MedInfo 2015 openEHR tutorials

2014-10-25 Thread Dra Carola Hullin Lucay Cossio
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MedInfo 2015 openEHR tutorials

2014-10-25 Thread Bert Verhees
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MedInfo 2015 openEHR tutorials

2014-10-25 Thread Bert Verhees
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MedInfo 2015 openEHR tutorials

2014-10-25 Thread Shinji KOBAYASHI
Hi,

What I should offense to is health threating entities/events. I
believe we have wisdom enough to fight against them.
And then, it would be more constructive that we think about what we
can do for healthcare and our community rather than what our community
do for us.
Having workshop and tutorials would be good contribution and make
something happen to outreach.

To Pablo and Latin Americans,
I always respect your contributions and am much interested in your
woks. I am looking forward to meeting you and sharing passion with us.

To Bert,
Thank you for proof-reading. English is too difficult for me,
Japanese. My understanding is openEHR specs are oriented to base of
the standards. Could you let me know the better phrase?

Regards,
Shinji KOBAYASHI


2014-10-25 8:51 GMT+09:00 Bert Verhees bert.verhees at rosa.nl:
 In Europe, politicians are afraid to make errors, they are not able to judge
 if a specification has a high quality. So they go for standards. This is in
 many countries like this.

 That is why HL7 always try to standardize their efforts, and the higher the
 better. In Europe you go first to your national body, then to the European
 body, then to ISO.

 Alternatives with a little bit less status are Oasis, W3, OMG, and also from
 there you can go to ISO.

 I have never heard that OpenEhr tried to become a standard. In these ten
 years, they never did, or they did it in silence, or I just missed it, was
 on holiday when the announcement was done.

 But if I am right, then is that a reason why it will never become important
 on government-level in the Netherlands. And in many other countries this is
 the same.

 No politician in the Netherlands wil ever invest millions in a specification
 which did not made it to ISO. That is why the Netherlands invested 500
 millions Euro in a HL7v3 standard. Because it is an ISO standard, or it was
 in the traject to become one. Really, 500 millions Euro, half a billion
 Euro. Just for a message system for the Netherlands, based on HL7v3. And the
 laugh, it failed.

 But that doesn't matter, the politicians are safe, they favored ISO
 standards. The companies are safe, they got their money, got well paid, and
 did what they were asked for. No one ever got fired for choosing an ISO
 standard.

 Why did it fail? Ten years they had spent 50 million Euro, every year. It is
 a long story, but I can summarize it in a few words. I think they did not
 want to succeed. They failed for political reasons, they did not want to do
 concessions with the majority in parliament. So the parliament blew it off.
 They had chosen to fail.

 It would be good for the OpenEhr developing companies if a OpenEhr did more
 to be acceptable for governments.

 Bert




 Op vrijdag 24 oktober 2014 heeft Dra Carola Hullin Lucay Cossio
 carolhullin at hotmail.com het volgende geschreven:

 Dear All,

 Please take this observation as a help DISCUSSION rather a critic: but the
 standards difinition is not an awareness issues, instead is a GAP between
 contexts.
 In Latino America and Caribe, there is minimal understanding of what a
 standard isas displayed on Pablo?s answer, so the real use of openEHR
 never is achieved because of this gap.

 I was last week in INFOLAC2014 ,where the goverment of Uruguay and several
 local authorities discussed about standards but the issue was a different
 one. So, I believe that OpenEHR as foundation and its initial team of
 founders of this conceptual and technical framework should lead the training
 contents and validity that developing countries are using.

 I was surprise that Uruguay invested 4 million dollars and the concept of
 openEHR was missing: lost of investment again.

 http://www.agesic.gub.uy/innovaportal/file/1443/1/agesic_agendadigital_2011_2015.pdf


 Hope this contextual information help to get a good quality training
 package from the foundation so then it can be shared around the world.

 Cheers Carol
 (LATAM)



 
 From: pazospablo at hotmail.com
 To: bert.verhees at rosa.nl; openehr-technical at lists.openehr.org
 Subject: Re: MedInfo 2015 openEHR tutorials
 Date: Fri, 24 Oct 2014 19:23:40 +

 Bert, I'm aware of the definition and I use terms in a very specific way,
 I said standard because  that definition fits what openEHR is.


 Anyway, we are not discussing definitions but a much broader subject: the
 board being silent in front on community efforts that need them.


