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[[Category:Foundational SOA Specifications]]
 +
Return to Main [http://hssp.wikispaces.com SOA WG/HSSP] Page
 +
 +
 
== Overview ==
 
== Overview ==
  
hData is a set of specifications that have been developed with ease-of-implementation in mind. This page is a placeholder for a more comprehensive introduction to hData and its relationship to [[Micro ITS]] and greenCDA.
+
hData is a set of specifications that have been developed with ease-of-implementation in mind. hData was first presented to a wider audience within HL7 as the September 2009 meeting in Atlanta, GA. Since then, hData has first been evalauted as a HL7 research project within the [[ITS_WG|ITS working group]]. The research project culminated in a [http://www.hl7.org/ctl.cfm?action=ballots.home&ballot_cycle_id=522&ballot_voter_id=0 "For Comment" ballot] in January 2011. After a carefull analysis, HL7 decided to standardize hData under the leadership of the [[Service_Oriented_Architecture|SOA working group]] with ITS and [[Modeling_and_Methodology|MnM]] as interested parties.
 +
 
 +
== Specifications ==
 +
 
 +
=== Standardization Status ===
 +
 
 +
hData currently consists of two specifications which have both past the initial peer review:
 +
 
 +
* The [http://www.hl7.org/v3ballot/html/infrastructure/hdata/hdatadf.html HL7 hData Record Format V1] specifies how multiple documents (XML and non-XML media types) containing medical data can be hierarchically organized. It allows metadata management per individual document, signature over files, linking of related documents, and defines the items needed to define a complete hData Content Profile (HCP). The current project scope statement is [[media:HData Record Format Project Scope Statement-v2.doc|here]]. The September 2011 DSTU Ballot reconciliation document can be found [[media:V3 ITS HDATA RF R1 D1 2011SEP Consolidated-working copy 20111128.xlsx|here]].
 +
 +
* The [http://doc.omg.org/health/11-09-04 hData REST Binding for RLUS V1] specifies how a record adhering to the HRF specification can be access through a RESTful approach using HTTP as the transport protocol. It is a [http://www.omg.org Object Management Group] (OMG) specification that was developed by the HL7/OMG [http://hssp.wikispaces.com HSSP collaboration].
 +
 
 +
 
 +
=== Introduction ===
  
 
<center>
 
<center>
Line 9: Line 26:
 
hData requires strong separation of the technical representation and transport technology on the one side, and the clinical content of an electronic health record on the other side. To this end, hData has the concept of hData Content Profiles (HCP), which define what kind of content is represented and transport through hData. It should be note that conceptually CDA and hData are similar in their approach to representing data points in a hierarchical way.  
 
hData requires strong separation of the technical representation and transport technology on the one side, and the clinical content of an electronic health record on the other side. To this end, hData has the concept of hData Content Profiles (HCP), which define what kind of content is represented and transport through hData. It should be note that conceptually CDA and hData are similar in their approach to representing data points in a hierarchical way.  
  
[[Micro ITS]] and hData are complimentary. Conceptually, Micro ITS provides a generalized mechanism for defining Domain Specific Markup Languages (DSML) to represent RIM content models. The following diagram illustrates the integration pattern:  
+
It should be noted that the two specification are not an ITS in the traditional sense, since they do not determine how a logical model is implemented and rendered on the wire. Instead, the HRF organizes existing “exchangeable goods” such as HL7 artifacts, other XML documents, and other media types (including images and other binary data) in a hierarchical structure and provides data pedigree meta data.
 +
 
 +
hData records may adhere to the content required by an hData Content Profile (HCP): a content profile prescribes the required and optional content a record must provide, and allocates the place for the Section Documents within the hierarchical structure. Note that a single hData record can be compliant with multiple HCPs.
 +
 
 +
 
 +
{| border="1"
 +
|
 +
=== HCP Example ===
 +
 
 +
* HCP1 requires that a given hData record provides all available CCDs for a patient at /ccd within the hData record.
 +
* HCP2 requires that a given hData record provide simplified allergies and current medication at /simple/allergies and /simple/meds within the hData record.  
 +
* HCP3 requires that available x-ray images in DICOM format are provided at /imaging/x-rays within the hData record. 
 +
The following record would be compliant with all three HCPs:
 +
 
