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项挑战，因为炉管IT系统和组织结构阻碍了这一挑战。我们这一第二阶段项目的目标是开发医疗紧急灾难响应网络(MEDRN)的操作原型，该网络为公共卫生、第一响应人员和危机管理人员提供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协作的手段，以及iii)一种跨组织和司法管辖区获得全球通用操作画面的机制。MEDRN基于Semandex开发并由国防部成功部署的语义分布式网络技术。在第一阶段，我们证明了该技术实施MEDRN的可行性；在第二阶段，我们计划为第一反应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)为医疗灾难响应建立一个最小通用本体(MCO)，该本体借用紧急响应和公共卫生术语来定义集成这些社区中的不同信息系统所需的最小概念集。实际上，MCO将提供调解语言，允许需要NxN集成点的问题只需要N。此外，我们计划b)纳入公共卫生和紧急响应消息标准，如CAP、HL7、Phin-MS、LOINC等，以与现有的健康和生物监测系统互连，以及c)添加满足HIPAA标准的最低隐私和安全功能集，以传输受保护的健康数据。最后，我们将通过在跨功能连接其操作系统的社区中进行现场试验来评估MEDRN。这项工作的长期目标是实施灾难应对的“信息互助网”：用户社区共享他们的信息，并从他人的信息中受益。Semandex通过提供访问和收费管理MEDRN来盈利。MEDRN的技术不仅可以在危机管理和生物监测方面帮助公共卫生，还可以在实施国家医疗保健信息基础设施方面帮助公众。

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.