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openEHR: NHS Code4Health RippleOSI and EtherCis

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openEHR: NHS Code4Health RippleOSI and EtherCis

  1. 1. Ian McNicoll Christian Chevalley Co-chair openEHR Foundation freshEHR Clinical Informatics Ltd. Operon Systems Ltd Hon. Research Associate UCL NHS Code4Health: Ripple and Ethercis
  2. 2. Christian Chevalley 30 years of experience in software design, development, data-centre architecture and IT security.  Developing platforms based on openEHR (Cache) since 2010 Has delivered a first release of EtherCIS, an open source openEHR server. 
  3. 3. NHS Open Source: App development
  4. 4. SMARTPlatforms Pluggable Webapp API HL7 FHIR Clinical Content Exchange NHS API ‘inVivo’ Datastore API Detailed Clinical Content Development Clinical leadership PRSB Terminology Centre HSCIC Non openEHR systems Archetype+ SNOMED Clinical Content definitions
  5. 5. NHS Code4Health Ehrscape API
  6. 6. RippleOSI RippleOSI open source EPR app demonstrator http://demo.rippleosi.org/#/patients openEHR CDR using either Marand Think!EHR (closed source) ADOC EtherCis
 (open source) Cabolabs EHRServer
 (open source) identical computable clinical content definitions ‘archetypes’
  7. 7. github.com/RippleOSI
  8. 8. EtherCIS overview Takes advantage of mixed support of relational and NoSQL datatypes in the single table structures. PostgreSQL 9.4 and JSONB datatype. Uses jOOQ 3.5 extensively allows very neat SQL coding in Java. easy migration to e.g. Oracle or DB2. Service model based on a component architecture via JMX. Scalable to allow distributed caches to support session tokens across multiple instances, database clustering etc
  9. 9. github.com/ethercis
  10. 10. EtherCIS SQL Schema
  11. 11. EtherCIS JsonB
  12. 12. EtherCIS Querying Native Postgres SQL Archetype Query Language
  13. 13. AQL Resultset
  14. 14. EtherCIS: State of play Fully compliant with Ehrscape API Testing AQL compliance now Added Validation handling Common provisioning tools Demo direct data transfer between EtherCIS and Think! EHR
  15. 15. Next steps: align REST APIs
  16. 16. openEHR CDR openEHR Rest API + AQL Best of Breed 3.0: ’open platform’ architecture open Information Model App App App
  17. 17. Subtitle Demo
  18. 18. Create / update archetype
  19. 19. Collaborative review
  20. 20. Create Stress Fracture report ‘ template’
  21. 21. Build form

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