openEHR-clinical Digest, Vol 35, Issue 21

Heather Leslie heather.leslie at oceaninformatics.com
Fri Mar 13 02:17:36 EDT 2015


Hi William,



Thanks for participating in the GCS review. I look forward to you participating in others.



The concept description for Urinalysis POCT is: "Qualitative and semi-quantitative test array using reagent test strips to indicate possible abnormalities in a sample of urine, often performed as part of Point of Care Testing (POCT)"



We are attempting to work with the FHIR/HL7 patient care team for the Adverse Reaction archetype at the moment. At present the review is effectively stalled while Grahame is trying to harness a collective response. This has been the situation since mid November and unfortunately rapidly becoming an unworkable proposition.



We choose to work using rapid iteration from 2 week reviews which is quite the extreme opposite to the HL7 balloting process, and unless we can work out a way forward in the very immediate future, openEHR may need to consider withdrawing and proceeding on our own, which is not an ideal solution.



In the first couple of review rounds many HL7-ites participated directly and the models were enhanced significantly. Now it seems that a collective approach has been adopted which is effectively killing our collaboration.



Can you suggest a more efficient way to engage with your HL7 colleagues?



Regards



Heather



> -----Original Message-----

> From: openEHR-clinical [mailto:openehr-clinical-bounces at lists.openehr.org]

> On Behalf Of WILLIAM R4C

> Sent: Friday, 13 March 2015 5:05 PM

> To: openehr-clinical at lists.openehr.org

> Subject: Re: openEHR-clinical Digest, Vol 35, Issue 21

>

> Dear Heather,

>

> Thank you for the invite. The GCS comment has been submitted. I updated

> the UML version a while ago based on feedback from HL7 and LOINC

> community. In particular a note of scoring an item is not possible, and proper

> LOINC codes were changed.

>

> It is available in the github repository Detailed Clinical Models. DCM.

>

> Further, we have an interest in anatomical Locatìon, which DCM we recently

> started, albeit for a specific use case. What to do to team up? And would it

> not be good to get CIMI folks and various HL7 clinical groups involved?

>

> If you say urineanalysis POCT. What does the POCT stand for and mean?

>

> Vriendelijke groet,

>

> Dr. William Goossen

>

> Directeur Results 4 Care BV

> +31654614458

>

> > Op 13 mrt. 2015 om 06:50 heeft openehr-clinical-<mailto:openehr-clinical-request at lists.openehr.org>

> request at lists.openehr.org<mailto:openehr-clinical-request at lists.openehr.org> het volgende geschreven:

> >

> > Send openEHR-clinical mailing list submissions to

> >    openehr-clinical at lists.openehr.org<mailto: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.opene

> > hr.org

> >

> > or, via email, send a message with subject or body 'help' to

> >    openehr-clinical-request at lists.openehr.org<mailto:openehr-clinical-request at lists.openehr.org>

> >

> > You can reach the person managing the list at

> >    openehr-clinical-owner at lists.openehr.org<mailto: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. RE: More reviews FW: openEHR archetype Sprint reviews for

> >      participation (Heather Leslie)

> >   2. Re: openEHR-clinical Digest, Vol 35, Issue 18 (WILLIAM R4C)

> >

> >

> > ----------------------------------------------------------------------

> >

> > Message: 1

> > Date: Fri, 13 Mar 2015 05:15:00 +0000

> > From: Heather Leslie <heather.leslie at oceaninformatics.com<mailto:heather.leslie at oceaninformatics.com>>

> > To: For openEHR technical discussions

> >    <openehr-technical at lists.openehr.org<mailto:openehr-technical at lists.openehr.org>>,    For openEHR clinical

> >    discussions <openehr-clinical at lists.openehr.org<mailto:openehr-clinical at lists.openehr.org>>

> > Subject: RE: More reviews FW: openEHR archetype Sprint reviews for

> >    participation

> > Message-ID:

> >

> >

> <SIXPR06MB0942F6D35716BF16009380CFD070 at SIXPR06MB094.apcprd06.p

> rod.outl

> > ook.com>

> >

> > Content-Type: text/plain; charset="us-ascii"

> >

> > And a couple more for good measure :). Please log in and adopt the

> archetype<https://openehr.atlassian.net/wiki/display/healthmod/Adopt+an+<https://openehr.atlassian.net/wiki/display/healthmod/Adopt+an+archetype>

> archetype<https://openehr.atlassian.net/wiki/display/healthmod/Adopt+an+archetype>> if you would like to participate in any of the reviews below.

