lessons from Intermountain Health, and starting work on openEHR 2.x

Sam Heard sam.heard at oceaninformatics.com
Wed Sep 5 18:47:16 EDT 2012


Great to hear about the progress with Stan Huff and his team Thomas. It 
has taken a lot of dipping in the water before we have got a real chance 
to have an indepth collaborative approach to developing openEHR 2.0. I 
believe this should process should include a few people from CIMI and 
13606 who are actually running systems and know what is involved. I hope 
those that fit the bill will approach Thomas to participate in the next 
generation of openEHR.

I will be pushing the backward compatibility angle very hard indeed - 
this can be a pain for those who want to progress. I personally 
guarantee there will be no official publication of openEHR 2.0 or ADL 
1.5 until we absolutely understand any issues for current systems. This 
does not spring from a technical concern - rather our community's 
commitment to life long health records. These are after all the asset of 
the most value in the health care enterprise. There are now 60,000 
people with openEHR records in one Australian repository, some with as 
many as 2000 compositions.

Cheers, Sam

On 5/09/2012 10:49 AM, Thomas Beale wrote:
> for those interested, I have been spending this month with Dr Stan 
> Huff's group at Intermountain Health in Salt lake City. I have at 
> least a dozen potential change requests / issues for openEHR. Mostly 
> small, but important in their way. That has come from the evidence of 
> their systems, and our performing a cross-review during this month. 
> The comparison has shown that we (i.e. openEHR and Intermountain) have 
> essentially the same multi-level modelling system, with different 
> details. Plus I have learned a lot in terms of their design philosophy 
> and thinking.
> Essentially we can think of these as distilled wisdom/lessons from 
> various incarnations of Stan's leading edge 3M/ASN.1 environment over 
> 15 years, up to the most recent, the Qualibria system using 'CDL' (the 
> ADL equivalent).
> I'll put these into the openEHR Jira SPEC-PR issue tracker for 
> everyone to see over the next couple of weeks, plus on the mailing 
> lists for more general things I have learned here.
> The new openEHR Spec programme should get up and running in the next 
> few weeks, which will mean that people here who want to nominate for 
> working on the various specs (i.e. working toward openEHR v2.0) should 
> have a think about doing that. The governance details are mostly 
> worked out, so it just needs people.
> I know some people feel that the specs have not been changing for too 
> long (myself included) but on the other hand, they have stood up 
> amazingly well over the last few years, and we have a huge amount of 
> industry knowledge accumulated, most of which I think is captured on 
> the PR issue tracker, and at least on the mailing lists. Also, we have 
> a pretty decent ADL/AOM 1.5 spec, which needs community review. AQL 
> has also been implemented a number of times and heavily used now, and 
> has held up very well. There are things to change there, based on its 
> use in industry.
> So, soon we can start on getting a new version of openEHR... it will 
> be a great opportunity I think, to include the clinical and technical 
> lessons available to us in the next generation platform. The community 
> here is wide-ranging and has a huge amount of knowledge... time to use 
> it!
> - thomas
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