Medical Emergency Disaster Response Network

描述（由申请人提供）：有效应对医疗危机需要许多实体的参与和合作，包括紧急医疗服务，警察和消防部门，医院，实验室和公共卫生等。直到今天，信息发现和共享仍然是一个挑战，因为烟囱IT系统和组织结构阻碍了它。我们的第二阶段项目的目标是开发一个医疗紧急灾害响应网络（MEDRN）的操作原型，为公共卫生，第一反应者和危机管理者提供i）安全访问分布式信息源（例如物流，医院，实验室等），ii）通过横向共享信息进行协作的手段，iii）获得跨组织和管辖区的全球共同运营情况的机制。MEDRN基于Semandex开发的语义分布式网络技术，并由国防部成功部署。在第一阶段，我们证明了实施MEDRN的技术的可行性;在第二阶段，我们计划为第一响应者群体和公共卫生之间的大规模信息共享提供机制。为此，我们计划a）建立一个最小的公共本体（MCO）的医疗灾害响应，借用应急响应和公共卫生术语来定义的最小集合的概念，需要在这些社区集成异构信息系统。实际上，MCO将提供中介语言，允许需要NxN集成点的问题只需要N个。此外，我们计划B）纳入公共卫生和紧急响应信息标准，如CAP、HL 7、PHIN-MS、LOINC等，以与现有的卫生和生物监测系统互连，以及c）增加一套最低限度的隐私和安全功能，以满足HIPAA标准，用于传输受保护的健康数据。最后，我们将d）通过在一个将其操作系统跨功能连接起来的社区中进行现场试验来评估MEDRN。这项工作的长期目标是建立一个救灾的“信息互助网络”：用户社区分享他们的信息，并从其他人的信息中受益。Semandex通过收费提供访问和管理MEDRN获利。MEDRN的技术不仅可以帮助公共卫生进行危机管理和生物监测，还可以帮助实施国家医疗保健信息基础设施。

DESCRIPTION (provided by applicant): The effective response to a medical crisis requires the participation and cooperation of many entities including emergency medical services, police and fire departments, hospitals, labs, and public health among others. To this day information discovery and sharing is a challenge because of stove-pipe IT systems and organizational structures that impede it. Our goal for this Phase II project is to develop an operational prototype of a Medical Emergency Disaster Response Network (MEDRN) that provides public health, first responders and crisis managers i) secure access to distributed sources of information (e.g logistic, hospital, lab, etc.), ii) a means to collaborate by sharing information horizontally, and iii) a mechanism to gain a global common operating picture across organizations and jurisdictions. MEDRN is based on the semantic distributed network technology developed by Semandex and successfully deployed by the Department of Defense. During Phase I we proved the feasibility of the technology to implement the MEDRN; for Phase II we plan to provide the mechanisms for large scale information sharing among first responder groups and public health. To that effect we plan to a) build a minimum common ontology (MCO) for medical disaster response that borrows from emergency response and public health terminologies to define the minimum set of concepts that are required to integrate heterogeneous information systems across those communities. In effect the MCO will provide the mediation language that allows a problem that requires NxN integration points to demand only N. In addition, we plan to b) incorporate public health and emergency response messaging standards such as CAP, HL7, PHIN-MS, LOINC, etc. to interconnect with existing health and bio- surveillance system, and c) to add a minimum set of privacy and security features that satisfy HIPAA standards for the transmission of protected health data. Finally, we will d) evaluate MEDRN by conducting a live trial in a community that connects their operational systems across functions. The long-term goal of this work is to implement an "information mutual aid network" for disaster response: user communities share their information and benefit from the information of others. Semandex profits by providing access and managing MEDRN for a fee. MEDRN's technology can help public health not only with crisis management and bio- surveillance, but also with implementing the National Healthcare Information Infrastructure.