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openEHR in 2010- where to focus our effort?


Dear Colleagues,

As we have now begun 2010 it might be useful to take a bit of stock of 
where we are, where we want to be..

I commented in my last email of 2009 of where I felt progress had been 
made..
http://www.openehr.org/mailarchives/openehr-clinical/msg01679.html
When looking forward this year, there appears a natural focal point of 
Medinfo in September 2010 in Cape Town.
It appears to be a good place to be exploring openEHR progress together.

With that in mind, last year Tim Cook and Shinji Kobayashi kicked off 
the idea of a "Connectathon" during Medinfo.
We did some simple work on a example patient journey, as a means of 
agreeing something we want to be able to support.
It's a story of a patient who needs to attend the ED, the GP and some 
specialty services over his many years as a diabetic...
http://www.openehr.org/wiki/display/resources/Connect-a-thon+Details
Its not the perfect journey, but I hope it at least serves as a means 
of debate and discussion.

So rather than outline my own view of what the openEHR clinical & 
technical community might need to do to make the Medinfo Connectathon 
happen, I'd rather a bit of healthy debate please...
To provoke that debate I'd like to share a variety of questions (with a 
mix of clinical and technical angles)  that you might like to pick up 
and and share your thoughts/views on..

###

Who is interested in being involved in an openEHR showcase from a 
clinical or technical perspective?

Where are we with openEHR archetype development internationally (ref 
top 10 archetype work in CKM)?
Where are the key gaps needed in archetypes to support this patient 
journey?
Have you done any work locally that might be useful?
How could we/should we get more clinical interest in this effort and/or 
clinical approval of these archetypes/templates by professional 
clinical bodies.?

This also stimulates related issues like;
Are the CKM archetypes begin developed at the right level of 
detail/granularity for this exercise?
What level of archetype-terminology binding is required to support this 
patient journey?
Who can help with the terminology binding work needed?

What level of templating would need to be done to make this Connecthon 
work?
How is the relationship between archetypes and templates developing 
from where you are ?
(the technical folk might want to debate slots, specialisation, state 
of the template spec)

How are folk using CKM and/or archetype/template editing tools?
Can we showcase linkage between CKM and local systems at this event?
Can we showcase openEHR systems handling changes in archetypes and 
templates?

What is the state of UI development in openEHR? We need systems with an 
effective UI to engage clinicians at a showcase I believe.
Who wants to showcase their UI?
What are the implications if vendors have differing mean of UI 
representation?

How can we most easily demonstrate the value/benefits of openEHR based 
systems?

##

I'll have emailed this to both the clinical and technical lists to try 
to get a combined discussion as to these issues going forward...
(Aware that such a variety of questions might stimulate all sorts of 
threads, I'm happy to kick off now and pull some conclusions together 
later..)

Many thanks for your views back to the community..

Tony


Dr. Tony Shannon
Consultant in Emergency Medicine, Leeds Teaching Hospitals
Clinical Lead for Informatics, Leeds Teaching Hospitals
Chair, Clinical Review Board, openEHR Foundation
tony.shannon@nhs.net             +44.789.988.5068

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