Thomas,

I am very impressed with these statistics.  I was not aware of the
penetration of openEHR into that volume of use.  Congratulations for a hugh
success.  Can you help me identify the actual systems that are in use in
Australia, Netherlands and Brazil.  I am specifically interested in the EHR
systems that use openEHR. We need to build on those successes.

Thanks for sharing this information.

Best Regards,

Ed Hammond


                                                                           
             Thomas Beale                                                  
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I also don't think that the metric means much, but for the record, there
are 4 million patients in an openEHR server (v0.95) in Australia, some
thousands (ultimate design vlume 1,000,000 EHRs) in the Netherlands, and
probably some thousands in Brazil - that I know directly about. None of
these products are open source, but the data and interfaces are
completely open.

Tim Cook wrote:
> Hi Ignacio,
>
> On Wed, 2008-11-05 at 10:16 -0600, Ignacio Valdes wrote:
>
>> I will re-phrase. Can anyone tell me how many actual patients does
>> anyone have in any system that conforms to the OpenEHR specification
>> that is FOSS licensed?
>>
>> -- IV
>>
>
> Re-phasing isn't necessary.  I think that everyone understood your
> question.  The problem is that your metric is nonsensical.
>
> As a US veteran I have no choice in which EMR my records are stored.
> Nor does the physician have a choice in which application they use.  So
> you can measure the number of patient records in VistA.  But really is
> that any measure of it's validity?  No it isn't.  It is mandated by the
> organization not via some engineering principles but by simple
> availability.
>
> While I understand that you haven't had time to study the openEHR specs.
> I do believe that it is incumbent upon you as the leader of the AMIA
> OSWG to do so or appoint students/academics to do so.
>
> Even some FOSS application developers have called for a common data
> model.  What they do not yet realize is that what they really want in a
> common information model.  openEHR represents this requirement.  But
> when they look at it they want something simpler.  However, as Albert
> Einstein said; Keep everything as simple as possible, but no simpler.
>
> Healthcare information is complex.  Therefore the (openEHR) information
> model is necessarily complex to some extent.  You will either study and
> embrace it or you will be a victim of the constantly evolving "data
> model" of other systems that are never inter-operable.
>
>
> Cheers,
> Tim
>
>
>
>
>
>
>
>
>
>
>
>
>
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--
             *Thomas Beale
Chief Technology Officer, Ocean Informatics
<http://www.oceaninformatics.com/>*

Chair Architectural Review Board, /open/EHR Foundation
<http://www.openehr.org/>
Honorary Research Fellow, University College London
<http://www.chime.ucl.ac.uk/>


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