Dear Colleagues,

As we have now begun 2010 it might be useful to take a bit of stock of where we 
are, where we want to be..

I commented in my last email of 2009 of where I felt progress had been made..
http://www.openehr.org/mailarchives/openehr-clinical/msg01679.html
When looking forward this year, there appears a natural focal point of Medinfo 
in September 2010 in Cape Town.
It appears to be a good place to be exploring openEHR progress together.

With that in mind, last year Tim Cook and Shinji Kobayashi kicked off the idea 
of a "Connectathon" during Medinfo.
We did some simple work on a example patient journey, as a means of agreeing 
something we want to be able to support.
It's a story of a patient who needs to attend the ED, the GP and some specialty 
services over his many years as a diabetic...
http://www.openehr.org/wiki/display/resources/Connect-a-thon+Details
Its not the perfect journey, but I hope it at least serves as a means of debate 
and discussion.

So rather than outline my own view of what the openEHR clinical & technical 
community might need to do to make the Medinfo Connectathon happen, I'd rather 
a bit of healthy debate please...
To provoke that debate I'd like to share a variety of questions (with a mix of 
clinical and technical angles)  that you might like to pick up and and share 
your thoughts/views on..

###

Who is interested in being involved in an openEHR showcase from a clinical or 
technical perspective?

Where are we with openEHR archetype development internationally (ref top 10 
archetype work in CKM)?
Where are the key gaps needed in archetypes to support this patient journey?
Have you done any work locally that might be useful?
How could we/should we get more clinical interest in this effort and/or 
clinical approval of these archetypes/templates by professional clinical 
bodies.?

This also stimulates related issues like;
Are the CKM archetypes begin developed at the right level of detail/granularity 
for this exercise?
What level of archetype-terminology binding is required to support this patient 
journey?
Who can help with the terminology binding work needed?

What level of templating would need to be done to make this Connecthon work?
How is the relationship between archetypes and templates developing from where 
you are ?
(the technical folk might want to debate slots, specialisation, state of the 
template spec)

How are folk using CKM and/or archetype/template editing tools?
Can we showcase linkage between CKM and local systems at this event?
Can we showcase openEHR systems handling changes in archetypes and templates?

What is the state of UI development in openEHR? We need systems with an 
effective UI to engage clinicians at a showcase I believe.
Who wants to showcase their UI?
What are the implications if vendors have differing mean of UI representation?

How can we most easily demonstrate the value/benefits of openEHR based systems?

##

I'll have emailed this to both the clinical and technical lists to try to get a 
combined discussion as to these issues going forward...
(Aware that such a variety of questions might stimulate all sorts of threads, 
I'm happy to kick off now and pull some conclusions together later..)

Many thanks for your views back to the community..

Tony


Dr. Tony Shannon
Consultant in Emergency Medicine, Leeds Teaching Hospitals
Clinical Lead for Informatics, Leeds Teaching Hospitals
Chair, Clinical Review Board, openEHR Foundation
tony.shannon at nhs.net             +44.789.988.5068

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