 +
<pre>/ -
 +
  + /ccd
 +
  + /imaging/x-rays
 +
  - /simple  -
 +
            + /allergies
 +
            - /meds
 +
</pre>
 +
 
 +
Other combinations are possible as well.
 +
|}
 +
 
 +
=== Relationship with HL7 Framework ===
 +
 
 +
The illustration below was created by the ArB and annotated by hData to illustrate how hData fits into the HL7 SAIF:  
  
 
<center>
 
<center>
[[Image:HData-HL7 Layer Cake.png]]
+
[[Image:Relationships among groups and artifacts - hData additions-v3.png]]
 
</center>
 
</center>
  
== Documentation ==
+
== Supporting Documentation ==
 +
 
 +
 
 +
=== Metadata Mapping ===
 +
 +
:This section is meant to establish a mapping between the IHE XDS Metadata, the CDA R2 Headers, and the hData Metadata model.
 +
 
 +
:{| border="1"
 +
|  | '''IHE XDS Metadata'''
 +
|  | '''CDA R2 Metadata'''
 +
|    | '''hData Metadata'''
 +
 
 +
|-
 +
|| availabilityStatus
 +
|| ClinicalDocument.statusCode
 +
|| n/a
 +
 
 +
|-
 +
|| authorInstitution
 +
|| ClinicalDocument.author.representedOrganization
 +
|| /hrf-md:PedigreeInfo/hrf-md:Organization ?
 +
 
 +
|-
 +
|| authorPerson
 +
|| ClinicalDocument.author.person
 +
|| /hrf-md:PedigreeInfo/hrf-md:Author&nbsp;
 +
 
 +
|-
 +
|| authorRole
 +
|| ClinicalDocument.author.code(RoleCode)
 +
|| /hrf-md:PedigreeInfo/hrf-md:Author/@role
 +
 
 +
|-
 +
|| authorSpecialty
 +
|| ClinicalDocument.author.functionCode(ParticipationFunction)
 +
|| n/a
 +
 
 +
|-
 +
|| classCode
 +
|| ClinicalDocument.code.code (duplicate of XDS/typeCode)
 +
|| n/a
 +
 
 +
|-
 +
|| classCodeDisplayName
 +
|| ClinicalDocument.code.displayName (duplicate of XDS/typeCode)
 +
|| n/a
 +
 
 +
|-
 +
|| confidentialityCode
 +
|| ClinicalDocument.confidentialityCode
 +
|| being added?
 +
 
 +
|-
 +
|| confidentialityCodeDisplayName
 +
|| ClinicalDocument.confidentialityCode
 +
|| n/a
 +
 
 +
|-
 +
|| creationTime
 +
|| ClinicalDocument.effectiveTime
 +
|| /hrf-md:DocumentMetaData/hrf-md:RecordDate/hrf-md:CreatedDateTime&nbsp;
 +
 
 +
|-
 +
|| entryUUID
 +
|| n/a
 +
|| n/a
 +
 
 +
|-
 +
|| eventCodeList
 +
|| ClinicalDocument.documentationOf(type:ServiceEvent).code.code
 +
|| n/a
 +
 
 +
|-
 +
|| eventCodeDisplayNameList
 +
|| ClinicalDocument.documentationOf(type:ServiceEvent).code.displayName
 +
|| n/a
 +
 
 +
|-
 +
|| formatCode
 +
|| ClinicalDocument.text.mediaType.code
 +
|| n/a
 +
 
 +
|-
 +
|| formatCodeDisplayName
 +
|| ClinicalDocument.text.mediaType.displayName
 +
|| n/a
 +
 
 +
|-
 +
|| hash
 +
|| n/a
 +
|| n/a
 +
 
 +
|-
 +
|| healthcareFacilityTypeCode
 +
|| ClinicalDocument.componentOf(type:encompassingEncounter).location(type:HealthCareFacility).code.code
 +
|| n/a
 +
 
 +
|-
 +
|| healthcareFacilityTypeCodeDisplayName
 +
|| ClinicalDocument.componentOf(type:encompassingEncounter).location(type:HealthCareFacility).code.displayName
 +
|| n/a
 +
 
 +
|-
 +
|| legalAuthenticator
 +
|| ClinicalDocument.legalAuthenticator
 +
|| n/a
 +
 