> >

> > Problem/Diagnosis -

> > http://www.openehr.org/ckm/#showArchetype_1013.1.169

> >

> > Symptom - http://www.openehr.org/ckm/#showArchetype_1013.1.195

> >

> > Regards

> >

> > Heather

> >

> > From: openEHR-technical

> > [mailto:openehr-technical-bounces at lists.openehr.org] On Behalf Of

> > Heather Leslie

> > Sent: Friday, 6 March 2015 5:56 PM

> > To: For openEHR technical discussions; For openEHR clinical

> > discussions

> > Subject: More reviews FW: openEHR archetype Sprint reviews for

> > participation

> >

> > Hi again,

> >

> > Further to my recent email, two more reviews have commenced:

> >

> > *        Family History -

> http://www.openehr.org/ckm/#showArchetype_1013.1.1900

> >

> > *        Glasgow Coma Scale -

> http://www.openehr.org/ckm/#showArchetype_1013.1.137

> > Again, if you would like to participate in any of these, please register, log in

> and adopt the archetype and the Editors will add you to the review team.

> >

> > Regards

> >

> > Heather

> >

> >

> > From: Heather Leslie

> > Sent: Wednesday, 4 March 2015 3:49 PM

> > To: For openEHR clinical discussions; For openEHR technical

> > discussions

> > Subject: openEHR archetype Sprint reviews for participation

> >

> > Dear Colleagues,

> >

> > In the past couple of days a number of archetype reviews have been

> initiated.

> >

> >

> > *        Anatomical Location -

> http://www.openehr.org/ckm/#showArchetype_1013.1.587

> >

> > *        Relative Anatomical Location -

> http://www.openehr.org/ckm/#showArchetype_1013.1.1892

> >

> > *        Adverse Reaction List -

> http://www.openehr.org/ckm/#showArchetype_1013.1.1425

> >

> > *        Health Risk -

> http://www.openehr.org/ckm/#showArchetype_1013.1.176

> >

> > *        Urinalysis POCT -

> http://www.openehr.org/ckm/#showArchetype_1013.1.150

> >

> > If you would like to participate please register, log in and adopt the

> archetype and the Editors will add you to the review team.

> >

> > Kind Regards

> >

> > Heather

> >

> > Dr Heather Leslie

> > MBBS FRACGP FACHI

> > Director/Consulting  Lead, Ocean

> > Informatics<http://www.oceaninformatics.com/>

> > Clinical Programme Lead, openEHR

> Foundation<http://www.openehr.org/>

> > Phone -  +61 418 966 670

> > Skype - heatherleslie

> > Twitter - @omowizard

> >

> > -------------- next part -------------- An HTML attachment was

> > scrubbed...

> > URL:

> > <http://lists.openehr.org/pipermail/openehr-clinical_lists.openehr.org

> > /attachments/20150313/6f36eafc/attachment-0001.html>

> >

> > ------------------------------

> >

> > Message: 2

> > Date: Fri, 13 Mar 2015 06:50:27 +0100

> > From: WILLIAM R4C <wgoossen at results4care.nl<mailto:wgoossen at results4care.nl>>

> > To: "openehr-clinical at lists.openehr.org<mailto:openehr-clinical at lists.openehr.org>"

> >    <openehr-clinical at lists.openehr.org<mailto:openehr-clinical at lists.openehr.org>>

> > Subject: Re: openEHR-clinical Digest, Vol 35, Issue 18

> > Message-ID: <D9F6A169-CEA0-462E-99BA-<mailto:D9F6A169-CEA0-462E-99BA-E2BC95E8B9AD at results4care.nl>

> E2BC95E8B9AD at results4care.nl<mailto:D9F6A169-CEA0-462E-99BA-E2BC95E8B9AD at results4care.nl>>

> > Content-Type: text/plain;    charset=us-ascii

> >

> > Dear Hugh,

> >

> > Thank you very much for your overview!

> >

> > I Wil refrain from now on telling about this fata mogana because I am now

> convinced there are real world implementations.

