What s next for openehr. Sam Heard Thomas Beale

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "What s next for openehr. Sam Heard Thomas Beale"

Transcription

1 What s next for openehr Sam Heard Thomas Beale

2 Current situation (2010-) General industry movement toward SOA, growing use of terminology SOA: IHE Information / messages HL7 v3 failed, org in fresh look EN13606 limited uptake Terminology IHTSDO: SNOMED CT, ICD11 HL7: LOINC DCMs

3 SOA & IHE Due to negative experiences with overcomplex data standards, some parts of industry moving to far simplified data, more communication e.g. XDS / CDA services. This addresses some short-term needs Provides needed services e.g. PIX, PDQ However, these don t solve the long-term need, which is computable data.

4 EN13606 openehr developers active in CEN for 4 years openehr archetype model (ADL 1.4) used as EN EN heavily based on openehr circa 2006

5 EN status Industry uptake appears limited Some countries like Sweden nominally mandated it, but not yet implementable Limitations: Not yet proven in any large scale system Fixed demographic model (no archetyping) EHR Extract model not very flexible e.g. For multiple patients Uncertainty over ISO standard

6 EN status Coming up for 3y review in ISO May 2012 If demonstrable industry uptake revision Else, obsolete openehr proposal: Part 1 and openehr RM merged Part 2 be upgraded to openehr ADL/AOM 1.5

7 EN13606 & openehr Extract openehr Extract far more flexible, subsumes data Demonstrated in Singapore, Sweden ADL 1.5 archetypes available online Will be offered to 2012 ISO review process

8 HL7 HL7v3 messaging has not been used widely, not performed well where it was used. Now appears limited to CA, NL, with legacy in UK CDA is in fairly common use in some countries Essentially an RMIM also an XSD 3 levels level 3 = structured data So far, limited use for structured data HL7v3 RIM basis has meant still too complex for many green CDA

9 HL7 fresh look HL7 has recognised the limitations of the v3 effort and low take-up Efforts underway to make CDA more computable, easier to use However, still not model-based XSD only Grahame Grieve (Australia) has proposed complete v3 replacement called Resources for Health (RFH) New data types Re-engineered data models

10 HL7v3 Replacement proposal

11 openehr and HL7v2 Integration with HL7v2 tractable and proven: openehr Template per message type + TDS Can use tools like BizTalk to process large amounts of data Standardised mappings to v2 message types may appear on openehr.org in the future Commonly undertaken in real systems today via TDS

12 openehr and HL7 CDA General approach: Base schema templates = restricted schemas Problems: Templates not re-usable Entry types based on RIM, and hard to manage HL7 data types problems Green CDA may improve things

13 openehr and CDA Integration is possible, but requires a more complex framework to deal with structured level 3 content Has been demonstrated with Australian discharge summary

14 Detailed Clinical Models (DCMs) ISO work item on quality criteria for models In very early stages Confuses need for representation with TF view: nothing should be standardised without prior industry experience International group led by Stan Huff (IHC) now meeting to choose a common formalism

15 News flash - CIMI forum International forum to decide shared clinical model format Four Meetings between May 2011, Nov 2011 Process: initial vote for 2 out of 5 candidates ADL 1.4, ADL 1.5, HL7 RIM, OWL, UML (various forms) voted on 20 Nov ADL 1.5, UML

16 International CIMI forum Run by Stan Huff, Intermountain Healthcare 1. Establish and maintain a shared repository of DCMs where the models are: described using a single formalism built using an agreed upon set of base data types with agreed behaviors (constraints, ordering, defaults, handling exceptions, runtime processing assumptions, etc.) the formalism must support the capability to formally bind to terminologies for both data element names and for values of data elements strategy for defining terminology concepts when they do not exist that does not stop the creation or use of the models where the repository is open and contents are free for use at no cost, to enable use in healthcare systems globally and is also open for contributions, to allow contributors to work on content that they see as priority use cases and maintain provenance for the models including examples of instances (over time) for data for the models expressed in a well defined reference syntax

17 International CIMI forum 2. Establish appropriate governance, finance, and organizational structure for the group 3. Capture background, context, and discussions relevant to decisions made in creating and using the model Notes on use, problems, errors, and misuse 4. Establish a fair and open process for curating the content in the model repository Adherence to the single approved formalism Verification by clinicians and other domain experts Endorsements (approvals) by specific organizations or disciplines Checking for consistency to prevent duplicate and overlapping content Manage dependencies and life cycle

18 International CIMI forum 5. Promote the creation of software tools that translate the models to other commonly used model representation languages (OWL, UML, HL7 MIF, graphic format, HTML, etc.) 6. Promote the creation of software tools that generate implementation artifacts (XML schemas, Java class definitions, CDA templates, GreenCDA, etc.)

