openEHR
Atalag K et al, electronic Journal of Health Informatics, 7(1)
Maintaining health information systems over time requires significant effort and time. This is especially marked in clinical information systems where most, if not all, functional software requirements are dependent on healthcare concepts and processes which are prone to high rate of change. Software engineering literature indicates that maintenance tasks alone may constitute 70-80% of the total development cost. It has been suggested that openEHR based systems will effectively tackle this by separating domain knowledge from software code. The objective of this paper is to assess the maintainability of an openEHR based clinical application with comparison to another application based on the same functional requirements but implemented using traditional development methods.
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26 January 2012 | No Comments »
Categories: Science | EHR: EHR | Tag(s): HIS, openEHR, Standards
Kobayashi S, Tatsukawa A. Advanced Computational Intelligence and Intelligent Informatics, 16(1)
The openEHR project has developed specifications for future-proof interoperable Electronic Health Record (EHR) systems. This project provides the specifications and implementation on which the ISO/CEN 13606 standards are based. The implementation has been formally described in Eiffel, C# and Java, but not in scripting languages (which are popular because of their higher efficiency and faster development).
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23 January 2012 | No Comments »
Categories: Science | Country: Japan | EHR: EHR | Tag(s): Open Source, openEHR, Standards
Pablo Pazos Gutiérrez, Informática Médica y Estándares
“Este curso surgió por mi interés en difundir una nueva forma de hacer sistemas de información en salud, tal que se reduzcan o eliminen los problemas que tienen actualmente estos sistemas, muchos de ellos causados por la forma en la que se desarrollan.
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4 January 2012 | No Comments »
Categories: News | Country: Spain | EHR: EHR, EHR Spain | Tag(s): Interoperability, openEHR, Standards
Heather Leslie, Archetypical
“With the recent public statement from the Clinical Information Modelling Initiative (CIMI) my cynical heart feels a little flutter of excitement. Maybe, just maybe, we are on the brink of a significant disruption in eHealth.
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15 December 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Health Information Exchange, modelling, openEHR
Thomas Beale, Woland's Cat
“The Clinical Information Modelling Initiative (CIMI) group led by Dr Stan Huff (Intermountain Health, Utah) met here in London 29 Nov – 1 Dec to make a final decision on formalism, from the two remaining – openEHR archetypes and various forms of UML (previous posts on CIMI: DCMs & RM, on formalisms).
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14 December 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, modelling, openEHR
Pablo Pazos Gutiérrez, Informática Médica y Estándares
“Estoy muy contento de anunciar una nueva liberacion de Open EHR-Gen Framework, la herramienta libre para crear sistemas de Historia Clínica Electrónica basados en estándares internacionales como openEHR, HL7 CDA y CIE 10.
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25 September 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Open Source, openEHR
Pablo Pazos Gutiérrez, Informática Médica y Estándares
“Hace algunos meses que las listas de mail de openEHR están colmadas de propuestas sobre cómo mejorar la organización de la fundación openEHR, cómo coordinar el trabajo y cómo lograr resultados tangibles.
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14 September 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): openEHR, Standards
Thomas Beale, Woland's Cat
“Following the DCM meeting convened by Dr Stan Huff (Intermountain Healthcare) in Washington in July, reported in an earlier blog post, there is a further meeting this week in San Diego, which will discuss the issues of ‘data types’ and ‘reference models’ for the purpose of DCM (detailed clinical models).
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12 September 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Clinical Models, openEHR
Schloeffel P et al, HIC 2006 and HINZ 2006: Proceedings, 2006
With the recent release of the NEHTA report on standards for Shared EHRs, there has been much interest and some confusion over the report’s discussion and recommendations for standards. This paper gives an overview of the roles of the main interoperability standards and specifications discussed in the NEHTA report. It begins with a brief section on the practical importance of interoperability for clinicians and consumers in the increasingly common shared-care environment.
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12 September 2011 | No Comments »
Categories: Science | Country: Australia | EHR: EHR, EHR Austria | Tag(s): Interoperability, openEHR, Semantic, Standards
Thomas Beale, Woland's Cat
“I will be attending a ‘Fresh Look’ meeting in Washington next week. The idea is to make some progress on the topic of ‘detailed clinical models’ (DCMs). Some of the goals include setting up a repository of DCMs, establishing governance, and defining a roadmap for tooling.
