1. Models & Modelling Heather Leslie Sebastian Guard Heather Grain
May 8, 2009
openEHR
Heather Leslie
Sebastian Guard
Heather Grain
openEHR + SNOMED CT = Making Health Compute

2. Presenters Heather Grain Sebastian Garde (Germany)
member of GeHCO (NFP) providers of education for openEHR and OceanInformatics
Sebastian Garde (Germany)
OceanInformatics
Heather Leslie (Australia)
Clinical Knowledge Manager – Leader
Not attending but happy to answer further questions
© Ocean Informatics 2009

3. Outline of presentation
Models & Modelling
May 8, 2009
Outline of presentation
Introduction to functionality
Introduction to tools
Demonstration of the tools
Summary
Users
Open access components
Education available
openEHR
© Ocean Informatics 2009
openEHR + SNOMED CT = Making Health Compute

4. Functionality EHR structure standard (ISO 13606)
EHR content specifications (archetypes)
Metadata
Rules
References
Governance
International, national, project, local
Technical implementation
Templates
Exports
© Ocean Informatics 2016

5. Moving the standards bar back to the core
Records, Data repositories, Reports
Forms, Messages, Software products, Use case data specifications
Knowledge Based Data Specification
© GeHCo 2016

6. Moving the standards bar back to the core
Records, Data repositories, Reports
Forms, Messages, Software products, Use case data specifications
Knowledge Based Data Specification
© GeHCo 2016

7. Moving the standards bar back to the core
openEHR is underpinning standard and tooling
Records, Data repositories, Reports
Forms, Messages, Software products, Use case data specifications
Knowledge Based Data Specification
© GeHCo 2016

8. EHR structure (RIM) Composition (Author, dates, etc) Section
Models & Modelling
May 8, 2009
EHR structure (RIM)
Includes Structure, Security, Versioning, People, Dates, Times, Data types
Composition (Author, dates, etc)
Section
for forms/display/communication templates
Entries (including groups of data)
Administration
Observations
Evaluations
Instructions
Actions
Includes versions
© Ocean Informatics 2016
openEHR + SNOMED CT = Making Health Compute

9. Archetype Design Priorities
Archetypes (instances of EHR structure)
Priority 1:
Design archetypes based on the semantic content
Priority 2:
Maximise re-usability of archetypes
Priority 3:
Create a maximal data set for a universal use case
© Ocean Informatics 2009

10. Tooling Clinical Knowledge Manager www.openEHR/ckm - open to all
Models & Modelling
May 8, 2009
Tooling
Clinical Knowledge Manager
- open to all
Library of archetypes (data specifications)
Designed for clinical engagement
Collaboration portal and Governance
Clinically usable with technical capacity underpinning
International open access
Your version – has a cost to established
© Ocean Informatics 2016
openEHR + SNOMED CT = Making Health Compute

11. Example screen of data spec.
© Ocean Informatics 2016

12. Tooling Archetype editor Template Designer Consultation and consensus
Models & Modelling
May 8, 2009
Tooling
Archetype editor
Consultation and consensus
Publication and progressive development
Template Designer
Select content from archetypes for form
Constrain content for specific use case
Create screen, form, xml
Harmonise with messaging publication or implementation requirements
Openly available
© Ocean Informatics 2016
openEHR + SNOMED CT = Making Health Compute

13. b CARE ENTRY: Features Feature Eval Obs Inst Act
Protocol – how and basis for recording b
History – allows time-series and aggregates
State – records patient data for interpretation
Pathway – work flow steps and states
© Ocean Informatics 2009

14. History/Event examples
© Ocean Informatics 2009

15. Action State Model
© Ocean Informatics 2009

16. Medication Order : Pathways
Models & Modelling
May 8, 2009
Medication Order : Pathways
…including workflow/status pathways
© Ocean Informatics 2009
openEHR + SNOMED CT = Making Health Compute

17. Archetype Specialisation
Models & Modelling
May 8, 2009
Archetype Specialisation
Expressed as a hyphen between the parent archetype name and the child eg OBSERVATION.parent-child.v1.adl
Specialisation of an archetype allows:
Add new data elements (primarily)
Changes to its definition such that its constraints are ‘narrower’ than those of the parent
Any data created via the use of the specialised archetype is thus conformant both to it and its parent
© Ocean Informatics 2009
openEHR + SNOMED CT = Making Health Compute

18. Specialisation
© Ocean Informatics 2009

19. Open Components International CKM Archetype Editor Template Designer
Costs associated with
your own CKM tooling
Education
Support if required
© Ocean Informatics 2016

20. Users
© Ocean Informatics 2016

21. Education Scope Models & Modelling May 8, 2009
Face to face internationally, and online just in time learning
© Ocean Informatics 2016
openEHR + SNOMED CT = Making Health Compute

22. Demonstration - Sebastian
© Ocean Informatics 2016

23. Questions
Additional information available at Questions to
© Ocean Informatics 2016