Difference between revisions of "OpenEHR"

From Clinfowiki
Jump to: navigation, search
m (Reference)
m
Line 1: Line 1:
 
http://www.openehr.org/resources/skins/openehr/images/header.jpg
 
http://www.openehr.org/resources/skins/openehr/images/header.jpg
  
The [http://www.openehr.org ''open''EHR Foundation] is a non-profit charity based in the United Kingdom at University College London. It is now a community of more than 1200 people working on an open specification for a shared electronic health record, currently release 1.0.1. ''open''EHR utilises a two level modelling approach developed in Australia. This approach means that the rules about how to represent clinical information in an ''open''EHR record are captured in [http://www.openehr.org/clinicalmodels/archetypes.html Archetypes] which can be shared and evolve, while the parts from which these models are constructed are unchanging and in the fully specified [http://www.openehr.org/releases/1.0.1/roadmap.html reference model]. The result is that software can be built on the rich and stable reference model, and the changing and evolving clinical concepts can be managed in a knowledge environment - called the archetype repository.
+
--[[User:Sfjafari|Sfjafari]] 16:11, 4 September 2011 (CDT)<nowiki>It is an international not-for-profit Foundation, based in United Kingdom at University College London, working towards:
 +
• Making the interoperable, life-long electronic health record a reality
 +
• Improving health care in the information society.
 +
It does this by:
 +
• Developing open specifications, open-source software and knowledge resources
 +
• Engaging in clinical implementation projects
 +
• Participating in international standards development
 +
• Supporting health informatics education
 +
openEHR is creating specifications, open source software and tools for such a platform. In the clinical space, it creates high-quality, re-usable clinical models of content and process - known as archetypes - along with formal interfaces to terminology. It enables ICT to effectively support healthcare, medical research and related areas. Today ICT is used ubiquitously elsewhere, but is far from effective in Healthcare. The main problem in health is the lack of shareable and computable information.
 +
The principal challenge for health ICT is to represent the semantics of the sector, which are far more complex than in other industries. It requires a knowledge-oriented computing framework that includes ontologies, terminology and a semantically enabled health computing platform in which complex meaning can be represented and shared. At the same time it must support the economically viable construction of maintainable and adaptable health computing systems and patient-centric electronic health records (EHRs).</nowiki>
 +
 
 +
The [http://www.openehr.org ''open''EHR Foundation] is a non-profit charity based in the United Kingdom at University College London. It is now a community of more than 1200 people working on an open specification for a shared electronic health record, --[[User:Sfjafari|Sfjafari]] 16:11, 4 September 2011 (CDT)currently release 1.0.2. ''open''EHR utilises a two level modelling approach developed in Australia. This approach means that the rules about how to represent clinical information in an ''open''EHR record are captured in [http://www.openehr.org/clinicalmodels/archetypes.html Archetypes] which can be shared and evolve, while the parts from which these models are constructed are unchanging and in the fully specified [http://www.openehr.org/releases/1.0.1/roadmap.html reference model]. The result is that software can be built on the rich and stable reference model, and the changing and evolving clinical concepts can be managed in a knowledge environment - called the archetype repository.
  
 
Archetypes carry with them rules that check the quality of the data and they can be used at data entry to ensure data quality. The display information is carried separately enabling the same information to be displayed in a different manner for different purposes. This makes the approach very flexible, so that personal health records can be displayed in a manner suitable for individual patients, sort of like skins for software programs.
 
Archetypes carry with them rules that check the quality of the data and they can be used at data entry to ensure data quality. The display information is carried separately enabling the same information to be displayed in a different manner for different purposes. This makes the approach very flexible, so that personal health records can be displayed in a manner suitable for individual patients, sort of like skins for software programs.
Line 30: Line 41:
 
</ul>
 
</ul>
 
<br>
 
<br>
 +
 +
 +
--[[User:Sfjafari|Sfjafari]] 16:11, 4 September 2011 (CDT)== Languages & Technologies ==
 +
 +
There are different tools used in the development of the system.
 +
• VB.Net -
 +
• C#.Net
 +
• Eiffel
 +
• Java 1.5
 +
• Java 1.6
 +
• Apache Tomcat
 +
• Postgresql RDBMS
 +
• Eclipse Development Environment & Platform
 +
• Eclipse BIRT
 +
• Python / Zope
  
 
== Reference ==
 
== Reference ==
Line 36: Line 62:
  
 
[[Category:EHR standard]]
 