19 CIMI forum members Providers Intermountain Health, Utah Mayo Clinic US Department of Defence Kaiser Permanente US Veterans Health Administration (VHA) Vendors GE Harvard / Smarthealth National programmes UK NHS, Singapore MOH, Canada Infoway, Nehta, Sweden Organisations openehr IHTSDO HL7

20 International CIMI forum Outcome of London meeting openehr ADL / AOM 1.5 chosen as starting point formalism for internationally shareable clinical models UML 2.0 profile will be created based on openehr AOM 1.5 This will connect major UML-based tooling efforts to openehr semantics all shared models will be archetypes Bridges to generate HL7 clinical statement pattern and other concrete formats

21 IHTSDO Board members are stakeholders nat.gov programmes Structure international group + National Release Centres (NRCs) Structure of SNOMED CT mimics international + NRCs int l release + national extensions Ref set model specified most important for next 5y DCM binding a key interest area

22 openehr & IHTSDO 2009 IHTSDO & openehr announced concept of merger; backed by IHTSDO board 2010 members forum voted against (US, CA) 2011 IHTSDO has indicated that a formal relationship is still under consideration Archetype / snomed bindings

23 openehr Governance under review More open specification development Software development like Apache Clinical modelling CIMI activity has brought much wider interest Archetype technology will now be of central international importance going forward

24 openehr technical directions openehr 2.x reference model underway Service specifications & IHE mappings being worked on openehr RM + archetypes will be used to update for revision RM and part 2 (archetypes) Process level models (care pathways and active indexes) will be published TDS / TDO specifications will be published Big increase in software development

25 openehr clinical directions More involvement in real clinical trials Expand archetype editor team Higher rate of archetype publishing Establish Clinical Knowledge Incubator Open source tool Informal early archetype development? Regional instances

26 openehr - organisation More focus on localisation activities Help for national chapters to be set up current: Brazil, NZ, Japan, Chile Aiming to have 1 conference per year first might be in Lake Bled

27 Where in use? Industry GOV Academia

EHR Standards Landscape

EHR Standards Landscape EHR Standards Landscape Dr Dipak Kalra Centre for Health Informatics and Multiprofessional Education (CHIME) University College London d.kalra@chime.ucl.ac.uk A trans-national ehealth Infostructure Wellness

More information

Standards for E-Health Interoperability

Standards for E-Health Interoperability Standards for E-Health Interoperability An E-Health Transition Strategy Version 1.0 08/05/2007 National E-Health Transition Authority National E-Health Transition Authority Ltd Level 25 56 Pitt Street

More information

The next generation EHR

The next generation EHR The next generation EHR European EHR standard OpenEHR Ocean Informatics Gerard Freriks v1 7-11-2007 Electronic Patient Record What do we expect? We need and expect EHR-systems that: 2 Electronic Patient

More information

HL7 CDA, Clinical Modelling and openehr

HL7 CDA, Clinical Modelling and openehr HL7 CDA, Clinical Modelling and openehr Thomas Beale NHS Scotland, February 2007 Thomas Beale Introductions Chief Technology Officer Ocean Informatics Senior Researcher, Centre for Health Informatics,

More information

Electronic Health Records: An introduction to openehr and archetypes

Electronic Health Records: An introduction to openehr and archetypes Electronic Health Records: An introduction to openehr and archetypes Dr. Sebastian Garde CCR Workshop Munich 29 th April 2008 Expectations Timely information and reports for ALL professions with a minimum

More information

Integration Information Model

Integration Information Model Release 1.0.1 The openehr Reference Model a. Ocean Informatics Editors: T Beale a Revision: 0.6 Pages: 15 Date of issue: 22 Jul 2006 Keywords: EHR, reference model, integration, EN13606, openehr EHR Extract

More information

HL7 FHIR & IHE MHD yet more choices

HL7 FHIR & IHE MHD yet more choices HL7 FHIR & IHE MHD yet more choices IHE NL 2012 - Changing the Way Healthcare Connects Presentatie IHE-Jaarcongres Spant!, 9 november 2012 Ewout Kramer Korte Introductie Mijn naam: Ewout Kramer Adviseur

More information

Techniques for ensuring interoperability in an Electronic health Record

Techniques for ensuring interoperability in an Electronic health Record Techniques for ensuring interoperability in an Electronic health Record Author: Ovidiu Petru STAN 1. INTRODUCTION Electronic Health Records (EHRs) have a tremendous potential to improve health outcomes

More information

Archetype-Based Knowledge Management for Semantic Interoperability of Electronic Health Records

Archetype-Based Knowledge Management for Semantic Interoperability of Electronic Health Records Medical Informatics in a United and Healthy Europe K.-P. Adlassnig et al. (Eds.) IOS Press, 2009 2009 European Federation for Medical Informatics. All rights reserved. doi:10.3233/978-1-60750-044-5-1007

More information

openehr The Reference Model Thomas Beale Sam Heard

openehr The Reference Model Thomas Beale Sam Heard openehr The Reference Model Thomas Beale Sam Heard 1:N openehr Semantic architecture Screen Forms Messages 1:N Reports Templates Data conversion schemas 1:N Archetypes Terminology interface Terminologies

More information

A Sematic Web-Based Framework for Quality Assurance of Electronic Medical Records Data for Secondary Use

A Sematic Web-Based Framework for Quality Assurance of Electronic Medical Records Data for Secondary Use A Sematic Web-Based Framework for Quality Assurance of Electronic Medical Records Data for Secondary Use Guoqian Jiang, Harold Solbrig, Christopher Chute Mayo Clinic W3C RDF Validation Workshop September

More information

Clinical Knowledge Manager. Product Description 2012 MAKING HEALTH COMPUTE

Clinical Knowledge Manager. Product Description 2012 MAKING HEALTH COMPUTE Clinical Knowledge Manager Product Description 2012 MAKING HEALTH COMPUTE Cofounder and major sponsor Member and official submitter for HL7/OMG HSSP RLUS, EIS 'openehr' is a registered trademark of the

