2025-11-18 Minutes of CPB Meeting
Document status: Approved - approved by Koray Atalag and seconded by Sebastian Garde.
Meeting Date: Tuesday 18th November 2025
Meeting Time: 12:00-13:30 BST/13:00-14:30 CEST
Location: Virtual – Zoom
CHAIR: Vanessa Pereira
NOTE-TAKER: Hayley McDougall
Agenda
Welcome and Introductions -
Apologies - John Tore, Keisha, Heather, Silje, Koray
Requests for AOB
Minutes of previous meeting CPB Minutes - 23rd Sept 2025
Actions from minutes - Jira (https://openehr.atlassian.net/jira/core/projects/CPB/board )
Change of time for next meeting (daylight savings changes - NZ, AU)
EHRCON25, Clinical Modelling Workshop review - EHRCON25 - Clinical Modelling Workshop - Agenda and minutes
Joint meeting with SEC - CPB/SEC joint meeting - Agenda and minutes
meeting date - end of april
Demographic archetypes - update initiative and WG
Archetype Translations (Heidi)
EHDS (European Health Data Space)(Wouter & Joost)
OHDSI-OMOP/openEHR mapping (paused - need to check status with the new WG)
openEHR FHIR Mappings (paused)
CKM 1.21.0 CKM Release 1.21.0
openEHR x HL7 IPS working group (Heidi, Heather, Wouter)
openEHR x HL7 Archetypes in HL7 working group (Heather, Koray)
PROMs working group & ICHOM Collaboration (Koray)
Update on Clinical Operations Program (Heather)
Updates to Risk Registry (requested by Rachel)
AOB
Attendance
PRESENT
Paul Miller (CPB Co-Chair)
Vanessa Pereira (CPB Co-Chair)
Joost Holslag (CPB)
Kanthan Theivendran (CPB)
Lars Fuhrmann (CPB)
Olha Nikolaieva (CPB)
Sebastian Garde (CPB)
Heidi Koikkalainen (CPB EP)
Vebjørn Arntzen (CPB EP)
APOLOGIES
Koray Atalag (CPB)
Heather Leslie (CPB EP)
John Tore Valand (CPB EP)
Silje Ljosland Bakke (CPB EP)
Keisha Barwise (openEHR CMC)
1. Welcome and Introductions
Vanessa opened the meeting, noting that the previous CPB meeting had been in September and that EHRCON activities took place in the interim, resulting in a longer gap than usual. She thanked everyone for joining. Paul confirmed the session was being recorded and commented that Hayley will pick up the recording and sort future meetings, including migration to Teams where appropriate.
Action/Outcome:
Hayley to confirm platform for future CPB meetings (Teams vs Zoom) and update recurring calendar invites. – Update: Meeting will move to Teams once a new time can be agreed by CPB
2. Requests for AOB
Lars proposed discussing updates to the openEHR Wikipedia article, noting it is outdated and hard to read. Given the full agenda, Lars suggested deferring after he prepares draft edits. No additional items were requested for discussion under AOB at the start of the meeting.
Action/Outcome:
Lars to prepare proposed Wikipedia updates and circulate prior to the next meeting.
openEHR Wikipedia to be added to next meetings agenda
3. Minutes from previous meeting
Link: 23rd Sept 2025 Minutes from the previous meeting were accepted without objection (no formal proposer/seconder recorded)
4. Actions from minutes - Jira
Link: Clinical Program Board | Board
Vanessa reported that several follow‑ups from the joint SEC/CPB session have yet to be created in Jira and requested CPB review once added. CPB membership status and Terms of Reference remain in progress; coordination with Paul continues. Rachel has requested a meeting after this week (she is travelling in Canada) to review the Terms of Reference. A new OHDSI–OMOP/openEHR working group has been created (initiated by Somayed); onboarding of interested participants is pending. On SNOMED collaboration, Vanessa described discussions about cross‑training: openEHR → SNOMED and SNOMED → openEHR, including understanding SNOMED’s data model beyond term browsing. Joost highlighted technical variation in SNOMED coding between ADL1 and ADL2 and proposed CPB develop a preferred approach for coding archetypes/templates.
Action/Outcome:
Vanessa to add SEC follow‑ups into Jira and circulate for CPB review.
