Fwd: Major update to openEHR Task Planning (workflow) draft specification

Tony Shannon tony.shannon at frectal.com
Fri Jun 2 09:51:59 EDT 2017

thanks Tom

The plans you have in mind sound sensible.
I'd certainly suggest the simple task management stuff needs to be done
early too..

If it helps the (open source) Ripple stack on openEHR we're developing is
well placed as a reference implementation to help with this kind of R&D
stuff. http://ripple.foundation/

See screenshot of basic "MultiPatientView" designed for managing cohorts of
patients.... on waiting list, clinic list, ward list, operating list etc .
(Apols can't embed image on this list so please see that link)

Take a look at 2m to 2m30s of this video to get another view

The basic challenge from an ED perspective might be something like this ;
ED Doc asks ED Nurse to;
Check Vital Signs
Submit Orders
Check Results
Administer Treatments (eg
Administer Medications

See related image here

The "task management" effort might be a binary ToDo/Done
For those folks without the tech, plain old whiteboards are still in use to
do that task management job :o)


On 1 June 2017 at 15:54, Thomas Beale <thomas.beale at openehr.org> wrote:

> On 01/06/2017 02:57, Tony Shannon wrote:
> Looks good Tom, certainly comprehensive.
> Like the fractal nature aspect :o)
> Not sure how to judge it without challenging with a clinical scenario at a
> reference implementation.
> Is there a related OS implementation in the works?
> We'll need to do a bit more design work, but I think parts could be
> implemented soon, in an experimental version.
> I should point out that this design is heavily influenced by a)
> experiences from various openEHR implementers, b) my involvement in the
> Intermountain Healthcare Activity project and c) a lot of literature
> research. At Intermountain we have a working system (it's based on their
> own form of archetypes, and a different reference model, so not directly
> re-usable for us) and we have gained experiences already with clinical
> users on:
>    - radiology reporting and workflow
>    - stroke management, based on the IHC acute stroke guideline
>    <https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwi257L58JzUAhUHqFQKHcEzBM4QFggzMAA&url=https%3A%2F%2Fintermountainhealthcare.org%2Fext%2FDcmnt%3Fncid%3D520500199&usg=AFQjCNGni-t0KZX9MzXAwQG3NBzdvxTvhA&sig2=Y7iU0ggf5-0ZfetDONs6ag>,
>    which is comprehensive
>    - various nursing procedures featuring sequence-of-steps
> It would be great to get your help and that of other clinicians to test
> out the new spec with NICE guidelines e.g. I'd like to have a go at (parts
> of?) sepsis, and stroke is always a good one as well.
> But even the simplest use cases need to be tested to make sure we have got
> the model right - things such as in-patient routine drug admin, R-CHOP
> chemotherapy protocol and so on.
> I think the simplest way to initially test, given we don't have software
> yet, is to build some archetypes. So for example, a typical R-CHOP Task
> List can be built as a set of archetypes.
> So I think the steps from here are:
>    - a bit more design work and validation
>    - republish a 'good enough' draft to test and implement from
>    - build some archetypes and templates for some well-known case to show
>    how this is done
>    - when we add the model to the existing RM BMM, any BMM-consuming tool
>       will be able to build Task Planning archetypes, which at least includes ADL
>       Workbench, LinkEHR and I think the new Marand ADL-designer.
> If you or any other clinical person wants to propose clinical scenarios we
> should concentrate on, please do so. I'm working on the idea that we will
> start with:
>    - multi-day / multi-drug chemo plan
>    - in-patient scheduled drug admin plan
>    - elements of a stroke guideline (IHC or NICE)
> Then we will need to iterate like that for a while; when the archetyped
> Task Plans look solid enough, I think software building can begin in
> earnest.
> - thomas
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