More information

IHE Australia Workshops July 2011. Prepared by: Heather Grain Chair: Standards Australia IT14 Health Informatics and Ehealth Education

IHE Australia Workshops July 2011. Prepared by: Heather Grain Chair: Standards Australia IT14 Health Informatics and Ehealth Education IHE Australia Workshops July 2011 Prepared by: Heather Grain Chair: Standards Australia IT14 Health Informatics and Ehealth Education Standards are key to healthcare at all levels service, fiscal, administrative

More information

Strategies and experiences in Sweden

Strategies and experiences in Sweden Strategies and experiences in Sweden Inger Wejerfelt Head of information structure group National Center for Coordination of ehealth NCCEH inger.wejerfelt@skl.se National IT strategi organisation Ministry

More information

Using Archetypes with HL7 Messages and Clinical Documents. Heath Frankel HL7 Working Group Meeting 14 January 2011

Using Archetypes with HL7 Messages and Clinical Documents. Heath Frankel HL7 Working Group Meeting 14 January 2011 Using Archetypes with HL7 Messages and Clinical Documents Heath Frankel HL7 Working Group Meeting 14 January 2011 Ocean Informatics 2011 Template Data Schema (TDS) XML Schema representation of a clinical

More information

National Integrated Services Framework The Foundation for Future e-health Connectivity. Peter Connolly HSE May 2013

National Integrated Services Framework The Foundation for Future e-health Connectivity. Peter Connolly HSE May 2013 National Integrated Framework The Foundation for Future e-health Connectivity Peter Connolly HSE May 2013 The Context Introduction A national approach to interoperability is essential for Ireland s E-Health

More information

Advanced Aspects of Hospital Information Systems

Advanced Aspects of Hospital Information Systems Advanced Aspects of Hospital Information Systems EHR- and related Standards DI Harald Köstinger (harald.koestinger@inso.tuwien.ac.at) INSO - Industrial Software Institut für Rechnergestützte Automation

More information

What do clinical data standards mean for clinicians? Dr Nick Booth GP and Informatician, Warden, Northumberland, UK

What do clinical data standards mean for clinicians? Dr Nick Booth GP and Informatician, Warden, Northumberland, UK What do clinical data standards mean for clinicians? Dr Nick Booth GP and Informatician, Warden, Northumberland, UK Outline of Presentation Assertions What are we trying to do in the English NHS IT programme?

More information

Standardised and Flexible Health Data Management with an Archetype Driven EHR System (EHRflex)

Standardised and Flexible Health Data Management with an Archetype Driven EHR System (EHRflex) Standardised and Flexible Health Data Management with an Archetype Driven EHR System (EHRflex) Anton Brass 1, David Moner 2, Claudia Hildebrand 1, Montserrat Robles 2 1 Helmholtz Zentrum München, Germany

More information

ERS. Boundaries between structuring applications and messaging. Trondheim. Tuesday 21 September 2010. Electronic Record Services B.V.

ERS. Boundaries between structuring applications and messaging. Trondheim. Tuesday 21 September 2010. Electronic Record Services B.V. ERS Electronic Record Services B.V. Boundaries between structuring applications and messaging Trondheim Tuesday 21 September 2010 ERS 2010 ERS Gerard Freriks Past chair CEN/TC251 wg1 Vice-president EuroRec

More information

Standards and their role in Healthcare ICT Strategy. 10th Annual Public Sector IT Conference

Standards and their role in Healthcare ICT Strategy. 10th Annual Public Sector IT Conference Standards and their role in Healthcare ICT Strategy 10th Annual Public Sector IT Conference Peter Connolly Oct 2014 What is the Direction of Travel? 1 Understanding the Why- The Data Context 2 Stakeholder

More information

Il lavoro di armonizzazione. e HL7

Il lavoro di armonizzazione. e HL7 Il lavoro di armonizzazione tra CEN 13606, openehr e HL7 Dr Dipak Kalra Centre for Health Informatics and Multiprofessional Education (CHIME) University College London d.kalra@chime.ucl.ac.uk Drivers for

More information

Management and maintenance policies for EHR interoperability resources

Management and maintenance policies for EHR interoperability resources Management and maintenance policies for EHR interoperability resources Authors: Dipak Kalra, University College London, UK Gerard Freriks, TNO, NL François Mennerat, ProRec France, FR Jos Devlies, ProRec

More information

Templates and Archetypes: how do we know what we are talking about?

Templates and Archetypes: how do we know what we are talking about? Templates and Archetypes: how do we know what we are talking about? Sam Heard, Thomas Beale, Gerard Freriks, Angelo Rossi Mori, Ognian Pishev Version 1.2, 12th February 2003 This discussion paper is addressed

More information

ISO EN 13606 TECHNICAL REVISION

ISO EN 13606 TECHNICAL REVISION ISO EN 13606 TECHNICAL REVISION Dipak Kalra!! with support from! Shanghua Sun, Tony Austin! and EN13606 Association EN ISO 13606 EHR Communications A means to exchange part or all of a patients EHR! between

More information

EHR systems - Future developments

EHR systems - Future developments EHR systems - Future developments Gerard Freriks EN13606 Association, Electronic Record Services B.V. gerard.freriks@en13606.org Position Paper It s the economy, stupid said Bill Clinton 1. It s the semantics,

