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Message from David Ingram about openEHR
Announcement of the Formation of the openEHR Architecture Review Board
(ARB) and launch of the new openEHR Web Site and Repository
openEHR takes an important step forward here today with the announcement of
the formation of the openEHR Architecture Review Board (ARB).
This is accompanied by the launch of a new, much enhanced web site, on
which Version 0.9 of the openEHR Architecture is released, under
open-source license, housed on the BitKeeper web site and subject to formal
change review process under the supervision of the ARB. The Terms of
Reference and founding membership of the ARB are available on the site.
I would like to acknowledge and thank Stig Anderson, Gunnar Hartwigsen, Tim
Cook, David Rowlands, along with founding openEHR members, Tom Beale, Sam
Heard, Dipak Kalra and David Lloyd, for accepting my invitation, on behalf
of the Foundation Board, to establish the first ARB. We are very fortunate
indeed to have such a wide range of clinical, technical and organisational
expertise to draw on, from Europe, Australia and the USA. Tom Beale has
accepted my invitation to be the founding chairman of the ARB. Tom, Sam,
David and Dipak have worked with me, both close by, here in London, and
across continents, to my immense good fortune, since the GEHR project, some
twelve years ago. That was the start and the heart of what has now become
openEHR. They have become a strong and formidable team, at the centre of
the Foundation, and I pay tribute to them all for their immense commitments
and contributions over all that time.
openEHR is an expression of personal commitment. The quality of that
commitment is recognised by the fact that, in our founding members, we have
key contributors to CEN, ISO and HL7 standards committees, moving forward
standards in the health informatics domain. Peter Schloeffel has done great
work in getting the openEHR clinical requirements base firmly onto the ISO
agenda.
The Foundation makes no distinction among the uses to which the openEHR
Architecture and its open-source components are put, all being subject to
the same open-source licensing arrangement. We want to keep the Foundation
simple; none of us have time, or, truth be said, inclination, for complex
managerial arrangements. Through simplicity of interface with the world of
its users, we hope to make it possible to sustain clarity and focus on the
Foundation's goal, which is the achievement of truly interoperable, generic
electronic health records, internationally.
So we want people, everywhere, to understand openEHR and its motivation,
contribute to its development, use it, make money from it, all in the
spirit of delivering and sustaining quality in interoperable health care
records. We believe the not-for-profit Foundation approach, with
open-source licensing, to be the best and most sound way to approach our
goal in health care. If there proves a better, more rigorous and effective
way, we will be supporting it.
We know we have to attract resources to make openEHR sustainable, but we
won't do this by taxing commercial use - rather we will seek health care
community support at a governmental level and sponsorship from people or
organisations who share our vision. We know that we have to prove our point
that openEHR is a viable approach before any such people or groups will be
in a position to help us. Clearly were not quite there yet!
The key to success in proving our point and achieving our goal remains
threefold - implementation, implementation, implementation! That's
implementation clinically (we need archetype development tools in use
throughout health care communities), implementation technically
(realisations of the architecture in many technologies and in many
products), and implementation organisationally (we need openEHR servers
deployed and evaluated in routine health services, in research and
development, in education and serving patients' needs and patients'
communities as well as health care provider organisations).
We expect that there will be a lot more on show along this pathway over the
coming year. From where we sit, we can see openEHR integrating
straightforwardly and, in principle, uncontentiously, with current CEN and
HL7 developments, offering distinctive discipline and simplicity into the
emerging EHR domain. Our greatest hope is to see the openEHR community of
users now progressively making the pace in pulling and pushing
implementation. There are many signs of that, throughout the world,
including on the openEHR discussion lists. Only a few weeks ago, at a
meeting of EU Accession States in Krakow, which I co- chaired, I joined a
session in the middle of a presentation by a young and enthusiastic system
developer from Hungary, who was speaking about his experience of using
openEHR! That's the kind of surprise one really enjoys! In the ARB, we hope
we have a good way of supporting these next stages of endeavour.
Where we are now, with the release of Version 0.9, is a tangible next
iteration on a road of expansion; n-fold, n-squared fold and then
n-squared-squared fold (for those who follow the Lionel Penrose law of
squares about the requirements for gaining influence). We won't be able to
dictate the pace of expansion - we can't, given the kind of group we have
set ourselves to be. It has to be demand-led and demand-resourced, over
time. We've resourced the Foundation's progress to this point. We will be
seeking support for the next stages in creating and funding a small central
support unit, to enable it to continue to grow.
Thank you, all of you, who are helping us by implementing, by questioning,
by sharing ideas, and in so many other ways. It was, perhaps, a rather rash
idea that we set out to pursue in all this. But reading the lively
exchanges on the openEHR lists, and seeing the extent of work now
represented in the new web site, it does seem, more and more, now, an idea
whose time has come. We will be doing our best, with you, to nurture it
through to success and self-generating sustainability.
David Ingram, Chairman of the openEHR Foundation, on behalf also of Sam
Heard, Dipak Kalra and Cengiz Tarhan, Directors
May 4th, 2004
David Ingram, Professor of Health
Informatics, Tel. 020 7288 5965
CHIME, University College
London, Fax. 020 7288 3322
Archway Campus, Highgate Hill, London N19
3UA <http://www.chime.ucl.ac.uk>http://www.chime.ucl.ac.uk
d.ingram@chime.ucl.ac.uk
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