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openEHR v COVID-19
- 1. openEHR v COVID-19 Dr Heather Leslie @omowizard Chapter One
- 5. ‘Reference Model’ = rules ‘Archetype’ = Clinical concept specification ‘Templates’ = datasets Clinical Documents/ Messages/Forms CKM/Data dictionary National resource Health data patterns • Standardised • Clinically agreed • Centrally governed Aggregate & constrain → clinical diversity: • clinical domain • profession • location openEHR ‘smart data’ ecosystem © Atomica Informatics
- 6. www.openEHR.org/ckm Clinical Knowledge Manager © Atomica Informatics
- 7. Apps Websites Documents © Atomica Informatics
- 8. ‘Archetype’ = Clinical concept specification ‘Templates’ = COVID-19 datasets COVID-19 ‘smart data’ ecosystem CKM Ungoverned INCUBATOR Governed PROJECT time 98% © Atomica Informatics
- 9. Traditional standards development Single artifact months→years 0 © Atomica Informatics Minimum tolerated (aka Minimum dataset)
- 10. openEHR standardization process coherent datasetS ARCHETYPES months→years 0 TEMPLATES days→weeks 0 COVID-19 screening IT COVID-19 screening (nephrology) Infection report CN diagnosis guidelines • Prequalified • Clinically verified • Open data standards Secret sauce =Archetypes NO COVID-19 screening © Atomica Informatics
- 11. Templates Archetypes Data Sets Decision Support SchemasSemantic Queries One record Population health Messages Terminology SNOMED CT LOINC Forms Documents openEHR smart data ecosystem Guideline Definition Language (GDL) Archetype Query Language (AQL) © Atomica Informatics
- 12. Archetype reuse 55% 50% 50% 81% 65% 91% 0% 0% 30% 19% 32% 9% 45% 50% 20% 0% 3% 0% © Atomica Informatics
- 13. 27 languages 34 Italian 227 Norwegian © Atomica Informatics 15 Chinese + HMC (441)
- 14. Highlights • No COVID-19 specific archetypes in projects • Tested published archetypes; Refined draft archetypes • New modelling patterns identified • Screening questionnaires • Travel event • Therapeutic order • Collaborative international community • Independent implementations, coherent multilingual data sets • Incubator vs project variation • Governance, development, transformation process from ‘agile, COVID-specific, ninja’ incubator to ‘stable, generic, samurai project’ – ~98% mapping • This is the story I know… more to be revealed… © Atomica Informatics
- 15. Resources • openEHR CKM - https://www.openehr.org/ckm/ • CKM COVID-19 incubator - https://ckm.openehr.org/ckm/incubators/1013.30.80 • CKM COVID-19 project - https://ckm.openehr.org/ckm/projects/1013.30.81 • openEHR COVID-19 Discourse - https://discourse.openehr.org/t/covid-19- project/537 • openEHR International press release - https://openehr.org/news_events/openehr_news/311 • Open Health News article - https://www.openhealthnews.com/content/openehr- community-rises-challenge-coronavirus • Smart Infection control system - https://www.gesundheitsforschung- bmbf.de/de/smics-smarte-software-gegen-sars-cov-2-11471.php • JMIR publication: Development of an openEHR Template for COVID-19 Based on Clinical Guidelines - https://www.jmir.org/2020/6/e20239/ © Atomica Informatics
- 16. Contact Dr Heather Leslie Atomica Informatics heather.leslie@atomicainformatics.com @omowizard / @atomicainfo openEHR International www.openEHR.org @openEHR / @clinicalmodels © Atomica Informatics