openEHR-clinical Digest, Vol 22, Issue 1

Jussara macedo jussara.macedo at gmail.com
Fri Feb 21 16:39:38 EST 2014


Hi Alvin,

As I told you SBIS, our health informatics association developed a
certification program based on CPHIMSS. We worked together with COACH, the
Canadian health informatics association, which has adapted the requirements
to a country with a national health system and our program is very close to
her. There are different profiles, one is for  clinicians and knowledge of
clinical models is one of the skills assessed  in the tests. SBIS also
supports a lot of trainings given in brazil, giving CME credits to a lot of
training courses, which must comply to a set of requirements to have this
status.

We haven't submitted ours, but this year openEHR Brasil, openEHR. es (
Pablo), the Univeristy of oPorto, and two federal medicine universities are
working togehter to develop a common and standard training to be  used in
portuguese and spanish speaking countries. After that our course could be
either  acknowledged by SBIS as a professional profile ( or more than one,
like clinical modeller and openEHR architect) or we could try that  the
Foundation  could give an international certification. I think both fit in
our roadmap.

The government  has also set grants for ehealth projects, training being
one of them , but it is addressed to Universities and R&D organizations. I
will talk with Domingo Alves, professor of Faculty of Medicine of Ribeirao
Preto, who is very interested in academic projects involving openEHR. I
think he could be engaged in this discussion and could help us to get funds
to do this work. He recently organized a seminar focssed on semantic
interoperability  to build a cooperation project with Univeristy of oPorto
and other universities.  openEHR was one of the central threads there.

as Ian said, this a voluntary work, however, Brazil has adopted openEHR as
the official EHR model and there are already a lot of projects using this
approach. We need to train a lot of people  in a short period of time,
otherwise we can jeopardize the results we want to achieve. I think
everyone in this community  and the Foundation should be interested in our
success here.  I am personally involved in two big projects, the National
EHR ( 200 MIO people) and one of the largest health plan in Brazil ( 18 MIO
lives). Next month I and Gustavo will hikd a two days course to
professionals of Sao Paulo City and the National primary care health
record, eSUS AB, because they will be our pilot, They must  learn how to
record, exchange and query  openEHR extracts and data in a short time. Most
of them haven't  actually the slightest idea of it. It is a very hard work
and  a certification process to leverage their knowledge is  a must to do
in our country.

Pablo is a good name to lead the SIG but I think Koray, Shinji and Ricardo
as academic members could help  him to tackle this endeavour.

More thoughts?

Jussara


Jussara Rötzsch
Md, MSc
Director, OpenEHR Foundation
Owner, Giant Global Graph ehealth Solutions
 <http://www.giantglobalgraph.com.br>



On Fri, Feb 21, 2014 at 5:46 PM, Dra Carola Hullin Lucay Cossio <
carolhullin at hotmail.com> wrote:

> Dear All,
>
> Evelyn´s suggestions are very valid: however, there is a large gap between
> the educationa standards and structures that exists in differents part of
> the world.
>
> May be Pablo is right: this certification may need to comes from where the
> experts seats and works within an educational framework, and not
> necessarilly from the Foundation since there is not funds to do this type
> of work until now.
>
>
> Certificacion or quality initiatives is used in differents terms for
> selling purposes  rather than quality control of the contents of an
> education program where I have been working in developing countries;
> the quality culture has not developed yet.
>
>
> Cheers Carol
>
>
> ------------------------------
> From: ehovenga at gmail.com
> To: openehr-clinical at lists.openehr.org
> Subject: RE: openEHR-clinical Digest, Vol 22, Issue 1
> Date: Thu, 20 Feb 2014 16:27:14 +1000
>
>
> Hi Pablo,
>
>
>
> Many thanks for reminding us all about our previous discussions on this
> topic.  I have just had a look at the openEHR Foundation Governance
> structure and suggest we propose the establishment of an Education/Training
> Program responsible to the openEHR Management Board who need to appoint a
> Program Leader (you may consider doing this? I'm happy to be your deputy to
> get it all started and operational).   We need to generate suitable terms
> of reference to be agreed to by the openEHR Foundation Board.  For example
> we need to work closely with the other Program leaders who should be able
> to assist in identifying some unique roles to get us started in a proper
> educationally sound manner.  The focus needs to be on minimum core
> knowledge/skill requirements for each role. There needs to be a fair bit of
> flexibility in terms of how the training/education is delivered.
>
>
>
> The biggest issue I see is funding, as we need someone to manage such a
> program, especially once the openEHR Foundation gets into a
> certification/licensing/accreditation program as this is heavily reliant on
> a proper governance structure.  Also the competency standards themselves
> need to be maintained and updated from time to time. Australian has several
> Government funded Industry Skills Councils who take on these tasks. An
> alternative is for the openEHR Foundation to simply set the standards via
> its program and outsource the certification/accreditation process on a user
> pays basis.  I guess we need to develop a business case?  I'll have a go at
> that. There are many issues to consider so documenting it in some organised
> way should assist the openEHR Foundation in their decision making.
>
>
>
> Perhaps we can get Gov't and other stakeholder funding as it is in their
> interest to have a suitably skilled  workforce????  We should also explore
> grant opportunities.
>
>
>
> Evelyn
>
>
>
> [image: EHE logo tree]
>
>
>
> Prof Evelyn J.S.Hovenga,
>
> CEO, Director & Trainer
>
> *eHealth Education Pty Ltd, RTO 32279*
> (trading as RSC Training and eHE Training)
>
> :  PO Box 9783,  Frenchville Qld 4701
>
> *  e.hovenga at ehe.edu.au
> È  0408309839  '  1300 285 512
> 8  www.ehe.edu.au  & www.ehetraining.edu.au
>
>
>
>
>
>
>
>
>
> *From:* openEHR-clinical [mailto:
> openehr-clinical-bounces at lists.openehr.org] *On Behalf Of *pablo pazos
> *Sent:* Thursday, 20 February 2014 1:14 PM
> *To:* openEHR Clinical
> *Subject:* RE: openEHR-clinical Digest, Vol 22, Issue 1
>
>
>
> Hi Evelyn,
>
> We had a long discussion a while ago (Jan 2012), we even created a wiki
> page, but we didn't get further, IMO because we don't have a clear view of
> the certification mechanisms from the foundation.
>
> I'd love to see and participate in an openEHR SIG, but some questions
> arises:
>
> Who will coordinate that? How do we engage people to participate? Who will
> validate the decisions of the SIG and make them formal? e.g. endorsed by
> openEHR foundation, who can participate? who has the right to say who has
> the knowledge and capability to be part of the SIG? I can continue :) but I
> think I mentioned these a lot of times and got no clear answer, so it seems
> I don't ask the right questions, or maybe this is not the place to ask
> those question, or (I'm afraid of this last option) the foundation
> representatives doesn't know the answers.
>
> As an example, right now there are a lot of groups formally created for
> each programme, but we still don't know what can we decide and how those
> decisions will be endorsed by the foundation. Also participation is erratic
> because our little free time available.
>
> This is the exchange we had a while ago:
>
> http://lists.openehr.org/pipermail/openehr-technical_lists.openehr.org/2012-January/006527.html
>
> --
> Kind regards,
> Eng. Pablo Pazos Gutiérrez
> http://cabolabs.com <http://cabolabs.com/es/home>
> ------------------------------
>
> From: ehovenga at gmail.com
> To: openehr-clinical at lists.openehr.org
> Subject: RE: openEHR-clinical Digest, Vol 22, Issue 1
> Date: Wed, 19 Feb 2014 15:43:27 +1000
>
> Clearly there are many  openEHR training providers.  May I suggest that
> the openEHR foundation consider setting the standards that graduates  of
> such training programs need to be able to comply with?  This includes
> stating what competencies are needed for the various job roles but also how
> to certify trainers themselves to ensure quality and consistency.  The
> openEHR Foundation could consider providing an endorsement mechanism for
> training organisations.  An openEHR SIG could develop these standards.
>
>
>
> Individual countries have their own system of regulating
> training/education quality based on educational standards.  For example we
> are a registered training organisation (RTO) in Australia able to develop a
> curriculum that may be accredited by our national regulator who then
> approves us to issue an agreed nationally recognised qualification that
> fits with the Australian Qualifications Framework (AQF). All Universities
> and other training providers need to comply with that.  We also have
> specific requirements on how to write a competency standard - see
> http://www.nssc.natese.gov.au/__data/assets/pdf_file/0014/71303/TxtCompStandardSection.pdf
>
>
>
> We have experience working with ITHSDO and HL7 regarding their
> certification programs.  I also undertake accreditation of University
> ICT/SE programs for the Australian Computer Society and manage our RTO.
>  We're happy to participate.
>
>
>
> Regards, Evelyn
>
>
>
> [image: EHE logo tree]
>
>
>
> Prof Evelyn J.S.Hovenga,
>
> CEO, Director & Trainer
>
> *eHealth Education Pty Ltd, RTO 32279*
> (trading as RSC Training and eHE Training)
>
> :  PO Box 9783,  Frenchville Qld 4701
>
> *  e.hovenga at ehe.edu.au
> È  0408309839  '  1300 285 512
> 8  www.ehe.edu.au  & www.ehetraining.edu.au
>
>
>
> *From:* openEHR-clinical [
> mailto:openehr-clinical-bounces at lists.openehr.org<openehr-clinical-bounces at lists.openehr.org>]
> *On Behalf Of *Jussara
> *Sent:* Saturday, 15 February 2014 6:05 AM
> *To:* For openEHR clinical discussions
> *Cc:* openEHR Clinical
> *Subject:* Re: openEHR-clinical Digest, Vol 22, Issue 1
>
>
>
> We also provide training in openEHR with HL7 Brazil. This year we will
> provide the first Online course. We give also in company training.
>
> The Brazilian Health informatics association has introduced a HIT
>  professional certificate two years ago- ProTICS, where knowledge of
> clinical models   Is  one of the desired skills to a health informaticiN,
> but is generic. Openehr Brasil is trying to Building a certificate project,
> but we want that it could be   internationally acknowledged, and the only
> way is pushing the foundation to tackle this issue. My suggestion is to
> create a SiG to organize that.  I will propose this on next ínterim board
> meeting.
>
> Volunteers?
>
> Jussara
>
>
>
> Enviado via iPad
>
>
> Em Feb 14, 2014, às 4:18 PM, pablo pazos <pazospablo at hotmail.com>
> escreveu:
>
> Hi Alvin,
>
>
>
> We (CaboLabs.com) do openEHR training in spanish with ACHISA.org (Chilean
> Association of Healthcare Informatics. ACHISA gives a certificate from the
> association, but right now there is no formal certificate from openEHR
> itself. The course is online, and the fourth edition will start on April
> 2014. We have a waiting list for the course:
> https://docs.google.com/spreadsheet/viewform?formkey=dDlLUmpMX0pzaHJzZ21FMGVLN1dMUWc6MQ#gid=0
>
>
>
> More info:
> http://informatica-medica.blogspot.com/2012/01/conclusiones-del-curso-de-openehen.html<http://informatica-medica.blogspot.com/2012/01/conclusiones-del-curso-de-openehr-en.html>
>
>
>
> As Ian said, Ocean gives training and certificates also, those instances
> are english-based. There are some videos of their training instances on
> YouTube. I totally recommend you to take a look at that.
>
>
>
> Have a nice weekend!
>
> --
> Kind regards,
> Eng. Pablo Pazos Gutiérrez
> http://cabolabs.com <http://cabolabs.com/es/home>
>
> > From: ian.mcnicoll at gmail.com
> > Date: Fri, 14 Feb 2014 13:59:59 +0000
> > Subject: Re: openEHR-clinical Digest, Vol 22, Issue 1
> > To: openehr-clinical at lists.openehr.org
> >
> > Hi Alvin,
> >