 +
|-
 +
|| languageCode
 +
|| ClinicalDocument.languageCode
 +
|| n/a
 +
 
 +
|-
 +
|| mimeType
 +
|| ClinicalDocument.text.mediaType.code
 +
|| n/a
 +
 
 +
|-
 +
|| parentDocumentRelationship
 +
|| ClinicalDocument.relatedDocument(ParentDocument).code
 +
|| n/a
 +
 
 +
|-
 +
|| parentDocumentId
 +
|| ClinicalDocument.relatedDocument(type:ParentDocument).id
 +
|| /hrf-md:DocumentMetaData/hrf-md:LinkedDocuments/hrf-md:Target (no relationship type)
 +
 
 +
|-
 +
|| patientId
 +
|| n/a (there is a sourcePatientId, but this isn't the same as the affinity-domain-specific patientId field)
 +
|| n/a
 +
 
 +
|-
 +
|| practiceSettingCode
 +
|| ClinicalDocument.componentOf(type:encompassingEncounter).location(type:HealthCareFacility).code.code (duplicate of XDS/practiceSettingCode)
 +
|| n/a
 +
 
 +
|-
 +
|| practiceSettingCode DisplayName
 +
|| ClinicalDocument.componentOf(type:encompassingEncounter).location(type:HealthCareFacility).code.displayName (duplicate of XDS/practiceSettingCode)
 +
|| n/a
  
=== Strawman Draft Specifications ===
+
|-
 +
|| serviceStartTime
 +
|| ClinicalDocument.documentationOf(type:ServiceEvent).efffectiveTime.low
 +
|| n/a
  
* The basic [[hData Record Format]] (HRF) specification describes the overall data organization. Central to the idea of data representation within hData is the ideal of linked documents: while individual data points (such as e.g. a specific allergy or medication) are accessible directly, their entirety and their explicit relationship within an hData record reflect the complete EHR record.  
+
|-
** An [http://github.com/projecthdata/lab-content-profile/tree/master/hdata-examples/simple/ example hData Record], capturing a lab order and result. Again, for this example it is important to note that the content of the structure is independent of its structure.
+
|| serviceStopTime
* The [[hData RESTful API]] specification describes the RESTful API defined of an hData record and a simple messaging interface.
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|| ClinicalDocument.documentationOf(type:ServiceEvent).efffectiveTime.high
 +
|| n/a
  
=== Requirements Document ===
+
|-
 +
|| size
 +
|| &nbsp;
 +
|| n/a
  
* The [[hData Security Requirements]] paper outlines the concepts and requirements for securing RESTful hData exchanges.  
+
|-
 +
|| sourcePatientId
 +
|| ClinicalDocument.recordTarget(type:R_patient).id
 +
|| n/a
  
=== Structured Document Template Design Pilot ===
+
|-
 +
|| sourcePatientInfo
 +
|| ClinicalDocument.recordTarget(type:R_patient)
 +
|| n/a
 +
 
 +
|-
 +
|| title
 +
|| ClinicalDocument.title
 +
|| in atom:title
 +
 
 +
|-
 +
|| typeCode
 +
|| ClinicalDocument.code.code (duplicate of XDS/classCode)
 +
|| n/a
  
hData is part of the [[Structured Document Template Design Pilot]], progress can be tracked on the [[HData Template Sub Project]] page. Within this pilot it is demonstrated that hData can be made conceptually equivalent to a CDA based approach: the content of an CDA document and an hData record following the rules of the HRF specification are isomorphic, as long as an hData Content Profile is used that supports all features used in the CDA instance.
+
|-
 +
|| typeCodeDisplayName
 +
|| ClinicalDocument.code.displayName (duplicate of XDS/classCode)
 +
|| n/a
  
=== Example Schemas for Simplified C32/C83 content ===
+
|-
 +
|| uniqueId
 +
|| ClinicalDocument.id
 +
|| /hrf-md:DocumentMetaData/hrf-md:DocumentId AND atom:id
  
Project hData produced simplified schemas for content at http://github.com/projecthdata/hData These schemas were derived from the content of the HITSP C83 profile of the HL7 CCD. It was not created with a rigorously defined algorithm (like greenCDA or [[microITS]]). Instead it is focused on simple constructs, removal of static content, and business names for elements.
+
|-
 +
|| URI
 +
|| ClinicalDocument.text.reference (ED.reference can be document filename and/or URL)
 +
|| in atom:link
  
 +
|}
  
=== Presentation Material ===
+
=== Structured Document Template Design Pilot ===
  
 +
hData is part of the [[Structured Document Template Design Pilot]], progress can be tracked on the [[HData Template Sub Project]] page. Within this pilot it is demonstrated that hData can be made conceptually equivalent to a CDA based approach: the content of an CDA document and an hData record following the rules of the HRF specification are isomorphic, as long as an hData Content Profile is used that supports all features used in the CDA instance.
  
