Dear All, I?ve been reviewing EHR architectures recently, and I?ve been quite impressed with openEHR. I am inclined to use openEHR for a ?greenfield? implementation, and I have some initial questions after reading the architecture overview, ADL specification and various other documents. Our initial implementation is for a small clinic (<500 patients) that offers health / wellness and anti-aging therapies. We have a near-term requirement to store LOINC encoded HL7 lab results and other observations in an EHR and to display aggregates of these results to patients over the internet. Many of the archetypes already exist for the data we are most interested in such as lab result, BMI, CBC, visual acuity, microbiology, etc. We will also need to develop our own archetypes for SNPs, reaction times, lung capacity and other relevant data collected by the clinic. Ultimately we will enable decision support services to guide patients toward various health goals (e.g. lower homocysteine, cholesterol, BP). What is the strategy for integrating clinical decision support? Are there any CDS languages that map more cleanly to openEHR than others? (e.g. GLIF3, SAGE, Arden) It's been almost a year since there has been an update to HYPERLINK "http://www.openehr.org/FAQs/t_persistence_notes.htm"http://www.openehr. org/FAQs/t_persistence_notes.htm by Thomas. Recent commentary by David Ingram mentions his work with Jo Milan on high-performance object relational structures for archtypes. I assume this is the latest development on this front, and if so, is their work available as a persistence architecture yet? Most importantly, is anyone from the community available for part-time consulting? As a startup, we have all the usual sensitivities to cost and time-to-market. Thank you for your time and patience if my questions are incoherent. Brian DeCamp
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