> > There have been some discussions abut formal openEHR training
> > accreditation but nothing concrete has emerged. The individual
> > companies like Ocean and Cabolabs that offer training can offer
> > certificates of attendance/training.
> >
> > Ian
> >
> > On 13 February 2014 09:24, Alvin Marcelo <alvin.marcelo at gmail.com>
> wrote:
> > > Hi all,
> > >
> > > Just Wanted to know if there's is a certification training/program for
> > > openehr?
> > >
> > > On Feb 13, 2014 5:18 PM, <openehr-clinical-request at lists.openehr.org>
> wrote:
> > >>
> > >> Send openEHR-clinical mailing list submissions to
> > >> openehr-clinical at lists.openehr.org
> > >>
> > >> To subscribe or unsubscribe via the World Wide Web, visit
> > >>
> > >>
> http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.openehr.org
> > >>
> > >> or, via email, send a message with subject or body 'help' to
> > >> openehr-clinical-request at lists.openehr.org
> > >>
> > >> You can reach the person managing the list at
> > >> openehr-clinical-owner at lists.openehr.org
> > >>
> > >> When replying, please edit your Subject line so it is more specific
> > >> than "Re: Contents of openEHR-clinical digest..."
> > >>
> > >>
> > >> Today's Topics:
> > >>
> > >> 1. Representing HbA1c result (mmol/mol) in AE (Koray Atalag)
> > >> 2. Re: Representing HbA1c result (mmol/mol) in AE (Diego Bosc?)
> > >> 3. Re: Representing HbA1c result (mmol/mol) in AE (Diego Bosc?)
> > >>
> > >>
> > >> ----------------------------------------------------------------------
> > >>
> > >> Message: 1
> > >> Date: Thu, 13 Feb 2014 03:30:48 +0000
> > >> From: Koray Atalag <k.atalag at nihi.auckland.ac.nz>
> > >> To: For openEHR clinical discussions <openehr-clinical at openehr.org>
> > >> Subject: Representing HbA1c result (mmol/mol) in AE
> > >> Message-ID:
> > >>
> > >> <
> B1CE708E5C614F4BB990E32CC5F03AD4706B4B4C at uxcn10-tdc01.UoA.auckland.ac.nz>
> > >>
> > >> Content-Type: text/plain; charset="us-ascii"
> > >>
> > >> Hi,
> > >>
> > >> Any idea how to choose mmol/mol for HbA1c result using DV_QUANTITY in
> > >> Archetype Editor?
> > >> It used to be a proportion (%) but now the international agreement is
> to
> > >> use this unit which does not come as an option. Wonder if I exists in
> UCUM?
> > >> This is such a commonly used Lab item - I'm sure someone else must
> have
> > >> hit the issue.
> > >>
> > >> Cheers,
> > >>
> > >> -koray
> > >>
> > >> -------------- next part --------------
> > >> An HTML attachment was scrubbed...
> > >> URL:
> > >> <
> http://lists.openehr.org/pipermail/openehr-clinical_lists.openehr.org/attachments/20140213/321750a1/attachment-0001.html
> >
> > >>
> > >> ------------------------------
> > >>
> > >> Message: 2
> > >> Date: Thu, 13 Feb 2014 10:16:39 +0100
> > >> From: Diego Bosc? <yampeku at gmail.com>
> > >> To: For openEHR clinical discussions
> > >> <openehr-clinical at lists.openehr.org>
> > >> Cc: For openEHR clinical discussions <openehr-clinical at openehr.org>
> > >> Subject: Re: Representing HbA1c result (mmol/mol) in AE
> > >> Message-ID:
> > >>
> > >> <CAFx8UwBTEWAZuy=-wdu1JbpSuP2bOMejH6YuBC40z6vX6=b6Gg at mail.gmail.com>
> > >> Content-Type: text/plain; charset="iso-8859-1"
> > >>
> > >> Hi Koray,
> > >>
> > >> UCUM is extensible, you can define new units as long as you follow its
> > >> syntax. In this case you are lucky, as mmol/mol (MilliMolesPerMole) is
> > >> already used as UCUM unit. You can check it here:
> > >> http://www.hl7.de/download/documents/ucum/ucumdata.html
> > >>
> > >>
> > >> I think I also added all these units as valid UCUM units on LinkEHR
> > >>
> > >>
> > >> [image: Im?genes integradas 1]
> > >>
> > >>
> > >> Which is represented in ADL as:
> > >>
> > >> C_DV_QUANTITY <
> > >> property =
> > >> <[openehr::507]>
> > >> list = <
> > >> ["1"] = <
> > >> units =
> > >> <"mmol/mol">
> > >> magnitude =
> > >> <|0.0..200.0|>
> > >> precision = <|0|>
> > >> >
> > >> >
> > >> >
> > >>
> > >> Hope this helps :)
> > >>
> > >>
> > >> 2014-02-13 4:30 GMT+01:00 Koray Atalag <k.atalag at nihi.auckland.ac.nz
> >:
> > >>
> > >> > Hi,
> > >> >
> > >> >
> > >> >
> > >> > Any idea how to choose mmol/mol for HbA1c result using DV_QUANTITY
> in
> > >> > Archetype Editor?
> > >> >
> > >> > It used to be a proportion (%) but now the international agreement
> is to
> > >> > use this unit which does not come as an option. Wonder if I exists
> in
> > >> > UCUM?
> > >> >
> > >> > This is such a commonly used Lab item - I'm sure someone else must
> have
> > >> > hit the issue.
> > >> >
> > >> >
> > >> >
> > >> > Cheers,
> > >> >
> > >> >
> > >> >
> > >> > -koray
> > >> >
> > >> >
