Hi Mark,

Given Extensia was (as I understand it - taking over the DSTC mantle - correct 
me if I am
wrong) the technology supplier for the South Brisbane Health Connect Shared 
Record Trial -
could you please post where the URL is for the evaluation report of the openEHR 
based
system used so we can all see for ourselves how well it worked or not and what 
lessons
were learnt..or is the outcome of the Government funded project a secret?

Thanks..the time to just put up or shut up has arrived I believe but I am sure 
you will
say the Commonwealth owns the report and won't release it!

Also - why is the commercial user not named? Or did I miss it? Is that a secret 
too?

Long winded discussions about ecosystems helps no-one.

Cheers

David.


 ----
 Dr David G More MB, PhD, FACHI
 Phone +61-2-9438-2851 Fax +61-2-9906-7038
 Skype Username : davidgmore
 E-mail: [EMAIL PROTECTED]
 HealthIT Blog - www.aushealthit.blogspot.com


On Thu, 14 Dec 2006 16:52:53 +1000, Mark Gibson wrote:
> Tim,
>
> By way of introduction my company Extensia arose as a spin-off out of a Health
informatics program at the DSTC CRC where work has been undertaken with Ocean
> Informatics and others under DoHA and GPCG sponsorship to scope, specify and
enhance artifacts that became a HealthConnect trial and through technology
> collaborations fed concepts and techniques into the OpenEHR model during the 
> startup
phases of OpenEHR.  DSTC and Ocean collaborated to architect models and
> solutions in recent years prior to each exploring separate commercial paths.
>
>
> During the last 2 years Extensia has developed a robust OpenEHR records 
> server based on
the OpenEHR model and archetype aware tools with a view to
> 'practical' use of the OpenEHR models.  This has been branded RecordPoint and 
> is being
used in Public Health enterprise and GP Division for records
> repository and shared EHR.  Built into this is a security, privacy and 
> consent model
that was specified by a community of GP's and health industry
> contributors to provide a usable and useful interface to storing, presenting 
> and
retrieving data.  The server supports a web services interface, web browser
> access and is able to import new archetypes online and interact with them
instantaneously.  A built in wizard allows the archetypes to be selected to 
create
> new compositions for clinical document interaction.  This has been available 
> for some 18
months, has been tested thoroughly, has performance benchmarks and
> is packaged as a RecordPoint Server.
>
>
> The OpenEHR approach does not derive its full benefit unless it is used in an
interoperable model and accordingly we have built tools to support an ecosystem
> of components that allow an archetype driven approach to health information 
> sharing.
Accordingly a number of tools have been created to be used to interact
> with archetypes, embed archetype aware code into other applications or develop
new applications using the tools.  These include
>
>
> - high level archetype objects for application programmers ( because 
> Archetypes can be
very complex)
> - Utilities for record display and editing
> - archetype  designers tools to create new archetypes for distribution - 
> record browser
utility
> - dll to run with Microsoft Access ( for those who must ) and .Net 
> applications - .Net
libraries - web services interfaces.
> - Prototype Ruby interface ( subject to a better serialization library )
>
>
> These tools allow the Archetype artifact to be defined and used throughout an 
> Archetype
Aware ecosystem with front end tools to create client based archetype
> applications, tools to define new archetypes and to store them in a highly 
> scalable
records server.  In essence to simplify and streamline a complex
> information model for use at a clinical and applications programming level.
>
>
> To some degree we have been in internal mode due to corporate restructuring 
> and a focus
on current projects, so there has not been much fanfare to date.  Our
> efforts have been to embody much of this into clinically friendly systems
for shared record repositories and portals.  In the new year more market
> information will be forthcoming.
>
>
> In short, technology based on the OpenEHR model is working, is  available, is 
> in
commercial use.
>
> Mark Gibson
>
>
> Extensia Solutions Pty Ltd
> [EMAIL PROTECTED]
>
>
> On 14/12/2006, at 7:49 AM, Tim Churches wrote:
>
>> David Guest wrote:
>>>> The data is identified as such and grouped in a hierarchy. But its 
>>>> description and
constraints are entirely open and undefined. I guess its a useful
>>>> lowest common denominator
>>>>
>>>
>>> Does anyone think openEHR will ever produce the goods?
>>
>>
>> There has been correspondence on the openhealth mailing list regarding this 
>> issue
recently. David More quipped about "geological timescales", perhaps with
>> some justification. To summarise and paraphrase (accuratey I hope) the 
>> thread: the
openEHR people assure us that several private firms are using openEHR-
>> based systems in deployed proprietary vertical health apps, and that lots of 
>> profs and
students in various universities are studying and tinkering with it.
>> The openEHR specifications have been accepted as a proposed standard (but 
>> not ratified
or approved as a standard as yet). Furthermore, Ocean Informatics
>> and the openEHR Foundation are themselves working on a suite of tools which 
>> actually
implement the ideas behind openEHR, but these tools are in different
>> stages of completeness: tools to define and edit openEHR archetype 
>> definitions are
complete and available as open source. Tools to actually store and
>> retrieve data using openEHR archetypes are at alpha or beta stages in the 
>> openEHR
secret laboratory, but have not been fully tested and are not ready for
>> production use. Thomas Beale has offered access to an openEHR engine hosted 
>> in the
Ocean Informatics labs, to be accessed via a proprietary Web service
>> interface requiring the use of a Microsoft C# .NET DLL on the client side, 
>> for
capability-testing purposes by interested parties (contact Thomas Beale at
>> Ocean Informatics if you are interested). All these openEHR tools still under
development may or may not be open sourced in the future - the Ocean
>> Informatics and openEHR people need to investigate business models. Other 
>> parts of the
openEHR puzzle, such as a shared library of openEHR archetype
>> definitions, and a full query language, are still on the drawing board or in 
>> only early
stages of implementation. Oh, there is also an open source version
>> of an openEHR storage/retrieval kernel being written in Sweden, but it is 
>> not yet
complete either.
>>
>>
>> I asked the same questions of the Ocean Informatics and openEHR people in 
>> 2003, and
after much email correspondence and head scratching, I was assured that
>> usable, production-quality openEHR implementations would be available quite 
>> soon. The
same assurances were given just a few weeks ago. I conclude that they
>> are indeed a bit further along now with actual implementation than they were 
>> three
years ago, but still have quite a way to go, but it is very hard to
>> extrapolate the progress line to divine when it might cross the V1.0 
>> boundary, although
the fact that they were working on GEHR (the predecessor to
>> openEHR) about 15 years ago, and the openEHR has been going for nearly a 
>> decade might
provide some clues. Perhaps the remaining distance is being halved
>> with every passing year? Or perhaps I am just a cynical bastard?
>>
>>
>> Tim C
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