Diapositiva 1

1
in collaboration with
National Research Council Institute of Clinical
Physiology
ASL Br
Managing COPD The Reference Model Adopted by ASL
Brindisi, Italy
HL7 Italia "Open Days" HL7 International RIMBAA
Meeting
September 15 16, 2010 Rome, Italy
Saverio Sabina Researcher at the National
Research Council Institute of Clinical Physiology
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The context
Pulmonary Service HRC (implementation and
start-up)
SIATA Project (February 2008)
ISO 9001 Quality Certification
Started (January 2009)
Achieved (May 2010)
t
2006
2008
2009
2010
2007
Research project Methodologies and tools for the
standardization of diagnostic and therapeutic
pathways Management of patients with
CRI (October 2006)
CCM project Territorial Care Model for Patients
with CRI (July 2010)
Joint activities planned and implemented (2009
2010) CCM project Support for Tobacco
Control Initiatives Web site
pneumologiaterritoriale.it / .org Web-based
implementation of SGHRQ COPD Reference Model
(and its implementation)
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Why a Reference Model?
Specification vital to understand and agree upon
all requirements
An easy to interpret intermediate representation
method
Very complex
Nonintuitive
Technology driven

Flow charts
ER diagrams
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Why a Reference Model?
A Reference Model consists of a minimal set of
unifying concepts, axioms and relationships
within a particular problem domain, and is
independent of specific standards, technologies,
implementations, or other concrete details
MacKenzie M, et al. Reference Model for Service
Oriented Architecture. OASIS Committee Draft 1.0,
February 2006.
Health workers are people engaged in actions
whose primary intent is to enhance health
(doctors, nurses, midwives, pharmacists,
laboratory technicians, hospital managers,
financial officers, cooks, drivers and cleaners).
Health workers and their activities
WHO definition http//www.who.int/mediacentre/fac
tsheets/fs301/en/index.html
Types of modeling
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Levels of abstraction
Next step
High
Informative level Domain maps, models, ontologies
Processes, practices, workflows, scenarios, use
cases, context and systems
Medium
Normative level Specifications, orchestration /
choreographic models, reference implementations,
architectures
Low
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Why UML?
Most of the research in the field of reference
modeling concentrates on an application or
domain-specific selection of established
languages for information modeling. The spectrum
of reasons for the selection of these languages
ranges from the basic orientation on paradigms
(e.g. object-oriented or non-object-oriented) or
modeling methods (e.g. ARIS or UML) to the
absolutely uncritical and unreflected use of
these languages.
Thomas O, et al. REFERENCE MODEL-BASED EVENT
MANAGEMENT. International Journal of Event
Management Research. 2008. 4 (1)38-57.
Needs according temporal and human context (100
true)
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Investigated guidelines
- GOLD 2008
- Thoracic British Society 2004, commissioned by
NICE
UML package diagram dependence of the reference
model from the GOLD guidelines on COPD
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UML package diagram of COPD diagnosis and
management
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UML activity diagram of COPD diagnosis
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UML activity diagram of Severe COPD (stage III)
laboratory tests
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Working Group

• Saverio Sabina
• (Health IT Researcher)

• Carlo Giacomo Leo
• (Health Economics Researcher)

National Research Council Institute of Clinical
Physiology

• Roberto Guarino
• (Health IT Technician)

• Eugenio Sabato
• (Head of Pulmonary Service)

• Roberto Malorgio
• (Responsible of Respiratory Physiopathology
  Laboratory)

• Mariarita Minerba
• (Health IT Technologist)