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OpenEhr rEvolution Sardinia 2019
The document discusses openEHR, an open specification for a health information model that supports an open platform ecosystem. It is vendor neutral, technology neutral, and allows both open and closed source business models. The document outlines openEHR's archetypes and templates, which allow reusable clinical concepts and datasets to be shared across applications independently of the underlying database or technology. It provides examples of openEHR's use in various NHS and clinical projects. Finally, it discusses how an openEHR-based platform could profoundly change health IT by making apps and data independent and enabling data services as a commodity.
OpenEhr rEvolution Sardinia 2019
- 1. Dr Ian McNicoll Co-chairopenEHR INTEROPen UK, Board member CCIO freshEHR Ltd.+ inidus Ltd. the openEHR ‘open platform: Viva la rEvolution
- 2. What is openEHR? Anopen specification for a health ‘information model’ capable of supporting an open platform ecosystem vendor neutral technology neutral licensed to allow open and closed source business models Non-Profit ‘industry / clinical/ health organisation’ collaborative openehr.org
- 3. the ‘information model’? Anydefinition of the structure and content of information that should be collected or shared A ‘minimal dataset’ A message or interface definition Internally every application has some kind of information model Sharing information requires developing shared information models
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- 6. open Platform: The systemis the data, not the app Apps Technology-neutral datastore (CDR) openEHR Rest API + AQLVendor-neutral Information model
- 7. The open platform..how things should work …
- 8. openEHR: Archetypes open sourcecomputable models of discrete clinical concepts Familiar components of a health record Blood pressure, Body weight Medication order, Family history Urea, Creatinine results ‘Maximal dataset’ Capture as many clinical perspectives as possible
- 9. openEHR: Templates Templates deliverthe datasets by aggregating archetypes together Key clinical endpoint and start point for generation of technical artefacts i.e. openEHR archetypes and templates can be used directly Class libraries, Message schema GUI skeletons, API Profiles
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- 12. Archetype re-use Oximetry Issue Weight Blood Pressure HbA1c Assessment Templateunderpinning application Template underpinning application Archetypes used in template
- 13. openEHR: open-source collaborative clinicalcontent factory
- 14. openEHR Clinical DataRepository Apps Technology-neutral datastore (CDR) openEHR Rest API + AQLVendor-neutral Information model
- 15. AQL: Information-model querying Informationmodel querying, independent of the actual database querying vendor/technology neutral querying To query an openEHR system you only have to know which archetypes are in use.
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- 17. The good news… Youdo not have to build your own openEHR back-end ‘CDR’… several providers of openEHR CDR services the openEHR API is compact and easy to use once you understand the basic open source CDRs Ripple EtherCis https://github.com/ethercis Cabolabs EhrServer https://github.com/ppazos/cabolabs-ehrserver
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- 20. GEL dataset toopenEHR 26 templates 13 RD ‘output’ 11 Cancer ‘output’ 2 ‘input’ 99 archetypes 44 international 27 localised 28 purely local http://ckm.apperta.org/ckm/#showProject_1051.61.28
- 21. NHS open platformI Best of breed NHS Plymouth seeEHR portal NHS Taunton Marand ePrescribing + CDR Bi-modal CDR NHS Salford GDE CDR alongside AllScripts Research 100,000 Genomes project 17 live openEHR datastores Others NHS Wales openEHR pilot NHS Northern Ireland
- 22. NHS open platformII Person Held Record Leeds City Council = HELM using Ripple/Ethercis CDR Community Health Integration Exchange Local HealthCare Regional Exemplars (LHCRE) Greater Manchester Leeds, York and Humber NHS Scotland National Digital Platform using Ripple/Ethercis CDR Cambio GDL - vendor-neutral CDSS
- 23. NHS Scotland NDPapps
- 24. Apperta ‘ openPlatform’ https://apperta.org/openplatforms • Be Open Standards Based • Share Common Information Models • Support Application Portability • Be Federatable • Be Vendor and Technology Neutral • Support Open Data • Provide Open APIs
- 25. openEHR CDR andFHIR
- 26. Apperta coPHR -the coProduced Health Record Patient has author rights controls access, distribution All data must be properly medico-legally handled full audit/provenance no retrospective access refusal Sees patient as a part of the professional team Great fit for openEHR platform https://apperta.org/coPHR/
- 27. Rewiring health IT? openPlatform is not ‘more of the same’ - profound ‘re-wiring’ of health IT “Database-less” apps challenges long-held ‘truths’ “Health data services as commodity” is commercially threatening
- 28. Standards :USB Type-D TheUSB Group today unveiled plans for their latest connection standard, USB Type D. “Now with USB Type D, no matter how crazy your night has been, we guarantee that you'll be able to successfully plug in your phone before passing out.”