> >

> > Vriendelijke groet,

> >

> > Dr. William Goossen

> >

> > Directeur Results 4 Care BV

> > +31654614458

> >

> >> Op 13 mrt. 2015 om 04:39 heeft openehr-clinical-<mailto:openehr-clinical-request at lists.openehr.org>

> request at lists.openehr.org<mailto:openehr-clinical-request at lists.openehr.org> het volgende geschreven:

> >>

> >> Send openEHR-clinical mailing list submissions to

> >>   openehr-clinical at lists.openehr.org<mailto: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.open

> >> ehr.org

> >>

> >> or, via email, send a message with subject or body 'help' to

> >>   openehr-clinical-request at lists.openehr.org<mailto:openehr-clinical-request at lists.openehr.org>

> >>

> >> You can reach the person managing the list at

> >>   openehr-clinical-owner at lists.openehr.org<mailto: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. openEHR implementations in Australia (Hugh Leslie)

> >>

> >>

> >> ---------------------------------------------------------------------

> >> -

> >>

> >> Message: 1

> >> Date: Fri, 13 Mar 2015 03:38:57 +0000

> >> From: Hugh Leslie <hugh.leslie at oceaninformatics.com<mailto:hugh.leslie at oceaninformatics.com>>

> >> To: "openehr-clinical at lists.openehr.org<mailto:openehr-clinical at lists.openehr.org>"

> >>   <openehr-clinical at lists.openehr.org<mailto:openehr-clinical at lists.openehr.org>>,

> >>   "openehr-clinical at lists.openehr.org<mailto:openehr-clinical at lists.openehr.org>"

> >>   <openehr-clinical at lists.openehr.org<mailto:openehr-clinical at lists.openehr.org>>,

> >>   "openehr-clinical at lists.openehr.org<mailto:openehr-clinical at lists.openehr.org>"

> >>   <openehr-clinical at lists.openehr.org<mailto:openehr-clinical at lists.openehr.org>>,    WILLIAM R4C

> >>   <wgoossen at results4care.nl<mailto:wgoossen at results4care.nl>>

> >> Subject: openEHR implementations in Australia

> >> Message-ID:

> >>

> >> <211485EAD5374CA5.1-45b1a4cf-30f8-4f11-84f9-

> ef1131cb2e46 at mail.outlook

> >> .com>

> >>

> >> Content-Type: text/plain; charset="us-ascii"

> >>

> >>

> >> Hi William,

> >>

> >> I think you will find that many openEHR vendors are too busy doing real

> implementations to update the openEHR website!

> >>

> >> Ocean Informatics has a number of large openEHR implementations in

> Australia which are well established.

> >>

> >> There is an EHR running on our Multiprac eHealth platform that provides

> an EHR for all residents of the Northern Territory as well as all aboriginal

> health centres in South Australia and in the Kimberley region of Western

> Australia. This system collects data from multiple systems and is being used

> for decision support as well as providing a shared EHR for the population.

> This system went live about 4 years ago and is being continually added to.

> >>

> >> We have a system running across 95% of acute beds in Queensland (some

> 140 facilities) which is a complex infection control system also running on the

> same openEHR based platform. This system collects all the pathology for the

> whole state everyday and because it is openEHR data we are able to run

> business rules on it to notify infection control practitioners of potential

> outbreaks. This system had been live for nearly 3 years.

> >>

> >> We also have an integrated care system running in NSW which manages

> care planning on the same shared health record platform across the Western

> Sydney region. This has been live for about 2 years.

> >>

> >> There is a whole lot of other implementations running here and all of

> these are pure openEHR implementations.

> >>

> >> Regards Hugh

> >> CEO Ocean Informatics

> >>

> >>

> >>

> >>

> >>

> >>

> >>

> >> On Wed, Mar 11, 2015 at 1:51 PM -0700, "WILLIAM R4C"

> <wgoossen at results4care.nl<mailto:wgoossen at results4care.nl<mailto:wgoossen at results4care.nl%3cmailto:wgoossen at results4care.nl>>> wrote:

> >>

> >> OK Martin,

> >>

> >> I look forward to see OpenEHR in action in Friesland and all, would

> welcome implementation case reports!

