e-health services landscape - initial proposal, open forum

Bert Verhees bert.verhees at rosa.nl
Mon Oct 29 05:57:35 EDT 2018

The reason I come to this is that services have a semantic meaning, also
the patient summary has.

And trend is that data in an healthcare application tend to be first
patient centric and than around that patient is a cloud of problems. I
think there is more, for example lifestyle.

But I already repeated this many times, and I guess application developers
will need to learn this the hard way. It is not just OpenEhr, it is just
that I feel involved with OpenEhr.

Thank you for coming back to this, I will await further discussions.

Best regards

On Mon, 29 Oct 2018, 08:27 Thomas Beale, <thomas.beale at openehr.org> wrote:

> As mentioned elsewhere, while I completely agree on the lifestyle / sports
> / wellness needs in the wider e-health context, at the moment I am not sure
> if special SOA services are needed or not, since these kinds of data can be
> committed to the EHR using the generic EHR service, just as for any other
> kind of data - it's just different archetypes. It may be that special
> services for e.g. performance tracking or whatever are needed, but for now
> I'm assuming all that stuff is done by applications, not services.
> - thomas
> On 23/10/2018 22:10, Bert Verhees wrote:
> 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.
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