> > >> >
> > >> > _______________________________________________
> > >> > openEHR-clinical mailing list
> > >> > openEHR-clinical at lists.openehr.org
> > >> >
> > >> >
> > >> >
> http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.openehr.org
> > >> >
> > >> -------------- next part --------------
> > >> An HTML attachment was scrubbed...
> > >> URL:
> > >> <
> http://lists.openehr.org/pipermail/openehr-clinical_lists.openehr.org/attachments/20140213/e3a87d80/attachment-0001.html
> >
> > >>
> > >> ------------------------------
> > >>
> > >> Message: 3
> > >> Date: Thu, 13 Feb 2014 10:16:39 +0100
> > >> From: Diego Bosc? <yampeku at gmail.com>
> > >> To: For openEHR clinical discussions
> > >> <openehr-clinical at lists.openehr.org>
> > >> Cc: For openEHR clinical discussions <openehr-clinical at openehr.org>
> > >> Subject: Re: Representing HbA1c result (mmol/mol) in AE
> > >> Message-ID:
> > >>
> > >> <CAFx8UwBTEWAZuy=-wdu1JbpSuP2bOMejH6YuBC40z6vX6=b6Gg at mail.gmail.com>
> > >> Content-Type: text/plain; charset="iso-8859-1"
> > >>
> > >> Hi Koray,
> > >>
> > >> UCUM is extensible, you can define new units as long as you follow its
> > >> syntax. In this case you are lucky, as mmol/mol (MilliMolesPerMole) is
> > >> already used as UCUM unit. You can check it here:
> > >> http://www.hl7.de/download/documents/ucum/ucumdata.html
> > >>
> > >>
> > >> I think I also added all these units as valid UCUM units on LinkEHR
> > >>
> > >>
> > >> [image: Im?genes integradas 1]
> > >>
> > >>
> > >> Which is represented in ADL as:
> > >>
> > >> C_DV_QUANTITY <
> > >> property =
> > >> <[openehr::507]>
> > >> list = <
> > >> ["1"] = <
> > >> units =
> > >> <"mmol/mol">
> > >> magnitude =
> > >> <|0.0..200.0|>
> > >> precision = <|0|>
> > >> >
> > >> >
> > >> >
> > >>
> > >> Hope this helps :)
> > >>
> > >>
> > >> 2014-02-13 4:30 GMT+01:00 Koray Atalag <k.atalag at nihi.auckland.ac.nz
> >:
> > >>
> > >> > Hi,
> > >> >
> > >> >
> > >> >
> > >> > Any idea how to choose mmol/mol for HbA1c result using DV_QUANTITY
> in
> > >> > Archetype Editor?
> > >> >
> > >> > It used to be a proportion (%) but now the international agreement
> is to
> > >> > use this unit which does not come as an option. Wonder if I exists
> in
> > >> > UCUM?
> > >> >
> > >> > This is such a commonly used Lab item - I'm sure someone else must
> have
> > >> > hit the issue.
> > >> >
> > >> >
> > >> >
> > >> > Cheers,
> > >> >
> > >> >
> > >> >
> > >> > -koray
> > >> >
> > >> >
> > >> >
> > >> > _______________________________________________
> > >> > openEHR-clinical mailing list
> > >> > openEHR-clinical at lists.openehr.org
> > >> >
> > >> >
> > >> >
> http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.openehr.org
> > >> >
> > >> -------------- next part --------------
> > >> An HTML attachment was scrubbed...
> > >> URL:
> > >> <
> http://lists.openehr.org/pipermail/openehr-clinical_lists.openehr.org/attachments/20140213/e3a87d80/attachment-0002.html
> >
> > >>
> > >> ------------------------------
> > >>
> > >> Subject: Digest Footer
> > >>
> > >> _______________________________________________
> > >> openEHR-clinical mailing list
> > >> openEHR-clinical at lists.openehr.org
> > >>
> > >>
> http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.openehr.org
> > >>
> > >> ------------------------------
> > >>
> > >> End of openEHR-clinical Digest, Vol 22, Issue 1
> > >> ***********************************************
> > >
> > >
> > > _______________________________________________
> > > openEHR-clinical mailing list
> > > openEHR-clinical at lists.openehr.org
> > >
> http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.openehr.org
> >
> >
> >
> > --
> > Dr Ian McNicoll
> > office / fax +44(0)141 560 4657
> > mobile +44 (0)775 209 7859
> > skype ianmcnicoll
> > ian.mcnicoll at oceaninformatics.com
> > ian at mcmi.co.uk
> >
> > Clinical Analyst Ocean Informatics
> > Honorary Senior Research Associate, CHIME, University College London
> > openEHR Archetype Editorial Group
> > Member BCS Primary Health Care SG Group www.phcsg.org / BCS Health
> Scotland
> >
> > _______________________________________________
> > openEHR-clinical mailing list
> > openEHR-clinical at lists.openehr.org
> >
> http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.openehr.org
>
> _______________________________________________
> openEHR-clinical mailing list
> openEHR-clinical at lists.openehr.org
>
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>
>
> _______________________________________________ openEHR-clinical mailing
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