Vanessa & Paul to meet Rachel to review Terms of Reference and record outcomes. - done, waiting for xboard decision
Joost to draft proposal for consistent SNOMED coding in archetypes/templates (ADL1 vs ADL2).
Vanessa to invite interested CPB members to SNOMED cross‑training planning and propose dates/locations (Brussels/Amsterdam early year; Vienna around the April SNOMED conference).
Joost to share contacts from the Dutch Ministry‑funded project who could contribute expertise.
5. Change of time for next meeting (daylight savings changes - NZ, AU)
Vanessa explained daylight saving changes have impacted colleagues in NZ, AU, and Jamaica (per Sebastian’s note regarding Keisha). Alternating times was considered but may be awkward.
Action/Outcome:
Vanessa to publish a Confluence availability poll; members to record their preferred slots. - meeting will be in 20 jan, awaiting for poll decision to publish on discord after christmas week
6. EHRCON25, Clinical Modelling Workshop review
Link: EHRCON25 - Clinical Modelling Workshop - Agenda and minutes
Vanessa reported attendance exceeded expectations (planned ~50; actual ~55). She is preparing agenda and minutes for the workshop and will request permission from presenters to share slide decks for wider access.
Action/Outcome:
Vanessa to complete workshop minutes and, subject to presenter consent, publish selected slide decks on Confluence.
7. Joint meeting with SEC
Link: CPB/SEC joint meeting - Agenda and minutes
Vanessa has drafted agenda and minutes for the recent CPB–SEC joint meeting and circulated them for review due to extensive discussion. Ian has already provided comments and accepted some actions.
Key areas included:
i. terminology binding & constraints (plan a 30‑minute review call),
ii. template IDs & versioning (Joost, Olha, Vanessa to convene),
iii. translations (unilingual reference assigned to Ian),
iv. multilingual templates & value sets (action for Bostjan),
v. demographics usage survey and potential WG,
vi. collaboration cadence with at least two joint meetings per year,
vii. reciprocal access across SEC Discourse and CPB spaces.
Regarding joint meeting timing: initial plan is late April for a remote call; Joost proposed June in Amsterdam at an openEHR–FHIR event. Heidi cautioned last year’s Amsterdam event was invitation‑only, which may limit attendance; inclusivity concerns were noted.
Action/Outcome:
Vanessa to finalise joint meeting minutes and create associated Jira actions.
Vanessa to coordinate with Rachel & Abi on joint meeting dates (April remote vs June in‑person) and report back.
Vanessa to liaise with Severin and Marcus to enable cross‑group access.
8. Demographic archetypes - update initiative and WG
Vanessa outlined a plan to survey community usage (including research), align mappings with the FHIR Patient resource (likely R4), and consider a working group to update demographic archetypes based on real‑world deployments. She referenced a Code 24 article on usage and described local practice of handling demographics wholly within openEHR (no separate FHIR server), favouring consolidated records. Vanessa will contact Thomas Beale regarding prior demographic models and possible updates.
Action/Outcome:
Vanessa to open a Confluence page for the demographics refresh initiative and start the WG (including survey and FHIR version considerations).
Vanessa to contact Thomas Beale regarding demographic model updates.
9. EHR Network
Vanessa reported that the EHR Network is currently paused within SEC, though work continues on the official website. The concept mirrors ‘Hospitals on FHIR’ but focuses on research institutions using openEHR, enabling feasibility queries across institutions for cohort discovery. Participating countries include Germany, Slovenia, Luxembourg, the Netherlands, Spain, Sweden, Switzerland. A Google Sheets master is used to drive automatic updates to the website; some links currently misdirect to Discourse and will be corrected.
Action/Outcome:
Vanessa/Severin to correct external links, continue onboarding institutions, and maintain the Google Sheet → website integration. - in progress, list needs to be updated with current ownership of each local project (e.g. Basel POs are not working in the projects anymore)
10. Archetype Translations (Heidi)
Heidi proposed forming a working group to provide clearer guidance on CKM translation roles, processes, and dos/don’ts, consolidating existing national guidance (e.g., openEHR Sweden; German/Swiss modelling group) into high‑level international recommendations. Vebjørn asked about progress naming translation editors for various languages and whether responsibility sits with the Clinical Operations Program (COP) authority or CPB. Vanessa and Paul indicated translations are not currently covered by COP from their perspective; further clarification is needed.
