Memory Clinic / Older Adult Mental Health

Ian McNicoll ian at freshehr.com
Mon Nov 16 09:58:29 EST 2015


Hi Matt (and Dave),

Welcome to the list. Apologies for me being a bit slow on the reply. I was
travelling most of last week , then involved in an openEHR workshop in
London at he end of the week - the first of many to come and supported by
NHS Code4Health.

I would be happy to have a chat on phone/web to get you up to speed on
possible next steps. I am delighted that Dave has offered possible use of
the HSCIC CKM to allow you to get feedback on your archetypes. Just in case
that proves problematic, you are very welcome also to use the 'UK CKM'
partially funded by NHS Scotland and Code4Health by the Ripple and
Handihealth projects.

It might seem odd to outsiders that the UK seems to have both an 'official'
HSCIC CKM and an unofficial UK CKM but, at least for now, they do have
quite different goals and governance arrangements. The Uk CKM is 4-country
and more orientated towards supporting local and in-system archetype
production, whereas the HSCIC CKM is dedicated to the use of archetypes of
English messaging and API standards, with a somewhat more constrained
governance process, required by an official standards organisation.

@Dave - we share your ambition to get clinicians involved from various
specialties in the international work - the international CKM is the
obvious home for this, the only challenge being the difficulty of having
paid editorial time to keep the process moving. Right now those of us
engaged at this level are fully occupied doing the 'Industry sprint' core
archetypes.

One option for Matt's project might be for us to work up the cognitive
disorder archetypes locally (in one of the UK CKM's) then, when we have a
reached a reasonable level of maturity, promote these to the international
CKM. Our colleagues in Norway, New Zealand are likely to be very interested.

Exciting stuff.

@Matt - please feel free to get in touch directly. We can also look at
getting the archetypes implemented in one of the NHS Code4Health demo
projects such as RippleOSI - see http://idcr.rippleosi.org/#/

Regards,

Ian





Dr Ian McNicoll
mobile +44 (0)775 209 7859
office +44 (0)1536 414994
skype: ianmcnicoll
email: ian at freshehr.com
twitter: @ianmcnicoll

Co-Chair, openEHR Foundation ian.mcnicoll at openehr.org
Director, freshEHR Clinical Informatics Ltd.
Director, HANDIHealth CIC
Hon. Senior Research Associate, CHIME, UCL

On 16 November 2015 at 14:25, Barnet David (HEALTH AND SOCIAL CARE
INFORMATION CENTRE) <david.barnet at hscic.gov.uk> wrote:

> 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
> <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
> *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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