Memory Clinic / Older Adult Mental Health

Barnet David (HEALTH AND SOCIAL CARE INFORMATION CENTRE) david.barnet at hscic.gov.uk
Mon Nov 16 09:25:38 EST 2015


Vebjørn

I've suggested to Matt that he can (subject to management agreement) use the HSCIC (health and social care information centre) CKM (ckm.hscic.gov.uk/ckm).

Your suggestion that clinicians in Norway would be interested in contributing is very encouraging.


On that subject - An open question
As a thought on contributors, it seems to me that the major contributors to archetypes are the countries who run a CKM (Norway, UK, Australia etc.) and whatever reach the openEHR foundation has. As contributing to archetypes is not dependent on using openEHR in a country (realm/jurisdiction etc.), is there a way to tap into a more "global" interest? I am aware that clinicians regularly present at venues around the world sharing best practice. It would be nice if we could tap into these groups to spread the openEHR collaboration message?

For example, cardiology has the http://www.world-heart-federation.org/ boasts a large number of members from around the world.

For example, it would be nice for Matt to be able to post to an online message board to say an archetype is ready for review, and be able to target geriatrician groups (national level groups such as Royal Colleges in the UK perhaps) around the world. Or is that just a "pie in the sky" idea?

Regards

Dave Barnet

From: openEHR-clinical [mailto:openehr-clinical-bounces at lists.openehr.org] On Behalf Of Vebjørn Arntzen
Sent: Mon 16/11/2015 13:55
To: 'For openEHR clinical discussions'
Subject: SV: Memory Clinic / Older Adult Mental Health

Hi, Matt

Re:" Should it be sufficient to use the archetype editor to build and share the work or would it be worth my while then adding the archetypes to an openEHR server to demonstrate use?"
I will strongly advise to use a repository (CKM) to share archetypes you've made. You'll need access to a Project/Incubator in a CKM (e.g. UK CKM <http://www.clinicalmodels.org.uk/ckm/> - the UK clinical models repository). The CKM provides great opportunities to share, discuss and upload new versions as you get feedback. You'll need to get in touch with an administrator of a CKM to obtain the necessary privileges - or to have the administrator handle it for you. It's fairly easy to make stupid archetypes, inviting colleagues and specialists in health informatics to join in the work makes the work easier (but still not easy).

As the Norwegian vendor DIPS ASA is making a shift towards archetypes in their system DIPS Arena, the majority of Norwegian hospitals will need archetypes for almost any thinkable area of health. In that perspective,  I'm quite sure that some geriatricians in Norway will be interested to both contribute and adopt the results.


Regards,
Vebjørn Arntzen
RN, Enterprise Architect, ICT-dept, Oslo University Hospital

Fra: openEHR-clinical [mailto:openehr-clinical-bounces at lists.openehr.org] På vegne av Thomas Beale
Sendt: 13. november 2015 14:57
Til: openehr-clinical at lists.openehr.org<mailto:openehr-clinical at lists.openehr.org>
Emne: Re: Memory Clinic / Older Adult Mental Health

Hi Matt,

Some potentially useful resources:

 *   Business purpose of archetypes <http://www.openehr.org/releases/AM/latest/docs/Overview/Overview.html#_business_purpose_of_archetypes> - 1 pager on why archetypes are needed
 *   UK CKM <http://www.clinicalmodels.org.uk/ckm/> - a UK clinical models repository
 *   HSCIC CKM<http://ckm.hscic.gov.uk/ckm/> - HSCIC's clinical models repository
 *   Modelling Tools<http://www.openehr.org/downloads/modellingtools>

Re: having to convert archetypes and templates into product specific formats, this is pretty easily doable, since archetypes are highly computable (i.e. don't rely on informal constructs or statements), and there are a number of open source libraries for working with archetypes within tools (e.g. adl-designer<https://github.com/openEHR/adl-designer>, adl2-core<https://github.com/openEHR/adl2-core>).

If you keep an eye on this mailing list, you will get responses from clinical modelling experts and software developers on your more specific questions.

- thomas

On 13/11/2015 12:31, Matt Evans wrote:
I have followed these lists for some years but never posted before. I work in an NHS older adult mental health service in the south of England and the greatest proportion of our workload is in cognitive disorders.

We have significant need to gather a mixture of structured and semi structured or freetext clinical information to support clinical care, audit, service development and research. We have previously worked with UCL CHIME to model the clinical information and built an information system to support these requirements in memory clinic and to some extent older adult mental health more generally. We therefore have some potential archetypes/templates to start from.

The move in the NHS towards larger information systems means that we must now migrate these clinical models in to some sort of representation in the main hospital/Trust information system. Our neighbouring Trusts do the same within their different information systems. As clinicians and researchers we are more than ever interested in sharing the information structures across our organizations but clearly that means across different incompatible systems.

I have experience of the 'traditional' way of specifying and communicating information requirements and building them in 'the big systems' and it isn't entirely satisfactory. I hope that building archetypes could be a really efficient way of engaging end users and to communicate the developments.    Regrettably the exercise would merely be for us to demonstrate our common requirement as the archetypes will then have to be translated rather than incorporated in to the different  systems in use by different organizations.

Clearly I need to do some reading of the openEHR pages and specifically the tools. Before we start I'd appreciate any advice people could offer.

Is there active openEHR archetype work within the NHS currently?
Are there archetypes in developments within cognitive/neurodegenerative disorders or mental health?
Should it be sufficient to use the archetype editor to build and share the work or would it be worth my while then adding the archetypes to an openEHR server to demonstrate use?

Thanks for any pointers!



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