In een bericht met de datum 8-1-2006 21:31:57 West-Europa (standaardtijd), schrijft gfrer at luna.nl:
> Information is exchanged in communities.All clinical information belongs to > the healthcare domain. > > > When clinical concept models (Archetypes) are expressed using an Open > International Standard like the CEN/tc251 Archetypes, > both the Archetype expression and the constituting clinical concept models > are not owned in a commercial sense. > > > Gerard > Sorry to be late in response, but this comment is only partly true. After having made about 150 archetypes for use in HL7 v3 messages (technical transition being no issue at all, clinical material is), we have encountered several issues. Not all clinical information belongs to the healthcare domain. Many instruments and scales are copyrighted and require a licencing fee. Use in EHR or message is in that case no different from paper versions or dedicated software. This is similar to use of vocab which is or is not copyrighted. Use of CEN / ISO or OpenEHR does not solve this issue, neither does HL7: the clinical content can be owned in commercial sense. It is stil questionable if the model representation of such clinical information e.g. in a HL7 message model, or a CEN / OpenEHR archetype format is not a breach of copyright regulations. Same with terminology: we bind variables and values to terminologies: leaving the decision to the clinician which to use, but to make sure that each element has at least one unique code that is maintained and governed over the centuries. I do agree that once the source material copyrights are sorted out, then the representation in models and storage of clinical data for a patient, or aggregations to group level data from this can be handled open source like, but then we have the consent issue of the patient to exchange information, or to re-use clinical information for managerial or policy reasons. Sincerely yours, Dr. William T.F. Goossen Senior Researcher and Consultant Health and Nursing Informatics Acquest Research, Development and Consulting, Koudekerk aan den Rijn, the Netherlands <A HREF="http://www.acquest.nl/";>http://www.acquest.nl/</A> & Adjunct Associate Professor in the College of Nursing, faculty in the Organizations, Systems and Community Health Area of Study, the University of IOWA, Iowa City, Iowa, USA. http://www.nursing.uiowa.edu/facstaff/adjunct.htm & Co-chair Patient Care Technical Commission, Health Level Seven, Ann Arbor, MI, USA. http://www.hl7.org & Country Representative for the Netherlands in the Special Interest Group Nursing Informatics, IMIA. http://www.infocom.cqu.edu.au/imia-ni/ & Member Evaluation Committee International Classification for Nursing Practice, Geneva, ICN. <A HREF="http://www.icn.ch/";>International Council of Nurses http://www.icn.ch/</A> and http://www.icn.ch/icnp.htm & Associate Professor, Adjunct on the faculty of the School of Nursing, University of Colorado Health Sciences Center, Denver, USA. http://www2.uchsc.edu/son/sonweb.asp & Bestuurslid Vereniging voor Medische en Biologische Informatieverwerking <A HREF="http://www.vmbi.nl/";>http://www.vmbi.nl/</A> & Teacher in health and nursing informatics, MBA Health Management University of Applied Sciences, Osnabr?ck, Germany. http://www.wiso.fh-osnabrueck.de/aktuelle-lehre.html & Fellow of the Centre for Health Informatics Research and Development (CHIRAD), School of Social Sciences, Kings Alfred's, Winchester, UK. <A HREF="http://www.chirad.org.uk/";>www.chirad.org.u</A>k -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20060502/832ae184/attachment.html>