Joost noted the Netherlands is organising translations via openEHR NL and requested guidance. Vanessa described the Portuguese/Brazilian approach via the affiliate: clinicians are trained to translate archetypes, with a designated translation editor reviewing and committing changes to CKM. She suggested affiliates are well placed to manage translations where they exist, with a replicable process needed for countries without affiliates.
Action/Outcome:
Heidi to forward the email thread to include Vanessa (CC) and continue correspondence with Heather, Silje, and Keisha regarding the translations WG.
CPB to consider a general framework for translation governance that affiliates and non‑affiliate communities can adopt; clarify COP vs CPB ownership.
11. EHDS (European Health Data Space)(Wouter & Joost)
Joost reported a project is starting with Wouter to compare CKM archetypes with EHDS logical models (no results yet).
An HL7 workgroup meeting in Cologne (first week of December) will discuss FHIR Implementation Guides for EHDS; members interested in attending should contact Joost to coordinate. Some public consultations on logical models are open and may benefit from feedback.
Lars raised the importance of identifying semantic clashes between openEHR and FHIR (e.g., diagnosis qualifiers). Heidi confirmed the IPS team is documenting such clashes on HL7 Confluence; work is ongoing.
The group recognised fundamental differences (technical modelling in FHIR vs clinical semantics in openEHR) and the difficulty of perfect alignment, while noting pragmatic integration remains possible.
12. OHDSI-OMOP/openEHR mapping
Status: paused - need to check status with the new WG
Vanessa reiterated that a working group has been formed (by Somayed) and onboarding across interested parties is planned; status currently marked paused until participants are aligned.
She referenced an openEHR Educational Programme webinar on 24 November (10:00) covering OMOP and FHIR use cases; registration via LinkedIn with a Zoom link issued upon sign‑up.
13. openEHR FHIR Mappings (paused)
Vanessa noted this stream is paused personally and Severin is currently busy; aim to create a working group to review mappings.
Joost recalled an initial small‑group meeting over the summer to review FHIR mappings from CPB’s perspective; a follow‑up is still required and should be scheduled. Heidi mentioned a workgroup meeting (invited by Severin) to review FHIRConnect mappings (participants included Severin, Diego, and Ian Bennett from Better).
Vanessa sought clarity: FHIRConnect originated from Better, was open‑sourced, and a new version produced by a workgroup led by Severin is being adopted by the openEHR SEC as a specification. Sebastian added some work has been harmonised with OMOP (common YAML metadata; models open source).
Joost raised the governance question: distinguishing technical vs semantic mappings; if semantic elements are involved, CPB should likely maintain those mappings. A governance document exists but current status requires confirmation.
Action/Outcome:
Hayley to schedule the CPB internal session on FHIR mappings/governance (follow‑up to the summer meeting). – update: Hayley has emailed Joost to organise
Vanessa to connect with Ian Bennett regarding clinical validation/semantics in mappings and report back.
Vanessa to confirm the status of the governance document and CPB’s role in maintaining semantic mappings.
14. CKM Release 1.21.0
Sebastian presented highlights of the upcoming CKM release. Key points: search improvements (exact phrase matching with quotes; better handling of hyphens/slashes/underscores; speed gains), REST API enhancements (request specific semantic versions; select latest published; new endpoints for change requests/resource proposals), fractional seconds support in ISO date formats, improved user/project management (paging, activation status visibility, temporary and full deactivation options). Archetype/version handling improvements: ability to open latest development vs latest published for reassessed artefacts; improved revision history with export; optional display of deprecated artefacts. Editorial & reporting additions: bulk upload options for mappings/queries; reporting extracts for metadata and state; new detailed views for editorial tasks and change requests; faster review‑round setup. Presentation & communications: improved crawler support and richer previews when sharing links; BlueSky integration for automated posts.
ADL 2.x (experimental): conversion preview for ADL 2.4 that retains AT codes, addressing a long‑standing technical hurdle towards ADL2‑native modelling; limitations for back‑conversion to ADL1.4 acknowledged. Internationalisation: configurable UI language selector (e.g., English, Norwegian, Catalan, Spanish). Outage countdown timer for better notice of maintenance windows.
