From the Meeting Floor
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- Some previous national experiments with openEHR not very successful.
- Erik Sundvall reporting from the perspective of the County Council of Östergötland:
- Cambio plans to start using archetypes more (in other things than CDS) in version 8.1 of their product (Cambio Cosmic) and then in version 8.2 user/customer-configurable archetypes will be possible. We have estimated that version 8.2 might appear in use among several Swedish customers sometime around 2017. That means we will have to start building local/national competence now.
During fall/winter we’d like to get some demo environments and use-cases going in the county council of Östergötland of that we can explain well enough to get more support and budget to scale up education and preparations during 2015-2017. - I would like our county council to arrange a course in Sweden some time during 2015. Collaboration with Norway regarding educational efforts and archetyping is also interesting.
- Our local modeling needs are for practical clinical use, things that need to work for real in clinical practice around 2017. That might be a different kind of start than some previous Swedish national projects. Our needs are likely very similar to the other Swedish Cambio customers, so I think we’ll be very open with collaborations and invitations to educations. We and two other county councils (Kalmar and Jönköping, both Cambio customers) collaborate as a healthcare region (~1m population coverage). In this region there at least is good hope that we’ll do a lot of informatics-related things together.
- 2 county council information modellers attended clinical modelling course in London.
- Cambio plans to start using archetypes more (in other things than CDS) in version 8.1 of their product (Cambio Cosmic) and then in version 8.2 user/customer-configurable archetypes will be possible. We have estimated that version 8.2 might appear in use among several Swedish customers sometime around 2017. That means we will have to start building local/national competence now.
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- slides PPT; list of archetypes
- Main government priority on interoperability / data sharing between 17 regions
- 10 clinical documents defined by MOH in form of 13606 archetypes
- MOH review of archetypes currently underway
- 13606 will be long term direction for data interop between regions; archetype based
- MOH is funding training activities in Snomed, 13606.
- Pilots / projects in 5 regions - main ones - Madrid, Valencia
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Slovenia (Tomaž Gornik)
- Gov will procure national openEHR-based EHR server
- CKM running but engagement of clinicians very difficult; progress is slow
- New projects have to conform to archetype-based openEHR data.
- PARENT FP7 registries project being run from Slovenia
- Marand / Critical won Unimed (private health insurance) contract; 6m patients
- Saudi Arabia tender for CKM and archetype and training services
- some openEHR modelling activity in IRAN
- Moscow city project - rolling out to 12m patients, following pilot with 2m patients
Netherlands
- Gov - HL7v3 as basis for interop; not interested in how data are stored
- Code24 implems in mental institutions at this stage; mostly using international CKM archetypes + some new archetypes.
- somme DCM model development
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