More information

CEN/tc251 EN 13606-1 EHRcom European and National EHR standard has been published on 28 February 2007

CEN/tc251 EN 13606-1 EHRcom European and National EHR standard has been published on 28 February 2007 CEN/tc251 EN 13606-1 EHRcom European and National EHR standard has been published on 28 February 2007 Gerard Freriks, MD v1 28-2-2007 1 EN 13606-1 EHRcom CEN/tc251 has published the EN 13606-1 norm for

More information

EHR Archetypes in practice: getting feedback from clinicians and the role of EuroRec

EHR Archetypes in practice: getting feedback from clinicians and the role of EuroRec EuroRec - EHTEL Conference, Vienna, October 2007 EHR Archetypes in practice: getting feedback from clinicians and the role of EuroRec Dr Dipak Kalra Centre for Health Informatics and Multiprofessional

More information

Simplifying HL7 Version 3 messages

Simplifying HL7 Version 3 messages Simplifying HL7 Version 3 s Robert WORDEN a b, 1 and Philip SCOTT a Open Mapping Software Ltd, Cambridge, UK b Centre for Healthcare Modelling and Informatics, University of Portsmouth, UK Abstract. HL7

More information

Towards a Repository for Managing Archetypes for Electronic Health Records

Towards a Repository for Managing Archetypes for Electronic Health Records Towards a Repository for Managing Archetypes for Electronic Health Records Sebastian Garde 1, Evelyn J.S. Hovenga 1, Jana Gränz 1,2, Shala Foozonkhah 1,3, Sam Heard 1,4 1 Health Informatics Research Group,

More information

Health Informatics Standardisation - educational, informative and normative

Health Informatics Standardisation - educational, informative and normative Health Informatics Standardisation - educational, informative and normative William Grimson, Chair: NSAI s Health Informatics Standards Consultative committee What do you observe? What do you observe?

More information

The Healthcare Services Platform Consortium

The Healthcare Services Platform Consortium The Healthcare Services Platform Consortium JULY 31, 2014 STANLEY M. HUFF, MD CHIEF MEDICAL INFORMATICS OFFICER INTERMOUNTAIN HEALTHCARE Suggested National Strategy Develop truly interoperable data services

More information

10 th International HL7 Interoperability Conference 2009 Kyoto, Japan 8-9 May 2009

10 th International HL7 Interoperability Conference 2009 Kyoto, Japan 8-9 May 2009 The Future of Health Level Seven If we don t learn from the past, we are doomed to repeat it. 10 th International HL7 Interoperability Conference 2009 Kyoto, Japan 8-9 May 2009 W. Ed Hammond, Ph.D., FACMI,

More information

The Template Object Model (TOM)

The Template Object Model (TOM) Release 1 (in development) The openehr Archetype Model The Template Object Model (TOM) Editors: {T Beale, S Heard} a Revision: 0.5 Pages: 19 Date of issue: 13 Mar 2007 a. Ocean Informatics Keywords: EHR,

More information

Introduction to openehr Archetypes & Templates. Dr Ian McNicoll Dr Heather Leslie

Introduction to openehr Archetypes & Templates. Dr Ian McNicoll Dr Heather Leslie Introduction to openehr Archetypes & Templates Dr Ian McNicoll Dr Heather Leslie Traditional Application Development Clinical Knowledge Data Model Ocean Informatics 2010 Tradi&onal Informa&on model 2 level

More information

Electronic Health Record. Standards, Coding Systems, Frameworks, and Infrastructures

Electronic Health Record. Standards, Coding Systems, Frameworks, and Infrastructures Brochure More information from http://www.researchandmarkets.com/reports/2178436/ Electronic Health Record. Standards, Coding Systems, Frameworks, and Infrastructures Description: Discover How Electronic

More information

Trends in Healthcare Information Standardization

Trends in Healthcare Information Standardization TANJI Natsuki Abstract Standardization of medical information systems by industry associations such as ISO/TC 215 and CEN/TC 251 is currently underway internationally. In Japan, too, participation in and

More information

Comparing Different Approaches to Two-Level Modelling of Electronic Health Records

Comparing Different Approaches to Two-Level Modelling of Electronic Health Records 113 Comparing Different Approaches to Two-Level Modelling of Electronic Health Records Line Michelsen, Signe S. Pedersen, Helene B. Tilma, Stig K. Andersen Abstract Department of Health Science and Technology

More information

A Metabolic Syndrome Health Check EHR based on openehr

A Metabolic Syndrome Health Check EHR based on openehr Seagaia Meeting 2009, Okinawa A Metabolic Syndrome Health Check EHR based on openehr 2009/05/15 早 稲 田 大 学 国 際 情 報 通 信 研 究 科 Waseda University, GITS Kano Lab Hsu WanYen (Nora) 徐 婉 晏 1 Research Background

More information

Nick Sophinos CEO WDean Medical

Nick Sophinos CEO WDean Medical WDean Medical Patient and Family Portal Patient Portal Communication is essential Nick Sophinos CEO WDean Medical! WDean Medical Empowering Care Overview WDean Medical's Patient and Family Portal module

More information

Working Together to Advance Safe and Effective Interoperability

Working Together to Advance Safe and Effective Interoperability Working Together to Advance Safe and Effective Interoperability I Foro de Historia Clinica Electronica en el Sistema Nacional De Salud Programa December 3rd 2008 Martin Severs IHTSDO: The Vision To enhance

