| Timestamp w/ Youtube shortcut | Links to background, examples & references | | |
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Welcome - beware, this is a live reality show by nerds, not a slick marketing presentation… Erik Sundvall (SLIDES) overview of openEHR features usable for this - Ian McNicoll (SLIDES) & Thomas Beale (SLIDES) Very quick overview of openEHR (But we hope you have done your homework and read or looked at an intro online.) How we got here by iterations of experimentation and standardisation. How the SEC works & How the clinical modelling is done.
Cycle of knowledge / feedback (shown in Rong’s thesis) + Not doctors vs CDS, but rather doctors with CDS vs doctors without CDS… Rong Chen Alan Rector “propeller” diagram - where is openEHR in the overall knowledge environment? Rong Chen slides, https://drive.google.com/file/d/1_nH2ljbEpUSmGs2nuv0ie_hDX3qiR-uJ/view?usp=sharing
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Demo/explanation of some already deployed and soon to be deployed examples
Users' point of view - what can be done in reality | | | |
Cambio Rong Chen Stroke prevention in atrial fibrillation in Swedish regions deployed in COSMIC (since 2016) SVF prostate cancer referral support with RCC Stockholm and Gotland, deployed in TakeCare (pilot 2018) Decision / process support for pressure ulcer, fall, malnutrition and oral health (based Swedish QR Senior Alert), deployed in COSMIC Type-2 diabetes prescribing support for glucose and blood pressure management with GPs from Region South Denmark, deployed in CGM’s XMO (2020) Decision support for symptom monitoring in advanced breast cancer, integrated with Cemplicity’s ePRO product, New Zealand C3-Cloud - Personalized are plans for patients with type-2 diabetes, heart failure, kidney failure & depression in Sweden, Spain & UK. Deployed in three EHR systems. Scotland GP CDS pilot cases (2018), tested integration with EMIS and Vision’s GP products
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DIPS Bjørn Næss Intelligent entry forms and query based views - example from an acute ward using vital signs for scoring and decision support DIPS “on trace of Covid-19” as a timely application using the openEHR platform.
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COVID-19 openEHR applications | | | | |
Converting WHO guideline documents to executable task plans | | WHO guidlines
Models
Scientific publications | | |
Tools & How to build Building decision/process support systems using openEHR based tools.
Example themes: Low-hanging fruit: the single-screen apps with decision- and process-support using interactive forms including calculations (with behaviour ranging from simple to advanced) Simple use-cases: process support using Instruction+Activity+Action
Manage overall process e.g. diabetic care, obstetrics (many screens & many systems) using “Task Planning” GDL based approaches Triggers (opening an EHR, opening a form, storing data, CDS Hooks etc) Output destinations (screen, EHR-composition, API calls to systems etc) Server side vs Client side logic and combinations integration with other systems (data, triggers etc) including using FHIR.
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Possible content examples: | | | | |
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Combinations etc. (short discussion) “Single screen apps” and GDL-rules can be parts within a “task plan” process structure CDS/TP-systems calling and being called by external (non-openEHR systems) via APIs, including FHIR. CDS hooks etc. COVID-applications are a combination
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Wrapping up… | | | |
Roadmap for openEHR CDS/TP- convergence of guidelines, decision logic / algorithms, task plans (workflows), CDS hooks, data Thomas Beale (SLIDES) what it looks like today (slide 1) - where we are going (slide 2) - what is there now (slide 3) | | | | |
(Brief) answers to some of the written questions submitted by the participants ahead of (and possibly during) the seminar. SEC answers, moderated by Erik Sundvall |
| See forum thread | Slide - Digital Twin | |
The End and another beginning
Thanks, goodbye and encouraging participants to continue discussion online in openEHR’s different discourse forums. Erik Sundvall | | open EHR web International forum:
Swedish subsection: | | |