> >>

> >>

> >> Vriendelijke groet,

> >>

> >> Dr. William Goossen

> >>

> >> Directeur Results 4 Care BV

> >> +31654614458

> >>

> >>> Op 11 mrt. 2015 om 21:43 heeft openehr-clinical-<mailto:openehr-clinical-request at lists.openehr.org>

> request at lists.openehr.org<mailto:openehr-clinical-request at lists.openehr.org> het volgende geschreven:

> >>>

> >>> Send openEHR-clinical mailing list submissions to

> >>> openehr-clinical at lists.openehr.org<mailto: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.ope

> >>> nehr.org

> >>>

> >>> or, via email, send a message with subject or body 'help' to

> >>> openehr-clinical-request at lists.openehr.org<mailto:openehr-clinical-request at lists.openehr.org>

> >>>

> >>> You can reach the person managing the list at

> >>> openehr-clinical-owner at lists.openehr.org<mailto: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. Re: openEHR-clinical Digest, Vol 35, Issue 7 (Ian McNicoll) 2.

> >>> Re: openEHR-clinical Digest, Vol 35, Issue 7 (Talmon (CRISP))

> >>>

> >>>

> >>> --------------------------------------------------------------------

> >>> --

> >>>

> >>> Message: 1

> >>> Date: Wed, 11 Mar 2015 18:58:12 +0000

> >>> From: Ian McNicoll <ian at freshehr.com<mailto:ian at freshehr.com>>

> >>> To: For openEHR clinical discussions

> >>> <openehr-clinical at lists.openehr.org<mailto:openehr-clinical at lists.openehr.org>>

> >>> Subject: Re: openEHR-clinical Digest, Vol 35, Issue 7

> >>> Message-ID:

> >>>

> >>> <CAG-n1KxJTZV5ZM5LXh09MOFwxQZcXHr4K49Ho=Rnn5Ycw-<mailto:CAG-n1KxJTZV5ZM5LXh09MOFwxQZcXHr4K49Ho=Rnn5Ycw-bkFg at mail.gmail.com>

> bkFg at mail.gmail.com<mailto:CAG-n1KxJTZV5ZM5LXh09MOFwxQZcXHr4K49Ho=Rnn5Ycw-bkFg at mail.gmail.com>>

> >>> Content-Type: text/plain; charset="utf-8"

> >>>

> >>> Thanks Martin

> >>>

> >>> Can I ask other openEHR vendors to equally report on successful

> >>> deployments both here and by updating the web page that Thomas

> pointed to?

> >>>

> >>> William has a point that openEHR has been guilty of hiding its

> >>> successful evolution from research to implementation. I know of a

> >>> number of other projects that have been deployed or are near to doing

> so.

> >>>

> >>> Implementers -we need you to tell us of your success.

> >>>

> >>> Ian

> >>>> On Wed, 11 Mar 2015 at 18:40, Martin van der Meer

> <martin at code24.nl<mailto:martin at code24.nl>> wrote:

> >>>>

> >>>> Hello William,

> >>>>

> >>>> The mental institutes GGZ Friesland, GGZ Noord-Holland-Noord and

> >>>> GGZ Drenthe are all customers of Code24 where our openEHR based

> >>>> solutions are extensively used in their production environment. At

> >>>> site GGZ Friesland an openEHR server cluster is operational with

> >>>> more than 7 million openEHR objects.

> >>>>

> >>>> I would suggest we meet up in the near future to talk further about

> >>>> these real world implementations. Of course a site visit at one or

> >>>> more of our customers is also possible.

> >>>>

> >>>> Best regards, Martin

> >>>>

> >>>> On 11 March 2015 at 18:01, Thomas Beale

> >>>> <thomas.beale at oceaninformatics.com

> >>>>> wrote:

> >>>>

> >>>>> On 11/03/2015 16:33, WILLIAM R4C wrote:

> >>>>>

> >>>>> Dear Tom,

> >>>>>

> >>>>> Thanks for your comments.

> >>>>>

> >>>>> It is getting a long tail, so I will break it down in small pieces.

> >>>>>

> >>>>> Glad we agree on the need for binding to ontologies.

> >>>>> I see no need to wait for BFO 2.0 where 1.0 is available.

> >>>>>

> >>>>>

> >>>>> well, the ontology specialists, including Stefan Schultz and Barry

> >>>>> Smith say otherwise. There are issues that need to be solved

> >>>>> specifically germane to ontology use in SemanticHeathNet, that BFO

> >>>>> 2 should solve. But BFO2 is just one element. As you know, the

> >>>>> ontology side of things also potentially involves OGMS, IAO, and

> >>>>> other things that all need work internally, and for which integrations

> with DCMs are only just being understood.

