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2025-05-20 Minutes of CPB Meeting

2025-05-20 Minutes of CPB Meeting

Document status: Finalised - Approved by Sebastian and seconded by Koray

Meeting Date: Tuesday 20th May 2025

Meeting Time: 10:00 - 11:30 BST

Location: Virtual – Zoom

 

  1. Welcome and Introductions

  2. Apologies - Tara Bonet, John Tore Valand, Keisha Barwise, Silje Ljosland Bakke, Olha Nikolaieva, Jannis Pesch

  3. Requests for AOB

  4. Minutes of previous meeting CPB Minutes - 29th April 2025

  5. Actions from minutes - Jira (https://openehr.atlassian.net/jira/core/projects/CPB/board )

  6. CPB ops - Membership criteria, CPB Meeting Time

  7. Update on Clinical Operations Program

  8. PROMs working group & ICHOM Collaboration

  9. Joint meeting with SEC

  10. openEHR FHIR Mappings

  11. EHR Network

  12. European Union and EHDS (European Health Data Space)

  13. EHRCON 25

  14. AOB

 

Attendance

PRESENT

  • Paul Miller (CPB Co-Chair)

  • Vanessa Pereira (CPB Co-Chair)

  • Joost Holslag (CPB)

  • Koray Atalag (CPB)

  • Sebastian Garde (CPB)

  • Wouter Zanen (CPB)

  • Heather Leslie (CPB EP)

  • Heidi Koikkalainen (CPB EP)

  • Vebjørn Arntzen (CPB EP)

  • Hayley McDougall (openEHR AL)

 

APOLOGIES

  • Jannis Pesch (CPB)

  • Olha Nikolaieva (CPB)

  • Tara Bonet (CPB)

  • John Tore Valand (CPB EP)

  • Silje Ljosland Bakke (CPB EP)

  • Keisha Barwise (openEHR CMC)

 

ABSENT

  • Andjela Pavlovic (CPB)

  • Darin Leonhardt (CPB)

  • Kanthan Theivendran (CPB)

 

  1. Welcome and Introductions

Vanessa welcomed all attendees and noted that Severin and Diego from SEC would join shortly. She highlighted that the meeting was scheduled for 1 hour 30 minutes due to a full agenda.

 

  1. Apologies

Apologies were received from Tara Bonet, John Tore Valand, Keisha Barwise, Silje Ljosland Bakke, Olha Nikolaieva and Jannis Pesch

 

  1. Requests for AOB

No additional items were raised.

 

  1. Minutes of previous meeting CPB Minutes

29th April 2025

The minutes from the previous meeting were reviewed. They were approved by Sebastian and Seconded by Vebjørn.

 

  1. Actions from minutes - Jira

Clinical Program Board | Board

 

Vanessa reviewed the Jira board of outstanding actions. The joint SEC meeting remains pending and is expected to be arranged during today’s session.

 

  1. CPB ops

Membership criteria

Paul confirmed Lars’ appointment as a new CPB member following the voting process. He raised the need to clarify membership expectations and discussed time commitment as a key requirement. Severin supported this view from the SEC perspective, and the board agreed. - https://openehr.atlassian.net/jira/core/projects/CPB/board?groupBy=status&selectedIssue=CPB-82

Vanessa noted that some CPB members had not attended meetings in the past 3–6 months. This will be reviewed.

Important documents to review - CPB and Expert Panel membership approval procedures & CPB ToRs

 

CPB Meeting Time

Vanessa reported that the poll on Discourse remains open and will close on Sunday, 25 May at midnight CET. The next meeting is currently scheduled for 13:00 CET, pending results.

 

  1. Update on Clinical Operations Program

Heather advised the CPB that she is still in the process of onboarding Keisha. Together, they have been actively working on the CKM and developing archetypes. Heather noted that they are documenting the onboarding and learning process, aiming to create a useful resource to support future new team members.

