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7:30 - 9:15 AM, Baltimore, MD

MedBiquitous Annual Conference, May 15 2008

Attending: Morgan Bantly, Chair; Gabrielle Dampbell, Palle Pedersen, Trever Bryant, Robert Cunningham, Rachel Ellaway, Chris Stephens, Andrea Bergquist, Dawn Carroll, Nancy Gathany, Richard Miller, Carl Singer, Charlie Atkinson, Brandon Henry

Morgan provided an overview of Healthcare LOM. It is an XML standard for the metadata associated with learning content and activities. It facilitates cataloguing large repositories of healthcare content and makes it easier to find and exchange content. It can also enable searching for content across organizations and systems. Healthcare LOM has been approved as an ANSI standard, and now the working group is seeking to support implementation.

The group has also been discussing licensing and consent issues that arise when content is broadly shared using Internet technologies and standards. A small group met with a creative commons representative to discuss this on the 13th. Creative Commons is a common licensing model for those seeking to enable sharing, distribution, or modification of their work. The licensing group discussed adding descriptors to creative commons to describe whether consent was required or obtained and whether limitations on that consent exist. The Association of American Medical Colleges and the Association of Faculties of Medicine of Canada will be leading work in this area. For this working group, the important thing to explore is the link to Healthcare LOM.

Rachel asked Morgan to clarify what the working group's role was now that the standard is approved. Should the group disband? Morgan explained that the working group has an important role in gathering feedback on the standard to shape future versions of the standard. Valerie commented that the standard must be re-approved or modified within 5 years; the working group plays an important role in maintaining the standard. Morgan suggested sticking with the scheduled working group meetings initially to achieve communication and implementation goals and then pulling back on the schedule. He recommended developing a mechanism for feedback. The group suggested having an open access wiki or forum for this purpose. (Staff note - an open working group call could be helpful as well)

Rachel asked if it would be appropriate to change the name of the group to being an implementation group rather than a working group. Valerie commented that there would be process implications of that name change and she offered to research the issue. The group asked if a reference implementation of Healthcare lom would be created, such as a Moodle implementation. Valerie commented that it would be great to have a reference implementation, but that development resources are constrained.

Dawn commented that within the VA they have been working on some new vocabularies and additional metadata. She would be happy to feed that information back to the working group. The group questioned how one captures implementation solutions and what should be in the specification and what should be an extension? A wiki or discussion forum could be helpful in capturing the solutions adopted.

The group also encouraged that MedBiquitous test and market compliance. Valerie explained that she has been working on a process for marketing compliance through the MedBiquitous XML logo. There are some important points to consider. She plans to discuss this process with the Executive Committee.

Rachel commented that Healthcare LOM is used by other standards and working groups and that those issues need to be considered as well. Should there be a separate process for communicating with other working groups? Valerie commented that she strives to keep the groups coordinated, but that more direct communications were certainly possible.

Richard described a project underway at American Academy of Dermatology. They have a core curriculum task force that is developing specialty subcategories. All curriculum, assessment, and self improvement activities need to map to the core curriculum. Would healthcare LOM facilitate that mapping. Morgan answered yes, it would.

Rachel commented that the eViP virtual patient project is using healthcare lom, but they are not using any of the Healthcare Metadata subelements. They have added several new elements, including virtual patient age, sex, originating system, learning context, used by students, and VP type. Valerie agreed that describing virtual patients could certainly be added to the implementation guidelines. The group also recommended adding how you describe blended learning activities.