This document discusses an open clinical information model and its benefits. An open clinical information model is a vendor-neutral and customer-owned data model for healthcare data. It allows for: 1) Separating the data model from technical implementations so the model can be defined by healthcare professionals and adapted flexibly. 2) Fast development and testing of new clinical applications through an "ideas to use in hours/days" approach. 3) Open sharing of data models and interfaces between organizations and vendors.

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Vendor point of view
Vesa Peltola
Operative Product Owner
Tieto, Healthcare and Welfare Solutions
vesa.peltola@tieto.com

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What does open clinical
information model mean?
Data model designed for healthcare
• Modelling of health data
• Data quality, data interoperability between systems
• Based on research and reference model
Modeling and technical implementation separated
• Modeling done by healthcare professionals, with help of it-specialist
• Technical implementation does not fix data model
• Common language between developer and clinician
Vendor neutral clinical documentation
• Customer independent open data model
• Enables open eco system
• Sharing of data models and UI templates
2
.org CKM
National CKMs
Region/system CKMs

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Velocity
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Enables fast changes and trials, e.g.
when care practices are changing
Fast reaction time on clinicians’ needs
From idea to clinical use in days or hours
Adaptations and extensions usable without
software updates
Enabling everyday innovation
1.
2.
3.
4.

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Solutions and data model separated
Clinical adaptation based on needs and workflows
Vendor- and technology neutral standard. Data
owned and fully usable by the customer.
Clinicians can define the models
Flexibility
1.
2.
3.
4.

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OpenEHR – Building blocks
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Clinical Knowledge Manager
http://www.openehr.org/ckm/
http://arketyper.no/ckm/ (Norway)
Archetypes (~ shared clinical data
models)
Templates (~ composition data models)
Forms (~ layout definition for templates)
Renderer (html presentation)
AQL – Archetype Query Language

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Building applications

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What does it
REALLY mean?
Demo

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Lifecare Data Entry Renderer
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Angular2 rendering (html) based on openEHR data
Templates and Forms.
Suitable for many use cases to get fast results.
Features
• Archetype based field rendering
• Multiple types of input controls
• Simple calculations (e.g. NEWS)
• Data validation (mandatory, data type, range, precision)
• Value classification color coding
• Default values
• Codesets dropdowns with smart search
• Viewing of historical data

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Lifecare Journal View
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Basic viewing of medical
documentation data from openEHR
storage.
Input done e.g. using the Data Entry
(or any other openEHR compatible
app)

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Lifecare Observations
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Basic graphical/table viewing
of observation data from
openEHR storage.
Input done e.g. using the Data
Entry (or any other openEHR
compatible app)

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Lifecare Growth Chart
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Childhood growth chart visualization
Based on upcoming national
requirements
Reference material based on Dunkel’s
research group (national growth
reference material in Finland)
Additional reference material possibility
to take into use (f.ex WHO)
Screening guides for follow-up treatment
or for lifestyle changes.

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BUT: It is data as any other data
Don’t let information model fool you to think it
limits the possibilities on UI.
Visualization can be implemented as UX-
designers want.
1) Dynamic form rendering - easy & fast
2) Visual renderers, like charting
3) Specialized apps – perfect fit
4) API access, e.g. integrations
5) 3rd party controls (e.g. SMART)
6) Etc.

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Vesa Peltola
Operative Product Owner
Tieto, Healthcare and Welfare Solutions
vesa.peltola@tieto.com