e-health services landscape - initial proposal, open forum

Bert Verhees bert.verhees at rosa.nl
Thu Oct 25 03:52:29 EDT 2018


That is very helpful. I think too that it will be beneficial for OpenEhr.
I will send you requirements within two weeks, and then we see where we go
from there,

Thanks very much for helping
Bert

Op do 25 okt. 2018 09:08 schreef Heather Leslie <
heather.leslie at atomicainformatics.com>:

> I like the idea of some of the archetypes being compared to good wines 😊
>
>
>
> Another alternative is to submit the requirements you have identified,
> maybe best by email to me, and we can see how we might best be able to
> support you. It might not be a rapid turn around, though. I think getting
> these archetypes into good shape would be useful to many app developers.
>
>
>
> Would that be helpful to you?
>
>
>
> Cheers
>
>
>
> Heather
>
>
>
> *From:* openEHR-technical <openehr-technical-bounces at lists.openehr.org> *On
> Behalf Of *Bert Verhees
> *Sent:* Thursday, 25 October 2018 5:24 PM
> *To:* For openEHR technical discussions <
> openehr-technical at lists.openehr.org>
> *Subject:* Re: e-health services landscape - initial proposal, open forum
>
>
>
> Thanks for your advice, Heather. To be honest about this. The problem is
> that I did not study medical informatics, and I am not sure that archetypes
> I write will be regarded as good enough to stand in the showcase. I was
> hoping to get some interested to help with that, and then someone who is
> regarded as knowledgeable to get them in the place and keep them there.
> Because if that fails the work has been done in vain. And I have a busy
> life.
>
>
>
> But that plan failed. So now plan B. I have found decent datamodels to
> register different kind of sportactivities, and the archetypes you list
> will certainly help. So maybe I give it a try and people will after reading
> this, judge my work mildly.
>
>
>
> So thanks again, after my holiday (tomorrow I go), I will give it a try. I
> have already written quite a few archetypes, of reasonable quality, but of
> course not as matured as the good wines from CKM.
>
>
>
> best regards
>
> Bert
>
> Op do 25 okt. 2018 07:26 schreef Heather Leslie <
> heather.leslie at atomicainformatics.com>:
>
> Hi Bert,
>
>
>
> The only way archetypes get included in CKM is that someone builds them
> and offers them for sharing. And scope for all archetypes includes your use
> case of consumer entered data, where it is appropriate. So if something you
> need is not there please work actively with us to improve the situation.
>
>
>
> I suggest that you propose candidate archetypes to CKM where they don’t
> exist or make change requests to existing ones where they need improvement.
>
>
>
> Consider:
>
>    - Lifestyle factors -
>    https://ckm.openehr.org/ckm/#showArchetype_1013.1.1648
>    - Story/History - https://ckm.openehr.org/ckm/#showArchetype_1013.1.68.
>    Named ‘story’ precisely to be inclusive of consumer entered data.
>    - Goal - https://ckm.openehr.org/ckm/#showArchetype_1013.1.124
>    - Physical activity summary -
>    https://ckm.openehr.org/ckm/#showArchetype_1013.1.2877
>    - Tobacco smoking summary -
>    https://ckm.openehr.org/ckm/#showArchetype_1013.1.2466
>    - Smokeless tobacco summary -
>    https://ckm.openehr.org/ckm/#showArchetype_1013.1.2817
>    - Tobacco use - https://ckm.openehr.org/ckm/#showArchetype_1013.1.1629
>    – needs to be internalised from the old NEHTA CKM and updated with more
>    recent patterns
>    - Alcohol consumption summary -
>    https://ckm.openehr.org/ckm/#showArchetype_1013.1.1521
>    - Alcohol intake https://ckm.openehr.org/ckm/#showArchetype_1013.1.216
>    – also needs to be updated with more recent patterns
>    - Substance use – https://ckm.openehr.org/ckm/#showArchetype_1013.1.146
>    - needs an update based on further requirements and finalisation of other
>    OBS patters for tobacco and alcohol
>    - Food item - https://ckm.openehr.org/ckm/#showArchetype_1013.1.1922
>    - Dietary nutrients -
>    https://ckm.openehr.org/ckm/#showArchetype_1013.1.2745.
>    - Micronutrients -
>    https://ckm.openehr.org/ckm/#showArchetype_1013.1.2744
>    - Fetal movement -
>    https://ckm.openehr.org/ckm/#showArchetype_1013.1.216
>
> And all the others that are applicable across all domains…
>
>    - Story
>    - Body weight
>    - Height
>    - Waist circumference
>    - BMI
>    - Vital signs – Blood pressure, pulse, temperature
>    - Family History
>    - Problems
>    - Adverse reactions
>    - Menstrual cycle
>
>
>
> They may not be ready for use out of the box for your purpose or published
> or covering all potential concepts, but there are a considerable number
> that are applicable for use by consumers and are not a bad starting point.
>
>
>
> Kind regards
>
>
>
> Heather
>
>
>
> *From:* openEHR-technical <openehr-technical-bounces at lists.openehr.org> *On
> Behalf Of *Bert Verhees
> *Sent:* Wednesday, 24 October 2018 6:10 AM
> *To:* openehr-technical at lists.openehr.org
> *Subject:* Re: e-health services landscape - initial proposal, open forum
>
>
>
>
> I miss lifestyle and sport-services which are not explicitly problem
> related. Maybe others have other suggestions, but I like to focus on these.
> I think that is the near future, and not already planning them in will be a
> missed chance. The meaning of the term Healthcare will change to its true
> meaning. Care related to Health, not only illness. Lifestyle data will be
> important, already now insurance companies are registering if customers
> smoke or do sport, and which sport. Some people write down everything they
> eat.
>
> People use their smartphone to communicate and exchange information.
> Interestingly, an increasing number of people collect health data on their
> smartphone such as information about their mood, activity level, nutrition
> or vital signs including blood pressure or blood glucose levels. Medical
> research could greatly benefit from these ‘real life’ data. I think OpenEhr
> must be prepared for this to come, give it room, embrace it.
>
> The same counts for archetypes, there are no archetypes on CKM which are
> fit to register these kind of things.
>
> I had this discussion already a few times on OpenEhr mailinglists, I only
> got laughters as reply, that is why I hesitate to discuss it here, but with
> this, I give it one more chance, just for fun, not expecting any serious
> result.
>
>
>
> On 23-10-18 16:58, Thomas Beale wrote:
>
>
> Every so often I get bored of what I am doing and start trying to draw one
> of those 'services roadmap' kind of diagrams. These often pretty pictures
> appear in slide presentations, in standards, whitepapers etc, but are not
> often used as a tool to help map out the road ahead. We do however need
> some sort of vision of the future for staking out new services. I like my
> latest version enough that I thought it would be worth putting up publicly
> to get reactions and input.
>
> Please comment and/or add content to the wiki page
> <https://openehr.atlassian.net/wiki/spaces/spec/pages/357957633/Services+Landscape+for+e-Health>
> .
>
>
>
> - thomas
>
>
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>
> --
> *Bert Verhees*
> Software developer, architect
>
> Profile: https://www.bertverhees.nl/
>
> Twitter: https://twitter.com/VerheesBert
> LinkedIn: https://www.linkedin.com/in/bertverhees/
> Email: bert.verhees at rosa.nl
> Mobile: +31 06 28050294
>
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