Hi Hugh,
I think that there is beginning to be serious industry penetration
in many parts of the world. We are seeing this in the Asia Pacific
region as well as many countries across Europe.
Do you have any concrete examples? I mean, do you know who is working on what?
As I say, we need to make some polls to know what people is working, where are
this people, and how they are using OpenEHR.
With this information updated we can set links between projects and improve
collaboration.
In Brazil there is work on 13606, and some work on OpenEHR, but now they want
to make their own standard based on OpenEHR.
In Argentina, Uruguay, Colombia and some other countries here in South Amercia,
nobody knows more than the name of OpenEHR, and that's a shame.
I think that we
will soon start to see a lot more interest in
South America as well
- certainly there is more than academic
interest in Chile and Brazil
I believe.
Is the OpenEHR boards doing something for this to happen? Or this is just a
feeling?
I think real actions must take place here to reach success.
I think that we will start to see a growing number of
enterprise
development tools - there are certainly a
number of commercial and
open source development platforms
that are available now and are
quite mature.
What are those tools you mentions? How do you know they are mature?
There are tools, I use them, 1. some have a lot of problems, 2. some are not
being updated for a while.
I don't want to sound rude, but with feelings and thoughts we can't convince
goverments to look at OpenEHR,
we need facts and numbers. Soon or later we must focus on "formalize" this
standard.
I'm convinced that we need regional groups to focus on regional needs, with
action lines provided
by the international community. This will empower the standard all around the
globe, but we need support.
Cheers,
Pablo.
http://informatica-medica.blogspot.com/
Date: Sat, 30 Oct 2010 22:35:08 +1100
From: [email protected]
To: openehr-technical at openehr.org
Subject: Re: Articles on Healthcare, Complexity, Change, Process, IT and the
role of openEHR etc
Hi Pablo
I think that there is beginning to be serious industry penetration
in many parts of the world. We are seeing this in the Asia Pacific
region as well as many countries across Europe. I think that we
will soon start to see a lot more interest in South America as well
- certainly there is more than academic interest in Chile and Brazil
I believe.
I think that we will start to see a growing number of enterprise
development tools - there are certainly a number of commercial and
open source development platforms that are available now and are
quite mature.
regards Hugh
On 30/10/2010 2:18 AM, pablo pazos wrote:
Hi Thomas,
My opinion is the grade of adoption of a standard depend in some
aspects of goverment agencies, in some of the industry and some of
the academy.
DICOM is a good example of an open standard heavily supported by
the industry, that's the point of it success. Can't be OpenEHR a
de-facto standard for EHRs? Like DICOM is for imaging. I think
yes, but the progress of OpenEHR to solve real the problems and
make it usable, is slow.
I think OpenEHR is strong on the academy area. It has poor
industry penetration (I mean enterprises developing tools and
aplying a good part of the OpenEHR specification in their systems,
and that these systems where used in some hospitals). I don't know
what's the penetration of OpenEHR on goverment agencies. There are
some open tools but there is some stillness on making improvements
on them.
For example, here in Latin America, almost nobody knows about
OpenEHR in the industry area, and very very few knows about it in
the academy area.
There are some ideas that may help de difusion and adoption of
OpenEHR:
- I think that regional OpenEHR communities are needed to empower
the adoption and spreading of the standard. In 2009 I send a
message to the mailing lists, but I get no answer from the
community (this mail is below). Now we have 36 members from
Uruguay, Argentina, Chile, Colombia, Spain, and more. They work on
goverment agencies, big enterprises (like IBM), developers and
physicians. I think the international OpenEHR community needs to
support these regional communities, providing guidelines, general
objectives, and following their work. Here in South America, only
few people know about OpenEHR, that's a shame. People in goverment
are making decissions, without knowing that are good and open
standards out there.
- Formal training and education in OpenEHR is needed. It's very
hard to the newcomer to understand how to use OpenEHR, and people
interested on the main ideas of OpenEHR may be dissapointed when
they try to use it in a real-world software application. People in
the industry must be trained, but how many OpenEHR trainers are
out there?
In Set-2010 I've done a hands-on OpenEHR tutorial in Argentina,
and people (medics and TIC people) where amazed about building
their archetypes and having a tool that generates the EHR (this is
my degree project). This was done in the context of the "Argentine
Congress of informatics and Health 2010". Now, the organizers want
to make more time to discuss OpenEHR and its posibilities. This is
just an example that great things can happen if someone has
interest.
Regional OpenEHR communities can build courses fucused on the
regional needs, may be made some money to support the open tool
development (*).
- Building and supporting open tools. The current tools have no
regular updates. We need developers to build new tools and improve
the current tools. We can use the money of the training courses
(*) to pay developers to do this job. If this depends only on the
free time we have, tools just can die before they are implemented.
- In order to help any goverment adoption of OpenEHR, the
decission makers have some questions that today OpenEHR can't
answer.
- What is the state of the standard?
- Is it stable?
- Wich parts are stable?
- Is there any return of investment study done on efective use
of OpenEHR?
