[forwarded on behalf of Ed Hammond]
-------- Original Message --------
Subject: RE: [openEHR-announce] openEHR Transition Announcement
Date: Mon, 5 Sep 2011 12:20:19 +0000
From: Dr Ed Hammond, Ph.D. <[email protected]>
To: Thomas Beale <thomas.beale at oceaninformatics.com>, openehr-announce
<openehr-announce at openehr.org>
A significant move. Congrats to the leaders.
Ed Hammond
W. Ed Hammond
Director, Duke Center for Health Informatics
2424 Erwin Rd, 12th Floor, Room 12053
Phone: 919.668.2408
Fax: 919.668.7868
Assistant: Naomi Pratt
Email: naomi.pratt at duke.edu
Phone: 919.668.8753
------------------------------------------------------------------------
*From:* openehr-announce-bounces at openehr.org
[openehr-announce-bounces at openehr.org] on behalf of Thomas Beale
[thomas.beale at oceaninformatics.com]
*Sent:* Sunday, September 04, 2011 9:00 PM
*To:* openehr-announce
*Subject:* [openEHR-announce] openEHR Transition Announcement
Dear All,
I am writing on behalf of the new Transitional Board of /open/EHR to
share our plans to take /open/EHR to a new level of operations; a new
structure, business model and governance. Our vision is the creation of
a thriving community that works collaboratively to benefit humanity
through efficient and effective electronic health records (EHRs) that
support the highest quality health care for the least effort.
Until now, the /open/EHR Foundation has functioned as an owner of
intellectual property, governed by University College London and Ocean
Informatics, with board members Prof David Ingram (UCL), Prof Dipak
Kalra (UCL) and Dr Sam Heard (Ocean).
With the support of the considerable community of Members and via
engagement of a new category of sponsoring organisational Member known
as ?Associates? - Companies, Universities and Governments - the
Transitional Board proposes a number of changes:
* The /open/EHR Foundation becomes an operational non-profit
organisation with paid key staff and resources;
* The Board (of governance) of the Foundation is extended to up to 10
people with a shift to election by the /open/EHR Associates;
* Members who participate are recognised by their peers, may take on
decision-making roles, and have the right to commit changes to the
key development assets of the Foundation.
The Members will participate individually and, through qualification by
peer recognition, will control the development within the three
Programmes that are building the key assets:
* The /open/EHR */specifications/* of the logical health record and
attendant services as well as the methods for describing the content
using archetypes (Detailed Clinical Models) and templates; and
* The /open/EHR */archetypes and templates/* to be used within systems
and for message content between systems to achieve interoperability;
and
* The /open/EHR */software projects, /*to provide open source
development of tools to support the uptake and use of the
specifications and templates.
A group of Members will be needed to bootstrap each of these programmes
and determine the working arrangements that are suitable to the products
that they are managing at the current stage of development.
The Associates will determine who governs the Foundation by nominating
and voting on new members of the Board. The Board will appoint key
Operational staff and will approve the leader of each of the Programmes.
The Programme Leaders will be appointed by Qualified Members working in
that Programme, subject to Board approval. We believe this will create
the right balance between the ?ground up? creation of /open/EHR through
participation of Members and ?top down? governance.
The first step is to share with you a white paper providing more detail
on the proposals and to ensure that the Members are reasonably satisfied
that this is the right direction to head.
Some key activities have been proceeding in the background and are
reaching a point of maturity. It has taken us some time to gather more
clinical champions in this endeavour and companies that can use and work
with the tools in their early stages of development. It has also taken
quite some time for Thomas Beale to work out how to provide a seamless
pathway between definition of archetypes, specialisation of archetypes
to ensure development scalability, to meet jurisdictional requirements,
and templates that allow tailoring for actual use in specific settings.
The result is ADL/AOM 1.5. He has, as usual, been totally committed to
this work and it is probably very important for me to say, it is ?no
mean feat?.
There is a lot to do. Most important are:
* Begin to showcase development teams and software using /open/EHR
successfully in clinical settings;
* Finalise ADL/AOM 1.5, including its succinct XML expression, and
integrate it into existing and emerging tools;
* Update the /open/EHR reference model to version 1.1 bringing our
collective knowledge to bear on the new features and changes while
ensuring backward compatibility;
* Begin an open source software project for tools, web-based if
possible, to author archetypes, templates and terminology reference
sets directly interacting with the Clinical Knowledge Manager and
equivalent repository and review tools; and
* Establish a mechanism for Associates to formally endorse archetypes
(and possibly in the longer term templates) for international use.
The Board has been changed to manage the transition until we are in a
position to take nominations from Associates. Prof. David Ingram will
become President and remain on the Board. Dr Bill Aylward from
Moorfield?s Eye Hospital (the Open Eyes Project) will join Dr Ian
McNicoll with his long advocacy of health care computing (British
Computer Society) and Dr Jussara Rotzsch who has been involved in
establishing /open/EHR as the Brazilian national EHR model. Professor
Dipak Kalra and I will remain and I become Chair of the Board initially.
The new Board will now actively seek Associates to engage in this
important work and to provide secure governance into the future.
At present many of our key participants are being drawn into national
programmes. Whilst this is encouraging, we need to bring this work,
where appropriate, back to the international community as quickly as
possible. It is clear that governance that is acceptable to these
national programs and industry is a very important step. It is also our
belief that standard SDO processes are not suitable for our work and we
have instead modelled our future on collaborative engineering efforts.
Our products must be fit for purpose, stable and have an update cycle
that is in tune with our domain.
Free membership for participants and free access to the assets of the
Foundation remains a fundamental principle going forward. Our commitment
to open specifications, open software and open clinical models,
unrestrictive to commercial use, remains unchanged.
We hope you will join with us enthusiastically in the next phase of
development of the Foundation and comment freely on the attached paper.
There will be many views on what we need to do and how we might best
achieve it. The Board is very interested in alternative ways to balance
the needs of industry and governments with those of the developers and
users of the system.
Let?s make the future of eHealth work efficiently for all.
Yours sincerely, Sam Heard
Acknowledgements: Thank you to David Ingram, Dipak Kalra, Thomas Beale,
Martin van der Meer and Tony Shannon for assisting in the planning.
openEHR Transition White Paper
<http://www.openehr.org:8888/openehr/321-OE/version/default/part/AttachmentData/data/openEHR%20Foundation%20moving%20forward.pdf>
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