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。时至今日，由于IT系统和组织结构的阻碍，信息发现和共享仍然是一个挑战。我们这个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、急救人员和危机管理人员提供i)对分布式信息源（例如后勤、医院、实验室等）的安全访问，II)通过横向共享信息进行协作的手段，以及iii)一种机制，以获得跨组织和司法管辖区的全球共同运营情况。MEDRN基于语义分布式网络技术，该技术由Semandex公司开发，已被美国国防部成功部署。在第一阶段，我们证明了该技术实现MEDRN的可行性；对于第二阶段，我们计划在第一反应小组和公共卫生部门之间提供大规模信息共享机制。为此，我们计划a)建立医疗灾难响应的最小公共本体（MCO），该本体借鉴应急响应和公共卫生术语来定义集成跨这些社区的异构信息系统所需的最小概念集。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。此外，我们计划b)将公共卫生和应急响应消息标准（如CAP、HL7、PHIN-MS、LOINC等）与现有的健康和生物监测系统互连，以及c)为受保护的健康数据的传输添加满足HIPAA标准的最低隐私和安全功能集。最后，我们将d)通过在连接其跨功能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现灾害响应的“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通过提供访问和收费管理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卫生保健信息基础设施。

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.