Hi Evelyn, what a fantastic initiative...I am really quite disturbed how these 
fundamental terms are being used inconsistently. Here are the most difficult 
ones for me:


-          Clinical model (can be a model patient for med students! If context 
is not given)

-          Clinical information model (originally this refers to knowledge 
artifacts as you say but that is difficult to comprehend by 
non-openEHR/13606/HL7 aware people. This is commonly mistaken for RIM)

-          Concept model (too generic)

-          Clinical concept model (not too bad - but doesn't say much about the 
nature of modelling)

-
Also please add these to you list:


-          Clinical data set

-          Clinical data repository

-          Meta-data repository

-          Clinical concept repository

-          Minimum data sets

-          Core data sets

-          Clinical core data sets

-          National collections

-          Registries (clinical/disease etc.)

-          Research databases

Will continue...

Cheers,

-koray

From: openehr-clinical-bounces at openehr.org 
[mailto:[email protected]] On Behalf Of Hugh Leslie
Sent: Sunday, 27 June 2010 2:35 a.m.
To: openehr-clinical at openehr.org
Subject: Re: Health Information and Integration Platform ontology

Good idea Evelyn - I am happy to help.

On 26/06/2010 11:54 PM, Evelyn Hovenga wrote:
Colleagues,

I would like to develop a high level ontology model of the health information 
and integration platform showing the entities, concepts  and their various 
relationships as a means of enabling us to clearly show what this is all about 
and to enable us to communicate to non technical people the implications (and 
limitations imposed)  of decisions made regarding the adoption of such a 
national infrastructure platform.  It's about all the stuff that sits between  
the hardware and software applications.  This area is not well understood by 
non technical people (including me) yet the term ' platform' is  used heavily 
for marketing purposes by big software suppliers.  An ontological model of this 
domain should serve us well for educational purposes.  I'd like to adopt the 
clinical knowledge artifacts (my generic term for archetypes or detailed 
clinical models) as central to such a platform as these provide the foundation 
for all health information and processing needs at the individual, local, 
organisational, national and international levels.

I would welcome your views on which entities and concepts (and their associated 
generic names)  to include in such an ontological model.   At this stage my 
review of the literature etc has resulted in the following list but I need help 
in defining these and their relationships in a generic  mutual exclusive sense 
as clearly the adoption of one or more specific entities/concepts influences 
others either positively or negatively.  Many different platforms are in 
existence  but how does one evaluate their completeness, functionality, 
efficiency, effectiveness, impact on patient safety or outcomes?  The terms 
below are used in non standard ways making it difficult to gain a clear 
understanding about these from the literature.

Reference information model
Data types
Service Oriented Architectures
Web services
Clinical Knowledge Repository
Terminology server
Clinical modelling tools
Tooling to convert clinical knowledge to machine processable schema or templates
EHR services
Longitudinal EHR services
Technology platform eg .net, java, mobile versions
Middleware products
GUI Standards & frameworks
Identifiers standard
Demographic service
Application development platform
Knowledge management platform
Semantic interoperability
Functions such as authentication of users and applications, guaranteed delivery 
of messages between components and users, logical connections
Consent management services

I look forward to your comments.
Evelyn
Evelyn J.S Hovenga RN PhD FACS FACHI
Professor & Director  eHealth Education Pty Ltd
Director of EJSH Consulting,
PO Box 9783 Frenchville, Rockhampton Qld 4701

Editor in Chief, eJHI http://www.ejhi.net<http://www.ejhi.net/>
Adjunct Professor, Victoria University, Melbourne
ACHI Council member
Standards Australia member

ehovenga at gmail.com<mailto:ehovenga at gmail.com>
evelyn at evelynhovenga.com<mailto:evelyn at evelynhovenga.com>
e.hovenga at ehealtheducation.net<mailto:e.hovenga at ehealtheducation.net>
Mob +61 (0)408 309839
Qld Office Ph. +61 (0)7 4921 3029









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Dr Hugh Leslie MBBS, Dip. Obs. RACOG, FRACGP, FACHI
Clinical Director
Ocean Informatics Pty Ltd
M: +61 404 033 767   E: hugh.leslie at oceaninformatics.com<mailto:hugh.leslie 
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