 Pablo Pazos

 www.CaboLabs.com

 -- Original message--

 From: Bert Verhees

 Date: Fri, Oct 24, 2014 4:17 PM

 To: openehr-technical at lists.openehr.org;

 Subject:Re: MedInfo 2015 openEHR tutorials

 OpenEHR is not a standard, it is a formal specification.

 http://www.iso.org/iso/home/standards.htm
 ISO, What is a standard:

 A standard is a document that provides requirements, specifications,
 guidelines or characteristics that can be used consistently to ensure that
 materials, products, processes and services are 

MedInfo 2015 openEHR tutorials

2014-10-25 Thread pablo pazos
 
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MedInfo 2015 openEHR tutorials

2014-10-25 Thread pazospa...@hotmail.com
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MedInfo 2015 openEHR tutorials

2014-10-25 Thread Bert Verhees
On 25-10-14 02:54, Shinji KOBAYASHI wrote:
 To Bert,
 Thank you for proof-reading. English is too difficult for me,
 Japanese. My understanding is openEHR specs are oriented to base of
 the standards. Could you let me know the better phrase?
Only strong men can admit their weaknesses. So this is a compliment for you.
My English is not very good also, but I come from a language related to 
English, while you come from a completely other part of the languages-world.
--

OpenEHR specs are based on standards, that is right, in fact everything 
in ICT is, but OpenEHR introduces new artifacts and reference models, 
which should be standardized or be in a process to standardization, 
which already poses some requirements regarding to documentation and 
formal definition.

For example, you can express an OpenEHR dataset in XML, en XML is  a 
standard, but the OpenEHR Reference Model is not.
This in opposite to ISO13606 or some HL7 Reference Models, they are also 
ISO standard.

So, to be accepted by an organization that requires standards, it is not 
enough to use XML, but also you should use an XML-Schema/Reference Model 
which is standardized.

Just for illustration:
I remember when ODF (OpenOffice Reference model) became an ISO-standard, 
governments all over Europe planned to switch to OpenOffice because they 
want to work on standards. Microsoft hurried and put in a lot of money 
to get their Office reference Model (OOXML) standardized. It was the 
fist time Microsoft ever was required to standardize something. We saw 
many new countries becoming voting member of ISO, like Malta and Sierra 
Leone, countries with no expertise or experience at all. The whole 
ISO-process regarding this was a farce. You should read about it for 
having a good laugh.
The only reason was because the competition (OpenOffice) had done that.
Since that moment, since the very fast ISO-process which took less then 
a year, government could safely choose for Microsoft again, back to the 
Microsoft Office environment.

Same counts for medical Reference Models, many governments choose HL7, 
only because it is an ISO standard, and only for that reason.
ISO makes it possible for politician which decide about things they 
don't understand (most of them have to) to distinguish quality in a safe 
way.

Bert.



MedInfo 2015 openEHR tutorials

2014-10-25 Thread Bert Verhees
On 25-10-14 05:21, pablo pazos wrote:

 Bottom line, I just see a gap between the foundation and the 
 community, and that gap gets bigger because of language and 
 geografical differences. That's why I created the openEHR course in 
 spanish and the ES community. My proposal is just a help me help you 
 situation.


 Working towards medinfo, I hope we can join ours efforts in creating 
 awareness, but it is not clear for me if we should organize community 
 stuff separated from the foundation stuff or if we can narrow the gap.

I know you are doing a great job. I often see your promotion for course 
in Spanish, on LinkedIn, on Google Plus (maybe). I forgot where, but I 
see it a few times a week.
That is really a good thing.

And it is necessary. The specs are bad learning material, there are also 
not meant for that.

I remember, ten years ago, sitting at the swimming pool with my little 
children, reading OpenEHR-specs. They were hard to read because of their 
formal language.
It is no material for learning. In learning people things, you need to 
come with examples, with stories, let the Reference Models and other 
specs live for people, make it fun to read.

Anyway, I came through, I did my best, and it was rewarded. But many 
people are not able to do that, because they do not have the freedom to 
spend 50 hours or so on something which is not required to learn. And 
reading the OpenEHR specs as a hobby in free time, that is asked too 
much for most of humanity.

I am an independent developer, almost twenty years now. I choose myself 
how to spend my time, and a lot of time is used because I make choices 
which seem irrelevant. But I don't mind. I try to have a Buddhist view 
on it. It are all steps to greater wisdom. I am a lucky bastard.
The master moves from program to program without fear. No failure can 
harm him. Why is this? He is filled with Tao.

But for the other people, young people, needing to study for their 
masters, old managers, need to understand for their decisions, 
politicians, relying on ISO, all these people need easy entrance to 
knowledge. You try to get it of the ground. You should not only do it in 
Spanish, but also in English.
I think you have a good business-case when OpenEHR as an formal 
definition tries to get more status.
But you have a bad business-case if it fails on the market. It is not 
only in your hands.

You can comfort yourself with the thought that nothing in life will be 
done in vain. In everything is a lesson. With the lessons you have 
learned, you later can pick up something else.

But besides that, I hope the communities and foundation will support 
you, because it is important work that you do, for us all. If we want 
something to be a success, we have to reach the hearts and minds.

Have a nice day
Bert



MedInfo 2015 openEHR tutorials

2014-10-25 Thread Ian McNicoll
Hi Pablo,

Firstly, I will be at MEDinfo2015 and would definitely hope to contribute
some of the very interesting stuff emerging from HANDI-HOPD.

I do recall our conversation about training and accreditation. Although I
am on the Board, my response here is personal, not official!

