openEHR Country Updates 2014

From the Meeting Floor

some previous experiments with openEHR not very successful
Cambio COSMIC 8.1 will include archetypes; 8.2 - 'archetypes for real'
~1m population coverage of council orgs will use this
2 council archetype modellers attended clinical modelling course.
demos underway to get funding for long term activity
Gunnar: SKL doing some activity again; official activity mostly unknown due to new govt.

Brazil / Sweden (Erik Sundvall)

Sergio Freire - guest Post-doc in Sweden 2013. Large epidemiology DB published in brazil - Sergio devised archetypes and method to convert data to openEHR for clinical querying.

Seminars every 2 - 3 months; including vendor attendees
2 national projects: Medical Markup Language - being applied / re-engineered using archetypes.
Ruby implementation

Asia:

ASEAN unification program starts 2015 - opportunities in health information network.
Huge advantage - mostly green field technology wise

Nehta using CKM for 3-4y to generate their models underlying CDA and other end-use (non-openEHR) PCEHR artefacts; PCEHR development now on hold
Archetypes are basis for PCEHR messages from GP systems.
Northern Territory now main user and driver of modelling, due to indigenous health needs. Using an atomised openEHR data repository.
Remote clinical mentoring by Ocean of NT clinicians
Nehta archetypes being used natively in Ocean openEHR solutions

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)

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

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

national project (NPfIT) lessons: top-down approach didn't work; no more HL7v3; possibly some CDA
NHS likely to move to FHIR;
GP systems are contractually required their APIs - will be FHIR