSUMERSUBMITSCONSENT TO APPROVE PHI USE FORRESEARCH

Purpose: To illustrate the Adva nc ed 2011 Op en Hea lth Too ls Ac ade mic Cha lleng e for any willing

student-level (up to PhD stud ent-level).

End Produc t: Ruth Johnson (Patient) is a 70 year old, mentally acute, retired military secretary with

c hronic c ong estive he art failure a nd chronic kidne y disea se, who is on ho me ab do minal

dia lysis. She is to b e mo nitored remo tely by daily med ica l devic e c om munic ations. She is

visited by a Home Hea lth Nurse w ho a ssists Ruth w ith her authoriza tion d oc uments.

Primary Actor(s): Patient, Home Hea lth Nurse

Sec ond ary Ac tor(s): Physicians and othe r health c are e c osystem stakeholde rs.

Organization(s): Patient’ s Hom e

Context: Physician’ s Office Clerk wishes to view c onsent do c ume nts.

Moda lities, Form

Factor:


Minimum Qualifying

Requirement:

Demonstrate two different op erating system s, e.g. Android & Ap ple

Ope rating System : Android; Apple; Linux; Windows

Transport Protoc ol: SMTP Co nsumer Ema il, e.g . ISP ema il; Go og le; Yahoo

Content Protoco l: S/ MIME enc rypte d IHE XDM.zip with BPPC inc lude d

Minimum Standards

Included:

• IHE ITI (inc luding Basic Patient Privac y Consent s Sec tion 5.1 with pd f b od y):

http :/ / www.ihe.ne t/ Tec hnic a l_Fram ewo rk/up loa d/ IHE_ITI_TF_6-0_Vol3_FT_2009-

08-10-2.pdf

• OASIS XSPA XACM L sup p leme nt (spec ific a lly “ Purpo se fo r Use” te rminolog y va lue

set used to p op ulate BPPC hea de r service event c od e a ttribute):

http://www.oasis-

ope n.org/c ommittees/d oc ument.phpd oc ument_id=34164&wg _ab brev=xac ml• US Fed eral C83 Ad dress Spe c ifica tion (used to po pula te BPPC hea de r ad dress

attributes.

• US NHIN Fed era l Elec tronic Signa ture Spec ific a tion (used to sign a utho riza tion

document) Workflows: 1. Und er instruc tion from Home Hea lth Nurse, Ruth signs into to her co nsent

authoring a pp lication loca ted o n her device.

2. Ruth selec ts one o r more OASIS “ Purpo ses of Use” she is approving for he r home

hea lth d ata , inc luding d ata use for resea rc h.

3. Ruth “ signs” the PDF do c ume nt include d in the bo dy o f the BPPC d oc ume nt.

4. Ruth “ submits” the BPPC doc ume nt to S/ MIME-enc rypted pa c kag ing prior to

emailing

5. Ruth e nters the em ail ad dress(es) ac c ording to judg es' instructions and send s the

do c ume nt via Consume r SMTP ema il.

Validation: Ruth Johnson's Sec ure Ema il with a signed BPPC c onsent do c ume nt a pp roving the use o f

her data for research is received by the Academic Challenge email destinations via

Consume r SMTP em ail and the c onte nt is viewed a nd va lida ted by judg es.

Judging: Remo te Web Conferenc e Demo nstration; Challenge Tea ms are sc ored and ranked by

Judging Panel.

http://www.ihe.net/Technical_Framework/upload/IHE_ITI_TF_6-0_Vol3_FT_2009-08-10-2.pdf


http://www.oasis-open.org/committees/document.phpdocument_id=34164&wg_abbrev=xacml






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Planning Guide_2011 Open Health Tools Academic Challenge__v1.1