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To be able to exchange clinical information in a semantically safe way across different openEHR-based systems, it is important to agree on the clinical concepts used in these systems. In openEHR, such concepts are formally expressed in archetypes and developed in regional, national and international collaboration. It is crucial that clinicians - even without any knowledge of openEHR - are inherently involved in this process by being able to review and comment as required. Only this can ensure that the clinical content models are clinically valid and comprehensive. To enable this collaboration, the Clinical Knowledge Manager (CKM) has been developed as a web-based system for collaborative development, management, validation, review and publishing of openEHR archetypes and other clinical knowledge resources. CKM is used internationally by the openEHR foundation as well as in several regional and national programmes. CKM supports the 'federation' of archetypes, so that the various programmes can work independently and to their own timelines, while sharing archetypes with each other where possible.
New archetype and template tools (Erik Sundvall)
An introduction to the new archetype and template tool project intended supporting new features in the archetyping formalism ADL/AOM 2.0 (previously called ADL 1.5). The open source project targets fundamental parts of a modular editing framework that can be extended for different user needs and different reference models (e.g. CIMI, ISO13606 and openEHR)
HANDI-HOPD - building apps on an openEHR platform (Ian McNicoll)
HANDI-HOPD is a demonstrator based on SMART, FHIR and openEHR APIs, designed to allow training and experimentation in an open-standards/vendor-neutral environment. It exposes a set of simple Restful APIs which are easy to consume in modern languages/ frameworks. HANDI-HOPD is being used as the basis of the NHS England Code4Health project which aims to give clinicians the skills and knowledge to allow them to participate more directly in design of their systems.
Perspectives on coexistence and collaboration between HL7 FHIR and openEHR (Ian McNicoll, Erik Sundvall and Koray Atalag)
The HL7 FHIR standard has many benefits over some previous HL7 approaches and is gaining a lot of attention and implementation. There is also FHIR-hype, usually not from the core team behind FHIR, but from others hoping that FHIR will solve (almost) all healthcare information interoperability needs. We will highlight some differences and commonalities between the FHIR and openEHR approaches and exemplify how context of use and political/business views influences the short- and long-term benefits of different options.
Development of an openEHR-based Open Source EHR Platform and openEHR EMR frameworks
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