Orthodontic Informatics

Data, Imaging, and Standards in Orthodontic Practice

Module 3
Global Efforts in Healthcare Interoperability – Where Does Orthodontics Stand?

toni magni, BME - afm@case.edu

Outline

  1. Review
  2. A little history

Review

  • Why am I teaching you this?
  • The Problems
  • Standards: Proprietary vs. Open
  • Hurdles of Standards

Proprietary-based Interoperability

  • Custom APIs made available by Vendors
  • Documentation and implementation availability at discretion of vendor
  • Additional software that acts as bridges between these custom APIs needs to be developed
  • Single implementation allows only two vendors to link together

Proprietary-based Interoperability

  • Expensive solutions
  • When vendor upgrades or changes their product, the API often changes and the bridge brakes
  • Medical provider cannot see what's going on
  • Not sustainable solutions

Open Standards-based Interoperability

  • DICOM/HL7/FHIR: long-lasting standards
  • Documentation and implementation tools available online to everyone
  • Single implementation allows multiple vendor products to link together
  • Less Expensive solutions

Open Standards-based Interoperability

  • When vendor upgrades or changes their software, they keep DICOM/HL7 part the same
  • Medical provider has the opportunity to see what's going on
  • Sustainable solution

Standards Development Process

  • Functional Profiles
  • Standards improvements/corrections
  • Implementation Guidelines/Profiles
  • Testing (Connectathons)

What is going on

Connectathons

Photograph of a Connectathon event, showing many people sharing long desks, which span multiple rows. Each person is an engineer working for a vendor, which is connected to a network and is testing their software with that of other competitors, to ensure proper interoperability.

IHE North America

Connectathons

Photograph of a Connectathon event, showing many people sharing long desks, which span multiple rows. Each person is an engineer working for a vendor, which is connected to a network and is testing their software with that of other competitors, to ensure proper interoperability.

IHE Europe Connectathon 2022 Montreaux

open-ortho.org