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8 July 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, Clinical Models, openEHR, Repository, Template
Thomas Beale, Woland's Cat
“Let’s talk about mindmaps and archetypes. Mindmaps seem to be fuzzy and friendly – we need them because they are incredibly efficient at transmitting information to humans.
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9 June 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, Clinical Models, openEHR
Pablo Pazos Gutiérrez, Informática Médica y Estándares
“El título de este post es un poco contradictorio con el trabajo que hago a diario. Mi trabajo consiste en el modelado e integración de distintos sistemas de información, y detectar oportunidades de aplicación de estándares internacionales.
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7 June 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): HL7, IHE, openEHR, SNOMED, Standards
Heather Leslie, Archetypical
“The bulk of openEHR archetype modelling is focused on how to record the positive presence of data – for example the diagnosis of diabetes or asthma, or orders for long-term beta blocker medication.
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6 June 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, Data, openEHR, Safety
Heather Leslie, Archetypical
“Up until recently clinical content models, such as archetypes, have been regarded as a novelty; watched from the sidelines with interest from many but not regarded as mainstream. However now that they are increasingly being adopted by jurisdictions and used in real systems, modellers need to change their approach to include processes, methodologies and quality criteria that ensure that the models are robust, credible and fit for purpose.
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29 May 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, Clinical Knowledge, Clinical Models, Knowledge Management, openEHR, Quality
Heather Leslie, Archetypical
“Thomas Beale (CTO of Ocean Informatics and chair of the Architecture Review Board of the openEHR Foundation) posted these two paragraphs as part of the background for his recent Woland’s Cat post – The Null Flavour debate – part I.
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20 May 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, Interoperability, openEHR
Thomas Beale, Woland's Cat
“Of the above, I think only point 2 might need an addition to openEHR. I think a very simple null-flavour vocabulary is preferable to the HL7 one, because the latter includes concepts that are very general with others that are very specific, and also does not achieve mutual exclusion.
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19 May 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): HL7, Ontology, openEHR
Thomas Beale, Woland's Cat
“An initial comment I will make is that there is a notion that openEHR is ‘about defining systems’ whereas HL7 ‘is about interoperability’. This is incorrect. openEHR is primarily about solving the information interoperability problem in health, and it addresses all information, regardless of whether it is inside a system or in a message.
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19 May 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): HL7, Interoperability, openEHR
Heather Leslie, Archetypical
“Detailed clinical models are certainly a buzz term in the health IT community in recent years, commonly abbreviated to DCMs. Many people are talking about them but unfortunately, often they are referring to different things. The level of confusion is at least as large as the hype.
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15 May 2011 | No Comments »
Categories: News | Country: Australia, Netherlands, New Zealand | EHR: EHR | Tag(s): Archetypes, Clinical Models, HL7, openEHR, Standards, Template
Xiao L et al, BMC Medical Informatics and Decision Making, 11
BACKGROUND
In this paper, we give an overview of methadone treatment in Ireland and outline the rationale for designing an electronic health record (EHR) with extensibility, interoperability and decision support functionality. Incorporating several international standards, a conceptual model applying a problem orientated approach in a hierarchical structure has been proposed for building the EHR.
METHODS
A set of archetypes has been designed in line with the current best practice and clinical guidelines which guide the information-gathering process. A web-based data entry system has been implemented, incorporating elements of the paper-based prescription form, while at the same time facilitating the decision support function.
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6 May 2011 | No Comments »
Categories: Science | Country: Ireland | EHR: EHR, EHR Ireland | Tag(s): Archetypes, Decision Support, Drugs, openEHR, Standards
Heather Leslie, Archetypical
“When I first started talking to my colleagues about collaboration on archetypes to specify Problem or Diagnosis in EHRs, one told me that arguments about the difference between a problem, diagnosis, issue, concern etc have been raging within some standards committees for many years and they hadn’t been able to achieve significant consensus. This was a little worrying. Yet on further inquiry it appears that they were stuck largely on the name and differentiation of problem from diagnoses – what was the difference between them?
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1 May 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, diagnose, openEHR
