Tools to Automate the S&I Platform

A ProposalMarch 29, 2013

DRAFT

DRAFT 2

Growing Portfolio of Module Based Initiatives

But this has led to growing complexity and diverse designs, models and solutions

Doug Fridsma to HITPC – 3/14/13

DRAFT 3

S&I Core Matrix Has Captured and Standardized S&I Initiatives . . .

. . . as Shared, Reusable and Computable Components . . . Now we need a tool to use the Core Matrix

DRAFT 4

Tools to Automate the S&I Platform

USHIKRegistry

RepositoryLink to NLM

NISTTest

Methods

S&ICore Matrix UCAT

IGAT

Business Requirements and

SMEs

Implementable Solutions

CEDD/FHIM/CIMI Data Models and

Mapping

Standards Developers and

Stewards

DRAFT 5

DRAFT 6

NIST Role (Kevin – Frederic to add bullets)• Experience with Use Case Authoring through Smart

Grid• Developed automated test procedures, methods

and tools for CEHRT and Mod Specs• UCAT is based on NIST platform with further

specialization for the S&I Core Matrix by Art Greisser

DRAFT 7

Why UCAT First?

• Foundational to all downstream automation and tools

• Highest leverage is at the beginning analysis and design of an initiative• COnstructive COst Model – Overall effort is doubled if analysis is shortchanged• Correct is hard... but easier than later fix • Ounce of prevention • Measure twice, cut once • “By failing to prepare, you are preparing to fail” Ben Franklin

• Use Cases• Study how users get value from system• Define how users interact with system • Help subsequent efforts deliver value • Are contracts between users & developers

• Refer to Art Griesser Presentation in Appendix

DRAFT 8

Use Case Authoring Tool

DRAFT 9

UCAT Demonstration

• NEED OUTLINE FROM ART• Show how to create a human readable, machine

computable UC example from Core Matrix and UCAT

DRAFT

S&I Simplification – Demonstration of Concept

Use Case Tool StatusCurrent Capabilities• Imported Core Matrix• Captured use case template

structure• Populated completely for LRI

• Can construct new use cases from reusable components

• Can create human readable use cases (in UC template)

• Can curate underlying UC information

• Can use underlying info programmatically• SQL query

• Import: CSV• UCAT Native• Simplification Core Matrix• ISO/HL7 10781/16527 EHR/PHR

System Functional Models

• Export: JSON, CSV

• Ability to clone

Additional Capabilities• Ability to track status of

information• Component Lifecycle Management

Next Steps• Add remaining 14 S&I Use

Cases to UCAT• One-time manual entry• Resolving differences from

template

• Refine Core Matrix master template

• USHIK Integration• S&I Data Integration

• CEDD, FHIM, or CIMI . . .

• Evaluate and design handoff to downstream tools• Implementation Guide Authoring• Testing Tools, MDHT, V2 …

DRAFT 11

• Capture Once, Re-Use Many Times• Each Re-Use Instance = x 1 Savings• Facilitate Cross S&I Initiative

Coordination• Facilitate Cross Agency/Domain

Coordination• Unlocking Value of S&I (maximizes re-

use, return)

• Experience Shows:• AHIC/HITSP: 4 Years, 17 Use

Cases/Initiatives (4+/yr)• S&I: 2 Years, 13 Use Cases/Initiatives

(6+/yr)• With UCAT: ?

• With IGAT, With Test Methods?

Simplification – Automating the S&I PlatformBenefits

UC Requirements

Implementation Guides

Test Methods

Faster, real world adoption

S&I Platform

Automated Tools

DRAFT 12

Appendices

• Gary Dickinson Presentation - DRAFT Use Case Authoring Tool - Simplification Introduction

• Art Greisser Presentation - "Use Cases" Slide Set• Frederick’s Presentation• Link to S&I Core Matrix• Link to USHIK S&I Pilot Site• Link UCAT Portal TBD