[[Category:EHR standard]]
 +
--[[User:Sfjafari|Sfjafari]] 16:11, 4 September 2011 (CDT)2. <http://www.openehr.org/projects/dotnet.html>

Revision as of 21:11, 4 September 2011

http://www.openehr.org/resources/skins/openehr/images/header.jpg

--Sfjafari 16:11, 4 September 2011 (CDT)It is an international not-for-profit Foundation, based in United Kingdom at University College London, working towards: • Making the interoperable, life-long electronic health record a reality • Improving health care in the information society. It does this by: • Developing open specifications, open-source software and knowledge resources • Engaging in clinical implementation projects • Participating in international standards development • Supporting health informatics education openEHR is creating specifications, open source software and tools for such a platform. In the clinical space, it creates high-quality, re-usable clinical models of content and process - known as archetypes - along with formal interfaces to terminology. It enables ICT to effectively support healthcare, medical research and related areas. Today ICT is used ubiquitously elsewhere, but is far from effective in Healthcare. The main problem in health is the lack of shareable and computable information. The principal challenge for health ICT is to represent the semantics of the sector, which are far more complex than in other industries. It requires a knowledge-oriented computing framework that includes ontologies, terminology and a semantically enabled health computing platform in which complex meaning can be represented and shared. At the same time it must support the economically viable construction of maintainable and adaptable health computing systems and patient-centric electronic health records (EHRs).

The openEHR Foundation is a non-profit charity based in the United Kingdom at University College London. It is now a community of more than 1200 people working on an open specification for a shared electronic health record, --Sfjafari 16:11, 4 September 2011 (CDT)currently release 1.0.2. openEHR utilises a two level modelling approach developed in Australia. This approach means that the rules about how to represent clinical information in an openEHR record are captured in Archetypes which can be shared and evolve, while the parts from which these models are constructed are unchanging and in the fully specified reference model. The result is that software can be built on the rich and stable reference model, and the changing and evolving clinical concepts can be managed in a knowledge environment - called the archetype repository.

Archetypes carry with them rules that check the quality of the data and they can be used at data entry to ensure data quality. The display information is carried separately enabling the same information to be displayed in a different manner for different purposes. This makes the approach very flexible, so that personal health records can be displayed in a manner suitable for individual patients, sort of like skins for software programs.

The benefits of this approach is that the richness of clinical concepts can grow with time, without needing to change the software at a fundamental level. Also, openEHR records can be carried on a USB stick or communicated in any way necessary. Australia conducted the first major trials of openEHR in larger scale situations around 2004/5. Last year the UK NHS, although currently using HL7 CDA to carry clinical content, began to use the openEHR formalism to capture clinical content specifications. The ability to generate relatively low fidelity communications (such as CDA) from the high fidelity openEHR environment is proving to generate interest in this more comprehensive approach to storing and utilising personal health information. Implementations are now underway in the Netherlands with early work in Scotland, Denmark, Sweden, Chile as well as Australia.


Origins

"So many systems describe themselves as electronic healthcare records and yet share little common concept of what such an entity is and what it is for." - David Ingram October 2002

With this guiding principle and the experiences acquired from an early framework when GEHR was established in Europe in 1989, openEHR was envisioned to rise above the intervening influences from political, academic, and commercial forces to introduce a system that will be based on open standards, influenced more by clinical requirements established in ISO standards bodies for electronic healthcare records.

As with any system and standard in flux, the development of EHR is plagued with similar pitfalls, such as redefinition of terminologies, interfaces, and processes that may have resulted to the "reinvention of wheels" in the process for some contributors in the field, as anyone who has been involved in the defining end-to-end clinical workflows might attest. Simply, the importance of collecting implementation outcomes and hashing out optimized systems out of them remains a critical component of these endeavors in the field of EMR.


The Origins of openEHR



--Sfjafari 16:11, 4 September 2011 (CDT)== Languages & Technologies ==

There are different tools used in the development of the system. • VB.Net - • C#.Net • Eiffel • Java 1.5 • Java 1.6 • Apache Tomcat • Postgresql RDBMS • Eclipse Development Environment & Platform • Eclipse BIRT • Python / Zope

Reference

1. David Ingram. The Origins of openEHR. Retrieved: September 12, 2010. <http://www.openehr.org/about/origins.html>. --Sfjafari 16:11, 4 September 2011 (CDT)2. <http://www.openehr.org/projects/dotnet.html>