More information

The Big Picture: IDNT in Electronic Records Glossary

The Big Picture: IDNT in Electronic Records Glossary TERM DEFINITION CCI Canada Health Infoway Canadian Institute for Health Information EHR EMR EPR H L 7 (HL7) Canadian Classification of Interventions is the Canadian standard for classifying health care

More information

nehta Review of Shared Electronic Health Record Standards Version 1.0 20/02/2006 Final National E-Health Transition Authority

nehta Review of Shared Electronic Health Record Standards Version 1.0 20/02/2006 Final National E-Health Transition Authority Review of Shared Electronic Health Record Standards Version 1.0 20/02/2006 Final National E-Health Transition Authority National E-Health Transition Authority Ltd Level 25 56 Pitt Street Sydney, NSW, 2000

More information

Draft Pan-Canadian Primary Health Care Electronic Medical Record Content Standard, Version 2.0 (PHC EMR CS) Frequently Asked Questions

Draft Pan-Canadian Primary Health Care Electronic Medical Record Content Standard, Version 2.0 (PHC EMR CS) Frequently Asked Questions December 2011 Draft Pan-Canadian Primary Health Care Electronic Medical Record Content Standard, Version 2.0 (PHC EMR CS) Frequently Asked Questions Background and History What is primary health care?

More information

Certification of Electronic Health Record systems (EHR s)

Certification of Electronic Health Record systems (EHR s) Certification of Electronic Health Record systems (EHR s) The European Inventory of Quality Criteria Georges J.E. DE MOOR, M.D., Ph.D. EUROREC EuroRec The «European Institute for Health Records» A not-for-profit

More information

SNOMED CT Introduction. Dr Linda Bird, IHTSDO Implementation Specialist

SNOMED CT Introduction. Dr Linda Bird, IHTSDO Implementation Specialist SNOMED CT Introduction Dr Linda Bird, IHTSDO Implementation Specialist Audience and Objectives Audience Attendees of the SNOMED CT Implementation Showcase who are either new to SNOMED CT or who would like

More information

HL7 V2 Implementation Guide Authoring Tool Proposal

HL7 V2 Implementation Guide Authoring Tool Proposal HL7 V2 Authoring Tool Proposal Robert Snelick, NIST National Institute of Standards and Technology May 14 th 2012 Contact: rsnelick@nist.gov NIST and Veterans Administration Joint Project NIST will provide

More information

HL7 AROUND THE WORLD

HL7 AROUND THE WORLD HL7 International HL7 AROUND THE WORLD Updated by the HL7 International Mentoring Committee, September 2014 Original version by Klaus Veil (2009) / Edited by Diego Kaminker IMC HL7 Around the World 1 What

More information

A Repository of Semantic Open EHR Archetypes

A Repository of Semantic Open EHR Archetypes International Journal of Artificial Intelligence and Interactive Multimedia, Vol. 3, Nº 2. A Repository of Semantic Open EHR Archetypes Fernando Sánchez, Samuel Benavides, Fernando Moreno, Guillermo Garzón,

More information

Defining the content of shared electronic medical records (emr)

Defining the content of shared electronic medical records (emr) Defining the content of shared electronic medical records (emr) An pragmatic and cost-saving initiative of the College of Family Physicians of Canada With over a 100 million consultations last year, the

More information

Health Information and Quality Authority. To drive continuous improvements in the quality and safety of health and social care in Ireland

Health Information and Quality Authority. To drive continuous improvements in the quality and safety of health and social care in Ireland Introduction Health Information and Quality Authority To drive continuous improvements in the quality and safety of health and social care in Ireland Background Health Act 2007, establishment 15 May 2007

More information

International HL7 Interoperability Conference - IHIC 2010

International HL7 Interoperability Conference - IHIC 2010 International HL7 Interoperability Conference - IHIC 2010 National ehealth Initiatives: Global Health Information Technology Standards Serving Local Needs Building Interoperability across many localities

More information

Bootstrapping Adoption of a Universal Exchange Language for Health Information Exchange

Bootstrapping Adoption of a Universal Exchange Language for Health Information Exchange Bootstrapping Adoption of a Universal Exchange Language for Health Information Exchange Speakers: Tajh L. Taylor, Lowell Vizenor OMG SOA in Healthcare Conference July 15, 2011 Agenda The Health Information

More information

Secondary Use of EMR Data View from SHARPn AMIA Health Policy, 12 Dec 2012

Secondary Use of EMR Data View from SHARPn AMIA Health Policy, 12 Dec 2012 Secondary Use of EMR Data View from SHARPn AMIA Health Policy, 12 Dec 2012 Christopher G. Chute, MD DrPH, Professor, Biomedical Informatics, Mayo Clinic Chair, ISO TC215 on Health Informatics Chair, International

More information

Ontology Content Patterns as Bridge for the Semantic Representation of Clinical Information

Ontology Content Patterns as Bridge for the Semantic Representation of Clinical Information Ontology Content Patterns as Bridge for the Semantic Representation of Clinical Information Catalina Martínez Costa 1, Stefan Schulz 1,2 1 Institute for Medical Informatics, Statistics and Documentation,

More information

National Integrated Services

National Integrated Services National Integrated Services The Foundation for Future e-health Connectivity Peter Connolly HSE March 2014 The Integrated Services Framework (ISF) A standards based single framework for the HSE ICT A Technical