What you are suggesting is a very good idea, and was discussed further at
the Oslo meeting. We know that a number of organisations around the world
are now running openEHR related training, we know that trainees frequently
ask for accreditation and trainers also see benefits in being able to claim
they are 'openEHR accredited'. So if the Board was asked, is this a good
idea, I am sure you would get a positive answer.

However a whole number of questions follow ...

Is the organisation accredited or the course accredited?
Who decides the criteria for accreditation of a course?
Does every small variant of a course need accredited?
Who checks the course content? In multiple languages?
What are the rules of withdrawing accreditation?
Who pays for all of the above?
How do we ensure that anything that is decided is fair to both existing
trainers and to new entrants and how do we ensure that this system is seen
to be fair and transparent and not open to abuse.

I am sure there are many more questions, and, of course there are
solutions. Other organisations have faced similar problems and come up with
answers that we can almost certainly use or adapt.

So, it is doable, but who does it? Who puts in the work and effort to
consult with current training organisations, speak to the broader
membership, also other organisations what they do etc, etc? Who comes up
with a final proposal to submit to the Board that if seen to be fair and
sensible will almost cvertainly by 'rubber-stamped'.

In my view the only people who can do this are those of us who have a
commercial or academic interest in training. It is in our interest to have
accrediation working - it is something demanded by our customers, and in
our commercial interest. We are the ones with the knowledge of what it
takes to be a good openEHR course, the ones who stand to lose if the
proposals are done favour a competitor, and the only ones who can give up
some of our IP, if the idea is to share some 'standard' resources.

The Board simply has no capacity to do the ground work here, and in any
case that would be inappropriate. Their job is to ratify (or not) a set of
proposals coming from the training industry, in exactly the same way that
the System Accreditation proposals will have to come from System developers
like yourself.

I believe that Heather Leslie and Evelyn Hovenga have been working on some
ideas in this area - it might be worth contacting them to see if this could
be the nexus of a 'Training Partners Group'.

I am having a similar conversation elsewhere about Localisation. There have
been private conversations about localisation and Koray posted a very
detailed proposal but that is not enough, there needs to be input from
other localisation groups so that openEHR can come up with a minimum but
clear set of criteria for localisation. That takes work and discussion with
the various parties around the world who have an interest in this area, but
it does have to member-led.

In the coming months, the interim Board will be replaced by an Elected
Board (everyone who wants to vote or be nominated should sign up at
members.openehr.org) but even then, the level of funding and personal
resource that will available, will require Foundation resources to be
concentrated on core communications and 'marketing' of openEHR.

As I say just my view. Others may feel that openEHR should have much more
central power and resource to drive these important and necessary efforts
but they will then have to figure out how it gets funded.

I will leave my thoughts on Standards to a different post but remember that
there was a major effort led by David and Sam to have openEHR become part
of IHTSDO. This went a long way but was ultimately rejected byt the IHTSDO
board. I suspect that will not be the end of the story.

Ian
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MedInfo 2015 openEHR tutorials

2014-10-25 Thread Thomas Beale
On 24/10/2014 19:17, Bert Verhees wrote:
 OpenEHR is not a standard, it is a formal specification.

 http://www.iso.org/iso/home/standards.htm
 ISO, What is a standard:

 A standard is a document that provides requirements, specifications, 
 guidelines or characteristics that can be used consistently to ensure 
 that materials, products, processes and services are fit for their 
 purpose.

This is such a fun topic I wrote a blog post 
http://wolandscat.net/2014/10/25/what-is-a-standard-legislation-or-utilisation/
 
on it :)

- thomas
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MedInfo 2015 openEHR tutorials

2014-10-25 Thread Bert Verhees
On 25-10-14 13:58, Thomas Beale wrote:
 On 24/10/2014 19:17, Bert Verhees wrote:
 OpenEHR is not a standard, it is a formal specification.

 http://www.iso.org/iso/home/standards.htm
 ISO, What is a standard:

 A standard is a document that provides requirements, specifications, 
 guidelines or characteristics that can be used consistently to ensure 
 that materials, products, processes and services are fit for their 
 purpose.

 This is such a fun topic I wrote a blog post 
 http://wolandscat.net/2014/10/25/what-is-a-standard-legislation-or-utilisation/
  
 on it :)

 - thomas


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I commented to it:

I agree Thomas, it is a fun topic, with billions of dollars involved, 
not quite so funny for who is paying them. You and me, the taxpayers.
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MedInfo 2015 openEHR tutorials

2014-10-25 Thread Thomas Beale
://www.oceaninformatics.com/*Thomas Beale
Chief Technology Officer*
+44 7792 403 613Specification Program, /open/EHR 
http://www.openehr.org/
Honorary Research Fellow, UCL http://www.chime.ucl.ac.uk/
Chartered IT Professional Fellow, BCS http://www.bcs.org.uk/
Health IT blog http://wolandscat.net/category/health-informatics/ 
View Thomas Beale's profile on LinkedIn 
http://uk.linkedin.com/in/thomasbeale


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2014-10-25 Thread pazospa...@hotmail.com
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