Bridging the interop chasms

True or false: if we want to achieve any degree of semantic interoperability in our clinical systems we need to standardise the clinical content, keeping it open and independent of any single implementation or messaging formalism?

Incoherence ain't all bad!

Incoherence is not ideal, but it is a realistic part of any work such as we are doing within the openEHR community. Transparency and openness can mitigate some of the incoherence. Within a transparent, governed and collaborative environment incoherence and apparent conflict can be recognised and leveraged constructively to improve the quality of archetypes.

Case Study: Clinical Engagement

Bridging the gap between the clinical experts and software engineers involved in eHealth projects is well known for being difficult and frustrating for both sides. The openEHR methodology is having great success in bringing the non-technical clinicians along with us on the clinical modelling journey.

Brazilian EHR innovation, powered by openEHR

Watch what is evolving in Brazil... It is largely a greenfields nation as far as electronic health records is concerned, which gives it a great opportunity to make bold and innovative decisions, avoiding many of the pitfalls of those who have gone before and the constraints of legacy systems.

Fractal exam findings II

The scope and diversity of clinical content in the physical examination domain is huge and complex, with different clinicians requiring different levels of detail. We have developed a base pattern for recording physical examination findings, knowing that the concept-specific detail within each model will need be added as backwardly compatible revisions of these archetypes. In this way they will evolve in an organic way to suit clinical requirements, but within a tightly governed environment.

Fractal exam findings I

The extremely complex nature of the clinician's physical examination is an obvious benchmark test for the capability of any modelling paradigm. If you can't model the clinical requirement for something as fundamental, yet frustratingly diverse as physical examination, then you need to go back to the drawing board until it works. This post outlines our journey...