- Or just, how much time and money I have to spend to
effectively use OpenEHR in a real world application? (I have to
train people to make things happen, not in an investigation
project, but in a production project)
- What real world products are using OpenEHR?
- How these products are using OpenEHR? (they adopt the RM? the
AOM? the SM?)
There is page on "who is using OpenEHR" in the portal, but it is
outdated. My proposal is to do regular polls on the community in
order to know: who is working on what, and how they're using
OpenEHR.
- Formal links with "formal" SDOs are needed. I think that OMG is
in tune with the way OpenEHR do things. They have the COAS
standard, and OpenEHR RM is mapped to COAS. This is a good
starting point to have something in common.
I think there are very good posibilities in the OpenEHR adoption
on the industry adn goverment areas, but we need to build improve
the lines of action of the community to reach that.
Just my humble opinions.
Best regards,
- Pablo.
--------------------------------------------
Hi,
We're trying to build an spanish-speakers community about openEHR
, I just create a google group:
http://groups.google.com/group/openehr-es
We want to translate some docs and presentations to generate
enough knowledge to spread the word about OpenEHR, and other EHR
related concepts between latin-american and spanish people.
Best regards
Pablo Pazos Gutierrez
http://pablo.swp.googlepages.com/
Date: Fri, 22 Oct 2010 20:19:29 +0100
From: thomas.beale at oceaninformatics.com
To: openehr-technical at openehr.org
Subject: Re: Articles on Healthcare, Complexity, Change, Process,
IT and the role of openEHR etc
Hi Derek,
it is very simple. Not being an official standard has been a real
problem for government agencies, obsessed with official standards.
- thomas beale
On 22/10/2010 17:12, Derek Meyer wrote:
Tony,
This is very impressive piece of work. Every since I first
came across openEHR I have intuitively felt that it is closer
to the 'solution' than more static attempts at
standardization. So why is progress so slow? I've appplied
some lateral thinking to this, and come up with what many
people on this list may (at best) think contrarian - but at
the risk of being flamed....
The Case for NPfIT 2.0 www.nationalhealthexecutive.com page
52-53.
(I'll go get my hard hat now...)
Best wishes,
Derek.
On 22/10/10, "Shannon Tony (Leeds
Teaching Hospitals NHS Trust)" <tony.shannon at nhs.net>
wrote:
Late last year I
said I would work on some material to help explain openEHR
in the wider context of healthcare change during 2010.
It has taken me longer that I originally planned but I've
recently shared some articles online towards that end.
http://frectal.com/book/
The articles explore issues such as
Healthcare under pressure,
Complexity of healthcare+management+IT,
Change and the elements within
Aligning process improvement efforts with IT
In the final articles I explore healthcare change going
forward, the need for better IT and particularly why I
believe openEHR has the potential to tackle the complexity
and diversity of healthcare..
http://frectal.com/book/healthcare-change-the-way-forward/
http://frectal.com/book/healthcare-change-the-way-forward/healthcare-openehr%e2%80%99s-potential-to-handle-complexity-diversity/
In the spirit of evolutionary change, they are up in draft
form for now, so comments on any article are welcome..
Hope you find it of some interest/value in explaining
openEHR's place in the wider world.
Please feel free to share..
Kind regards
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
********************************************************************************************************************
This message may contain confidential information. If you
are not the intended recipient please inform the
sender that you have received the message in error before
deleting it.
Please do not disclose, copy or distribute information in
this e-mail or take any action in reliance on its
contents:
to do so is strictly prohibited and may be unlawful.
Thank you for your co-operation.
NHSmail is the secure email and directory service
available for all NHS staff in England and Scotland
NHSmail is approved for exchanging patient data and other
sensitive information with NHSmail and GSI recipients
NHSmail provides an email address for your career in the
NHS and can be accessed anywhere
For more information and to find out how you can switch,
visit www.connectingforhealth.nhs.uk/nhsmail
********************************************************************************************************************
_______________________________________________
openEHR-technical mailing list
openEHR-technical at openehr.org
http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical
_______________________________________________
openEHR-technical mailing list
openEHR-technical at openehr.org
http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical
--
Thomas Beale
Chief Technology Officer, Ocean Informatics
Chair Architectural Review Board, openEHR
Foundation
Honorary Research Fellow, University
College London
Chartered IT Professional Fellow, BCS, British Computer
Society
Health
IT blog
_______________________________________________
openEHR-technical mailing list
openEHR-technical at openehr.org
http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical
_______________________________________________
openEHR-technical mailing list
openEHR-technical at openehr.org
http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical
--
________________________________________________
Dr Hugh Leslie MBBS,
Dip. Obs. RACOG, FRACGP, FACHI
Clinical
Director
Ocean
Informatics Pty Ltd
M: +61 404 033
767 E:
hugh.leslie at oceaninformatics.com W:
www.oceaninformatics.com
_______________________________________________
openEHR-technical mailing list
openEHR-technical at openehr.org
http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical
-------------- next part --------------
An HTML attachment was scrubbed...
URL:
<http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20101030/eb25c118/attachment.html>