More information

HL7 Clinical Document Architecture

HL7 Clinical Document Architecture HL7 Clinical Document Architecture Principles and Basic Structure Ann.Wrightson@csw.co.uk KMS Why did HL7 develop CDA? Exchanging clinical information is hard Reusable, long-lived, community-scale solutions

More information

HL7 NCPDP e-prescribing harmonization: using the v3 HDF for as a basis for semantic interoperability

HL7 NCPDP e-prescribing harmonization: using the v3 HDF for as a basis for semantic interoperability HL7 NCPDP e-prescribing e harmonization: using the v3 HDF for as a basis for semantic interoperability Mark Shafarman HL7 Chair Applications Architect, Oracle Corporation mark.shafarman@oracle.com 1 415

More information

The Journal on Information Technology in Healthcare 2003; 1(5): 369 380. Archetypes, GEHR, openehr and Electronic Health Records

The Journal on Information Technology in Healthcare 2003; 1(5): 369 380. Archetypes, GEHR, openehr and Electronic Health Records HT I J The Journal on Information Technology in Healthcare 2003; 1(5): 369 380 Archetypes, GEHR, openehr and Electronic Health Records Ping Yu School of Information Technology and Computer Science, The

More information

DIPS Arena New Archetype-based EHR. Sigurd From, DIPS ASA

DIPS Arena New Archetype-based EHR. Sigurd From, DIPS ASA DIPS Arena New Archetype-based EHR Sigurd From, DIPS ASA The largest EHR vendor in Norway Product areas Clinical Process Support - EHR Administative Process Support Medical Services & Integration Main

More information

SDO Plan of Action for Global Health Informatics Standards SDO Harmonization Model and SDO Global Liaison Group (Initial Terms of Reference)

SDO Plan of Action for Global Health Informatics Standards SDO Harmonization Model and SDO Global Liaison Group (Initial Terms of Reference) SDO Plan of Action for Global Health Informatics Standards SDO Harmonization Model and SDO Global Liaison Group (Initial Terms of Reference) (Lead: Don Newsham, ISO / TC215) V0.2, Initial Working Draft,

More information

Interoperability. Reference Architecture

Interoperability. Reference Architecture Interoperability Reference Architecture Version 1.0 December 2011 2 Interoperability Reference Architecture Contents 1 Document Overview...10 1.1 Background...10 1.2 Document Purpose...11 1.3 Document

More information

Health Informatics Service Architecture - The intended role of the EN ISO 12967 standard An informal guide

Health Informatics Service Architecture - The intended role of the EN ISO 12967 standard An informal guide Health Informatics Service Architecture - The intended role of the EN ISO 12967 standard An informal guide Gunnar O Klein Version 1.2 2009-09-18 This document and more information on the HISA standard

More information

Data modelling methods in clinical trials: Experiences from the CTMND project (ctmnd.org)

Data modelling methods in clinical trials: Experiences from the CTMND project (ctmnd.org) Data modelling methods in clinical trials: Experiences from the CTMND project (ctmnd.org) Athanasios Anastasiou, Emmanuel Ifeachor, John Zajicek & the CTMND Consortium University of Plymouth Peninsula

More information

Results of investigating the transformability between CEN/ISO 13606, openehr and HL7 V3

Results of investigating the transformability between CEN/ISO 13606, openehr and HL7 V3 Results of investigating the transformability between CEN/ISO 13606, openehr and HL7 V3 Programme NPFIT Document Record ID Key Sub-Prog / Project Technology Office Prog.

More information

8th Medical Open Source Software Symposium

8th Medical Open Source Software Symposium 8th Medical Open Source Software Symposium openehr as A New Approach to Electronic Health Record System in Cambodia Maternity Care Program Kakada Hok 2009.10.31 1 Objectives of the Research Study To identify

More information

REQUIREMENTS REGARDING QUALITY CERTIFICATION OF ELECTRONIC HEALTH RECORDS

REQUIREMENTS REGARDING QUALITY CERTIFICATION OF ELECTRONIC HEALTH RECORDS REQUIREMENTS REGARDING QUALITY CERTIFICATION OF ELECTRONIC HEALTH RECORDS Alexander Hoerbst, Thomas Schabetsberger, Werner Hackl, Elske Ammenwerth Research Division for ehealth and Telemedicine UMIT -

More information

V3 Technical Editorial Services

V3 Technical Editorial Services 0 1 V Technical Editorial Services For HL Contract Work Announcement V Technical Editor Vocabulary Editorial Assessment June 0 Ockham Information Services, LLC 0 Adams Street Decatur, GA 000 0 1 0 1 Vocabulary

More information

The Healthcare Services Platform Consortium

The Healthcare Services Platform Consortium The Healthcare Services Platform Consortium 1 FEBRUARY 24, 2015 STANLEY M. HUFF, MD CHIEF MEDICAL INFORMATICS OFFICER INTERMOUNTAIN HEALTHCARE HSPC Mission Statement 2 Improve health by creating a vibrant,

More information

Models of Meaning and Models of Use: Binding Terminology to the EHR An Approach using OWL

Models of Meaning and Models of Use: Binding Terminology to the EHR An Approach using OWL Models of Meaning and Models of Use: Binding Terminology to the EHR An Approach using OWL AL Rector MD PhD 1, R Qamar MSc 1 and T Marley MSc 2 1 School of Computer Science, University of Manchester, Manchester