Heather also reported a busy schedule ahead, including several important meetings. The upcoming openEHR FHIR meeting in Amsterdam is demanding significant time and has a strong clinical modelling focus. At this event, Heather will discuss ongoing collaborations with Sparked and how this work will integrate openEHR into the Sparked Accelerator. Additionally, she has been invited to present models that demonstrate collaboration between openEHR and FHIR.

She further mentioned her participation in the Dev Days strategy meeting and HIMSS Europe conference. There was a discussion about CPB and SEC board members attending various events in June, with the possibility of organising meetups to discuss relevant matters. Wouter also shared that he and Sebastian are currently planning social drinks for openEHR colleagues attending the ‘Converge or Collide’ event in Amsterdam.

Heather provided a brief overview of the Clinical Modelling stream Fellows and their project focus areas. The appointed Fellows are Nicola Hall, Martin Koch, and Lars Fuhrmann.

Following a question from Olha at the previous CPB meeting, Heather has met with Olha and Amanda and is now collaborating with them to document and develop processes related to echocardiography archetypes.

She also noted that she and Keisha are continuing to work on prioritisation strategies, which are increasingly important due to the growing workload on CKAs and resource constraints.

Heather highlighted ongoing collaborations with several groups, focusing on:

  • Genomics (Cecilia - Italy)

  • A group in France working on Audiology archetypes

  • Olha and Amanda’s (Basel-Switzerland) echocardiography work, which involves significant image testing

  • Lars’ collaboration on ophthalmology archetypes

  • A group working on Prostate archetypes

  • Efforts based in Norway

Finally, Heather informed the CPB that she needs to review and update the Collab article titled Future of Healthcare: Update. Vanessa added that the team had been requested to provide information on the sources used in the article’s creation.

 

  1. PROMs working group & ICHOM Collaboration

Heather informed the CPB that she had met with Kanthan to discuss the current inactivity of the PROMs working group and potential ways to move it forward. As a result of that discussion, she is now drafting a proposal aimed at reactivating the group, with an emphasis on keeping the structure and objectives as straightforward as possible.

Koray updated the group that he had not yet begun work on the ICHOM collaboration document, as he was waiting for a few developments to take place before presenting it to the CPB. He added that the intention is for openEHR to join ICHOM as a knowledge partner, although this involves a cost. He is currently working with Rachel to explore creative ways to support this initiative. - https://openehr.atlassian.net/jira/core/projects/CPB/board?groupBy=status&selectedIssue=CPB-71

 

  1. Joint meeting with SEC

Vanessa advised that she and Paul had discussed the potential for a joint meeting with the SEC and proposed holding an initial virtual meeting in September. They also wanted to gather CPB feedback on whether members would prefer a virtual meeting or an in-person session during EHRCON. Vanessa explained that the aim of the joint meeting would be to review SEC’s recent work, particularly identifying aspects relevant to Clinical and Clinical Modelling, and to discuss changes introduced in ADL version 2.4 and their implications for modelling.

Heather strongly recommended a face-to-face meeting, noting that past discussions held virtually or via Discourse tended not to reach clear outcomes. Both Vanessa and Vebjørn agreed with Heather’s point.

Paul suggested that a virtual meeting in September would be a good starting point, to establish dialogue between the CPB and SEC. This could then be followed by a face-to-face session at EHRCON, dependent on room and time availability. Joost also supported the idea of beginning with a virtual meeting, followed by an in-person meeting during EHRCON.

Diego reminded the group that SEC meeting notes are available and shared the link. Joost noted that the notes may be too technical for some CPB members to fully interpret and suggested that a member of the SEC could provide a summary. Vanessa agreed but added that not all SEC items were relevant to CPB - only those with clinical or modelling relevance. Diego acknowledged this and suggested a summary document could potentially be created and shared with the CPB.

Vanessa proposed scheduling a 1.5-hour virtual meeting in September for CPB and SEC board members, with the possibility of a longer (2+ hour) face-to-face meeting at EHRCON in October for those attending both boards.

