Medical Emergency Disaster Response Network

医疗危机的有效应对需要多方的参与和合作 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， 他人直到今天，信息发现和共享仍然是一个挑战，因为烟囱式IT系统和 我们的第二阶段项目的目标是开发一个可操作的 医疗紧急救灾网络（MEDRN）的原型，首先提供公共卫生服务， 响应者和危机管理者i）安全访问分布式信息源（例如后勤，医院， 实验室等），ii）通过横向共享信息进行合作的手段，iii）获得全球信息共享的机制。 跨组织和司法管辖区的共同运营情况。MEDRN基于语义 分布式网络技术由Semandex开发，并由美国国防部成功部署。 防御在第一阶段，我们证明了实施MEDRN的技术的可行性; 我们计划为第一反应小组提供大规模信息共享的机制， 公共卫生为此，我们计划a）建立一个医疗灾难的最小公共本体（MCO 借用应急响应和公共卫生术语来定义最小集合的响应 这些概念是在这些社区中集成异构信息系统所必需的。在 MCO将提供允许需要NxN集成的问题的中介语言 只需要N。此外，我们计划B）将公共卫生和应急反应纳入 通信标准，如CAP，HL 7，PHIN-MS，LOINC等，以与现有的健康和生物 监控系统，以及c）添加满足HIPAA的最低限度的隐私和安全功能集 传输受保护的健康数据的标准。最后，我们将d）通过进行一项 在一个社区中进行现场试用，将其操作系统跨功能连接起来。长期目标是 工作是实施灾难响应的“信息互助网络”：用户社区分享他们的 信息，并从他人的信息中获益。Semandex通过提供访问和管理 MEDRN收费。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，但也与实施国家医疗保健信息基础设施。

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 andjurisdictions. 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- surveillence 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.