More information

Electronic Health Record (EHR) Standards Survey

Electronic Health Record (EHR) Standards Survey Electronic Health Record (EHR) Standards Survey Compiled by: Simona Cohen, Amnon Shabo Date: August 1st, 2001 This report is a short survey about the main emerging standards that relate to EHR - Electronic

More information

European Quality Labelling, Certification, Electronic Health Record systems (EHRs) gf v1

European Quality Labelling, Certification, Electronic Health Record systems (EHRs) gf v1 European Quality Labelling, Certification, Electronic Health Record systems (EHRs) gf v1 EuroRec: current standing on EHR certification in Europe AGENDA 1. The EuroRec Institute 2. EHR-systems Certification:

More information

HL7/OMG CTS2 Implementations

HL7/OMG CTS2 Implementations HL7/OMG CTS2 Implementations Phast and Mayo Clinic Approaches Ana ESTELRICH International Standardization Manager PHAST October 24 th, 2011 Phast (1) Non-profit organization developing standards and services

More information

Data models standards to define, exchange and archive data

Data models standards to define, exchange and archive data Data models standards to define, exchange and archive data MedInfo 2013, Copenhagen Dr. Bernhard Breil HL7 CDA CDA = Clinical Document Architecture Defined by HL7 Available at hmp://www.hl7.org/implement/standards/product_brief.cfm?product_id=7

More information

SaaS based Interoperability Service for Semantic Mappings among Health-care Standards

SaaS based Interoperability Service for Semantic Mappings among Health-care Standards SaaS based Interoperability Service for Semantic Mappings among Health-care Standards Wajahat Ali Khan, Maqbool Hussain, Asad Masood Khattak, Muhammad Bilal Amin, Sungyoung Lee Department of Computer Engineering

More information

IT-014 Health Informatics Committee

IT-014 Health Informatics Committee IT-014 Health Informatics Committee Australian Delegation Action Items HL7 International Working Group Meeting Version: FINAL Date Issues: N/A Author: Kylie Sugar, Standards Australia With Input from Australian

More information

Advanced and secure architectural EHR approaches

Advanced and secure architectural EHR approaches International Journal of Medical Informatics (2006) 75, 185 190 Advanced and secure architectural EHR approaches Bernd Blobel Chair of the EFMI WG Electronic Health Records, University Hospital Magdeburg,

More information

The ERS IC-EHR as Local, Regional and National ehealth Infrastructure July 2010

The ERS IC-EHR as Local, Regional and National ehealth Infrastructure July 2010 The ERS IC-EHR as Local, Regional and National ehealth Infrastructure July 2010 Table of contents Present situation!... 1 What healthcare wants!... 2 ERS IC-EHR: Introduction!... 4 ERS IC-EHR: Integrating

More information

Evaluation of a Persistent Store for openehr

Evaluation of a Persistent Store for openehr Evaluation of a Persistent Store for openehr Jon Patrick 1, Richard Ly 1, Donna Truran 2 1 School of Information Technologies University of Sydney 2 National Centre for the Classification in Health University

More information

Business Enablers for HL7 Interoperability

Business Enablers for HL7 Interoperability Business Enablers for HL7 Interoperability Sunday, May 15, 2011 Presented by Sasha Bojicic, Lead Architect, Canada Health Infoway Table of Content Business context for HL7 standards in Canada EHRS interoperability

More information

The Electronic Health Record Why is it still so hard?

The Electronic Health Record Why is it still so hard? The Electronic Health Record Why is it still so hard? Dr Ian McNicoll Clinical Analyst Ocean Informatics Editor openehr Clinical Knowledge Manager Cape Town MEDINFO Sept 2010 Agenda 0900-0945 Why is the

More information

Interoperable Medical Record Exchange System among Hospitals in Ethiopia using EMR

Interoperable Medical Record Exchange System among Hospitals in Ethiopia using EMR Interoperable Medical Record Exchange System among Hospitals in Ethiopia using EMR Tigist Tedla HiLCoE, Computer Science Programme, Ethiopia tgyetedla@gmail.com Abrehet Omer HiLCoE, Ethiopia Department

More information

Testimony for National Committee on Vital and Health Statistics Subcommittee on Standards February 24, 2009

Testimony for National Committee on Vital and Health Statistics Subcommittee on Standards February 24, 2009 Testimony for National Committee on Vital and Health Statistics Subcommittee on Standards February 24, 2009 Rosemary Kennedy, MBA, RN, FAAN ANI - Alliance for Nursing Informatics Chief Nursing Informatics

More information

The use of ehealth standards in Norway

The use of ehealth standards in Norway The use of ehealth standards in Norway Torbjørn Nystadnes, KITH Archetypes and Architecture Oslo, 26 November 2009 In the beginning... KITH was established in 1990 The same year as CEN/TC251 - Norway has

More information

Open Source Modular Units for Electronic Patient Records. Hari Kusnanto Faculty of Medicine, Gadjah Mada University

Open Source Modular Units for Electronic Patient Records. Hari Kusnanto Faculty of Medicine, Gadjah Mada University Open Source Modular Units for Electronic Patient Records Hari Kusnanto Faculty of Medicine, Gadjah Mada University Open Source Initiatives in Patient Information System electronic health records, scheduling

