Hi Evelyn, what a fantastic initiative...I am really quite
disturbed how these fundamental terms are being used inconsistently. Here are
the most difficult ones for me:
-
Clinical model (can be a model patient for med students! If context
is not given)
-
Clinical information model (originally this refers to knowledge
artifacts as you say but that is difficult to comprehend by
non-openEHR/13606/HL7 aware people. This is commonly mistaken for RIM)
-
Concept model (too generic)
-
Clinical concept model (not too bad – but doesn’t
say much about the nature of modelling)
-
Also please add these to you list:
-
Clinical data set
-
Clinical data repository
-
Meta-data repository
-
Clinical concept repository
-
Minimum data sets
-
Core data sets
-
Clinical core data sets
-
National collections
-
Registries (clinical/disease etc.)
-
Research databases
Will continue...
Cheers,
-koray
From: openehr-clinical-bounces@openehr.org
[mailto:openehr-clinical-bounces@openehr.org] On Behalf Of Hugh Leslie
Sent: Sunday, 27 June 2010 2:35 a.m.
To: openehr-clinical@openehr.org
Subject: Re: Health Information and Integration Platform ontology
Good idea Evelyn - I am happy to help.
On 26/06/2010 11:54 PM, Evelyn Hovenga wrote:
Colleagues,
I
would like to develop a high level ontology model of the health information and
integration platform showing the entities, concepts and their various
relationships as a means of enabling us to clearly show what this is all about
and to enable us to communicate to non technical people the implications (and
limitations imposed) of decisions made regarding the adoption of such a
national infrastructure platform. It’s about all the stuff that
sits between the hardware and software applications. This area is
not well understood by non technical people (including me) yet the term ‘
platform’ is used heavily for marketing purposes by big software
suppliers. An ontological model of this domain should serve us well for
educational purposes. I’d like to adopt the clinical knowledge
artifacts (my generic term for archetypes or detailed clinical models) as
central to such a platform as these provide the foundation for all health
information and processing needs at the individual, local, organisational,
national and international levels.
I
would welcome your views on which entities and concepts (and their associated
generic names) to include in such an ontological model. At
this stage my review of the literature etc has resulted in the following list
but I need help in defining these and their relationships in a generic
mutual exclusive sense as clearly the adoption of one or more specific
entities/concepts influences others either positively or negatively. Many
different platforms are in existence but how does one evaluate their
completeness, functionality, efficiency, effectiveness, impact on patient
safety or outcomes? The terms below are used in non standard ways making
it difficult to gain a clear understanding about these from the literature.
Reference
information model
Data
types
Service
Oriented Architectures
Web
services
Clinical
Knowledge Repository
Terminology
server
Clinical
modelling tools
Tooling
to convert clinical knowledge to machine processable schema or templates
EHR
services
Longitudinal
EHR services
Technology
platform eg .net, java, mobile versions
Middleware
products
GUI
Standards & frameworks
Identifiers
standard
Demographic
service
Application
development platform
Knowledge
management platform
Semantic
interoperability
Functions
such as authentication of users and applications, guaranteed delivery of
messages between components and users, logical connections
Consent
management services
I look forward to your comments.
Evelyn
Evelyn J.S Hovenga RN PhD FACS FACHI
Professor
& Director eHealth Education Pty Ltd
Director
of EJSH Consulting,
PO
Box 9783 Frenchville, Rockhampton Qld 4701
Editor
in Chief, eJHI http://www.ejhi.net
Adjunct
Professor, Victoria University, Melbourne
ACHI
Council member
Standards
Australia member
ehovenga@gmail.com
evelyn@evelynhovenga.com
e.hovenga@ehealtheducation.net
Mob
+61 (0)408 309839
Qld
Office Ph. +61 (0)7 4921 3029
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