OpenClinical: Open Source? John Fox University of Oxford (Engineering Science) UCL (Oncology, Royal Free Hospital) www.cossac.org.

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Presentation transcript:

OpenClinical: Open Source? John Fox University of Oxford (Engineering Science) UCL (Oncology, Royal Free Hospital)

Goal: To promote awareness and use of decision support, clinical workflow and other knowledge management technologies for improving quality and safety of patient care and clinical research. A resource and portal for technologists, clinicians, healthcare providers and suppliers Currently about 200,000 visitors a year (80% growth in 2010)

wwwOpenClinical.net Experimental project to explore how to develop content for high quality clinical decision support and workflow services at the point of care Goal is to build a community of users, researchers and content providers who are willing to contribute to the development of a repository of open content, including applications and application components

OpenClinical.net test site pro tem: modx.openclinical.net

Content development lifecycle Prototype development model for open source content repository on Currently limited to PROforma decision and process modelling language Intended to eventually multiple representations (e.g. GLIF, ASBRU, GELLO, OWL...)

Load from, save to repository

Download tools

Web publishing (“publets”)

Integrate and Deploy

Key questions for open content Quality and Safety –Quality lifecycles, safety culture, who is liable? Reusability and interoperability –Open technical standards, who is developing them? Functioning community (Sheizaf Rafaelli) –What will sustain the open source ethic? Facilitating infrastructure (Bob Greenes) –Three organisations; too little? too much? Sustainable business models –How do the proprietary/open source worlds coexist?

Sustainable business models (1) Traditional standalone apps? Issues of integration and localisation Likes fragmentation; hates interoperability Pay per patient (analogous to pay per view) Who would/should actually pay? No-one pays for Adjuvant! Online

Sustainable business models (2) Standard medical publishing model Commercially viable on a publishing model? (Clinical Evidence) Discussion on pages/innovations_in_evidence_based_medicine.aspx Open Source with value-adding services? (c.f. Linux model) Attractive model but how can we achieve critical mass of a content development community?

Towards an open content lifecycle? Ioannis Chronakis Vivek Patkar Richard Thomson Matt South Ali Rahmanzadeh