More information

MDHT Capabilities & Success Story

MDHT Capabilities & Success Story MDHT Capabilities & Success Story April 12 th Alexandria, Virginia Rama Ramakrishnan - ONC Cynthia Levy - ONC Dan Kaplan Mirth Corp. 1 Agenda Introduction to MDHT MDHT Architecture & Capabilities Existing

More information

Clinical Decision Support Product Area Rong Chen MD PhD Chief Medical Informatics Officer

Clinical Decision Support Product Area Rong Chen MD PhD Chief Medical Informatics Officer Clinical Decision Support Product Area Rong Chen MD PhD Chief Medical Informatics Officer CAMBIO HEALTHCARE SYSTEMS 2015-6-16 WWW.CAMBIOHEALTHCARE.CO.UK 1 Patient CAMBIO HEALTHCARE SYSTEMS Core Assumptions

More information

Overview of global ehealth initiatives

Overview of global ehealth initiatives Overview of global ehealth initiatives Blair Butterfield Board Member Emeritus ehealth Initiative & Foundation 1 2011 All rights reserved. No part of this presentation may be reproduced for any purpose

More information

IBM Interoperable Healthcare Information Infrastructure (IHII) Overview. China October 2006 IBM

IBM Interoperable Healthcare Information Infrastructure (IHII) Overview. China October 2006 IBM Interoperable Healthcare Information Infrastructure (IHII) Overview China October 2006 Rick Stevens Senior Technical Staff Member Healthcare and Life Science Solutions IHE IT Infrastructure Technical Committee

More information

EHR Data Reuse through openehr Archetypes

EHR Data Reuse through openehr Archetypes EHR Data Reuse through openehr Archetypes Rong Chen MD, PhD Chief Medical Informatics Officer 2012.09.19-1- 2012-10-02 Agenda Background introduction (3 min) Experience of extracting EHR data from regional

More information

IHE IT Infrastructure Technical Framework Supplement 2007-2008

IHE IT Infrastructure Technical Framework Supplement 2007-2008 ACC, HIMSS and RSNA Integrating the Healthcare Enterprise 5 10 IHE IT Infrastructure Technical Framework Supplement 2007-2008 Template for XDS Affinity Domain Deployment Planning 15 20 Draft for Trial

More information

Helping the Cause of Medical Device Interoperability Through Standardsbased

Helping the Cause of Medical Device Interoperability Through Standardsbased Helping the Cause of Medical Device Interoperability Through Standardsbased Tools DoC/NIST John J. Garguilo (john.garguilo@nist.gov) January 25, 2010 Medical Device Communication NIST Effort Medical Device

More information

Modernizing Vital Records

Modernizing Vital Records Modernizing Vital Records with evitals a Standards Michelle Williamson, RN, MSIS, CPHIT Senior Health Informatics Scientist Centers for Disease Control and Prevention National Center for Health Statistics

More information

TRANSFoRm: TRANSFoRming health care research and its implementation

TRANSFoRm: TRANSFoRming health care research and its implementation TRANSFoRm: TRANSFoRming health care research and its implementation Frank Sullivan, on behalf of the TRANSFoRm Consortium. Health Informatics Centre Dundee TRANSFoRm is partially funded by the European

More information

Online Public Health @ Health Level Seven

Online Public Health @ Health Level Seven Online Public Health @ Health Level Seven Alean Kirnak Co-chair, HL7 Public Health and Emergency Response Workgroup Health Level Seven (HL7) American National Standards Institute-accredited Standards Development

More information

EHR Systems: an Introduction

EHR Systems: an Introduction ehealth Week 2007 EuroRec Institute / ProRec Germany Workshop EHR Systems: an Introduction Bernd Blobel 1 & Dipak Kalra 2 1 ehealth Competence Center University of Regensburg Medical Center Regensburg,

More information

Achieving Clinical Statement Interoperability using R-MIM and Archetype-based Semantic Transformations

Achieving Clinical Statement Interoperability using R-MIM and Archetype-based Semantic Transformations 1 Achieving Clinical Statement Interoperability using R-MIM and Archetype-based Semantic Transformations Ozgur Kilic, Asuman Dogac Member, IEEE Abstract Effective use of Electronic Healthcare Records (EHRs)

More information

Enabling medical research on clinically collected data using openehr archetypes

Enabling medical research on clinically collected data using openehr archetypes FACULTY OF SCIENCE AND TECHNOLOGY DEPARTMENT OF COMPUTER SCIENCE Enabling medical research on clinically collected data using openehr archetypes Leykun Melkamu Gebeyehu INF-3997 Master's Thesis in Telemedicine

More information

IHTSDO Showcase 2014 Denise Downs, Implementation and Education Lead, UK Terminology Centre

IHTSDO Showcase 2014 Denise Downs, Implementation and Education Lead, UK Terminology Centre Validating Subsets through Audit and Payment IHTSDO Showcase 2014 Denise Downs, Implementation and Education Lead, UK Terminology Centre Motivation for session Share and Tell So please interject with own

More information

HL7 Mobile Health Standards Transforming Healthcare

HL7 Mobile Health Standards Transforming Healthcare HL7 Mobile Health Standards Transforming Healthcare Mobile Health Work Group 1 Copyright HL7 Mobile Health Work Group The HL7 Organization Founded in 1987, Health Level Seven International (HL7), with

More information