A brief discussion followed on future ADL2 support in CKM. Sebastian noted this is a substantial change and suggested a dedicated technical session to explore timelines and impacts; Joost agreed this should be handled outside the CPB meeting.
15. openEHR x HL7 IPS working group (Heidi, Heather, Wouter)
Heidi provided an update that the IPS group is documenting openEHR–FHIR clashes and aligning streams, including use of FHIRConnect for demonstrations by Ian Bennett. Work is ongoing and not all issues have been reviewed yet.
16. openEHR x HL7 Archetypes in HL7 working group (Heather, Koray)
No detailed update was provided in the session; work continues.
17. PROMs working group & ICHOM Collaboration (Koray)
Kanthan reported attending the ICHOM conference in Dublin (September) and discussions with their CTO about collaboration on PROM sets. Idea discussed: develop openEHR artefacts for selected ICHOM standard sets and present them within CKM for community use; Koray to provide a formal presentation when timing permits.
Action/Outcome:
Kanthan/Koray to outline next steps for a pilot set and bring a proposal to CPB.
18. Update on Clinical Operations Program (Heather)
Due to Heather’s absence, an update on COP was not provided. However, brief references were made to a COP ‘authority’ meeting held earlier the same day; no specific agenda items relating to translations could be confirmed during this session.
19. Updates to Risk Registry (requested by Rachel)
This item is to be progressed outside the meeting; Vanessa will liaise with Rachel and Paul.
20. AOB
No additional items were raised under Any Other Business.
It was agreed that the December meeting would be reviewed, and a decision made on whether the session should proceed. Decision was that no meeting would happen in december due to proximity to end of the year holidays.
Paul and Vanessa thanked all attendees and formally closed the meeting.
Actions
Hayley to confirm platform for future CPB meetings (Teams vs Zoom) and update recurring calendar invites. – Update: Meeting will move to Teams once a new time can be agreed by CPB
Lars to prepare proposed Wikipedia updates and circulate prior to the next meeting.
openEHR Wikipedia to be added to next meetings agenda
Vanessa to add SEC follow‑ups into Jira and circulate for CPB review.
Vanessa & Paul to meet Rachel to review Terms of Reference and record outcomes. - done, waiting for xboard decision
Joost to draft proposal for consistent SNOMED coding in archetypes/templates (ADL1 vs ADL2).
Vanessa to invite interested CPB members to SNOMED cross‑training planning and propose dates/locations (Brussels/Amsterdam early year; Vienna around the April SNOMED conference).
Joost to share contacts from the Dutch Ministry‑funded project who could contribute expertise.
Vanessa to publish a Confluence availability poll; members to record their preferred slots. - meeting will be in 20 jan, awaiting for decision to publish on discord after christmas week
Vanessa to complete workshop minutes and, subject to presenter consent, publish selected slide decks on Confluence.
Vanessa to finalise joint meeting minutes and create associated Jira actions.
Vanessa to coordinate with Rachel & Abi on joint meeting dates (April remote vs June in‑person) and report back.
Vanessa to liaise with Severin and Marcus to enable cross‑group access.
Vanessa to open a Confluence page for the demographics refresh initiative and start the WG (including survey and FHIR version considerations).
Vanessa to contact Thomas Beale regarding demographic model updates.
Vanessa/Severin to correct external links, continue onboarding institutions, and maintain the Google Sheet → website integration. - in progress, list needs to be updated with current ownership of each local project (e.g. Basel POs are not working in the projects anymore)
Heidi to forward the email thread to include Vanessa (CC) and continue correspondence with Heather, Silje, and Keisha regarding the translations WG.
CPB to consider a general framework for translation governance that affiliates and non‑affiliate communities can adopt; clarify COP vs CPB ownership.
Hayley to schedule the CPB internal session on FHIR mappings/governance (follow‑up to the summer meeting). – update: Hayley has emailed Joost to organise
Vanessa to connect with Ian Bennett regarding clinical validation/semantics in mappings and report back.
Vanessa to confirm the status of the governance document and CPB’s role in maintaining semantic mappings.
Next Meeting
DATE: Tuesday 20th January 2026
TIME: 10:00-11:30 GMT/11:00-12:30 CET
LOCATION: Virtual – Teams