 +
=== Example Schemas for Simplified C32/C83 content ===
  
=== Links ===
+
Project hData initially produced a set of simplified schemas as wireformat for content (see [http://github.com/projecthdata/hData here] for more information). These schemas were derived from the content of the HITSP C83 profile of the HL7 CCD. It was not created with a rigorously defined algorithm (like greenCDA), since it was only intended to illustrate the potential benefit of simplified wireformats for a number of non-traditional applications, such as low-powered devices, rich internet applications, and other agile projects.
  
Project hData was started by MITRE and is currently hosted on http://projecthdata.org/
+
The current hData specification '''do not''' require the simplified schemas. Instead, hData offers the HCP methods to define content profiles for domain specific use. The content profiles will use standard HL7 v3 artifacts, but may also use simplified wireformats once they become available (e.g. through greenCDA or neutral mapping).  
  
== Code ==
+
== References ==
  
Sample code and XML schemas capturing the HITSP/C32 profile of the HL7 CCD can be found on http://github.com/projecthdata
+
=== Templates ===
  
== Example Walkthrough ==
+
The hData Content Profile Documentation Template can be found here: [[File:HData Content Profile Definition Template-20120210.docx]]
  
In this example, we will show a hData record that contains patient information, results and dicom images. The definition of what those components are is out of scope for the record format. If we have serialized this record to disk, this is what the structure would look like:
+
=== Presentation Material ===
<pre>
 
example-hrd/
 
|-- images
 
|  |-- mri_of_knee.dicom
 
|  `-- section.xml
 
|-- patient_information
 
|  |-- 1.xml
 
|  `-- section.xml
 
|-- results
 
|  |-- 1234abc3248.xml
 
|  `-- section.xml
 
`-- root.xml
 
</pre>
 
  
The contents of the hData Record are described within the '''root.xml'''. document. Here is what an hData Root document for this example might look like:
+
[[media:Security WG Presentation-v2.pptx|This]] presentation was used to illustrate the general security concept for hData.  
  
<pre>
+
=== Overview Videos ===
<?xml version="1.0" encoding="UTF-8"?>
 
<root xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
 
xmlns="http://projecthdata.org/hdata/schemas/2009/06/core">
 
    <documentId>125123124312</documentId>
 
    <version>0.10</version>
 
    <created>2010-02-09</created>
 
    <lastModified>2010-02-09</lastModified>
 
    <extensions>
 
        <extension>http://projecthdata.org/hdata/schemas/2009/06/patient_information</extension>
 
        <extension>http://projecthdata.org/hdata/schemas/2010/01/result</extension>
 
        <extension>http://projecthdata.org/hdata/profile/2010/06/dicom_image</extension>
 
    </extensions>
 
    <sections>     
 
      <section typeId="http://projecthdata.org/hdata/schemas/2009/06/patient_information" path="patient_information" name="Patient Information"/>
 
      <section typeId="http://projecthdata.org/hdata/schemas/2009/06/result" path="results" name="Results"/>
 
      <section typeId="http://projecthdata.org/hdata/schemas/2010/06/dicom_image" path="images" name="Images"/>
 
    </sections>
 
</root>
 
</pre>
 
  
This root document contains some basic metadata about itself: an identifier, the version of the hData Record Format that it conforms to, as well as its created and modified date.
+
The MITRE Corporation has created a set of overview videos [http://www.projecthdata.org/videos.html here].
  
