Post on 07-Feb-2017
Dr Ian McNicoll
Co-chair openEHR FoundationfreshEHR Clinical Informatics
Ltd.
openEHR and DIPS Arena:the ’Best of Breed 3.0’
revolution
DIPS Forum Stavanger June 2016
IntroductionDr Ian McNicoll
Clinician
Former Scottish GP
Health informatician
Co-chair openEHR Foundation
freshEHR Clinical Informatics
Commercial software developer
‘Clinical hacker’
Health information is …
Healthcare data is highly complex and ever changing
BiologicalCulturalPolitical
Getting good requirements from clinicians is hard
“Nasty”
Anatomy of an eHealth system
the ‘information model’Is used to manipulate information in the computer’s memory
Often written in a specific program language
Generally locked-in to each application
Not easily shareable
Information models power the web
Medication orders
‘Megasuite’ architecture
‘Best of breed’ architecture
Best of breed 2.0:’closed platform’ architecture
HSPC: SMART on FHIR on Clinical Models
openEHR CDR
openEHR Rest API + AQL
Best of Breed 3.0:’open platform’ architecture
open Information Model
App App App
Clinician-led information content
openEHR - key goalProvide specifications for an open platform where the data in any openEHR system is completely exchangeable
regardless of programming languageregardless of human languageregardless of internal database technology
openEHR: Archetypesopen source computable models of discrete clinical concepts
Familiar components of a health record
Blood pressure, Body weightMedication order, Family history
‘Maximal dataset’Capture as many clinical perspectives as possible
Platform: App development
Platform: Clinical content development
SMARTPlatformsPluggable Webapp
API
HL7 FHIR Clinical Content
Exchange NHS API
Clinical Data Repository
(CDR)
Detailed Clinical Content Development
Clinical leadership PRSB
Terminology CentreHSCIC
NonopenEHR systems
Archetype+ SNOMED Clinical Content definitions
Building a ‘legacy’ system
Clinicians Business
AnalystTechnicalModeller
DatabaseDeveloper
User InterfaceDesigner
app
Building ‘legacy’ systems
appapp
app
app
app
User InterfaceDesigner
Building ‘Best of Breed 3.0’
Clinicians
Business Analyst
User InterfaceDesigner
User InterfaceDesigner
Clinicians
Business Analyst
Clinicians
Business Analyst
app
apparketyper.no
appShared Information Model
openEHR:’Best of Breed 3.0’
‘free the data’
‘commoditise clinical data handling’
‘clinically-driven content definition’