Hi Silje - many thanks for pointing out this. I think it IS a brilliant piece of very good and rigorous research with all its limitations - kudos to the authors.
What this study tells me is MDD methodology itself is not flawed but we as the openEHR community should put much more concerted effort into modelling. It is like having a supercar but not having any fuel to drive it! I have been articulating the need for expanding the editorial capacity and levering much smarter from the interested and capable members of our neat community. As a member of the Management Board I'd like to call everyone to action for making this happen - fast! Especially the Clinical Modelling program leads. We don't really have any excuse for not doing this. Cheers, -koray From: openEHR-clinical [mailto:openehr-clinical-boun...@lists.openehr.org] On Behalf Of Bakke, Silje Ljosland Sent: Thursday, 10 March 2016 7:59 p.m. To: For openEHR clinical discussions (openehr-clinical@lists.openehr.org) Subject: Socio-technical challenges when the openEHR approach is put to use in Norwegian hospitals Hi everyone! As some of you may have noticed, a paper called "Evaluating Model-Driven Development for large-scale EHRs through the openEHR approach" (http://www.sciencedirect.com/science/article/pii/S1386505616300247) was recently published by a PhD student at the University of Tromsø. The paper has some pretty direct criticism of the ideal of wide clinical engagement in widely reusable information models, as well as the clear division between the clinical and the technical domain inherent in the openEHR model. I think a lot of the observations detailed in the paper are probably correct, for its limited scope (one Norwegian region and 4 years of observation, half of which was done before the national governance was established). We'll probably use the paper as a learning point to improve our national governance model, and I'd like to hear any international (and domestic Norwegian for that matter) takes on the implications of the paper. Kind regards, Silje Ljosland Bakke Information Architect, RN Coordinator, National Editorial Board for Archetypes National ICT Norway Co-lead, Clinical Models Program openEHR Foundation Tel. +47 40203298 Web: http://arketyper.no<http://arketyper.no/> / Twitter: @arketyper_no<https://twitter.com/arketyper_no>
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