> >>>>>

> >>>>> Our model challenge will be exactly to handle such differences of

> different ontologies all the time.

> >>>>>

> >>>>> Glad we agree on GCM being helpful in analysis.

> >>>>>

> >>>>>

> >>>>> well I don't - I don't see what use it is. I was saying just the opposite.

> >>>>>

> >>>>> My point of no EHR implementations is supported again by your

> answer. Yes there are many CKM instances and archetype developing

> projects.

> >>>>>

> >>>>> I followed your link to who is using...

> >>>>>

> >>>>> I SEE NO REFERENCE to a hospital I can visit running an EHR using

> archetypes. Similarly No GP or No nursing system in your list. It all seem to be

> pilots and trials or systems with viewers and partial functionality.

> >>>>>

> >>>>>

> >>>>>

> >>>>> Please see this page -

> >>>>>

> http://www.openehr.org/who_is_using_openehr/healthcare_providers_a

> >>>>> nd_authorities

> >>>>>

> >>>>> The second column is the name of the hospital, health authority,

> >>>>> or other provider that is using an openEHR system. The only

> >>>>> entries on this page are real contracted systems, no demonstrations.

> >>>>>

> >>>>> Row 1 happens to mention 140 hospitals. Row 2 mentions 50 GP

> >>>>> sites. If you don't want to visit Australia, fair enough...

> >>>>>

> >>>>> - Most hospitals in Norway now have openEHR in some form, via DIPS

> >>>>> Arena.

> >>>>> - Ljubljana Medical Centre is the Marand Think!EHR system, fully

> >>>>> openEHR.

> >>>>> - Slovenia's national e-health network is openEHR

> >>>>> - Moscow's health record system is openEHR (recently transitioned

> >>>>> from pilot to production project)

> >>>>> - Code24 has systems in Netherlands and I think in Romania.

> >>>>> - etc

> >>>>>

> >>>>> Hopefully this is clear now.

> >>>>>

> >>>>> - thomas

> >>>>>

> >>>>> _______________________________________________

> >>>>> openEHR-clinical mailing list

> >>>>> openEHR-clinical at lists.openehr.org<mailto:openEHR-clinical at lists.openehr.org>

> >>>>>

> >>>>> http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.o

> >>>>> penehr.org

> >>>>

> >>>> _______________________________________________

> >>>> openEHR-clinical mailing list

> >>>> openEHR-clinical at lists.openehr.org<mailto: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.o

> >>> rg/attachments/20150311/b98f8d87/attachment-0001.html>

> >>>

> >>> ------------------------------

> >>>

> >>> Message: 2

> >>> Date: Wed, 11 Mar 2015 21:43:26 +0100

> >>> From: "Talmon (CRISP)" <talmon at maastrichtuniversity.nl<mailto:talmon at maastrichtuniversity.nl>>

> >>> To: For openEHR clinical discussions

> >>> <openehr-clinical at lists.openehr.org<mailto:openehr-clinical at lists.openehr.org>>

> >>> Subject: Re: openEHR-clinical Digest, Vol 35, Issue 7

> >>> Message-ID:

> >>>  <81EBB976-B483-4337-B49C-D689E98265E1 at maastrichtuniversity.nl<mailto:81EBB976-B483-4337-B49C-D689E98265E1 at maastrichtuniversity.nl>>

> >>> Content-Type: text/plain; charset="utf-8"

> >>>

> >>> I think there are other venues where success stories are useful. What

> could be useful is a Case report paper demonstrating the added value of the

> OpenEHR approach (e.g. refuse of resources like archetypes, etc). We have

> had a few papers taking 13606 as a starting point. I know there are journals

> that are open for such contributions. We have had a few papers taking 13606

> as a starting point.  I haven?t seen many of the OpenEHR community being

> active at e.g. the implementation mailing list of AMIA (but that requires

> membership of AMIA). Getting out the message in the American hemisphere

> is also useful.

> >>>

> >>>

> >>> Regards

> >>>

> >>> Jan

> >>>

> >>> On 11 mrt. 2015, at 19:58, Ian McNicoll

> <ian at freshehr.com<mailto:ian at freshehr.com<mailto:ian at freshehr.com%3cmailto:ian at freshehr.com>>> wrote:

> >>>

> >>> Thanks Martin

> >>>

> >>> Can I ask other openEHR vendors to equally report on successful

> deployments both here and by updating the web page that Thomas pointed

> to?