The document then goes on to register extensions. These extensions provide rules on what can appear in sections that register themselves with the extension. How these rules are defined is out of scope for the record format. The record format only requires that a unique string is used to identify an extension. It is recommended, but not necessary, that the string be a URL where information can be found about the extension. If the extension is describing XML documents, it is again recommended that the URL resolve to an XML Schema for the documents that this extension is describing. This is not required by the specification. Additionally, how an XML Schema or any other rules about how that XML document are constructed are out of scope of the record format.
+
=== Links ===
  
As an example, an extension may be identified by a URL that points to a CDA Template Registry that lists templates that should be applied to CDA documents that would be stored in a hData section. Alternatively, an extension may be identified by a URL that resolves to an XML Schema that has been derived by a microITS or greenCDA process.
+
Project hData was started by MITRE and is currently hosted on http://projecthdata.org/
  
Extension identifiers may also resolve to documentation on what may appear in sections. An extension may describe the structure of [http://www.json.org/ JSON] documents it expects to be used in a section.
+
Historical material from the project is available [[HData/Archive|here]].

Latest revision as of 14:14, 10 February 2012

Return to Main SOA WG/HSSP Page


Overview

hData is a set of specifications that have been developed with ease-of-implementation in mind. hData was first presented to a wider audience within HL7 as the September 2009 meeting in Atlanta, GA. Since then, hData has first been evalauted as a HL7 research project within the ITS working group. The research project culminated in a "For Comment" ballot in January 2011. After a carefull analysis, HL7 decided to standardize hData under the leadership of the SOA working group with ITS and MnM as interested parties.

Specifications

Standardization Status

hData currently consists of two specifications which have both past the initial peer review:

  • The HL7 hData Record Format V1 specifies how multiple documents (XML and non-XML media types) containing medical data can be hierarchically organized. It allows metadata management per individual document, signature over files, linking of related documents, and defines the items needed to define a complete hData Content Profile (HCP). The current project scope statement is here. The September 2011 DSTU Ballot reconciliation document can be found here.


Introduction

HData Specification Suite.png

hData requires strong separation of the technical representation and transport technology on the one side, and the clinical content of an electronic health record on the other side. To this end, hData has the concept of hData Content Profiles (HCP), which define what kind of content is represented and transport through hData. It should be note that conceptually CDA and hData are similar in their approach to representing data points in a hierarchical way.

It should be noted that the two specification are not an ITS in the traditional sense, since they do not determine how a logical model is implemented and rendered on the wire. Instead, the HRF organizes existing “exchangeable goods” such as HL7 artifacts, other XML documents, and other media types (including images and other binary data) in a hierarchical structure and provides data pedigree meta data.

hData records may adhere to the content required by an hData Content Profile (HCP): a content profile prescribes the required and optional content a record must provide, and allocates the place for the Section Documents within the hierarchical structure. Note that a single hData record can be compliant with multiple HCPs.


HCP Example

  • HCP1 requires that a given hData record provides all available CCDs for a patient at /ccd within the hData record.
  • HCP2 requires that a given hData record provide simplified allergies and current medication at /simple/allergies and /simple/meds within the hData record.
  • HCP3 requires that available x-ray images in DICOM format are provided at /imaging/x-rays within the hData record.

The following record would be compliant with all three HCPs:

/ -	
  + /ccd
  + /imaging/x-rays
  - /simple  - 
             + /allergies
             - /meds

Other combinations are possible as well.

Relationship with HL7 Framework

The illustration below was created by the ArB and annotated by hData to illustrate how hData fits into the HL7 SAIF:

Relationships among groups and artifacts - hData additions-v3.png

Supporting Documentation

Metadata Mapping

This section is meant to establish a mapping between the IHE XDS Metadata, the CDA R2 Headers, and the hData Metadata model.
IHE XDS Metadata CDA R2 Metadata hData Metadata
availabilityStatus ClinicalDocument.statusCode n/a
authorInstitution ClinicalDocument.author.representedOrganization /hrf-md:PedigreeInfo/hrf-md:Organization ?
authorPerson ClinicalDocument.author.person /hrf-md:PedigreeInfo/hrf-md:Author 
authorRole ClinicalDocument.author.code(RoleCode) /hrf-md:PedigreeInfo/hrf-md:Author/@role
authorSpecialty ClinicalDocument.author.functionCode(ParticipationFunction) n/a
classCode ClinicalDocument.code.code (duplicate of XDS/typeCode) n/a
classCodeDisplayName ClinicalDocument.code.displayName (duplicate of XDS/typeCode) n/a
confidentialityCode ClinicalDocument.confidentialityCode being added?
confidentialityCodeDisplayName ClinicalDocument.confidentialityCode n/a
creationTime ClinicalDocument.effectiveTime /hrf-md:DocumentMetaData/hrf-md:RecordDate/hrf-md:CreatedDateTime 
entryUUID n/a n/a
eventCodeList ClinicalDocument.documentationOf(type:ServiceEvent).code.code n/a
eventCodeDisplayNameList ClinicalDocument.documentationOf(type:ServiceEvent).code.displayName n/a
formatCode ClinicalDocument.text.mediaType.code n/a
formatCodeDisplayName ClinicalDocument.text.mediaType.displayName n/a
hash n/a n/a
healthcareFacilityTypeCode ClinicalDocument.componentOf(type:encompassingEncounter).location(type:HealthCareFacility).code.code n/a
healthcareFacilityTypeCodeDisplayName ClinicalDocument.componentOf(type:encompassingEncounter).location(type:HealthCareFacility).code.displayName n/a
legalAuthenticator ClinicalDocument.legalAuthenticator n/a
languageCode ClinicalDocument.languageCode n/a
mimeType ClinicalDocument.text.mediaType.code n/a
parentDocumentRelationship ClinicalDocument.relatedDocument(ParentDocument).code n/a
parentDocumentId ClinicalDocument.relatedDocument(type:ParentDocument).id /hrf-md:DocumentMetaData/hrf-md:LinkedDocuments/hrf-md:Target (no relationship type)
patientId n/a (there is a sourcePatientId, but this isn't the same as the affinity-domain-specific patientId field) n/a
practiceSettingCode ClinicalDocument.componentOf(type:encompassingEncounter).location(type:HealthCareFacility).code.code (duplicate of XDS/practiceSettingCode) n/a
practiceSettingCode DisplayName ClinicalDocument.componentOf(type:encompassingEncounter).location(type:HealthCareFacility).code.displayName (duplicate of XDS/practiceSettingCode) n/a
serviceStartTime ClinicalDocument.documentationOf(type:ServiceEvent).efffectiveTime.low n/a
serviceStopTime ClinicalDocument.documentationOf(type:ServiceEvent).efffectiveTime.high n/a
size   n/a
sourcePatientId ClinicalDocument.recordTarget(type:R_patient).id n/a
sourcePatientInfo ClinicalDocument.recordTarget(type:R_patient) n/a
title ClinicalDocument.title in atom:title
typeCode ClinicalDocument.code.code (duplicate of XDS/classCode) n/a
typeCodeDisplayName ClinicalDocument.code.displayName (duplicate of XDS/classCode) n/a
uniqueId ClinicalDocument.id /hrf-md:DocumentMetaData/hrf-md:DocumentId AND atom:id
URI ClinicalDocument.text.reference (ED.reference can be document filename and/or URL) in atom:link

Structured Document Template Design Pilot

hData is part of the Structured Document Template Design Pilot, progress can be tracked on the HData Template Sub Project page. Within this pilot it is demonstrated that hData can be made conceptually equivalent to a CDA based approach: the content of an CDA document and an hData record following the rules of the HRF specification are isomorphic, as long as an hData Content Profile is used that supports all features used in the CDA instance.

Example Schemas for Simplified C32/C83 content

Project hData initially produced a set of simplified schemas as wireformat for content (see here for more information). These schemas were derived from the content of the HITSP C83 profile of the HL7 CCD. It was not created with a rigorously defined algorithm (like greenCDA), since it was only intended to illustrate the potential benefit of simplified wireformats for a number of non-traditional applications, such as low-powered devices, rich internet applications, and other agile projects.

The current hData specification do not require the simplified schemas. Instead, hData offers the HCP methods to define content profiles for domain specific use. The content profiles will use standard HL7 v3 artifacts, but may also use simplified wireformats once they become available (e.g. through greenCDA or neutral mapping).

References

Templates

The hData Content Profile Documentation Template can be found here: File:HData Content Profile Definition Template-20120210.docx

Presentation Material

This presentation was used to illustrate the general security concept for hData.

Overview Videos

The MITRE Corporation has created a set of overview videos here.

Links

Project hData was started by MITRE and is currently hosted on http://projecthdata.org/

Historical material from the project is available here.