Pablo does make some good points. That is why I started the OSHIP project instead of just sticking with an RM implmentation.
http://www.oship.org http://launchpad.net/oship If Python isn't your thing we are also starting up OSHIPrb (Ruby) and OSHIPjava (Java). Using the same concepts of full development platforms SDK) so that implementers can start with a full OPEN SOURCE software stack in order to quickly build applications. We are also improving tooling using completely cross platform and open source tools. Join the Launchpad development team(s) of your choice via the umbrella project at http://launchpad.net/mlhim Cheers, Tim On Tue, 2010-11-02 at 10:45 +0530, Dr Lavanian wrote: > Dear All, > I think Pablo has a very pertinent point. Theory and armchair > discussions are good, but applicability in real life situations, and > painlessly, is the need of the hour. > If I were an implementor I would need a (no nonsense) 'openEHR for > dummies', an SDK, sample code, a ready out-of-the-box installation > with all the components in place (probably in ISO format) and a HUGE > FAQ. > > End of the day, what a guy need for his requirement - is what he > actually need - nothing more, nothing less. > > I am sure, somewhere in the www, many of these components do exist. > Now it would be nice if we could get it all together on a single page. > > With warm regards, > > Dr D Lavanian > MBBS,MD > CEO and MD > HCIT Consultant > www.hcitconsultant.com > > Certified HL7 Specialist > Member- American Medical Informatics Association > Member HIMSS > Senior Consultant and Domain Expert - Healthcare Informatics and > TeleHealth > > Former Vice President - Healthcare Products, Bilcare Ltd > Former Vice President - Software Division, AxSys Healthtech Ltd > Former Co-convener Sub committee on Standards , Governmental Task > force for Telemedicine > Former Vice President - Telemedicine (Technical), Apollo Hospitals > Group > Former Deputy Director Medical Services, Indian Air Force > Office: +91 20 32345045 > Mobile: +91-9970921266 > ----- Original Message ----- > From: pablo pazos > To: openehr implementers2 ; openehr implementers ; openehr > clinical ; openehr clinical ; openehr technical chime > Sent: Tuesday, November 02, 2010 9:36 AM > Subject: Why is OpenEHR adoption so slow? > > > Hi Thomas, > > My opinion is the grade of adoption of a standard depend in > some aspects of goverment agencies, in some of the industry > and some of the academy. > > DICOM is a good example of an open standard heavily supported > by the industry, that's the point of it success. Can't be > OpenEHR a de-facto standard for EHRs? Like DICOM is for > imaging. I think yes, but the progress of OpenEHR to solve > real the problems and make it usable, is slow. > > I think OpenEHR is strong on the academy area. It has poor > industry penetration (I mean enterprises developing tools and > aplying a good part of the OpenEHR specification in their > systems, and that these systems where used in some hospitals). > I don't know what's the penetration of OpenEHR on goverment > agencies. There are some open tools but there is some > stillness on making improvements on them. > > > For example, here in Latin America, almost nobody knows about > OpenEHR in the industry area, and very very few knows about it > in the academy area. > > There are some ideas that may help the difusion and adoption > of OpenEHR: > > - I think that regional OpenEHR communities are needed to > empower the adoption and spreading of the standard. In 2009 I > send a message to the mailing lists, but I get no answer from > the community (this mail is below). Now we have 36 members > from Uruguay, Argentina, Chile, Colombia, Spain, and more. > They work on goverment agencies, big enterprises (like IBM), > developers and physicians. I think the international OpenEHR > community needs to support these regional communities, > providing guidelines, general objectives, and following their > work. Here in South America, only few people know about > OpenEHR, that's a shame. People in goverment are making > decissions, without knowing that are good and open standards > out there. > > - Formal training and education in OpenEHR is needed. It's > very hard to the newcomer to understand how to use OpenEHR, > and people interested on the main ideas of OpenEHR may be > dissapointed when they try to use it in a real-world software > application. People in the industry must be trained, but how > many OpenEHR trainers are out there? > > In Set-2010 I've done a hands-on OpenEHR tutorial in > Argentina, and people (medics and TIC people) where amazed > about building their archetypes and having a tool that > generates the EHR (this is my degree project). This was done > in the context of the "Argentine Congress of informatics and > Health 2010". Now, the organizers want to make more time to > discuss OpenEHR and its posibilities. This is just an example > that great things can happen if someone has interest. > > Regional OpenEHR communities can build courses fucused on the > regional needs, may be made some money to support the open > tool development (*). > > - Building and supporting open tools. The current tools have > no regular updates. We need developers to build new tools and > improve the current tools. We can use the money of the > training courses (*) to pay developers to do this job. If this > depends only on the free time we have, tools just can die > before they are implemented. > > - In order to help any goverment adoption of OpenEHR, the > decission makers have some questions that today OpenEHR can't > answer. > - What is the state of the standard? > - Is it stable? > - Wich parts are stable? > - Is there any return of investment study done on efective > use of OpenEHR? > - Or just, how much time and money I have to spend to > effectively use OpenEHR in a real world application? (I have > to train people to make things happen, not in an investigation > project, but in a production project) > - What real world products are using OpenEHR? > - How these products are using OpenEHR? (they adopt the RM? > the AOM? the SM?) > > There is page on "who is using OpenEHR" in the portal, but it > is outdated. My proposal is to do regular polls on the > community in order to know: who is working on what, and how > they're using OpenEHR. > > - Formal links with "formal" SDOs are needed. I think that OMG > is in tune with the way OpenEHR do things. They have the COAS > standard, and OpenEHR RM is mapped to COAS. This is a good > starting point to have something in common. > > I think there are very good posibilities in the OpenEHR > adoption on the industry adn goverment areas, but we need to > build improve the lines of action of the community to reach > that. > > > Just my humble opinions. > Best regards, > - Pablo. > > -------------------------------------------- > Hi, > > We're trying to build an spanish-speakers community about > openEHR , I just create a google group: > http://groups.google.com/group/openehr-es > > We want to translate some docs and presentations to generate > enough knowledge to spread the word about OpenEHR, and other > EHR related concepts between latin-american and spanish > people. > > > Best regards > Pablo Pazos Gutierrez > http://pablo.swp.googlepages.com/ > > > > ______________________________________________________________ > Date: Fri, 22 Oct 2010 20:19:29 +0100 > From: thomas.beale at oceaninformatics.com > To: openehr-technical at openehr.org > Subject: Re: Articles on Healthcare, Complexity, Change, > Process, IT and the role of openEHR etc > > > Hi Derek, > > it is very simple. Not being an official standard has been a > real problem for government agencies, obsessed with official > standards. > > - thomas beale > > > On 22/10/2010 17:12, Derek Meyer wrote: > Tony, > > This is very impressive piece of work. Every since I > first came across openEHR I have intuitively felt that > it is closer to the 'solution' than more static > attempts at standardization. So why is progress so > slow? I've appplied some lateral thinking to this, and > come up with what many people on this list may (at > best) think contrarian - but at the risk of being > flamed.... > > The Case for NPfIT 2.0 www.nationalhealthexecutive.com > page 52-53. > > (I'll go get my hard hat now...) > > Best wishes, > > Derek. > > On 22/10/10, "Shannon Tony (Leeds Teaching Hospitals > NHS Trust)" <tony.shannon at nhs.net> wrote: > Late last year I said I would work on some > material to help explain openEHR in the wider > context of healthcare change during 2010. > > It has taken me longer that I originally > planned but I've recently shared some articles > online towards that end. > http://frectal.com/book/ > > The articles explore issues such as > Healthcare under pressure, > Complexity of healthcare+management+IT, > Change and the elements within > Aligning process improvement efforts with IT > > In the final articles I explore healthcare > change going forward, the need for better IT > and particularly why I believe openEHR has the > potential to tackle the complexity and > diversity of healthcare.. > > http://frectal.com/book/healthcare-change-the-way-forward/ > > http://frectal.com/book/healthcare-change-the-way-forward/healthcare-openehr%e2%80%99s-potential-to-handle-complexity-diversity/ > > In the spirit of evolutionary change, they are > up in draft form for now, so comments on any > article are welcome.. > > Hope you find it of some interest/value in > explaining openEHR's place in the wider world. > Please feel free to share.. > > Kind regards > > Tony > > Dr Tony Shannon > Consultant in Emergency Medicine, Leeds > Teaching Hospitals > Clinical Lead for Informatics, Leeds Teaching > Hospitals > Chair, Clinical Review Board, openEHR > Foundation > tony.shannon at nhs.net > +44.789.988.5068 > > > ******************************************************************************************************************** > > This message may contain confidential > information. If you are not the intended > recipient please inform the > sender that you have received the message in > error before deleting it. > Please do not disclose, copy or distribute > information in this e-mail or take any action > in reliance on its contents: > to do so is strictly prohibited and may be > unlawful. > > Thank you for your co-operation. > > NHSmail is the secure email and directory > service available for all NHS staff in England > and Scotland > NHSmail is approved for exchanging patient > data and other sensitive information with > NHSmail and GSI recipients > NHSmail provides an email address for your > career in the NHS and can be accessed anywhere > For more information and to find out how you > can switch, visit > www.connectingforhealth.nhs.uk/nhsmail > > > ******************************************************************************************************************** > > > _______________________________________________ > openEHR-technical mailing list > openEHR-technical at openehr.org > > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical > > > _______________________________________________ > openEHR-technical mailing list > openEHR-technical at openehr.org > > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical > > > -- > Ocean Informatics > Thomas Beale > Chief Technology Officer, Ocean > Informatics > > Chair Architectural Review > Board, openEHR Foundation > Honorary Research Fellow, > University College London > Chartered IT Professional > Fellow, BCS, British Computer > Society > Health IT blog > > > > > _______________________________________________ > openEHR-technical mailing list openEHR-technical at openehr.org > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical > _______________________________________________ > openEHR-technical mailing list openEHR-technical at openehr.org > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-technical > > > ______________________________________________________________ > > _______________________________________________ > openEHR-clinical mailing list > openEHR-clinical at openehr.org > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical > _______________________________________________ > openEHR-clinical mailing list > openEHR-clinical at openehr.org > http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical -- *************************************************************** Timothy Cook, MSc Project Lead - Multi-Level Healthcare Information Modeling http://www.mlhim.org LinkedIn Profile:http://www.linkedin.com/in/timothywaynecook Skype ID == timothy.cook Academic.Edu Profile: http://uff.academia.edu/TimothyCook You may get my Public GPG key from popular keyservers or from this link http://timothywayne.cook.googlepages.com/home -------------- next part -------------- A non-text attachment was scrubbed... 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