Tim Churches wrote: > >>- but the openEHR people seem to >>be in denial about establishing the infrastructure to do it....Until this >>ongoing >>Governance is nailed, certain and ongoing over decades this idea won't work >>IMVHO. >> >> > >We'll have to disagree - the openEHR people do seem to be thinking >carefully about governance, but not in a heavy-handed way. Show me the >governance of anything which is certain and nailed decades into the >future - that's an unrealistic expectation. Personally I am much more >concerned about the possibility of totalitarian lock-in of data and/or >complete dependence on proprietary archetype definitions than I am about >an anarchistic confusion of incompatible archetype definitions (although >both scenarios are undesirable). > > I don't think anyone is in denial of the need for govenance. We have been talking about this for some years now. Our concerns are: - not to own the whole thing. openEHR has somthing to contribute, and we believe we can set up some mechanisms that will support the needed infrastructure. - to engage appropriate institutions. We have talked to most parts of the Australian government - DoHA, AIHW, NCCH, and others. You have to realise that it takes a long time to educate these people on what we are talking about (actually NCCH are pretty good - they understand the general idea, since they are already working in terminology). - whatever the solution to governance is, it has to be credible, open and trusted by its users, i.e. clinical professionals (and their provider enterprises). Putting up such an edifice and getting everyone to come along for the ride is not a quick task - it also takes time.
We have made presentations, initiated discussions at HL7 Australia meetings, HIC conferences, and had many private discussions with NCCH, DoHA, NeHTA etc. openEHR has just announced its clinical review board (CRB). Not much may be in evidence today, but I believe we are a fair way along the educational / advocacy path, as well as the technical path to have a solution within the next 18 months. - thomas beale