> >>>

> >>> William has a point that openEHR has been guilty of hiding its successful

> evolution from research to implementation. I know of a number of other

> projects that have been deployed or are near to doing so.

> >>>

> >>> Implementers -we need you to tell us of your success.

> >>>

> >>> Ian

> >>> On Wed, 11 Mar 2015 at 18:40, Martin van der Meer

> <martin at code24.nl<mailto:martin at code24.nl<mailto:martin at code24.nl%3cmailto:martin at code24.nl>>> wrote:

> >>> Hello William,

> >>>

> >>> The mental institutes GGZ Friesland, GGZ Noord-Holland-Noord and GGZ

> Drenthe are all customers of Code24 where our openEHR based solutions are

> extensively used in their production environment. At site GGZ Friesland an

> openEHR server cluster is operational with more than 7 million openEHR

> objects.

> >>>

> >>> I would suggest we meet up in the near future to talk further about these

> real world implementations. Of course a site visit at one or more of our

> customers is also possible.

> >>>

> >>> Best regards, Martin

> >>>

> >>> On 11 March 2015 at 18:01, Thomas Beale

> <thomas.beale at oceaninformatics.com<mailto:thomas.beale at oceaninform<mailto:thomas.beale at oceaninformatics.com%3cmailto:thomas.beale at oceaninformatics.com>

> atics.com<mailto:thomas.beale at oceaninformatics.com%3cmailto:thomas.beale at oceaninformatics.com>>> wrote:

> >>> On 11/03/2015 16:33, WILLIAM R4C wrote:

> >>>

> >>> Dear Tom,

> >>>

> >>> Thanks for your comments.

> >>>

> >>> It is getting a long tail, so I will break it down in small pieces.

> >>>

> >>> Glad we agree on the need for binding to ontologies.

> >>> I see no need to wait for BFO 2.0 where 1.0 is available.

> >>>

> >>> well, the ontology specialists, including Stefan Schultz and Barry Smith

> say otherwise. There are issues that need to be solved specifically germane

> to ontology use in SemanticHeathNet, that BFO 2 should solve. But BFO2 is

> just one element. As you know, the ontology side of things also potentially

> involves OGMS, IAO, and other things that all need work internally, and for

> which integrations with DCMs are only just being understood.

> >>>

> >>>

> >>> Our model challenge will be exactly to handle such differences of

> different ontologies all the time.

> >>>

> >>> Glad we agree on GCM being helpful in analysis.

> >>>

> >>> well I don't - I don't see what use it is. I was saying just the opposite.

> >>>

> >>>

> >>> My point of no EHR implementations is supported again by your answer.

> Yes there are many CKM instances and archetype developing projects.

> >>>

> >>> I followed your link to who is using...

> >>>

> >>> I SEE NO REFERENCE to a hospital I can visit running an EHR using

> archetypes. Similarly No GP or No nursing system in your list. It all seem to be

> pilots and trials or systems with viewers and partial functionality.

> >>>

> >>>

> >>>

> >>> Please see this page -

> >>>

> http://www.openehr.org/who_is_using_openehr/healthcare_providers_and

> >>> _authorities

> >>>

> >>> The second column is the name of the hospital, health authority, or

> other provider that is using an openEHR system. The only entries on this page

> are real contracted systems, no demonstrations.

> >>>

> >>> Row 1 happens to mention 140 hospitals. Row 2 mentions 50 GP sites. If

> you don't want to visit Australia, fair enough...

> >>>

> >>> *   Most hospitals in Norway now have openEHR in some form, via DIPS

> Arena.

> >>> *   Ljubljana Medical Centre is the Marand Think!EHR system, fully

> openEHR.

> >>> *   Slovenia's national e-health network is openEHR

> >>> *   Moscow's health record system is openEHR (recently transitioned

> from pilot to production project)

> >>> *   Code24 has systems in Netherlands and I think in Romania.

> >>> *   etc

> >>>

> >>> Hopefully this is clear now.

> >>>

> >>> - thomas

> >>>

> >>> _______________________________________________

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> >>> nehr.org>

> >>> http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.ope

> >>> nehr.org

> >>>

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> >>> ------------------------------

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> >>> End of openEHR-clinical Digest, Vol 35, Issue 9

> >>> ***********************************************

> >>

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