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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.

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  • National Interoperability Reference Architecture underpinned by openEHR Archetypes - but no CKM in action as the government is keen to see what comes out of FHIR & openEHR joint modelling initiative.
  • Just deployed a new clinical registry: gestational diabetes using full openEHR front and backends (using OceanEHR Framework)

  • Also using archetype modelling for national cardiac registry

  • Koray joining theresearch team involved in Virtual Physiological Human initiative (EU based) and will look at to applying openEHR to bridge various physiological, anatomical and clinical models.

  • openEHR is also planned to underpin a new Centre of Research Network Excellence (MedTech CoRE) platform idea to create an interoperable 'ecosystem' for medical devices. Funded by NZ govt ($26m)

  • Also started research collaboration with the State University of Amazon in Brazil and shortly kicking off a project to develop an openEHR based diabetic foot management system (a clinical system + app)

Spain

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(David Moner)

  • slides PPT; list of archetypes
  • main gov priority - interop 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 basedProbably ADL 1.5 of more interest?
  • MOH is funding training activities in Snomed, 13606.
  • Pilots / projects in 5 regions - main ones - Madrid, Valencia

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