 

  1. openEHR FHIR Mappings

Severin provided an overview of the openEHR FHIR Mappings, explaining that FHIR Connect uses a mapping language to transform and share logical expressions between systems. He highlighted its sustainability and the potential to streamline around 65% of mappings. The vision includes creating a collaborative, accessible mapping library based on shared archetype resources. While the technical details are extensive, Severin focused on the key takeaways for CPB and shared links to the  Mapping Library, Specification & open source engine for further exploration. 

Diego reminded the group that previous CPB-SEC discussions included the need for governance and workflow structures. He shared a draft mapping governance process document with CPB and requested feedback.

Joost expressed strong support for FHIR Connect, noting its value in bridging ongoing debates—such as those in the Netherlands—between FHIR and openEHR. He questioned whether archetype-to-FHIR mappings should be considered clinical artefacts, arguing they are better viewed as technical representations since FHIR semantics are largely defined in implementation guides. While including example mappings in CKM would be helpful, Joost felt routine CPB oversight wasn’t necessary. Severin agreed but suggested it would be useful to have a CPB point of contact for occasional clinical questions.

Heather welcomed the progress but stressed the importance of governance. As CKAs, she and Silje are responsible for CKM content quality, and any new artefacts must align with established workflows. She highlighted the need for coordination between clinical and technical teams and emphasised that these developments should not progress in isolation. Heather called for proactive planning and role clarity to maintain high-quality, sustainable outputs.

Wouter added that while many FHIR resources are technically defined, some do carry richer semantics that benefit from clinical input. He suggested that certain mappings may require clinical artefact status and should be reviewed accordingly.

Severin estimated that about 90% of mappings are straightforward and don’t require clinical review, but around 10% are more complex. For these, he proposed raising issues with the CPB and submitting change requests when appropriate. He welcomed broader involvement in the review process and noted that while FHIR Connect has a learning curve, his team can compile a list of mappings needing input for the CPP to review. The goal is to ensure semantic integrity while keeping the clinical workload targeted and manageable.

 

 

  1. EHR Network

Vanessa noted that many member did not vote and could not understand what was the reason. Vanessa agreed to reopen the vote to allow further responses. - NOTE: new voting has started on 26 may 2025 due to not be possible to re-open the voting session on discourse. New voting is made here until end of this week: https://discourse.openehr.org/t/ehr-network-vote-for-working-group-under-the-cpb/6794/3?u=vanessap - https://openehr.atlassian.net/jira/core/projects/CPB/board?groupBy=status&selectedIssue=CPB-77

Koray shared that he had voted in favour of establishing the working group but raised questions about the expected level of commitment for participants. He suggested Severin might be able to clarify this. Severin responded that defining roles and responsibilities was still in progress and that he planned to develop a document outlining expectations for those involved. He added that, for now, the intention is for the group to meet approximately once a month.

 

  1. European Union and EHDS (European Health Data Space)

This item was not discussed due to time constraints and will be carried forward to the next meeting.

  • Action/Outcome:

    • European Union and EHDS (European Health Data Space) to remain on next meetings agenda

 

  1. EHRCON 25

Vanessa informed the CPB that although the dates for EHRCON 25 have not been formally confirmed, ticket sales are now live and tickets are already being purchased. Vanessa and Diego shared their previous experiences visiting Barcelona.

Heidi asked for accommodation recommendations - Vanessa noted that openEHR has a 10% discount with a hotel listed on the event website. Diego added that the venue is close to a metro station and suggested looking at accommodation options slightly outside the city centre, as many are just 15–20 minutes away via metro.

Heidi also proposed setting up a Signal group for CPB members to coordinate logistics and stay connected during the event. Vanessa agreed to explore creating the group.

 

  1. AOB

No additional items were raised.

 

Vanessa closed the meeting, apologising for it overrunning. She informed the group that Hayley would send out the new meeting invite with an updated time. Paul will chair the next meeting, as Vanessa will be on leave.

 

Actions

 

Next Meeting 

DATE: Tuesday 24th June 2025

TIME: 12:00-13:30 (BST)

LOCATION: Virtual – Zoom